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what electrical modality is ultra low frequency
microcurrent
what type of current does microcurrent deliver
what electrical modalities are low frequency
TENS
high volt pulsed current (HVPC)
what type of current is low frequency
between 1-1000 Hz
what type of current does TENS deliver
biphasic
what type of current does high volt pulsed current deliver
monophasic
what electrical modalities are medium frequency
true inferferential
pre modulated interferential
russian stimulation
what type of current is medium frequency
> 1000 Hz
what type of current do the medium frequency modalities deliver
biphasic
what are contraindications for electrical modalities
poor cardiac function
pacemakers
arterial disease
uncontrolled hemorrhage
over infection
blood clots - DVT
pelvis and low back during pregnancy
over cancer
exposed metal implants (piercings)
history of seizures
sensory or mental impairment
unstable fractures
what are precautions for electrical modalities
-abdomen and back during menstruation
-over carotid sinus, pharynx, larynx, eyes, trans-cerebral, transthoracic
-epiphyseal plates
what is biphasic current?
alternating current that's pulsed
*where do you place pads when using a biphasic current
pads surrounding area of involvement
separate 2-3 inches
true/false: biphasic current has a polar effect?
false, pads flip-flop on charge
what is monophasic current?
pulsed (direct) current in one direction
*where do you place pads when using a monophasic current
active electrode (red) placed ON area of involvement
passive electrode placed 6-8 inches away from site
what is the polar effect created by monophasic current?
active pad stays the same charge throughout the whole treatment
makes a chemical effect—> attracts the opposite charge ions
what is microcurrent used for
primarily: tissue healing
can also be used for pain control
what is the "current of injury" body reaction
when an injury occurs the polarity of that region switches, inhibiting normal membrane transport, ATP production, and protein synthesis
how does microcurrent support healing
induces a weak current/stimulus at the injured area to generate a response from cells which may include:
-increased ATP and -increased membrane transport and normal flow of nutrients and waste materials
what type of microcurrent is used for tissue healing
monophasic
when using monophasic pad application for tissue healing, what is the polarity of the active electrode for an acute injury
positive
when using monophasic pad application for tissue healing, what is the polarity of the active electrode for a chronic injury
negative
how many days is an acute injury for use of microcurrent
0-9 days
how many days is a chronic injury for use of microcurrent
10 days or more
what frequency is used for microcurrent used for tissue healing
0.5 Hz
what channel does microcurrent come out of
2
what intensity is used for microcurrent for tissue healing
20 microamps (uA)
what type of microcurrent is used for pain relief
biphasic
what is the frequency of microcurrent when used for pain relief
30 Hz
what is the intensity of biphasic microcurrent when used for pain relief
20-500 microamps (uA)
what is the optimal intensity of microcurrent for tissue healing
100 microamps (uA)
how long is microcurrent used for either tissue healing or pain control
15-20 minutes
extra: what is direct current vs alternating current
direct: electrons flow in one direction continuously (used by monophasic)
alternating: continuous movement of electrons bidirectionally (used by biphasic)