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Samenvatting Physical Applications
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Samenvatting van de praktijk van physical applications gegeven door prof Patrick De Bock
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Pain decreasing currents● Voorbereiding:
○ TENS: scheren indien nodig, altijd ontsmetten met alcohol
○ MET: altijd scheren en ontsmetten met alcohol
● Wanneer gebruiken we MET en wanneer TENS?
○ MET: werkt symptomatisch, maar vooral causaal → weefselherstel (bv.
tenniselleboog, spierscheur,...)
○ TENS: werkt enkel symptomatisch → pijndemping obv bèta-endorfine, enkefalines en
pijnpoort (bv. lage rugpijn)
TENS: with emphasis on β-endorphin production
Parameter Parameter settings
Pulse shape Biphasic asymmetric TENS pulse = negative triangle
Frequency 4 Hz
Pulse width ≥ 300 µs
Interruption Do not select the burst option or switch burst to off
Modulation Off = this option is not used frequency min = frequency max
Electrodes Local of vertebral for humane reasons not related to the pathology
Treatment time 40 minutes On + 60 – 90 minutes pause + repeat when pain comes back
Intensity Just below nocisensory level with well tolerable muscle contractions
CC vc CV CC
TENS: 2nd option with emphasis on β-endorphin production
Parameter Parameter settings
Pulse shape Biphasic asymmetric TENS pulse = negative triangle
Frequency 100 Hz
Pulse width ≥ 300 µs
Interruption Burst on!
Modulation Off = this option is not used frequency min = frequency max
Electrodes Local of vertebral for humane reasons not related to the pathology
Treatment time 40 minutes On + 60 – 90 minutes pause + repeat when pain comes back
Intensity Just below nocisensory level with well tolerable muscle contractions
CC vc CV CC
TENS: with emphasis on pain relief based on gate control
Parameter Parameter settings
Pulse shape Biphasic asymmetric TENS pulse = negative triangle
Frequency Between 50 and 100 Hz see modulation
Pulse width preferably 30 µs but otherwise ≤ 50 µs
Interruption Do not select the burst option or switch burst to off
Modulation On! 50 – 100 Hz (= frequency min 50 Hz, frequency max 100 Hz) in a 0-2-0-2 seconds
spectrum
Electrodes Vertebral at innervation level of the pathology and/or local electrode position
Treatment time 20 minutes On + minimal 40 minutes pause + repeat when pain comes back
Intensity A strong feeling of current above M-threshold but not painful, irritating or unpleasant
CC vc CV CC
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