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NPTE · NPTE

NPTE Therapeutic Modalities and Interventions

Electrical stimulation, ultrasound, and heat and cold therapy modality parameters and indications tested on the NPTE.

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What is the primary purpose of NMES (neuromuscular electrical stimulation) in rehab?
To elicit muscle contraction and prevent or reverse disuse atrophy.
What pulse frequency range is typical for conventional (high-rate) TENS?
50 to 100 pulses per second.
Which pain theory explains the mechanism of conventional (high-rate) TENS?
Gate control theory.
According to gate control theory, stimulating which afferent fibers closes the spinal pain gate?
Large-diameter A-beta afferent fibers.
What pulse frequency range is typical for low-rate (acupuncture-like) TENS?
1 to 4 pulses per second.
What pain-relief mechanism is associated with low-rate (acupuncture-like) TENS?
Release of endogenous opioids (beta-endorphins).
What does interferential current (IFC) do with two medium-frequency currents?
Crosses them through the tissue so they interfere, producing a lower beat frequency at the intersection.
What is a key clinical use of high volt pulsed current (HVPC)?
Wound healing and edema reduction.
What carrier frequency is typically used in Russian current?
About 2500 Hz.
What type of electrical current is required to stimulate a denervated muscle?
Direct current with a long pulse duration, since the muscle lacks a functioning myoneural junction.
What is a cardiac contraindication to electrical stimulation?
A demand-type cardiac pacemaker.
What ultrasound frequency is used to heat deeper tissue, up to about 5 cm?
1 MHz.
What ultrasound frequency is used to heat more superficial tissue, about 1 to 2 cm deep?
3 MHz.
What duty cycle is used for thermal (continuous) ultrasound?
100 percent (continuous).
What duty cycle is typical for nonthermal (pulsed) ultrasound?
About 20 percent.

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