Estim for Pain

  1. General Indication for Electrical Stimulation
    • Pain modulation
    • Muscle re-education
    • Muscle weakness
    • Wound healing
    • Edema reducation
    • Spasticity
    • Denervated muscle
    • Muscle Spasm
    • Impaired ROM
    • Increase local circulation
    • Use in labor and delivery
    • Facial Neuropathy
    • Stress incontinence
  2. General Contraindications for Estim
    • Healing Fractures
    • Areas of active bleeding
    • Phlebitis in treatment area
    • Supericial Metal Implants
    • Pharyngeal or laryngeal muscle
    • Demand ytpe pacemaker
    • Myocardial Disease
    • Over anterior Transcervical Area
    • Over cardiac, transthoracic area
    • Over eyes
    • stroke or seizure
    • Osteomyelitis
  3. Precautions
    • Severe edema
    • Skin Allergies to electodes, tape, gel
    • Do not use any electrical modality if there is evidence of broken or frayed wires or if the unit is not connectes to a groud fault circuit interrupter
  4. Therapeutic Effect of E.Stim
    • Relaxation of muscle
    • Muscle Strengthening
    • Improve ROM
    • Decrease Pain and Edema
    • Eliminate disue atrophy
    • Muscle Reeducation
    • Increase local cirulation
    • Facilitate wound healing
    • Facilitate bone repair of a fracture
  5. Physiological Responses to E. Stim
    • Stimulate sensory and or motor tissue: muscle contraction, analgesic effects
    • Stimulate cellular activity: alter cellular propterties of tissue (DC is beter than AC)
    • Alter circulation and lymphatic activity
  6. Causes of Pain
    • Musculoskeletal vs. nervous
    • Disease process vs injury
  7. Acute Pain

    • More successfully managed
    • recent onset
    • shorter duration
    • associated with cause
    • well localized
    • often goes with inflammation
    • fix the sourse relieve the pain
    • client percieves control
  8. Chonic Pain
    • less responsive to electroanalgesia
    • longer duration
    • no longer associated wtih cause
    • more general
    • associated with behavioral manifestation
  9. Parameters Used for Sensroy Pain Control
    • A-beta nerves
    • Short Duraction
    • High Frequency
    • Submotor intensity
  10. Parameter Used for Motor Pain Control
    • Motor nerve
    • Long Duration
    • Low Frequency
    • Strong Contraction
  11. Parapemters Used for Noxious Pain Control
    • Opiate
    • A-delta and C-fibers
    • Longer duration
    • Low Frequency
    • as painful as tolerabe and submotor
  12. Treatment options for Pain Management
    • Interferenctial
    • Biphasic
    • TENS
    • Combination E. Stim with US
    • Micrcurrent
    • High Voltage Pulsed Current (HVPC)
  13. Subacute Pain
    • Start pain free motor stimulation, continuous or interrupted
    • Analgesia and release of muscle spasm
    • Might let muscle twitch to fatigue to help muscle relax
  14. IFC
    • the use of higher frequencies allows the current to penetrate deeper and elivering it at low intensity at the skin level allow it to be more comfortable
    • can also stimulate a larger area than other waveforms
  15. How IFC works
    • Two waveforms are delivered throught two sets of electrodes through separate channels in the same stimulator
    • The electrodes are configures on the skin so that the two AC currents intersect
    • Beat Frequency
  16. Parameters that can be changed with IFC
    • Duration and intenstiy
    • Can not change frequency
  17. Define Carrier Frequency
    The Frequency of the lower original AC
  18. Define Beat Frequency
    the current in the biological frequency range
  19. Define Bio-electric Frequency Range
    • Excitable and non-excitable tissues can respond to electrical stimulation within a certain frequency range
    • 1-200hz
Card Set
Estim for Pain