practical parameters - cskills 2

us soft tissue shortening superficial parameters

frequency

duty cycle

thermal

depth

intensity

time

- 3mhz

- 100% duty cycle

- thermal

- 1-2cm depth

- intensity 0.5-1W

- 5-10mins

us soft tissue shortening deep tissue parameters

frequency

duty cycle

thermal

depth

intensity

time

- 1mhz

- 100%

- thermal

- 5cm

- 1.5-2.5w

- 5-10mins

us tendon injury, tisue healing parameters

frequency

duty cycle

thermal

depth

intensity

time

- 3mhz

- 20%

- nonthermal

- 1-2cm

- 0.5-1w

- 5-10mins

us phonophoresis parameters

frequency

duty cycle

thermal

depth

intensity

time

- 3mhz

- 20%

- nonthermal

- 1-2cm

- 0.5-0.75w

- 5-10mins

us pain control parameters

frequency

duty cycle

thermal

depth

intensity

time

- 1mhz

- 100%

- thermal

- 5cm

- 0.5-3w

- 3-10mins

us tissue healing parameters

frequency

duty cycle

thermal

depth

intensity

time

- 3mhz

- 20%

- nonthermal

- 1-2cm

- 0.5-1w

- 5-10mins

us carpal tunnel parameters

frequency

duty cycle

thermal

depth

intensity

time

- 1mhz or 3mhz

- 100 or 20

- thermal or nonthermal

- 1-5cm

- 1-2w

- 5-10mins

edema, dvt, venous stasis ulcer compression parameters

inflation/deflation

inflation pressure

treatment time

- 80-100/25-50, 3:1 ratio

- ue = 30-60, le = 40-80

- 2-3hrs

residual limb reduction compression parameters

inflation/deflation

inflation pressure

treatment time

- 40-60/10-15, 4:1 ratio

- ue=30-60, le=40-80

- 2-3hrs

dvt compression garments parameters

- 16-18mmhg

- 23-24hrs

scar tissue compression garments parameters

- 20-30mmhg

- 23-24hrs

edema compression garments parameters

- le=30-40mmhg, ue=20-30mmhg

- 23-24hrs

c/s traction position parameters

25-35 degrees flexion

initial traction parameters c/s

force

hold/relax

time

- 7-9lbs

- static

- 5-10mins

jt distraction traction parameters c/s

force

hold/relax

time

- 20-29lbs, 7% bw

- 15/15

- 20-30mins

decreased muscle spasm traction parameters c/s

force

hold/relax

time

- 11-15lbs

- 5/5

- 20-30mins

disc problems or soft tissue stretch traction parameters c/s

force

hold/relax

time

- 11-15lbs

- 60/20

- 20-30mins

inital/acute supine traction parameters l/s

force

hold/relax

time

- 29-44lbs

- static

- 5-10mins

jt distraction traction parameters l/s

force

hold/relax

time

- 50lbs, 50% bw

- 15/15

- 20-30mins

decreased muscle spasm prone traction parameters l/s

force

hold/relax

time

- 25% bw

- 5/5

- 20-30mins

disc problems or soft tissue stretch traction parameters l/s

force

hold/relax

time

- 60-120lbs, 25% bw

- 60/20

- 20-30mins

estim muscle contraction muscle strengthening parameters

pulse frequency

pulse duration

amplitude

on/off time

ramp

treatment

times per day

- 35-80pps

- 125-200us small muscles, 200-350us for large muscles

- to 10% mvic injured muscle, 50% uninjured, to visible contraction

- 6-10s, 1:5 ratio

- 2 sec

- 10-20min to produce 10-20 reps

- every 2-3hrs

estim muscle contraction muscle reeducation parameters

pulse frequency

pulse duration

amplitude

on/off time

ramp

treatment

times per day

- 35-50pps

- 125-200us small muscles, 200-350 large muscles

- sufficient for functional activity

- depends on functional activity

- 2 secs

- depends on functional activity

- n/a

estim muscle contraction muscle spasm reduction parameters

pulse frequency

pulse duration

amplitude

on/off time

ramp

treatment

times per day

- 35-50pps

- 125-200us small muscles, 200-350 large muscles

- to visible contraction

- 2-5s on/off

- 1sec

- 10-30min

- every 2-3hrs until spasm relieved

estim muscle contraction edema reduction via muscle pump parameters

pulse frequency

pulse duration

amplitude

on/off time

ramp

treatment

times per day

- 35-50pps

- 125-200us small muscles, 200-350 large muscles

- visible contraction

- 1-2sec on/off

- 1sec

- 30min

- twice a day

estim russian

pulse frequency

pulse duration

amplitude

on/off time

ramp

treatment

times per day

- 50hz

- not set

- to visible contraction

- 6-10sec on/50-120sec off

- 1sec

- until desired number of muscle contractions

- n/a

estim muscle contraction pulsed biphasic

pulse frequency

pulse duration

amplitude

on/off time

ramp

treatment

times per day

- 35-80pps

- 125-200us for small muscles, 200-350 large muscles

- to visible contraction

- 6-10s on/50-120s off

- 1 sec

- until desired number of muscle contractions

- n/a

estim pain control low-rate tens

pulse frequency

pulse duration

amplitude

treatment time

mechanism

- 2-10pps

- 200-300us

- to small visible contraction

- 20-30mins

- endorphin release

estim pain control high-rate tens

pulse frequency

pulse duration

amplitude

treatment time

mechanism

- 100-150pps

- 50-80us

- to produce comfortable tingling

- may be used for 24hrs for pain control

- gating

estim pain control burst mode tens

pulse frequency

pulse duration

amplitude

treatment time

mechanism

- 2-10pps

- 100-300us

- to visible contraction

- 20-30mins

- endorphin release

estim pain control low rate ifc/premod

pulse frequency

pulse duration

amplitude

treatment time

mechanism

- 2-10pps

- 200-300us, pre-set

- to small visible contraction

- 20-30mins

- endorphin release

estim pain control high rate ifc/premod

pulse frequency

pulse duration

amplitude

treatment time

mechanism

- 100-150pps

- 50-80us, preset

- to produce comfortable tingling

- may be used for 24hrs

estim soft tissue healing hpvc wound healing parameters

polarity

pulse frequency

pulse duration/width

amplitude/intensity

treatment time

mechanism

- negative infection/inflammatory phase, positive proliferation phase

- 60-125pps

- 40-200, pre-set

- comfy sensation

- 45-60mins

- galvanotaxis

estim soft tissue healing hpvc edema control inflammation parameters

polarity

pulse frequency

pulse duration/width

amplitude/intensity

treatment time

mechanism

- negative

- 100-120pps

- 40-100, pre-set

- comfy sensation

- 20-30mins

- galvanotaxis

estim soft tissue healing ionto parameters

- current amp

- treatment time

- dosage

- 1-4 depending on time

- 10-40mins depending on amp

- 40ma-min