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14 Cards in this Set
- Front
- Back
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What are the parameters for using and NMES for decreased strength?
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MFBurstAC or symmetrical biphasic
Frequency: 50-70 pps (MHz) Pulse duration: 200-600usec Cycle time: 1:3 Amplitude: max tolerated Contraction: Isometric Treatment time: 8-12 min (3-7x weekly for at least 4 weeks) |
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What are the parameters for using and NMES for decreased endurance?
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Symmetrical Biphasic
Frequency: less than or equal to 40 pps (MHz) Pulse duration: 200-600usec cycle time: 1:5 with ramp Contraction: isometric or isotonic Treatment time: to tolerance without fatigue 1-3 x daily |
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What are the parameters for using and NMES for impaired motor control?
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Symmetrical biphasic
Frequency: 35-45 pps (MHz) Pulse duration: 200-600 usec Amplitude: level necessary for task cycle time: 1:1 - 1:4, hold time 2-3 sec Contraction: isometric/isotonic task practice Duration: 15 minutes 2-3x daily |
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What are the parameters for using and NMES for spasticity?
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Symmetrical biphasic
Frequency: 33 pps (MHz) (Barely tetanic) Pulse duration: 200 usec Cycle time: 1:5 with 2-10 sec hold or activity specific Amplitude ramp: 2 sec Electrodes over antagonist (or over agonist to fatigue) Contraction: isotonic Treatment time: 15-30 minutes |
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What are the parameters for using and NMES for edema?
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Symmetrical biphasic
Frequency: 20-30 pps (MHz) Pulse duration: 200-600 usec Amplitude: motor level - visible contraction cycle time: 1:5 with 5 sec hold Treatment time: 10-30 min WITH LIMB ELEVATED AND COMPRESSED AND WITH ICE |
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What are the parameters for using and NMES for decreased ROM?
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Symmetrical biphasic
Frequency: 30 pps(MHz) (early tetany) Pulse duration: 200-600 usec Cycle time: 1:5 --> 1:1, 15 sec hold Contraction: Isotonic/isometric - bring to end range Treatment time: up to 30 minutes, up to 3 x daily |
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What are the parameters for FES?
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Frequency: 30 pps (MHz) (barely tetanic)
Pulse duration: 200-600 usec Amplitude: only enough to assist in completion on movement Cycle time: Dictated by functional task Ramp: Short < 1 sec Treatment time: brief but frequent sessions |
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What are the parameters for sensory level TENS?
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Symmetrical Biphasic
Pulse duration: 20-100 usec frequency: 50-200 usec Treatment time: as needed |
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What are the parameters for motor level TENS?
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Symmetrical Biphasic
Pulse duration: 100-600 usec frequency: < 20 pps (5 or less is best) Treatment time: 15-60 min |
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What are the parameters for Noxious level TENS?
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Symmetrical Biphasic
Frequency: 1 - 5 pps Pulse duration: maximum Amplitude:high enough for discomfort - should not be able to concentrate to read a book. Treatment time: 15-30 min (could be as little as 5) |
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What are the parameters for High Volt Pulse Current for acute edema?
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Rate: High frequency (200 pps or highest available)
Polarity: negative (black lead on Chatanooga machines) Pulse duration: 20 - 100 usec Duty cycle: continuous Amplitude: Sensory level - strong but comfortable Electrodes: monopolar - Cathode (smaller) at injured site, dispersive at remote site NOTE: COMBINE WITH ICE, ELEVATION, AND COMPRESS |
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What are the parameters for High Volt Pulse Current for wound healing?
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Rate: high frequency (200 pps)
Polarity: negative if infected, positive if clean Pulse duration: 20-100 usec Duty cycle: continuous Amplitude: sensory level Electrodes: monopolar, cathode (smaller) at injured site, dispersive at remote site |
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What are the parameters for interferential current for pain?
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Frequency:
- Sensory level: 4000 Hz/4150 Hz (low beat 80 Hz, high beat 150 Hz) - Motor level: 2000 Hz/2250 Hz - Modulation: sweep Amplitude: sensory level or motor - Modulation: scan Electrode placement: Quadpolar intersecting at target area, bipolar Treatment time: 20-30 minutes |
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What are the parameters for iontophoresis?
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Amplitude: 0.1-0.5 mA/cm2 or 0.5 - 1.0 mA/cm2, max safe current is 1 mA/in2
Dosage: 40-80 mA*min |
