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Practical Session 4:. Contrast bath Ice immersion Transcutaneous electrical nerve stimulation (TENS).
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Introduction. Assessment. Indication. Goal and Rx effect.
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Introduction. Assessment. Indication. Goal and Rx effect.
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Contrast bath / ice immersion application. Call bell / Call help system.
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TENS Transcutaneous Electrical Nerve Stimulation.
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Contraindications. Deep vein thrombosis Tuberculosis / infection Cardiac pacemaker / implanted electronic device Impaired sensation / cognition Malignancy /recently radiated tissue Pregnancy Skin disease Current tissue bleeding / open wound Local area such as Eyes, Chest, Heart, Reproductive organs, Anterior neck.
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Precautions. Active epiphysis Impaired circulation Cardiac insufficiency Skin irritation Allergy to conduction gel.
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Key concepts in electrotherapy. Theory. Delivery of energy.
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Physiological and Therapeutic Effect. TENS Electrical energy Peripheral nerve depolarization Sensory nerve Motor nerve Nociceptive nerve Gate system Opiate system Pain relief.
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Gate control & Opiate system. 18.5. 18.4.
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Mode of TENS. Characteristic Conventional Acupuncture Burst Brief intense Pulse duration Short (<150us) Long (>150us) Long(>150us) Burst duration Long (>150us) Frequency High (>80Hz) Low (<10Hz) Low (<10Hz) High (>80Hz) Amplitude Comfortable Tolerable Comfortable Tolerable Perception level Sensory Sensory / motor Sensory / motor Sensory / motor Preferential mechanism Gate Opiate Opiate Opiate Acute / chronic pain Acute Chronic Chronic Chronic.
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Introduction. Assessment. Indication. Goal and Rx effect.
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Introduction. Assessment. Indication. Goal and Rx effect.
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TENS application. Treatment duration. Call bell / Call help system.
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Documentation of treatment.