Le faʻatusatusaga o le TENS (Transcutaneous Electrical Nerve Stimulation) ma le EMS (Electrical Muscle Stimulation), faʻamamafaina a latou masini, faʻaoga, ma aʻafiaga o falemaʻi.
1. Uiga ma Sini:
TENS:
Faʻamatalaga: TENS e aofia ai le faʻaogaina o le eletise eletise maualalo i le paʻu e ala i eletise, aemaise lava mo le puleaina o tiga.
Manulauti: O lona sini autu o le faʻaitiitia o tiga matuitui ma faʻamaʻi e ala i le faʻaosofia o neura faʻapitoa, ma faʻafefea ai lagona tiga ma faʻalauiloaina le tuʻuina atu o opioids endogenous.
EMS:
Faʻamatalaga: EMS e faʻatatau i le faʻaogaina o le eletise eletise i vaega maso, e mafua ai le faʻalavelave faʻafuaseʻi.
Manulauti: O le sini autu o le faʻaleleia o maso, faʻaleleia le malosi, puipuia le atrophy, ma faʻaleleia le toe faʻaleleia pe a maeʻa manuʻa poʻo taotoga.
2. Faiga Fa'atino
TENS:
Faitotoa Pulea Faitotoa: TENS o loʻo galue muamua i lalo o le faʻatonuga o le faitotoʻa, lea o le faʻaosofiaina o filo A-beta tetele e taofia ai le tuʻuina atu o faʻailoga o le tiga o loʻo feaveaʻi e fila laiti C i le ogatotonu o le tino.
Endorphin Fa'asa'oloto: E mafai ona fa'aosofia le tu'uina atu o endorphins ma enkephalins, lea e fusifusia i le fa'aogaina o le opioid i totonu o le fai'ai, ma maua ai a'afiaga fa'ama'i.
Suiga o le Faʻailoga o le Paʻu: O le faʻamalosi e mafai ona suia ai le vaʻaia o le tiga, faʻatagaina tagata taʻitoʻatasi e faʻaitiitia le tiga.
EMS:
Motor Neuron Activation: EMS faʻagaoioia neu afi saʻo, e taʻitaʻia ai le faʻauluina o le fiva maso ma le faʻaitiitia. E mafai ona ofo fua pe le ofo, fa'atatau ile fa'aputuga fa'atutu.
Ituaiga o Muscle Contraction: EMS e mafai ona faʻaosoina uma faʻalavelave isotonic (faʻapuʻupuʻu o alava maso) ma faʻalavelave isometric (gaogao maso e aunoa ma se gaioiga), faʻalagolago i le talosaga.
Faʻateleina le tafe toto ma le toe faʻaleleia: O faʻamaʻi e faʻaleleia ai le taʻamilosaga i le lotoifale, lea e mafai ona fesoasoani i le aveeseina o otaota faʻamaʻi ma tuʻuina atu meaʻai, ma faʻamalosia ai le toe faʻaleleia ma le toe faʻaleleia o maso.
3. Fa'atulagaina Parameter
TENS:
Fa'atele: E masani lava e amata mai le 1 Hz i le 150 Hz. O alalaupapa maualalo (1-10 Hz) e aoga mo le faʻamalolo o le opioid, ae o laina maualuga (80-100 Hz) e mafai ona maua vave ai le tiga.
Pulse Lautele: E eseese mai le 50 i le 400 microseconds; e mafai ona fa'aosofia ai le loloto o a'ega aano o mea'ai.
Fa'atonuga: O masini TENS e masani ona i ai tulaga mo le fa'aogaina o le pulupulu e puipuia ai le nofoia, fa'amautinoa le fa'aauau pea o le aoga.
EMS:
Auala: E masani ona seti i le va o le 1 Hz ma le 100 Hz. Auala i le va o le 20 Hz ma le 50 Hz e masani lava mo aʻoaʻoga maso, ae o laina maualuga e mafai ona faʻaosofia ai le vaivai vave.
Pulse Lautele: E masani lava e amata mai i le 200 i le 400 microseconds e fa'amautinoa ai le fa'agaoioia lelei o maso.
Ta'amilosaga o le Tiute: E masani ona fa'aogaina e masini EMS ta'amilosaga tiute eseese e fa'amanino ai maso fa'ama'i ma vaega toe fa'aleleia (fa'ata'ita'iga, 10 sekone, 15 sekone).
4. Talosaga Falema'i
TENS:
Puleaina o Tiga: Fa'aaoga lautele mo tulaga e pei ole tiga maualalo maualalo, osteoarthritis, tiga neuropathic, ma dysmenorrhea.
Ma'i Fa'ata'otoga: E mafai ona fa'aogaina e fa'aitiitia ai le fa'alagolago i vaila'au fa'ama'i pe a uma ta'otoga.
Aafiaga Faaletino: E mafai foʻi ona faʻaitiitia le teteʻe o maso, faʻaleleia le feʻaveaʻi, ma faʻaleleia le faʻamafanafanaga atoa o le maʻi.
EMS:
Toe faʻaleleia: Faʻaaogaina i togafitiga faʻale-tino mo tagata mamaʻi toe faʻaleleia mai taotoga poʻo manuʻa e faʻatumauina ai maso maso ma gaioiga.
Aʻoaʻoga Malosi: Faʻafaigaluegaina i vailaʻau taʻaloga e faʻaleleia ai le malosi ma le tumau i tagata taʻalo, e masani ona faʻaogaina faʻatasi ma metotia faʻaaʻoaʻoga masani.
Puleaina o le Spasticity: E mafai ona fesoasoani i le puleaina o le spasticity i tulaga o le neurology e ala i le faʻalauiloaina o le malolo maso ma faʻaitiitia le faʻalavelave faʻafuaseʻi.
5. Fa'apipi'i ma Fa'atonuga
TENS Electrode Tulaga:
O fa'aeletise e tu'u lelei i luga po'o fa'ata'amilo i vaega tiga, fa'atasi ai ma fa'atonuga e masani ona mulimulita'i i fa'asologa o le dermatome po'o fa'ailoga fa'aoso e fa'amalieina ai le toomaga tiga.
EMS Electrode Tulaga:
E fa'atūina eletise i luga o vaega maso fa'apitoa, fa'amautinoa o lo'o ufiufi uma le manava maso ina ia maua ai fa'ama'i lelei.
6. Saogalemu ma Contraindications
TENS Saogalemu:
E masani ona saogalemu mo le tele o tagata; ae ui i lea, e fautuaina le faʻaeteete i tagata taʻitoʻatasi e iai tulaga faʻapitoa e pei o le pacemakers, paʻu paʻu, poʻo tulaga e faʻaleagaina ai lagona.
O a'afiaga leaga e masani lava ona la'ititi, e aofia ai le fa'aleagaina o le pa'u po'o le fa'aletonu i nofoaga fa'aeletise.
EMS Saogalemu:
E ui e masani ona saogalemu, EMS e tatau ona faʻaogaina ma le faʻaeteete i tagata mamaʻi e maua i le neuromuscular disorders, maitaga, poʻo nisi tulaga cardiovascular.
O a'afiaga e aofia ai le tiga o maso, fa'aleagaina o le pa'u, ma e seasea tupu, rhabdomyolysis pe a le fa'aoga tatau.
Fa'ai'uga:
I se aotelega, TENS ma le EMS o auala taua ole electrotherapy, e tofu ma auala eseese, faʻaoga, ma taunuʻuga togafitiga. TENS o loʻo taulaʻi muamua i le faʻamaʻi tiga e ala i le faʻaosofia o neura, aʻo faʻaaogaina le EMS mo le faʻagaoioia o maso ma le toe faʻaleleia.
Taimi meli: Tes-06-2024
