Uyini umehluko phakathi kwe-TENS ne-EMS?

Ukuqhathaniswa kwe-TENS (Transcutaneous Electrical Nerve Stimulation) kanye ne-EMS (Electrical Muscle Stimulation), egcizelela izindlela zabo, izicelo, kanye nemiphumela yomtholampilo.

1. Izincazelo kanye nezinjongo:

I-TENS:

Incazelo: I-TENS ihilela ukusetshenziswa kwemisinga kagesi ene-voltage ephansi esikhumbeni ngama-electrode, ngokuyinhloko ekulawuleni ubuhlungu.

Injongo: Umgomo wayo oyinhloko ukudambisa ubuhlungu obukhulu nobungapheli ngokuvuselela izinzwa zezinzwa, ngaleyo ndlela kulungiswe ukuqonda kobuhlungu nokukhuthaza ukukhululwa kwama-opioid angapheli.

I-EMS:

Incazelo: I-EMS ibhekisela ekusetshenzisweni kwethonya likagesi emaqenjini emisipha, okubangela ukugoqa okungenakuzikhethela.

Injongo: Inhloso eyinhloko ukuthuthukisa ukusebenza kwemisipha, ukuqinisa amandla, ukuvimbela i-atrophy, nokukhuthaza ukuvuselelwa ngemva kokulimala noma ukuhlinzwa.

2. Izindlela Zokwenza

I-TENS:

I-Gate Control Theory: I-TENS isebenza ngokuyinhloko ngaphansi kwe-theory yokulawula isango, lapho ukukhuthazwa kwemicu emikhulu ye-A-beta kuvimbela ukudluliselwa kwezimpawu zobuhlungu ezithwalwa ama-C fibers amancane ohlelweni lwezinzwa oluphakathi.

Ukukhishwa kwe-Endorphin: I-TENS ye-low-frequency (1-10 Hz) ingakhuthaza ukukhululwa kwama-endorphin nama-enkephalins, okubopha kuma-opioid receptors ebuchosheni, okukhiqiza imiphumela ye-analgesic.

Ukuguqulwa kwe-Pain Threshold: Ukukhuthazwa kungashintsha imingcele yokubona ubuhlungu, okuvumela abantu ukuba bezwe ubuhlungu obuncane.

I-EMS:

I-Motor Neuron Activation: I-EMS ivula ama-motor neurons ngokuqondile, okuholela ekuqashweni kwe-muscle fiber kanye nokufinyela. Izifinyezo zingaba ngokuzithandela noma ngokuzenzakalelayo, kuye ngamapharamitha asethiwe.

Uhlobo lwe-Muscle Contraction: I-EMS ingenza kokubili ukucutshungulwa kwe-isotonic (ukunciphisa imicu ye-muscle) kanye ne-isometric contractions (ukungezwani kwemisipha ngaphandle kokunyakaza), kuye ngokuthi isicelo.

Ukwanda Kokugeleza Kwegazi Nokubuyiselwa: Ukufinyela kuthuthukisa ukujikeleza kwendawo, okungasiza ekukhipheni udoti we-metabolic futhi kunikeze imisoco, ngaleyo ndlela kukhuthaze ukululama nokulungisa imisipha.

3. Izilungiselelo zepharamitha

I-TENS:

Imvamisa: Ngokuvamile isukela ku-1 Hz iye ku-150 Hz. Amafrikhwensi aphansi (1-10 Hz) asebenza ngempumelelo ekukhululweni kwe-opioid engapheli, kuyilapho amafrikhwensi aphezulu (80-100 Hz) anganikeza ukukhululeka kobuhlungu ngokushesha.

Ububanzi be-Pulse: Iyahlukahluka kusuka kuma-microseconds angama-50 kuye kwangama-400; ububanzi be-pulse ububanzi bungakwazi ukuvuselela izingqimba zezicubu ezijulile.

Ukushintshashintshashintshashintshashintshashintshayo: Amadivayisi e-TENS avame ukuba nezilungiselelo zokuguquguquka kwe-pulse ukuvimbela indawo yokuhlala, ukuqinisekisa ukusebenza kahle okuqhubekayo.

I-EMS:

Imvamisa: Ngokuvamile kumiswa phakathi kuka-1 Hz no-100 Hz. Amafrikhwensi aphakathi kuka-20 Hz no-50 Hz avamile ekuqeqesheni imisipha, kuyilapho amafrikhwensi aphezulu angabangela ukukhathala okusheshayo.

Ububanzi be-Pulse: Imvamisa ibanga ukusuka kuma-microseconds angama-200 kuye kwangama-400 ukuze kuqinisekiswe ukusebenza ngempumelelo kwefayibha yemisipha.

Umjikelezo Womsebenzi: Imishini ye-EMS ivamise ukusebenzisa imijikelezo yemisebenzi ehlukahlukene ukuze kuthuthukiswe ukufinyela kwemisipha kanye nezigaba zokululama (isb., imizuzwana eyi-10 ivuliwe, imizuzwana eyi-15 ivaliwe).

4. Izicelo Zomtholampilo

I-TENS:

Ukuphathwa Kwezinhlungu: Kusetshenziselwa kakhulu izimo ezifana nobuhlungu obungapheli obuphansi emuva, i-osteoarthritis, ubuhlungu be-neuropathic, ne-dysmenorrhea.

Ubuhlungu be-Postoperative: Ingasetshenziselwa ukunciphisa ukuthembela kuma-analgesics e-pharmacological ngemva kwezinqubo zokuhlinzwa.

Imithelela Yokuphila: Ingase futhi inciphise ukungezwani kwemisipha, ithuthukise ukuhamba, futhi ithuthukise ukunethezeka kwesiguli kukonke.

I-EMS:

Ukuvuselela: Kusetshenziswa ekwelapheni ngokomzimba ezigulini ezilulama ekuhlinzweni noma ekulimaleni ukuze kugcinwe imisipha nokusebenza.

Ukuqeqesha Amandla: Kuqashwe emithini yezemidlalo ukuze kuthuthukiswe amandla nokukhuthazela kubasubathi, okuvame ukusetshenziswa ngokuhambisana nezindlela zokuqeqesha zendabuko.

Ukulawulwa Kwe-Spasticity: Kungasiza ukuphatha ukukhululeka kwezimo zemizwa ngokukhuthaza ukukhululeka kwemisipha nokunciphisa ukufinyela okungenangqondo.

5. Ukubekwa Nokucushwa Kwe-Electrode

I-TENS Electrode Placement:

Ama-Electrode abekwe ngendlela efanele phezu noma eduze kwezindawo ezibuhlungu, ngokulungiselelwa okuvame ukulandela amaphethini e-dermatome noma amaphuzu okuqalisa ukuze kuthuthukiswe ukukhululeka kobuhlungu.

Ukubekwa kwe-Electrode ye-EMS:

Ama-Electrodes abekwe phezu kwamaqembu athile emisipha, eqinisekisa ukuthi sonke isisu semisipha simboziwe ukuze kuzuzwe ukufinyela okusebenzayo.

6. Ukuphepha kanye Contraindications

Ukuphepha kwe-TENS:

Ngokuvamile kuphephile kubantu abaningi; nokho, ukuqapha kuyelulekwa kubantu abanezimo ezithile ezifana nezihlinza inhliziyo, izilonda esikhunjeni, noma izimo eziphazamisa ukuzwa.

Imiphumela emibi ivamise ukuba mincane, okuhlanganisa ukucasuka kwesikhumba noma ukungakhululeki ezindaweni zama-electrode.

Ukuphepha kwe-EMS:

Nakuba ngokuvamile iphephile, i-EMS kufanele isetshenziswe ngokuqapha ezigulini ezinezinkinga ze-neuromuscular, ukukhulelwa, noma izimo ezithile zenhliziyo.

Izingozi zihlanganisa ubuhlungu bemisipha, ukucasuka kwesikhumba, futhi ezimweni ezingavamile, i-rhabdomyolysis uma isetshenziswe ngendlela engafanele.

Isiphetho:

Kafushane, i-TENS kanye ne-EMS ziyizindlela ezibalulekile ze-electrotherapy, ngayinye enezinqubo ezihlukile, izinhlelo zokusebenza, nemiphumela yokwelapha. I-TENS igxile ngokuyinhloko ekusizeni ubuhlungu ngokusebenzisa ukuvuselela izinzwa, kuyilapho i-EMS isetshenziselwa ukuvuselela imisipha nokuvuselela.