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Stack #174413

TENS-Bon #174413

QuestionAnswer
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