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principles of stim

ortho foundations exam 1 material

QuestionAnswer
fiber that is ____ is going to be easier to stimulate larger and myelinated
shape of strength duration curve relates to the INTENSITY and DURATION of stimulus needed to cause action potential
nerves will have ____thresholds for stimulation different
easiest fiber to stimulate , fuzzy and comfy sensation a - beta
*minimum intensity of current necessary to cause tissue excitation when the current is applied for a maximum duration rheobase
duration required to excite the nerve at a current twice the intensity of rheobase chronaxie
uses for electrical stimulation muscle contraction, pain relief, tissue healing, drive ions into tissue
waveforms symmetrical biphasic, Russian, interferential, high volt
AP reaches the NM junction, NM are released to motor endplate. if enough NT released, depolarization occurs. This describes ____ contraction twitch
twitch contractions summate to produce a maximum shortening contraction of the fiber. this describes _____ tetanic contraction
*once you reach tetantic contraction, increasing _____ isn't going to be helpful in increasing muscle force frequency
frequency for tetanic contraction 50 Hz
pulse duration for titanic contraction 500 microseconds
intensity for tetanic contraction 40-60% of maximal voluntary contraction
______ allows muscle fibers to recover on off time
use _____ pads for muscle strengthening large
a ___ second ramp time is usually used for muscle strengthening 2 second
polarity for muscle strengthening alternating current
electrode size for muscle strengthening balance current density with comfort
placement for muscle strengthening motor point
muscles that are not being supplied by a nerve require ___ stimulus of HIGH intensity and LONG duration in order to get a contraction
russian protocl burst frequency, polyphasic, medium frequency of 2000-1000 Hz
advantage of burst frequncy higher carrier frequency is more comfortable, can turn it up higher, making it more likely to recruit more motor fibers to get a stronger contraction
level 1 pain control ascending, high frequency, sensory level
level 2 pain control descending, brief intense, noxious
level 3 pain control opiate, low frequency, motor level
ascending pain control pulse duration 125 microseconds
ascending pain control frequency 125 pps
ascending pain control intensity comfortable sensation with no muscle contraction
ascending pain control on/off ratio continuous with some modulation
ascending pain control treatment time as long as patient finds it beneficial
ascending pain control pad placement directly over painful areas or in areas of referred pain (2 finger separation between pads)
descending pain control pulse duration 10 msec(as long as possible)
descending pain control frequency 80 pps
descending pain control intensity as high as patient can tolerate- should be noxious but tolerable
descending pain control on/off ratio 30 seconds-min
descending pain control treatment time 15-30 min
descending pain control pad placement small pads over painful areas, trigger points, or acupuncture points
opiate pain control pulse duration 200 microseconds to 10 msec (as long as possible)
opiate pain control frequency 1-5 pps
opiate pain control intensity very high approaching noxious with muscular contraction
opiate pain control on / off ratio 30-45 seconds with a brief off time of a few seconds
opiate pain control treatment time 15-30 min
opiate pain control pad placement over painful areas, trigger points, acupuncture points
Created by: thomask9
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