Podcast
Questions and Answers
What is a primary contraindication for using FES?
What is a primary contraindication for using FES?
What is the recommended frequency for effective tetanic contraction in FES?
What is the recommended frequency for effective tetanic contraction in FES?
Which of the following factors is not needed to support the use of FES for standing?
Which of the following factors is not needed to support the use of FES for standing?
What is the ideal characteristic of electrodes used in FES applications?
What is the ideal characteristic of electrodes used in FES applications?
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What is a potential disadvantage of using higher frequency settings above 50 Hz in FES?
What is a potential disadvantage of using higher frequency settings above 50 Hz in FES?
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What type of system uses a handheld pistol-like applicator attached to a pneumatic system?
What type of system uses a handheld pistol-like applicator attached to a pneumatic system?
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Which parameter describes the depth and focus of energy delivery in focused extracorporeal shock wave therapy (f-ESWT)?
Which parameter describes the depth and focus of energy delivery in focused extracorporeal shock wave therapy (f-ESWT)?
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What distinguishes focused extracorporeal shock wave therapy (f-ESWT) from radial extracorporeal shock wave therapy (r-ESWT)?
What distinguishes focused extracorporeal shock wave therapy (f-ESWT) from radial extracorporeal shock wave therapy (r-ESWT)?
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How is energy flux density (EFD) calculated in extracorporeal shock wave therapy?
How is energy flux density (EFD) calculated in extracorporeal shock wave therapy?
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Which type of applicator is specifically designed for acupuncture points and connective tissues?
Which type of applicator is specifically designed for acupuncture points and connective tissues?
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What is the frequency range classified as medium intensity in electrotherapy?
What is the frequency range classified as medium intensity in electrotherapy?
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Which type of electrical transfer is specifically noted for its direct contact application?
Which type of electrical transfer is specifically noted for its direct contact application?
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How deep is UHF therapy said to penetrate compared to other forms of electrotherapy?
How deep is UHF therapy said to penetrate compared to other forms of electrotherapy?
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What is the minimum pressure applied in shockwave therapy?
What is the minimum pressure applied in shockwave therapy?
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Which frequency range is classified as high intensity in electrotherapy?
Which frequency range is classified as high intensity in electrotherapy?
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What does the term 'chronaxie' refer to in the context of pulse duration?
What does the term 'chronaxie' refer to in the context of pulse duration?
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What is the wavelength of shortwave therapy?
What is the wavelength of shortwave therapy?
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Which type of ultrasound is characterized as having a frequency of more than 20,000 Hz?
Which type of ultrasound is characterized as having a frequency of more than 20,000 Hz?
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Which ultrasound frequency is appropriate for a depth of 4 cm?
Which ultrasound frequency is appropriate for a depth of 4 cm?
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What is the duty cycle for a pulsed ultrasound with a pulse ratio of 1:2?
What is the duty cycle for a pulsed ultrasound with a pulse ratio of 1:2?
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Which of the following is a contraindication for ultrasound therapy?
Which of the following is a contraindication for ultrasound therapy?
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In which method of application does the soundhead remain motionless over the treatment area?
In which method of application does the soundhead remain motionless over the treatment area?
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What is a common precaution when using ultrasound therapy?
What is a common precaution when using ultrasound therapy?
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Which pulse ratio reflects a duty cycle of 50%?
Which pulse ratio reflects a duty cycle of 50%?
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What is the primary aim of electrical stimulation in nerve regeneration?
What is the primary aim of electrical stimulation in nerve regeneration?
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What is the primary use of phonophoresis in ultrasound therapy?
What is the primary use of phonophoresis in ultrasound therapy?
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Which of the following treatments would not typically be indicated for ultrasound therapy?
Which of the following treatments would not typically be indicated for ultrasound therapy?
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Which type of pulse produces a response in both innervated and denervated fibers within the same muscle?
Which type of pulse produces a response in both innervated and denervated fibers within the same muscle?
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What is the significance of the chronaxie in pulse duration?
What is the significance of the chronaxie in pulse duration?
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When using biofeedback, what fundamental technique is primarily employed to aid patient learning?
When using biofeedback, what fundamental technique is primarily employed to aid patient learning?
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What is the maximum number of pulses recommended per muscle per day during treatment?
What is the maximum number of pulses recommended per muscle per day during treatment?
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Which application condition is specified for denervated muscles?
Which application condition is specified for denervated muscles?
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What characterizes the feedback received by patients using biofeedback techniques?
What characterizes the feedback received by patients using biofeedback techniques?
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Which pulse duration adjustment is recommended if the chronaxie is higher than 30 ms?
Which pulse duration adjustment is recommended if the chronaxie is higher than 30 ms?
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Which of the following is NOT an advantage of Functional Electrical Stimulation (FES) for gait and standing?
Which of the following is NOT an advantage of Functional Electrical Stimulation (FES) for gait and standing?
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What is one of the main benefits of using the HANDMASTER NESS device?
What is one of the main benefits of using the HANDMASTER NESS device?
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Which frequency range is categorized as therapeutic conventional ultrasounds?
Which frequency range is categorized as therapeutic conventional ultrasounds?
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What does the reverse piezoelectric effect involve?
What does the reverse piezoelectric effect involve?
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Which of the following outcomes can be achieved through the PEDAL system for FES-cycling?
Which of the following outcomes can be achieved through the PEDAL system for FES-cycling?
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What is one of the primary applications of ultrasound therapy mentioned?
What is one of the primary applications of ultrasound therapy mentioned?
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Which condition is NOT indicated for antiequinus treatment with Functional Electrical Stimulation?
Which condition is NOT indicated for antiequinus treatment with Functional Electrical Stimulation?
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What can the application of FES provide for neurological patients, as highlighted in the conclusion?
What can the application of FES provide for neurological patients, as highlighted in the conclusion?
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Flashcards
Functional Electrical Stimulation (FES)
Functional Electrical Stimulation (FES)
The use of electrical stimulation to activate muscles and improve function in individuals with neurological impairments.
Cognitive Skills: Requirement for FES
Cognitive Skills: Requirement for FES
FES is recommended for individuals with good cognitive function, capable of understanding and cooperating with the therapy.
FES: Strength vs Endurance
FES: Strength vs Endurance
FES can be used to improve both muscle strength and endurance. However, focus on endurance is essential as neurological injuries often target slow muscle fibers first.
Contraindications for FES
Contraindications for FES
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FES Electrode Types: Surface vs Implanted
FES Electrode Types: Surface vs Implanted
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Low Intensity Electrotherapy
Low Intensity Electrotherapy
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Medium Intensity Electrotherapy
Medium Intensity Electrotherapy
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High Intensity Electrotherapy
High Intensity Electrotherapy
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Shortwave Diathermy
Shortwave Diathermy
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UHF Therapy
UHF Therapy
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Microwave Therapy
Microwave Therapy
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Shockwave Therapy
Shockwave Therapy
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Ultrasound Therapy
Ultrasound Therapy
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Focused ESWT (f-ESWT)
Focused ESWT (f-ESWT)
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Radial ESWT (r-ESWT)
Radial ESWT (r-ESWT)
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Penetration Depth
Penetration Depth
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Energy Flux Density (EFD)
Energy Flux Density (EFD)
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Compressive Phase
Compressive Phase
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Ultrasound Frequency & Depth
Ultrasound Frequency & Depth
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Continuous Ultrasound Mode
Continuous Ultrasound Mode
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Pulsed Ultrasound Mode
Pulsed Ultrasound Mode
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Duty Cycle
Duty Cycle
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Pulse Ratio
Pulse Ratio
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Stationary Ultrasound Technique
Stationary Ultrasound Technique
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Dynamic Ultrasound Technique
Dynamic Ultrasound Technique
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Phonophoresis
Phonophoresis
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What is Functional Electrical Stimulation (FES)?
What is Functional Electrical Stimulation (FES)?
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How does FES improve gait?
How does FES improve gait?
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How does FES reduce spasticity?
How does FES reduce spasticity?
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How does FES work for upper limbs?
How does FES work for upper limbs?
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What is a Handmaster Ness FES device?
What is a Handmaster Ness FES device?
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What is a FREEHAND FES device?
What is a FREEHAND FES device?
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What is a PEDAL FES device?
What is a PEDAL FES device?
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What is Ultrasound Therapy?
What is Ultrasound Therapy?
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Collateral Reinnervation
Collateral Reinnervation
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Trophism of Muscles
Trophism of Muscles
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Electrical Stimulation in Denervation
Electrical Stimulation in Denervation
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Rectangular Pulses in Electrical Stimulation
Rectangular Pulses in Electrical Stimulation
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Chronaxie
Chronaxie
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Strength-Duration Curves (SD Curves)
Strength-Duration Curves (SD Curves)
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Biofeedback
Biofeedback
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Instrument-Based Learning
Instrument-Based Learning
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Study Notes
Electrotherapy Ordinary
- Low intensity: less than 1000 Hz, pulsed, uninterrupted
- Medium intensity: 1000-500,000 Hz
- High intensity: more than 500,000 Hz
- Capacitive electrical transfer: shortwave, UHV, microwave
- Phototherapy: laser, UV, IR
- Vibrotherapy: shockwave, ultrasound
- Magnetotherapy: electrical capacitive transfer (0.448 MHz)
- UHF: 434 MHz, wavelength 69 cm(non-contact), deeper than microwave and shortwave (6 cm increased skin temp)
- Shortwave: wavelength 11m, frequency 27 MHz
- Microwave: 12.5 cm, frequency 2450 MHz, 5-10 cm from patient
- Shockwave: Max duration 10 ns, pressure 100 MPa or 500 bar, frequency 16-20 MHz
- Ultrasound: (no specific frequency or wavelength mentioned)
SD Curves
- Relationship shows the currents amplitude and pulse duration
- Aim to maintain the functional state of the neuromuscular system or strengthen muscles.
- External electrical stimulus needs more intensity to produce same stimulus as pulse duration decreases.
Electrode Placement
- Monopolar: cathode, anode
- Bipolar: Two electrodes (distal/proximal electrodes), voltage and distance vary
- Variation: neutral (plexus), proximal/distal, neutral over NMP, Active over MMP
Other notes
- Pulse duration: Rectangular pulses: 1000ms, interval 3 seconds, decreasing to 0ms
- Triangular pulses: Similar to rectangular
- Intensity: Watch for contraction, minimum intensity for minimum contraction
- MUT: Muscle utilization time (1-10ms)
- Faradic threshold: Minimum intensity for minimum contraction with 1ms rectangular pulse (burst of rectangular pulses or isolated pulses needed)
- Chronaxie: Best pulse duration for denervation, higher intensity needed
- Normal values: 100-700 us (0.1-0.7ms)
- Different types of nerve fibers: threshold stimulus to create an action potential, denervated skeletal muscle fibers.
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Description
Test your knowledge on various electrotherapy modalities including low, medium, and high-intensity applications. Explore concepts like capacitive electrical transfer, phototherapy, vibrotherapy, and more. This quiz will help reinforce your understanding of electrical currents and their therapeutic uses.