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principles of stim
ortho foundations exam 1 material
Question | Answer |
---|---|
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 |