Yintoni umahluko phakathi kwe-TENS kunye ne-EMS?

Ukuthelekiswa kwe-TENS (i-Transcutaneous Electrical Nerve Stimulation) kunye ne-EMS (Ukukhuthazwa Kwemisipha yoMbane), kugxininisa iindlela zabo, izicelo, kunye neziphumo zonyango.

1. Iinkcazelo kunye neNjongo:

IZISHUMI:

Inkcazo: I-TENS ibandakanya ukusetyenziswa kwemisinga yombane ephantsi kwe-voltage esikhumbeni nge-electrodes, ngokukodwa ekulawuleni intlungu.

Injongo: Injongo yayo ephambili kukunciphisa intlungu ebuhlungu kunye nengapheliyo ngokuvuselela i-nerve sensory, ngaloo ndlela imodareyitha ukuqonda intlungu kunye nokukhuthaza ukukhululwa kwe-opioids engapheliyo.

EMS:

Inkcazo: I-EMS ibhekisela ekusetyenzisweni kweempembelelo zombane kumaqela emisipha, okubangela ukunyanzeliswa okuzenzekelayo.

Injongo: Injongo ephambili kukuphucula ukusebenza kwemisipha, ukwandisa amandla, ukukhusela i-atrophy, kunye nokukhuthaza ukuvuselelwa emva kokulimala okanye utyando.

2. IiNdlela zokuSebenza

IZISHUMI:

I-Gate Control Theory: I-TENS ngokuyinhloko isebenza phantsi kwe-theory yokulawula isango, apho ukukhuthazwa kwee-fibers ezinkulu ze-A-beta kuthintela ukuhanjiswa kweempawu zentlungu ezithwalwa yi-C fibers encinci kwinkqubo ye-nervous central.

Ukukhutshwa kwe-Endorphin: I-TENS ye-low-frequency (1-10 Hz) inokukhuthaza ukukhululwa kwe-endorphins kunye ne-enkephalins, ebophelela kwi-opioid receptors kwingqondo, ivelise iziphumo ze-analgesic.

Ukuguqulwa kwePain Threshold: Ukuvuselela kunokuguqula imida yokubona intlungu, ukuvumela abantu ukuba bafumane iintlungu ezincinci.

EMS:

I-Motor Neuron Activation: I-EMS ivuselela i-motor neurons ngokuthe ngqo, ekhokelela ekuqeshweni kwe-muscle fiber kunye nokunciphisa. I-contractions ingaba yokuzithandela okanye i-involuntary, kuxhomekeke kwiiparamitha ezibekiwe.

Uhlobo lwe-Muscle Contraction: I-EMS inokubangela ukuba zombini i-isotonic contractions (ukunciphisa imicu ye-muscle) kunye ne-isometric contractions (i-muscle tension ngaphandle kokunyakaza), kuxhomekeke kwisicelo.

Ukunyuka kweGazi kunye nokuBuyiselwa kwakhona: I-contractions iphucula ukujikeleza kwendawo, enokunceda ekususeni inkunkuma ye-metabolic kunye nokubonelela ngezondlo, ngaloo ndlela ikhuthaza ukubuyiswa kunye nokulungiswa kwemisipha.

3. Izicwangciso zeParameter

IZISHUMI:

Ukuphindaphinda: Ngokuqhelekileyo ukusuka kwi-1 Hz ukuya kwi-150 Hz. Ii-frequencies ezisezantsi (1-10 Hz) ziyasebenza ekukhutshweni kwe-opioid engapheliyo, ngelixa i-frequencies ephezulu (80-100 Hz) inokubonelela ngokukhawuleza kweentlungu.

Ububanzi be-Pulse: Ihluka ukusuka kwi-50 ukuya kwi-400 microseconds; ububanzi be-pulse ububanzi bunokuvuselela izicubu ezinzulu.

Ukumodareyitha: Izixhobo ze-TENS zihlala zinesetingi zohlengahlengiso lwe-pulse ukuthintela indawo yokuhlala, ukuqinisekisa ukusebenza ngokuqhubekayo.

EMS:

Ukuphindaphinda: Ngokubanzi iseti phakathi kwe-1 Hz kunye ne-100 Hz. Iifrikhwensi phakathi kwe-20 Hz kunye ne-50 Hz ziqhelekile kuqeqesho lwemisipha, ngelixa i-frequencies ephezulu inokubangela ukudinwa okukhawulezayo.

I-Pulse Width: Ngokuqhelekileyo isuka kwi-200 ukuya kwi-400 microseconds ukuqinisekisa ukusebenza okusebenzayo kwe-muscle fiber.

Umjikelo woMsebenzi: Izixhobo ze-EMS zihlala zisebenzisa imijikelo yomsebenzi eyahluka-hlukeneyo ukwandisa ukucutheka kwemisipha kunye nezigaba zokubuyisela (umzekelo, imizuzwana ye-10, imizuzwana ye-15 ivaliwe).

4. Izicelo zeklinikhi

IZISHUMI:

Ulawulo lweentlungu: Isetyenziswa ngokubanzi kwiimeko ezinjengeentlungu ezingapheliyo ezisezantsi, i-osteoarthritis, intlungu ye-neuropathic, kunye ne-dysmenorrhea.

Ubuhlungu bePostoperative: Ingasetyenziselwa ukunciphisa ukuthembela kwi-analgesics ye-pharmacological emva kweenkqubo zokuhlinzwa.

Iziphumo zePhysiological: Zinokunciphisa uxinzelelo lwemisipha, ziphucule ukuhamba, kwaye ziphucule intuthuzelo yesigulana.

EMS:

Ukubuyiselwa kwimeko yesiqhelo: Kusetyenziswa kunyango lomzimba kwizigulana ezifumana utyando okanye ukulimala ukugcina ubunzima bemisipha kunye nomsebenzi.

Uqeqesho lwamandla: Uqeshwe kumayeza ezemidlalo ukuqinisa amandla kunye nokunyamezela kubadlali, bahlala besetyenziselwa kunye neendlela zokuqeqesha zendabuko.

Ulawulo lwe-Spasticity: Inokunceda ukulawula i-spasticity kwiimeko ze-neurological ngokukhuthaza ukuphumla kwemisipha kunye nokunciphisa ukunyanzeliswa kokuzikhethela.

5. Ukubekwa kwe-Electrode kunye noLungiso

I-TENS Electrode Placement:

I-Electrodes ibekwe ngokucwangcisekileyo ngaphaya okanye malunga neendawo ezibuhlungu, kunye nolungelelwaniso oluhlala lulandela iipateni zedermatome okanye amanqaku okuqalisa ukwandisa ukukhululeka kweentlungu.

EMS Electrode Placement:

I-Electrodes ibekwe phezu kwamaqela athile e-muscle, eqinisekisa ukuba isisu sonke se-muscle sigutyungelwe ukuze sifezekise ukuchasana okusebenzayo.

6. Ukhuseleko kunye neZichaso

Ukhuseleko lwe-TENS:

Ikhuselekile ngokubanzi kubantu abaninzi; nangona kunjalo, isilumkiso siyacetyiswa kubantu abaneemeko ezithile ezifana ne-pacemakers, izilonda zolusu, okanye iimeko eziphazamisa ukuva.

Iziphumo ezibi zihlala zincinci, kubandakanya ukucaphuka kwesikhumba okanye ukungakhululeki kwiindawo ze-electrode.

Ukhuseleko lwe-EMS:

Nangona ngokuqhelekileyo ikhuselekile, i-EMS kufuneka isetyenziswe ngokulumkisa kwizigulane ezine-neuromuscular disorders, ukukhulelwa, okanye iimeko ezithile ze-cardiovascular.

Imingcipheko ibandakanya ukuqaqamba kwemisipha, ukucaphuka kwesikhumba, kwaye kwiimeko ezinqabileyo, i-rhabdomyolysis ukuba isetyenziswe ngokungafanelekanga.

Isiphelo:

Isishwankathelo, i-TENS kunye ne-EMS ziindlela ezixabisekileyo ze-electrotherapy, nganye ineendlela ezahlukeneyo, izicelo, kunye neziphumo zonyango. I-TENS igxininise kakhulu ekunciphiseni intlungu ngokuvuselela i-nerve stimulation, ngelixa i-EMS isetyenziselwa ukusetyenziswa kwemisipha kunye nokuvuselelwa.