TENS by AK
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Transcutaneous electric nerve stimulation (TENS) is a non-invasive method of pain relief using electric stimulation of sensory nerves. There are different types of TENS including conventional/high frequency TENS, acupuncture/low frequency TENS, burst TENS, and brief/intense TENS, each with different parameters and mechanisms of pain relief. TENS is commonly used to relieve acute pain after surgery or childbirth as well as chronic pain from conditions like low back pain, arthritis, and myofascial pain by applying electrical stimulation to sites over painful areas, dermatomes, or acupuncture points. Contraindications for TENS use include pacemakers, untreated pain conditions, and certain cardiac or neurological conditions.
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TENS.pptx
The document discusses Transcutaneous Electrical Nerve Stimulation (TENS) and its use for pain management. It provides details on:
- How TENS works according to the Gate Control Theory of pain, using electrical pulses to stimulate nerve fibers and inhibit pain signals.
- The different TENS settings and modes used for different types of pain relief, such as high vs low frequency TENS.
- Contraindications and safe application of TENS, including electrode placement and skin conditions.
- Guidelines for self-administration and maintenance of TENS units.
Transcutaneous electrical nerve stimulation (TENS)
Saurab Sharma presented on Transcutaneous Electrical Nerve Stimulation (TENS). The objectives were to understand TENS theory, application techniques, uses, electrode placement, and precautions. TENS delivers electricity across the skin to activate nerves and provides pain relief for acute, chronic non-malignant, and palliative malignant pain. Different application techniques include high frequency, low frequency, brief intense, burst mode, and modulated TENS. Common uses are postoperative, labor, musculoskeletal, and neuropathic pain. Electrodes are placed over painful sites and precautions taken with pacemakers, malignancy, and skin conditions.
TENS
This document discusses T.E.N.S. (Transcutaneous Electrical Nerve Stimulation), a non-invasive pain management technique. It stimulates nerves under the skin to reduce pain signals according to the gate control theory. T.E.N.S. has efficacy rates of 50-80% for controlling chronic and acute pain, such as post-surgical or injury pain. Different T.E.N.S. techniques like high frequency, low frequency, and brief intense stimulation are described along with their parameters and applications. Placement of electrodes and contraindications are also covered.
TENS.pptx
Transcutaneous electrical nerve stimulation (TENS) is a non-invasive technique that uses low voltage electrical currents to stimulate nerves for pain relief. TENS works by activating A-beta fibers through the skin which closes the pain gate in the spinal cord and reduces pain signal transmission. There are different TENS modalities for acute or chronic pain including conventional TENS, acupuncture TENS, and brief intense TENS. TENS is used to treat various pain conditions like postoperative pain, arthritis, and labor pain by placing electrodes on the skin over painful areas.
tens.pptx
Transcutaneous electrical nerve stimulation (TENS) is a method of electrical stimulation that aims to provide pain relief by exciting sensory nerves and stimulating the pain gate mechanism and/or opioid system. TENS works through activation of pain-gating mechanisms and removal of pain-causing substances. Parameters like waveform, frequency, pulse width, and amplitude are used. Different types of TENS include conventional high frequency TENS, acupuncture-like low frequency TENS, burst TENS, brief intense TENS, and modulated TENS. Electrodes are placed on or near painful areas and TENS can be used to treat conditions like osteoarthritis, fibromyalgia, and labor pain.
Tens
This document provides information on transcutaneous electrical nerve stimulation (TENS), interferential therapy (IFT), and paraffin wax bath therapy. It describes how each therapy works, including parameters and modes. It outlines indications and contraindications. For TENS, it discusses waveform, frequency, pulse width, amplitude and types (conventional, acupuncture-like, brief intense, burst mode). For IFT, it explains the interference of two medium frequencies. For paraffin wax bath, it describes the unit, application methods, and physiological effects of increased heat and circulation.
Transcutaneous Electrical Nerve Stimulator (TENS)
Transcutaneous electrical nerve stimulation (TENS) is a non-invasive method of using low-voltage electrical currents to block pain signals from traveling along nerve pathways and stimulate the body's natural pain relievers. TENS units deliver electrical impulses through electrodes placed on the skin near areas of pain. The impulses can help reduce both acute and chronic pain conditions. While portable and easy to use at home, TENS only treats pain symptoms and may need to be combined with other long-term treatments.
TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION
This power point presentation will be useful for physiotherapy student to understand TENS Briefly which is important for electrotherapy subject
Recommended
TENS.pptx
The document discusses Transcutaneous Electrical Nerve Stimulation (TENS) and its use for pain management. It provides details on:
- How TENS works according to the Gate Control Theory of pain, using electrical pulses to stimulate nerve fibers and inhibit pain signals.
- The different TENS settings and modes used for different types of pain relief, such as high vs low frequency TENS.
- Contraindications and safe application of TENS, including electrode placement and skin conditions.
- Guidelines for self-administration and maintenance of TENS units.
Transcutaneous electrical nerve stimulation (TENS)
Saurab Sharma presented on Transcutaneous Electrical Nerve Stimulation (TENS). The objectives were to understand TENS theory, application techniques, uses, electrode placement, and precautions. TENS delivers electricity across the skin to activate nerves and provides pain relief for acute, chronic non-malignant, and palliative malignant pain. Different application techniques include high frequency, low frequency, brief intense, burst mode, and modulated TENS. Common uses are postoperative, labor, musculoskeletal, and neuropathic pain. Electrodes are placed over painful sites and precautions taken with pacemakers, malignancy, and skin conditions.
TENS
This document discusses T.E.N.S. (Transcutaneous Electrical Nerve Stimulation), a non-invasive pain management technique. It stimulates nerves under the skin to reduce pain signals according to the gate control theory. T.E.N.S. has efficacy rates of 50-80% for controlling chronic and acute pain, such as post-surgical or injury pain. Different T.E.N.S. techniques like high frequency, low frequency, and brief intense stimulation are described along with their parameters and applications. Placement of electrodes and contraindications are also covered.
TENS.pptx
Transcutaneous electrical nerve stimulation (TENS) is a non-invasive technique that uses low voltage electrical currents to stimulate nerves for pain relief. TENS works by activating A-beta fibers through the skin which closes the pain gate in the spinal cord and reduces pain signal transmission. There are different TENS modalities for acute or chronic pain including conventional TENS, acupuncture TENS, and brief intense TENS. TENS is used to treat various pain conditions like postoperative pain, arthritis, and labor pain by placing electrodes on the skin over painful areas.
tens.pptx
Transcutaneous electrical nerve stimulation (TENS) is a method of electrical stimulation that aims to provide pain relief by exciting sensory nerves and stimulating the pain gate mechanism and/or opioid system. TENS works through activation of pain-gating mechanisms and removal of pain-causing substances. Parameters like waveform, frequency, pulse width, and amplitude are used. Different types of TENS include conventional high frequency TENS, acupuncture-like low frequency TENS, burst TENS, brief intense TENS, and modulated TENS. Electrodes are placed on or near painful areas and TENS can be used to treat conditions like osteoarthritis, fibromyalgia, and labor pain.
Tens
This document provides information on transcutaneous electrical nerve stimulation (TENS), interferential therapy (IFT), and paraffin wax bath therapy. It describes how each therapy works, including parameters and modes. It outlines indications and contraindications. For TENS, it discusses waveform, frequency, pulse width, amplitude and types (conventional, acupuncture-like, brief intense, burst mode). For IFT, it explains the interference of two medium frequencies. For paraffin wax bath, it describes the unit, application methods, and physiological effects of increased heat and circulation.
Transcutaneous Electrical Nerve Stimulator (TENS)
Transcutaneous electrical nerve stimulation (TENS) is a non-invasive method of using low-voltage electrical currents to block pain signals from traveling along nerve pathways and stimulate the body's natural pain relievers. TENS units deliver electrical impulses through electrodes placed on the skin near areas of pain. The impulses can help reduce both acute and chronic pain conditions. While portable and easy to use at home, TENS only treats pain symptoms and may need to be combined with other long-term treatments.
TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION
This power point presentation will be useful for physiotherapy student to understand TENS Briefly which is important for electrotherapy subject
Medical Physics - Assignment.pptx
There are several methods of electrical stimulation of nerves and muscles to reduce pain, including different types of transcutaneous electrical nerve stimulation (TENS). TENS involves applying low frequency pulsed currents through surface electrodes and can be used for short or prolonged periods. High TENS uses high frequencies and low intensities to inhibit pain transmission while low TENS uses low frequencies and high intensities to release endorphins blocking pain. Burst TENS provides benefits of conventional and acupuncture-like TENS. Microcurrent electrical neuromuscular stimulation involves extremely small currents to relieve pain and heal soft tissues with few sensations felt. Electrical stimulation has various applications but precautions are needed for certain medical conditions.
Transcutaneous Electrical Nerve Stimulation (TENS) SRS
Transcutaneous Electrical Nerve Stimulation (TENS) is a method of electrical stimulation that aims to provide pain relief by exciting sensory nerves and stimulating the pain gate mechanism and/or opioid system. TENS works through several mechanisms including activation of pain-gating mechanisms in the spinal cord and stimulation of the descending pain suppression system and endogenous opioid release. Different TENS waveforms, frequencies, pulse widths and intensities can be used depending on the type of pain and desired effects. Common types of TENS include conventional high frequency TENS and acupuncture-like low frequency TENS. Care must be taken with electrode placement and TENS is generally contraindicated for those with pacemakers or heart conditions.
Physical modalities 2
1. Thermotherapy such as heat and cold can cause rebound phenomena where continued application beyond 30-45 minutes causes tissue congestion due to reflex vascular constriction.
2. Cryokinetics combines cryotherapy with exercise to numb an area with ice and perform exercises when analgesia is experienced in a 4-5 minute window before pain returns.
3. Electrotherapy modalities like TENS, PENS, and interferential current therapy are used to reduce pain by blocking pain signal transmission or promoting endorphin release while electrical stimulation can strengthen muscles.
Electrical Modalities
Electrical modalities use different forms of energy to penetrate tissues and provide relief from pain, swelling, and promote healing. Common modalities include TENS, which uses electrical stimulation to modulate pain, NMES which causes muscle contraction, and iontophoresis which delivers medication transdermally using low-level electrical currents. Occupational therapists are trained to appropriately apply modalities like these to address goals like pain management, increased range of motion, and wound or fracture healing as part of a client's occupational therapy program. Precautions and contraindications must be considered for safe application of each modality.
Electrical Stimulation Clinical Application Review
This document provides an overview of electrical stimulation including:
- Definitions of terms like knobology, different current types (AC, DC, pulsed), and reasons for using electrical stimulation like pain reduction and muscle re-education.
- Guidelines for treating pain, muscle re-education, edema prevention and reduction with electrical stimulation.
- Details on setup terms like amplitude, frequency, and duty cycle.
- Contraindications and common mistakes to avoid.
- References for further information.
electrotherapeutic modalities
This document discusses various forms of electrotherapy used to treat musculoskeletal disorders. It describes galvanic current, diadynamic current, interferential therapy, and TENS. Galvanic current directly stimulates muscle without activating nerves. Diadynamic current comes in various forms that can stimulate muscles or affect the autonomic nervous system. Interferential therapy uses two medium frequency currents to produce a low frequency effect for pain relief and muscle stimulation. TENS is a form of electrical stimulation that decreases pain by activating sensory nerves via surface electrodes.
TENS Trans cutaneous electrical nerves stimulation
A detail lecture on tens and its application modalities of pain ....
Tens transcutaneous electrical nerve stimulator
TENS, or transcutaneous electrical nerve stimulation, is a non-invasive method of pain relief using a device that sends electrical pulses to nerves under the skin via electrodes. There are four parameters that can be adjusted: pulse shape, pulse width, frequency, and intensity. TENS is commonly used to treat both acute and chronic pain conditions like back pain, arthritis, and sports injuries. Electrodes are placed on or near painful areas or trigger points and treatment sessions typically last less than 40 minutes daily. High and low TENS frequencies have different common parameter settings. Precautions are taken to avoid electrolyte reactions or use of TENS on certain body areas or for people with medical contraindications.
ZMPCZM016000.10.01 Nexwave clinical presentaion from Painezee
This document provides an overview of electrotherapy modalities for pain management using the NexWave device. It discusses the basics of how electrical impulses work to reduce pain through gate control theory and endorphin release. Three main modalities are covered: TENS, IFC, and NMES. The document reviews indications, electrode placement, programming and operation of the NexWave device for each modality. It also discusses supporting research, marketing materials and distribution to physicians for pain management using electrotherapy.
ZMPCZM016000.10.01 Nexwave clinical presentaion from Painezee
This document provides an overview of electrotherapy modalities for pain management using the NexWave device. It discusses the basics of how electrical impulses work to reduce pain through gate control theory and endorphin release. Three main modalities are covered: TENS, IFC, and NMES. The document reviews indications, electrode placement, programming and operation of the NexWave device for each modality. It also discusses supporting research, marketing materials and the role of electrotherapy in pain clinics, physical therapy and other settings.
Nexwave clinical presentation
This document provides an overview and training on the NexWave electrotherapy device. It discusses the basics of electrotherapy including different modalities like TENS, IFC, and NMES. It explains the theories of pain control through gate control and endorphin release. The document then reviews the features and programming of the NexWave, including how to select modalities, intensities, and treatment times. It provides guidance on electrode placement and operation for IFC, TENS, and NMES. Different program modes for IFC and TENS are also outlined.
INTERFERENTIAL THERAPY
Interferential therapy is a form of electrical stimulation that uses two medium frequency currents to produce a low frequency beating effect deeper in the tissues. It can provide analgesic, anti-inflammatory and muscle stimulation effects. IFT is applied using electrode pads or probes placed on the skin over the treatment area. Parameters like frequency, intensity, and application time can be modified based on the condition being treated. Common indications include pain, muscle spasm, edema, and post-surgical issues. Proper application and monitoring of settings is needed to provide benefit safely.
The Most Effective Pain & Muscle Stimulation Units
The document discusses different types of waveform therapy devices and modalities. It describes the Pulse Wave Classic, Elite Pro, and Pro with Ultrasound devices, which provide TENS, EMS, interferential current, microcurrent, and ultrasound therapy. These modalities are used to reduce pain, improve circulation and muscle function for injuries, post-surgical recovery and more. The document provides details on how each modality works and its typical applications and benefits.
Nmes
This document discusses neuromuscular electrical stimulation (NMES). It states that NMES uses electrical currents to modify neuromuscular activity and can be used to improve muscle strength, increase range of motion, reduce edema, decrease atrophy, heal tissue, and decrease pain. The document discusses optimal stimulation parameters, noting that higher frequencies between 30-100 Hz are typically used for NMES, and that ramp up/down times of 1-3 seconds and pulse widths of 300-600 microseconds are common. It also notes the importance of amplitude/intensity and that lower intensities can induce more central nervous system input than higher intensities.
PHYSICAL Modalities of pain ( except heat and cold).PPT
This document provides an overview of various physical modalities used in physical medicine and rehabilitation, including electrotherapy, light therapy, and acupuncture. It discusses the physiological basis and protocols for transcutaneous electrical nerve stimulation (TENS), interferential current therapy, neuromuscular electrical stimulation (NMES), functional electrical stimulation (FES), ultraviolet light therapy, low-level laser therapy, and acupuncture. Benefits are described for reducing pain and improving muscle function. Precautions and contraindications are also outlined to safely administer each modality.
neel IFT.pptx
This document provides an overview of interferential current therapy. It discusses the history and principles of interferential current, including how two alternating medium frequency currents intersect to produce amplitude modulation at a low frequency. It describes parameters like frequency, dosage, sweep patterns and techniques like bipolar and quadripolar application. The physiological effects of interferential current like pain relief, muscle stimulation and increased blood flow are explained. Indications, contraindications and precautions for its use are also summarized.
TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS) BY MINED ACADEMY
1. Transcutaneous electrical nerve stimulation (TENS) is a non-invasive pain relief method that uses low electric currents delivered through electrodes placed on the skin to inhibit pain signals sent to the brain.
2. There are three main types of TENS - conventional/high TENS, acupuncture-like/low TENS, and intense TENS - which differ in their electric pulse characteristics and mechanisms of pain relief.
3. TENS provides pain relief through gate control theory mechanisms like segmental inhibition of nociceptive neurons in the spinal cord as well as extra-segmental activation of descending pain inhibitory pathways from the brain.
IFT.pdf
Interferential therapy is a form of electrical stimulation that uses two medium frequency currents between 4000-5100 Hz to generate low frequency interference currents between 1-100 Hz at targeted tissue depths. This allows for pain relief, muscle stimulation, increased blood flow and lymphatic drainage without the limitation of skin resistance. Electrodes are placed diagonally over the area of interest and current intensity is gradually increased until felt by the patient. Contraindications include coagulation issues, arterial disease, infections and pacemakers. Typical applications are for pain, swelling, muscle stimulation and tissue healing.
Interferential current
1) Interferential therapy involves applying two alternating medium-frequency currents that intersect in the body tissue to produce an interference beat frequency current for therapeutic purposes.
2) The beat frequency current can stimulate different tissues at different frequencies - nerves at 1-150Hz, muscles at 1-100Hz, increasing blood flow at 10-25Hz, and reducing edema at 1-10Hz.
3) Indications for interferential therapy include relief of chronic pain, absorption of exudates, and stress incontinence. General contraindications include pacemakers, malignancy, and infections. Local contraindications include open wounds and metal in the skin.
SWATHI PRESENTATION_011534.pptx
This document provides information on different electrotherapy modalities including TENS (transcutaneous electrical nerve stimulation), IFT (interferential therapy), UST (ultrasound therapy), SWD (short wave diathermy), and WAX. It defines each modality, describes their mechanisms and effects, appropriate frequencies and intensities used, electrode placement, indications, contraindications, and examples of common conditions treated. TENS uses low frequency electrical currents to reduce pain through gate control theory and pain modulation. IFT delivers two interfering currents to generate a beat frequency deep in tissues for pain relief. WAX involves applying molten paraffin wax to provide localized heat therapy for conditions like arthritis.
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Medical Physics - Assignment.pptx
There are several methods of electrical stimulation of nerves and muscles to reduce pain, including different types of transcutaneous electrical nerve stimulation (TENS). TENS involves applying low frequency pulsed currents through surface electrodes and can be used for short or prolonged periods. High TENS uses high frequencies and low intensities to inhibit pain transmission while low TENS uses low frequencies and high intensities to release endorphins blocking pain. Burst TENS provides benefits of conventional and acupuncture-like TENS. Microcurrent electrical neuromuscular stimulation involves extremely small currents to relieve pain and heal soft tissues with few sensations felt. Electrical stimulation has various applications but precautions are needed for certain medical conditions.
Transcutaneous Electrical Nerve Stimulation (TENS) SRS
Transcutaneous Electrical Nerve Stimulation (TENS) is a method of electrical stimulation that aims to provide pain relief by exciting sensory nerves and stimulating the pain gate mechanism and/or opioid system. TENS works through several mechanisms including activation of pain-gating mechanisms in the spinal cord and stimulation of the descending pain suppression system and endogenous opioid release. Different TENS waveforms, frequencies, pulse widths and intensities can be used depending on the type of pain and desired effects. Common types of TENS include conventional high frequency TENS and acupuncture-like low frequency TENS. Care must be taken with electrode placement and TENS is generally contraindicated for those with pacemakers or heart conditions.
Physical modalities 2
1. Thermotherapy such as heat and cold can cause rebound phenomena where continued application beyond 30-45 minutes causes tissue congestion due to reflex vascular constriction.
2. Cryokinetics combines cryotherapy with exercise to numb an area with ice and perform exercises when analgesia is experienced in a 4-5 minute window before pain returns.
3. Electrotherapy modalities like TENS, PENS, and interferential current therapy are used to reduce pain by blocking pain signal transmission or promoting endorphin release while electrical stimulation can strengthen muscles.
Electrical Modalities
Electrical modalities use different forms of energy to penetrate tissues and provide relief from pain, swelling, and promote healing. Common modalities include TENS, which uses electrical stimulation to modulate pain, NMES which causes muscle contraction, and iontophoresis which delivers medication transdermally using low-level electrical currents. Occupational therapists are trained to appropriately apply modalities like these to address goals like pain management, increased range of motion, and wound or fracture healing as part of a client's occupational therapy program. Precautions and contraindications must be considered for safe application of each modality.
Electrical Stimulation Clinical Application Review
This document provides an overview of electrical stimulation including:
- Definitions of terms like knobology, different current types (AC, DC, pulsed), and reasons for using electrical stimulation like pain reduction and muscle re-education.
- Guidelines for treating pain, muscle re-education, edema prevention and reduction with electrical stimulation.
- Details on setup terms like amplitude, frequency, and duty cycle.
- Contraindications and common mistakes to avoid.
- References for further information.
electrotherapeutic modalities
This document discusses various forms of electrotherapy used to treat musculoskeletal disorders. It describes galvanic current, diadynamic current, interferential therapy, and TENS. Galvanic current directly stimulates muscle without activating nerves. Diadynamic current comes in various forms that can stimulate muscles or affect the autonomic nervous system. Interferential therapy uses two medium frequency currents to produce a low frequency effect for pain relief and muscle stimulation. TENS is a form of electrical stimulation that decreases pain by activating sensory nerves via surface electrodes.
TENS Trans cutaneous electrical nerves stimulation
A detail lecture on tens and its application modalities of pain ....
Tens transcutaneous electrical nerve stimulator
TENS, or transcutaneous electrical nerve stimulation, is a non-invasive method of pain relief using a device that sends electrical pulses to nerves under the skin via electrodes. There are four parameters that can be adjusted: pulse shape, pulse width, frequency, and intensity. TENS is commonly used to treat both acute and chronic pain conditions like back pain, arthritis, and sports injuries. Electrodes are placed on or near painful areas or trigger points and treatment sessions typically last less than 40 minutes daily. High and low TENS frequencies have different common parameter settings. Precautions are taken to avoid electrolyte reactions or use of TENS on certain body areas or for people with medical contraindications.
ZMPCZM016000.10.01 Nexwave clinical presentaion from Painezee
This document provides an overview of electrotherapy modalities for pain management using the NexWave device. It discusses the basics of how electrical impulses work to reduce pain through gate control theory and endorphin release. Three main modalities are covered: TENS, IFC, and NMES. The document reviews indications, electrode placement, programming and operation of the NexWave device for each modality. It also discusses supporting research, marketing materials and distribution to physicians for pain management using electrotherapy.
ZMPCZM016000.10.01 Nexwave clinical presentaion from Painezee
This document provides an overview of electrotherapy modalities for pain management using the NexWave device. It discusses the basics of how electrical impulses work to reduce pain through gate control theory and endorphin release. Three main modalities are covered: TENS, IFC, and NMES. The document reviews indications, electrode placement, programming and operation of the NexWave device for each modality. It also discusses supporting research, marketing materials and the role of electrotherapy in pain clinics, physical therapy and other settings.
Nexwave clinical presentation
This document provides an overview and training on the NexWave electrotherapy device. It discusses the basics of electrotherapy including different modalities like TENS, IFC, and NMES. It explains the theories of pain control through gate control and endorphin release. The document then reviews the features and programming of the NexWave, including how to select modalities, intensities, and treatment times. It provides guidance on electrode placement and operation for IFC, TENS, and NMES. Different program modes for IFC and TENS are also outlined.
INTERFERENTIAL THERAPY
Interferential therapy is a form of electrical stimulation that uses two medium frequency currents to produce a low frequency beating effect deeper in the tissues. It can provide analgesic, anti-inflammatory and muscle stimulation effects. IFT is applied using electrode pads or probes placed on the skin over the treatment area. Parameters like frequency, intensity, and application time can be modified based on the condition being treated. Common indications include pain, muscle spasm, edema, and post-surgical issues. Proper application and monitoring of settings is needed to provide benefit safely.
The Most Effective Pain & Muscle Stimulation Units
The document discusses different types of waveform therapy devices and modalities. It describes the Pulse Wave Classic, Elite Pro, and Pro with Ultrasound devices, which provide TENS, EMS, interferential current, microcurrent, and ultrasound therapy. These modalities are used to reduce pain, improve circulation and muscle function for injuries, post-surgical recovery and more. The document provides details on how each modality works and its typical applications and benefits.
Nmes
This document discusses neuromuscular electrical stimulation (NMES). It states that NMES uses electrical currents to modify neuromuscular activity and can be used to improve muscle strength, increase range of motion, reduce edema, decrease atrophy, heal tissue, and decrease pain. The document discusses optimal stimulation parameters, noting that higher frequencies between 30-100 Hz are typically used for NMES, and that ramp up/down times of 1-3 seconds and pulse widths of 300-600 microseconds are common. It also notes the importance of amplitude/intensity and that lower intensities can induce more central nervous system input than higher intensities.
PHYSICAL Modalities of pain ( except heat and cold).PPT
This document provides an overview of various physical modalities used in physical medicine and rehabilitation, including electrotherapy, light therapy, and acupuncture. It discusses the physiological basis and protocols for transcutaneous electrical nerve stimulation (TENS), interferential current therapy, neuromuscular electrical stimulation (NMES), functional electrical stimulation (FES), ultraviolet light therapy, low-level laser therapy, and acupuncture. Benefits are described for reducing pain and improving muscle function. Precautions and contraindications are also outlined to safely administer each modality.
neel IFT.pptx
This document provides an overview of interferential current therapy. It discusses the history and principles of interferential current, including how two alternating medium frequency currents intersect to produce amplitude modulation at a low frequency. It describes parameters like frequency, dosage, sweep patterns and techniques like bipolar and quadripolar application. The physiological effects of interferential current like pain relief, muscle stimulation and increased blood flow are explained. Indications, contraindications and precautions for its use are also summarized.
TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS) BY MINED ACADEMY
1. Transcutaneous electrical nerve stimulation (TENS) is a non-invasive pain relief method that uses low electric currents delivered through electrodes placed on the skin to inhibit pain signals sent to the brain.
2. There are three main types of TENS - conventional/high TENS, acupuncture-like/low TENS, and intense TENS - which differ in their electric pulse characteristics and mechanisms of pain relief.
3. TENS provides pain relief through gate control theory mechanisms like segmental inhibition of nociceptive neurons in the spinal cord as well as extra-segmental activation of descending pain inhibitory pathways from the brain.
IFT.pdf
Interferential therapy is a form of electrical stimulation that uses two medium frequency currents between 4000-5100 Hz to generate low frequency interference currents between 1-100 Hz at targeted tissue depths. This allows for pain relief, muscle stimulation, increased blood flow and lymphatic drainage without the limitation of skin resistance. Electrodes are placed diagonally over the area of interest and current intensity is gradually increased until felt by the patient. Contraindications include coagulation issues, arterial disease, infections and pacemakers. Typical applications are for pain, swelling, muscle stimulation and tissue healing.
Interferential current
1) Interferential therapy involves applying two alternating medium-frequency currents that intersect in the body tissue to produce an interference beat frequency current for therapeutic purposes.
2) The beat frequency current can stimulate different tissues at different frequencies - nerves at 1-150Hz, muscles at 1-100Hz, increasing blood flow at 10-25Hz, and reducing edema at 1-10Hz.
3) Indications for interferential therapy include relief of chronic pain, absorption of exudates, and stress incontinence. General contraindications include pacemakers, malignancy, and infections. Local contraindications include open wounds and metal in the skin.
SWATHI PRESENTATION_011534.pptx
This document provides information on different electrotherapy modalities including TENS (transcutaneous electrical nerve stimulation), IFT (interferential therapy), UST (ultrasound therapy), SWD (short wave diathermy), and WAX. It defines each modality, describes their mechanisms and effects, appropriate frequencies and intensities used, electrode placement, indications, contraindications, and examples of common conditions treated. TENS uses low frequency electrical currents to reduce pain through gate control theory and pain modulation. IFT delivers two interfering currents to generate a beat frequency deep in tissues for pain relief. WAX involves applying molten paraffin wax to provide localized heat therapy for conditions like arthritis.
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TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS) BY MINED ACADEMY
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Laser therapy uses light amplification to stimulate tissues. It has a long history dating back to Einstein describing the theory that was transformed into laser therapy. Low-level lasers are classified based on power and safety, with classes 1-3 being most commonly used in physical therapy. Lasers have physiological effects like reducing pain and inflammation while promoting tissue healing. Common indications are musculoskeletal pain, wounds, and neurogenic pain. Treatment involves calculating the appropriate laser dose and applying it using contact or non-contact techniques.
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TENS by AK
- 1. Transcutaneous Electric Nerve Stimulation (TENS) Name: Akasha Rehman Butt
- 2. Features of TENS Types of TENS Application of TENS Introductio n
- 3. Definition:- Transcutaneous electric nerve stimulation (TENS) is method of electric stimulation that involve in pain relief by superficially excruciating sensory nerves.
- 4. Key principles:- Knowledge of intent of TENS application Location of electrode placement Selection of appropriate current type Dosage
- 5. Features of TENS Pulse wave form 1. Monophasic 2. Symmetric biphasic 3. Asymmetric biphasic Pulse amplitude :-1-50mA (Adjustable) Pulse duration:-50-500 micro seconds Frequency:-1-200Hz Pulse pattern:- 1. Continuous 2. Burst Channels 1. Single Double
- 6. 1. Conventional TENS or high frequency TENS 2. Acupuncture like TENS or low frequency TENS 3. Brief TENS or intense TENS 4. Burst TENS 5. Modulated or modified TENS
- 7. Conventional of high TENS Principle:- Pre synaptic inhibition by pain gate mechanism by stimulating Alpha and Abeta fibers. Duration:– 30-60min once or twice daily Frequency:-50-100Hz Pulse width :-20-60 microseconds Intensity:-0-30mA Intensity until a prickling or tingling sensation is felt
- 8. Acupuncture or low TENS Principle -This stimulates the high threshold AS and C fibres, which lead to release of endogenous opioids and provides further sensory input from muscle spindle afferents (chemical theory). Duration - 20 to 30 minutes once a day. Frequency - More than 100 Hz Pulse Width - 150 us to 250 us Intensity - Highest level tolerated by the patient.
- 9. Burst TENS Burst TENS is a series of pulses (i.e. a train), repeated 1-5 times a second, commonly twice. Each train or burst consists of a number of individual pulses at the usual conventional TENS frequencies of 50 Hz to 100 Hz but at higher intensity. It combines both the conventional and acupuncture-like TENS and therefore provides pain relief by both routes.
- 10. Brief or Intense TENS Principle -Activity in cutaneous AS afferents induced by intense TENS produce peripheral blockade of nociceptive afferent activity (Central biasing mechanism). Duration - 30 to 60 minutes once or twice daily. Frequency - More than 100 Hz Pulse Width - 150 us to 250 us Intensity - Highest level tolerated by the patient.
- 11. Modulated or Modified TENS In modulated TENS the pulse length, frequency, and amplitudes can be constantly and automatically varied. This cyclical variation is believed to prevent adaptation of the nerves to the current (no accommodation) Is particularly appropriate as a variant of conventional TENS used over long periods.
- 12. USES of TENS Common conditions where TENS is used Relief of Acute Pain: •Post operative pain •Labour pain •Dysmenorrhoea •Angina Pectoris Relief of Chronic Pain: •Low back pain •Arthritic pain: RA, OA •Myofascial pain
- 13. Electrode Placement Directly over painful sites: trigger points Dermatomes, Myotomes Accupunture points Spinal nerve roots May be crossed or uncrossed Horizontal or vertical
- 14. Contraindication Someone with a pacemaker Someone with undiagnosed pain Someone with a heart condition On head or neck of someone with epilepsy Cardiac conditions- arrhythmia Neurological conditions: epilepsy, stroke Non-cooperative patients Pregnancy Active infections, Skin conditions
- 15. Precautions Areas of skin irritation, damage or lesions Areas with impaired sensation Over abdominal, lumbosacral or pelvic regions during pregnancy other than for labor/delivery Incompetent patients may not be able to manage the device and it must be kept out of reach of children. Athletes should not be permitted to participate in sports while under the influence of TENS analgesia
- 16. Thank You