Hi-volt Parameters
High rate polarity
(+) acute pain (-) chronic pain
Low Rate Frequency
10 pps
Muscle re-ed Tx time
10-30 mins depending on pt's fatigue QD, bid (1-2 daily), 1-5 times a week
Edema reduction (polarity) Intrapulse interval
100 ms
Edema reduction (polarity) Pulse Duration
100 ms
Wound Healing Intrapulse interval
100 ms
Wound Healing Pulse duration
100 ms
Wound Healing Frequency
100 pps
Edema reduction (polarity effects) Frequency
120 pps
High rate interpulse interval
225 ms
Edema reduction (mm pump) Tx time
30 mins 1-2x daily 1-2 weeks
High rate Tx time
30 mins in clinic; can be used up to 24 hours with portable units
Edema reduction (using mm pump) frequency
30 pps
Muscle re-ed frequency
30 pps
mm strengthening frequency
30 pps
Edema reduction (using mm pump) Pulse Duration
300 ms
Muscle re-ed pulse duration
300 ms
mm strengthening pulse duration
300 ms
Conventional high rate pulse duration
40-125 ms
Edema reduction (polarity effects) Tx time
45 mins 1-2x daily 1-2x a week
Edema reduction (mm pump) intrapulse interval
5 ms
Low rate intrapulse interval
5 ms
Muscle re-ed intrapulse interval
5 ms
mm strengthening intrapulse interval
5 ms
Conventional high rate for pain Frequency
50-120 pps
Edema reduction (polarity effects) Active Electrode site
Cathode on the other side of the edema's distal edge
High rate stimulation
Continuous
Edema reduction (polarity) stimulation
Continuous (DC)
Low rate stimulation
Continuous for minimum mm contraction
Low rate (endorphin release) pulse duration
Fixed at 100 ms
mm strengthening intensity
Max mm contraction
Wound Healing Polarity
Negative if would is infected, inflamed, or autolytic debridement Postive for re-epithealization
Edema reduction (using polarity effects) Polarity type
Negative to enhance uptake of negatively charged proteins in to the lymphatic system
Muscle re-ed polarity
Negative to help depolarize the nerve and mm increasing blood flow and more O2 Positive for tissue contractility
mm strengthening polarity
Negative to help depolarize the nerve and mm increasing blood flow delivering more O2 Positive for tissue contractility
Low rate polarity
Negative with chronic pain
Edema reduction (using mm pump) polarity
Negative- place over motor point of mm you want to contract to pump edema out
Edema reduction (using mm pump) stimulation
Pulsed; 1:3 on/off ratio (good setting 4:12)
Muscle re-ed stimulation
Pulsed; 1:3 on/off ratio (good setting 4:12)
mm strengthening stimulation
Pulsed; 1:5 ratio (6:30 good setting; max 10:50)
High rate (enkephalin release) intensity
Sensory
Muscle re-ed intensity
Strong enough for good mm contraction
Is it possible to strengthen muscles for endurance with hi volt?
Yes, but we do not have a machine that is capable of doing so.
Muscle re-ed Active Electrode
belly of mm
(mm strengthening) Active Electrode site
belly of the mm
Wound Healing stimulation
continuous
Edema reduction (using mm pump) Intensity
high enough for min-mod mm contraction
Low rate intensity
mm contraction
(Low rate) Active electrode site
motor points belly of mm
(Edema reduction mm pump) Active Electrode site
over mm that enhance venous drainage
Edema reduction (polarity) Intensity
sensory only
Would Healing Intensity
sensory only
(Conventional high rate) Active Electrode site
site of pain motor points acupuncture points dermatomes mytomes
mm strengthening Tx time
start with 8-10 contractions and work up to 15-25 3-5x a week, 2-3 wks
Low rate Tx Time
up to 60 mins only, 3-5 times/day several hrs of rest in between to prevent mm fatigue or soreness
