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01 - 2007,
ACCE
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ALL R
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MODES OF OPERATON: Protocol Reference Sheets
Interferential Current (IFC)
PROTOCOL / CLINICAL
INDICATION
STIMULATION PARAMETERS
MECHANISM OF ACTION
APPLICATION TECHNIQUE
OPERATIONAL SEQUENCE
ANALGESIA - SENSORY
SEGMENTAL SUB ACUTE
Symptomatic relief of pain from
localized dermatome or
segmental origin.
•
5000Hz 80/120 BPS continuous
•
Vector Fast 90
o
•
Treatment time of 15 minutes
Sensory stimulation activates A-beta fibers
causing the release of spinal Enkephalin and
Dynorphin to block pain at the segmental
level (Gate Control). Duration of relief is
typically from 30 min to 2 hrs. Fast onset of
relief usually within 20 minutes.
Target tissue - superficial and deep. Bilateral,
bipolar or quadripolar through the painful area or
over the involved spinal segments. Apply parallel
to incision line for post op pain management. Set
intensity to elicit a pleasant tingling sensation, just
below muscle contraction.
•
Press IFC button until screen reads "ANALGESIA - SENSORY"
•
Press START / STOP until screen reads " SET OUTPUTS A-B"
•
Set Outputs A and B until the patient feels the desired sensation.
•
Press START / STOP and T15 will display in upper right corner.
•
Adjust treatment time if necessary using the TIME/PARAMETER button
•
The treatment will end at the end of the preset time or if the patient safety
switch is pressed.
ANALGESIA - MOTOR
NON - SEGMENTAL -
CHRONIC
Symptomatic relief of pain with
inflammation, and pain of
generalized or multi-segmental
nature.
•
2500Hz – 2/6 BPS continuous
•
Vector Fast 90
o
•
Treatment time of 15 minutes
Motor level stimulation activates motor and
A-delta fibers causing the release of
Bendorphin systemically. Duration of relief is
typically from 2-6 hours. Slow Onset of relief
usually within 30 minutes to 1 hour
Target tissue - superficial and deep. Bipolar
placement over local and distal acu / trigger
points; quadripolar placement over area of local
pain; or quadripolar placement at spinal segment.
Set intensity to elicit a moderate muscle twitch.
•
Press IFC button until screen reads "ANALGESIA - MOTOR"
•
Press START / STOP until screen reads " SET OUTPUTS A-B"
•
Set Outputs A and B until the patient feels the desired sensation.
•
Press START / STOP and T15 will display in upper right corner.
•
Adjust treatment time if necessary using the TIME/PARAMETER button
•
The treatment will end at the end of the preset time or if the patient safety
switch is pressed.
ANALGESIA / MOTOR-
SENSORY
SUB-ACUTE CHRONIC
Symptomatic relief of pain with
inflammation, and pain of local,
generalized single or multi-
segmental nature.
•
5000Hz – 15/2/100 BPS
•
Vector Fast 90
o
•
Treatment time of 30 minutes
Combines motor and sensory stimulation.
Starts with motor and ends with sensory.
More aggressive protocol. Duration of relief
is typically from 2-6 hours. Slower onset of
relief usually within 30 minutes.
Target tissue - superficial and deep. Bipolar
placement over local and distal acu / trigger
points; quadripolar placement over area of local
pain; or quadripolar placement at spinal segment.
Set intensity to elicit a moderate muscle twitch.
•
Press IFC button until screen reads "ANALGESIA/MOTOR - SENSORY"
•
Press START / STOP until screen reads " SET OUTPUTS A-B"
•
Set Outputs A and B until the patient feels the desired sensation.
•
Press START / STOP and T30 will display in upper right corner.
•
Adjust treatment time if necessary using the TIME/PARAMETER button
•
The treatment will end at the end of the preset time or if the patient safety
switch is pressed.
ANALGESIA SENSORY-
MOTOR
ACUTE SUB-ACUTE
Symptomatic relief of pain with
Inflammation, pain of local,
generalized single or multi-
segmental nature.
•
5000Hz – 100/2 BPS continuous
•
Vector Fast 90
o
•
Treatment time of 30 minutes
Combines sensory and motor stimulation.
Starts with sensory and ends with motor.
Less aggressive protocol. Duration of relief
is typically from 2-6 hours. Faster onset of
relief usually within 20 minutes.
Target tissue - superficial and deep. Bipolar
placement over local and distal acu / trigger
points; quadripolar placement over area of local
pain; or quadripolar placement at spinal segment.
Set intensity to elicit a strong tingling sensation
just under muscle contraction.
•
Press IFC button until screen reads "ANALGESIA/SENSORY - MOTOR"
•
Press START / STOP until screen reads " SET OUTPUTS A-B"
•
Set Outputs A and B until the patient feels the desired sensation.
•
Press START / STOP and T30 will display in upper right corner.
•
Adjust treatment time if necessary using the TIME/PARAMETER button
•
The treatment will end at the end of the preset time or if the patient safety
switch is pressed.
ANALGESIA NERVE
BLOCK
LOCAL ACUTE
Symptomatic relief of pain from
localized dermal or segmental
origin.
•
5000Hz Continuous
•
Vector OFF
•
Treatment time of 10 minutes
Blocks pain by causing a temporary nerve
block through reactive depolarization
(Conduction block) of the pain signal on its
way to the spinal input. Also known as
Wedensky inhibition. Duration of relief is
typically from 1-2 hours Faster onset of relief
usually within 5-10 minutes.
Target tissue - superficial and deep. Bipolar
placement over local nerve; quadripolar placement
over area of local pain; quadripolar placement at
spinal segment. Set intensity to a numb-gripping
sensation just under muscle contraction.
•
Press IFC button until screen reads "ANALGESIA NERVE BLOCK"
•
Press START / STOP until screen reads " SET OUTPUTS A-B"
•
Set Outputs A and B until the patient feels the desired sensation.
•
Press START / STOP and T10 will display in upper right corner.
•
Adjust treatment time if necessary using the TIME/PARAMETER button
•
The treatment will end at the end of the preset time or if the patient safety
switch is pressed.
