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NMES
NMES can be used when
What would be some precautions for NMES?
NMES
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Answers
1
What would be some precautions for NMES?
someone with a pacemaker
turned on implanted stimulators
patients unable to provide full feedback
hyper/hypotension
2
NMES can be used when
doesnt matter
the nerve is innervated (intact)
the nerve is deinnervated
3
When using NMES for increasing ROM you are stimulating the agonist to increase the length of the antagonist
False
True
4
Carrier frequency is usally set on the machine
False
True
5
It is possible that the pt. may feel soreness after treatment or DOMS due to long periods of muscle contraction
True
False
6
What is the pulse duration for NMES muscle strengthening?
2-50 microseconds
200-300 microseconds
200-600 microseconds
150-300 microseconds
7
What are some areas in which NMES should not be performed over?
thoracic region (due ot the proximity of the heart)
carotid sinus
trunk of pregnant female
DVT is present
8
What is the frequency for NMES muscle strengthening?
20-100 pps
2-4 pps
13-33 pps
30-50 pps
9
The on-time for NMES ROM includes a 3 sec ramp up
False
True
10
What is the amplitude of NMES strength?
when fasciculations are seen
when pt. feels buzzing or tingling
none of the above
to obtain strong muscle contraction (maximum tolerated)
11
What is the treatment time and duration for muscle strengthing NMES?
3-5x/week
at least 10 contractions or up to 1hr/day
all of the following apply
4-8 weeks treatment time
12
If there is excessive adipose tissue to the area NMES should not be placed in this area
True
False
13
What duty cycle can be used in NMES for muscle strenghening?
1:5
1:2
1:3
1:10
14
In NMES for muscle strengthening the on time> off time because we want the muscle to hypertrophy
False
True
15
Which of the following are limitations tof NMES
limited number of muscle groups can be trained
incr. fatigability, incr. muscle soreness, limiting amount of training
all of the above are limitations
increase DOMS
16
EMS has a longer pulse duration (>1msec) to directly stimulate muscle
True
False
17
NMES can be used to decrease urinary incontinence
True
False
18
According to evidence NMES is beneficial to use in ____phase of rehab and is shown to prevent atrophy
late
early
19
The ramp up time is 1-5secs and ramp down time is 1-2 seconds, Dr. Couch recommented 2 for both?
True
False
20
If boney injury or deformity NMES is NOT going to assist because only to addresss soft tissue impairment
True
False
21
A contrainidcation for NMES would be MS due to their high fatiguability rate
False
True
22
In regards to electrode placement bipolar is usually used
False
True
23
For dosing you cannot have a 60 second hold and a 5 minute rest (have to think about fatiguability)
False
True
24
EMS is used when the peripheral nerve is not intact, so there is direct activation of the muscle
False
True
25
When using ROM NMES parameters start with shorter on time longer off time and then progress to 1:1 ratio
False
True
26
Greater than 50% maximum volume contraction recommended to start with NMES
True
False
27
EMS is attempting to directly activate muscle through depolarization of sarcolemma
True
False
28
What is the frequency for NMES for a single muscle to improve ROM
12-33pps
2-4pps
20-100pps
30-50pps
29
The efficacy of EMS is questioned in literature
True
False
30
What would you not use NMES for?
improve strength
decrease pain
decrease spasticity
increase ROM
31
The on-time for single muscle ROM is 10-20secs and the off-time is 10-30secs
False
True
32
NMES ROM can be used for individuals with CVA (decrease contractures) or improve dorsiflexion in those with CP
True
False
33
EMS is thought to work better with ____ muscles than ____ muscles
larger, smaller
smaller, larger