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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 |