Kuenzanisa kweTENS (Transcutaneous Electrical Nerve Stimulation) uye EMS (Electrical Muscle Stimulation), kusimbisa maitiro avo, maitiro, uye kliniki zvinorehwa.
1. Tsanangudzo uye Zvinangwa:
TENS:
Tsanangudzo: TENS inosanganisira kushandiswa kwepasi-voltage magetsi emagetsi paganda kuburikidza nemagetsi, kunyanya kugadzirisa marwadzo.
Chinangwa: Chinangwa chayo chikuru ndechekuderedza kurwadziwa kwakanyanya uye kusingaperi nekukurudzira tsinga dzekunzwa, nekudaro kugadzirisa maonero ekurwadziwa uye kukurudzira kuburitswa kweanopioid endogenous.
EMS:
Tsanangudzo: EMS inoreva kushandiswa kwemagetsi emagetsi kumapoka emhasuru, zvichikonzera kusungirirwa kusingaite.
Chinangwa: Chinangwa chikuru ndechekuvandudza kushanda kwemhasuru, kuwedzera simba, kudzivirira atrophy, uye kukurudzira kudzoreredza mushure mekukuvadzwa kana kuvhiyiwa.
2. Nzira dzekuita
TENS:
Gedhi Kudzora Theory: TENS inonyanya kushanda pasi pegedhi rekutonga dzidziso, uko kukurudzira kweA-beta fibers hombe kunodzivisa kutapurirwa kwezviratidzo zvinorwadza zvinotakurwa nediki C fiber kusvika pakati penheyo system.
Endorphin Release: Low-frequency TENS (1-10 Hz) inogona kukurudzira kusunungurwa kwe endorphins uye enkephalins, iyo inosunga kune opioid receptors muuropi, ichiita analgesic madhara.
Pain Threshold Ateration: Iko kukurudzira kunogona kuchinja marwadzo ekuona zvikumbaridzo, zvichibvumira vanhu kuti vanzwe kurwadziwa kushoma.
EMS:
Motor Neuron Activation: EMS inomutsa mota neurons zvakananga, zvichitungamira kumisumbu fiber kuunganidza uye kuputika. Zvisungo zvinogona kuve zvekuzvidira kana kusazvidira, zvichienderana nematanho akaiswa.
Rudzi rweMuscle Contraction: EMS inogona kukonzera zvose isotonic contractions (kupfupisa kwemhasuru fibers) uye isometric contractions (muscle tension pasina kufamba), zvichienderana nekushandiswa.
Kuwedzera Kuyerera kweRopa uye Kudzoreredza: Zvibvumirano zvinosimudzira kutenderera kwenzvimbo, izvo zvinogona kubatsira mukubvisa tsvina yemetabolism uye kupa chikafu, nekudaro kukurudzira kupora uye kugadzirisa tsandanyama.
3. Parameter Settings
TENS:
Frequency: Kazhinji inotangira pa1Hz kusvika 150Hz. Lower frequencies (1-10 Hz) inoshanda kune endogenous opioid kusunungurwa, nepo yakakwirira frequencies (80-100 Hz) inogona kupa kukurumidza kusununguka kwemarwadzo.
Pulse Width: Inosiyana kubva ku50 kusvika ku400 microseconds; hupamhi hwepulse hunogona kumutsa matishu akadzama.
Modulation: TENS madivayiri anowanzo ane marongero e pulse modulation kudzivirira pekugara, kuve nechokwadi kuenderera mberi kushanda.
EMS:
Frequency: Kazhinji set pakati pe1 Hz ne100 Hz. Frequency dziri pakati pe20 Hz ne50 Hz dzakajairika pakudzidziswa tsandanyama, nepo ma frequency epamusoro anogona kukonzera kuneta nekukurumidza.
Pulse Width: Kazhinji inotangira pa200 kusvika ku400 microseconds kuti ive nechokwadi chekushanda kwemhasuru fiber activation.
Duty Cycle: Zvishandiso zveEMS zvinowanzo shandisa maitiro akasiyana-siyana ekugadzirisa kuputika kwemasuru uye zvikamu zvekudzorera (semuenzaniso, 10 seconds on, 15 seconds off).
4. Clinical Applications
TENS:
Pain Management: Inoshandiswa zvakanyanya kumamiriro ezvinhu akadai sekurwadziwa kwakadzika kumashure, osteoarthritis, marwadzo neuropathic, uye dysmenorrhea.
Postoperative Pain: Inogona kushandiswa kuderedza kuvimba kune pharmacological analgesics mushure mekuvhiya maitiro.
Physiological Effects: Inogonawo kuderedza kushushikana kwemhasuru, kuvandudza kufamba, uye kuwedzera kunyaradza kwemurwere.
EMS:
Rehabilitation: Inoshandiswa mukurapa kwepanyama kune varwere vanopora kubva pakuvhiyiwa kana kukuvara kuchengetedza tsandanyama uye basa.
Strength Training: Inoshandiswa mumishonga yemitambo kuwedzera simba uye kutsungirira muvatambi, inowanzoshandiswa pamwe chete nemaitiro ekudzidzira maitiro.
Spasticity Management: Inogona kubatsira kubata spasticity mumamiriro etsinga nekusimudzira kuzorora kwemhasuru uye kuderedza kupindirana kwezvibvumirano.
5. Electrode Placement uye Configuration
TENS Electrode Placement:
Electrodes akaiswa zvine hungwaru pamusoro kana kutenderedza nzvimbo dzinorwadza, ine masisitimu anowanzo kutevedzera dermatome mapatani kana trigger mapoinzi ekugadzirisa marwadzo.
EMS Electrode Kuiswa:
Electrodes akaiswa pamusoro pemamwe mhasuru mapoka, kuve nechokwadi chekuti mhasuru yese dumbu yakafukidzwa kuti iwane kugwinya kunoshanda.
6. Kuchengetedza uye Contraindications
Kuchengetedzwa kweTENS:
Kazhinji yakachengeteka kune vanhu vazhinji; zvisinei, kungwarira kunorayirwa kune vanhu vane mamwe mamiriro akadai sepacemaker, maronda eganda, kana mamiriro anokanganisa kunzwa.
Migumisiro yakaipa inowanzova shoma, kusanganisira kutsamwa kweganda kana kusagadzikana panzvimbo dze electrode.
EMS Kuchengetedza:
Kunyange zvazvo kazhinji yakachengeteka, EMS inofanira kushandiswa nekuchenjerera kune varwere vane neuromuscular disorders, pamuviri, kana mamwe mamiriro emwoyo.
Njodzi dzinosanganisira kurwadza kwemasuru, kushatirwa kweganda, uye muzviitiko zvisingawanzoitiki, rhabdomyolysis kana ikashandiswa zvisina kunaka.
Mhedziso:
Muchidimbu, TENS uye EMS yakakosha nzira dze electrotherapy, imwe neimwe iine nzira dzakasiyana, mashandisirwo, uye mhedzisiro yekurapa. TENS inonyanya kutarisana nekuzorodza marwadzo kuburikidza nekunzwa kwetsinga stimulation, nepo EMS inoshandiswa pakugadzirisa tsandanyama uye kugadzirisa.
Nguva yekutumira: Zvita-06-2024
