electrical stimulation

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8 Terms

1
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physiological effect of PAMs

cryotherapy

  • constrict circulation —> numb pain

heat

  • increase circulation —> relax muscles

e-stim

  • contract muscles —> sensory stimulation


2
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e-stim

using electricity to stimulate the body

  • can be used for muscle contraction or sensation


<p>using electricity to stimulate the body </p><ul><li><p>can be used for muscle contraction or sensation</p></li></ul><p></p>
3
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indications

f

4
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contraindications

  • near pacemakers or metals (e.g., ORIF 2/2 fractures)

  • diminished sensation

  • pregnancy

  • wound

  • fragile skin

  • cancer

  • cognitive issues (judgment call; regardless, close supervision)


5
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protocol

  • (3) types + what they’re used for


NMES & FES

  • —> motor control

  • —> exercise

TENS

  • —> pain control

iontophoresis

  • —> topical medication


<p>NMES &amp; FES</p><ul><li><p>—&gt; motor control </p></li><li><p>—&gt; exercise </p></li></ul><p>TENS</p><ul><li><p>—&gt; pain control </p></li></ul><p>iontophoresis </p><ul><li><p>—&gt; topical medication </p></li></ul><p></p>
6
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protocol— NMES & FES

Neuromuscular Electrical Stimulation + Functional Electrical Stimulation— used to evoke muscle contraction (using electricity) to improve:

  • motor control

  • strength

  • ROM

***ideal situation= to pair this with something functional— maybe a purposeful/meaningful activity they are struggling with

<p><strong>N</strong>euro<strong>m</strong>uscular <strong>E</strong>lectrical <strong>S</strong>timulation + <strong>F</strong>unctional <strong>E</strong>lectrical <strong>S</strong>timulation— used to evoke <strong>muscle contraction </strong>(using electricity) to improve: </p><ul><li><p><strong>motor control </strong></p></li><li><p><strong>strength </strong></p></li><li><p><strong>ROM</strong></p></li></ul><p>***ideal situation= to pair this with something functional— maybe a purposeful/meaningful activity they are struggling with </p>
7
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protocol— TENS

Transcutaneous (within the skin) Electrical Nerve Stimulation

  • no muscle contraction (2/2 electricity is relatively superficial)

  • used for pain control

    • best for acute pain (e.g., fractures, sprains)

    • helpful for trigger points (e.g., where a muscle is very tense/no letting go)

  • based on gate theory— think traffic on a highway

    • “TENS of thousands of cars”

    • or “my pain is a ten out of ten!”


<p><strong>T</strong>ranscutaneous (within the skin) <strong>E</strong>lectrical <strong>N</strong>erve <strong>S</strong>timulation </p><ul><li><p>no muscle contraction (2/2 electricity is relatively superficial) </p></li><li><p>used for <strong>pain control</strong></p><ul><li><p>best for <strong>acute pain</strong> (e.g., fractures, sprains)</p></li><li><p>helpful for <strong>trigger points </strong>(e.g., where a muscle is very tense/no letting go)</p></li></ul></li><li><p>based on gate theory— think traffic on a highway</p><ul><li><p>“<strong>TENS</strong> of thousands of cars”</p></li><li><p>or “my pain is a <strong>ten</strong> out of <strong>ten</strong>!”</p></li></ul></li></ul><p></p>
8
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protocol— iontophoresis

used to apply topical medical better (similar to phonophoresis, but the electric version— “ion” means “electric/charged”)

  • creates/through a pumping action