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Stack #174413
TENS-Bon #174413
| Question | Answer |
|---|---|
| 7 Indications for TENS | 1)Acute soft tissue injury 2)pain 3)bone fx 4)inflammation 5)trigeminal neuralgia 6)antimetic effects 7)increase blood flow |
| 4 Precautions for TENS | External use only Out of reach of children Skin Irritation Arrhythmias / Myocardial disease |
| 11)Contraindications for TENS | Pregnancy CA Pacemaker Carotid Sinus/Eyes Confused Pts Hx of MI Open Wounds Operation of Machinery Transtemporal Heavy Scars/Adipose Epilepsy Metal Implants,etc |
| Pain relief with TENS is... | Relief now or long lasting (over all not a lot of relief) |
| Use TENS for... | TMJ / Post op pain / Chronic LB pain |
| What theory of pain relief are used? | Gate control theory of Wall & Melzakor Endogenous Opiate Pain control theory |
| TENS pulse frequency varies in range from... | 1-200 Hz |
| High TENS: Now Relief (What Intensity?) | Sensory/Comfortable to tolerance |
| Low Acupuncture TENS: Later Relief (What Intensity?) | Motor/Strong rythmical contractions within pt tolerance |
| Brief-Intense TENS (What Intensity?) | Noxious |
| Burst Mode TENS (What Intensity?) | Strong but comfortable |
| High TENS: Pulse Frequency/rate-# of pps | 60-100 pps / generally 80 |
| Low Acupuncture TENS: Pulse Frequency/rate-# of pps | 2-4 pps/low |
| Brief-Intense TENS: Pulse Frequency/rate-# of pps | Variable |
| Burst Mode TENS: Pulse Frequency/rate-# of pps | 70-100 pps modulated to 1-5 bursts/sec |
| High TENS: Pulse duration-Width of ea pulse | 60-100 usec - generally 60 usec |
| Low Acupuncture TENS: pulse duration-Width of ea pulse | 150-250 usec |
| Brief-Intense TENS: pulse duration-Width of ea pulse | 300-1000 usec |
| Burst Mode TENS: pulse duration- width of ea pulse | High 100-200 usec |
| High TENS: Mode | Modulated- Keeps tissue reactive so decreased or no accommodation occurs |
| Low Acupuncture TENS: Mode | Modulated Burst |
| Brief-Intense TENS: Mode | Modulated |
| Burst Mode TENS: Mode | Modulated |
| High TENS: Tx Duration | as needed: 30 min to 24 hrs |
| Low TENS: Tx duration | 30 min |
| Brief-Intense TENS: TX duration | 15-30 min |
| Burst Mode TENS: Tx duration | 20-60 min |
| High TENS: Onset of Relief | < 10 min (Relief is short lived: 45 sec 1/2 life |
| Low TENS: Onset of Relief | 20-40 min |
| Brief-Intense TENS: Onset of Relief | < 15 min (Activates C fibers for level II pain control with noxious stimulus |
| What should you document for TENS? | electrode placement pt postition mode duration duration pt response |
| What current is used for TENS? | AC |
Created by:
Bonnie05
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