Yintoni umahluko phakathi kwe-TENS kunye ne-EMS?

Ukuthelekiswa kwe-TENS (Transcutaneous Electrical Nerve Stimulation) kunye ne-EMS (Electrical Muscle Stimulation), kugxininiswa kwindlela ezisebenza ngayo, ukusetyenziswa kwazo, kunye nemiphumo yazo yeklinikhi.

1. Iinkcazo kunye neenjongo:

I-TENS:

Inkcazo: I-TENS ibandakanya ukusetyenziswa kwemisinga yombane ene-voltage ephantsi eluswini ngokusebenzisa ii-electrodes, ikakhulu ukulawula iintlungu.

Injongo: Injongo yayo ephambili kukunciphisa iintlungu ezibukhali nezingapheliyo ngokuvuselela imithambo-luvo, ngaloo ndlela ilawula ukuqonda iintlungu kwaye ikhuthaze ukukhutshwa kwee-opioids zendalo.

I-EMS:

Inkcazo: I-EMS ibhekisa ekusetyenzisweni kweempembelelo zombane kumaqela emisipha, nto leyo ebangela ukushwabana okungenanjongo.

Injongo: Injongo ephambili kukuphucula ukusebenza kwezihlunu, ukomeleza amandla, ukuthintela ukushwabana kwamalungu omzimba, kunye nokukhuthaza ukuvuselelwa emva kokwenzakala okanye utyando.

2. Iindlela Zokusebenza

I-TENS:

Ithiyori yoLawulo lweSango: I-TENS isebenza ngokuyintloko phantsi kwethiyori yoLawulo lweSango, apho ukukhuthazwa kweefayibha ezinkulu ze-A-beta kuthintela ukudluliselwa kwemiqondiso yentlungu ethwalwa ziifayibha ezincinci ze-C ukuya kwinkqubo yemithambo-luvo ephakathi.

Ukukhululwa kwe-Endorphin: I-TENS engaphantsi (1-10 Hz) inokukhuthaza ukukhululwa kwee-endorphins kunye nee-enkephalins, ezibopha kwii-receptors ze-opioid engqondweni, zivelise iziphumo zokuthomalalisa iintlungu.

Utshintsho Lomda Wentlungu: Olu khuthazo lunokutshintsha imida yokuqonda intlungu, nto leyo evumela abantu ukuba bangabi nantlungu ingako.

I-EMS:

Ukusebenza kweNeuron yeMotor: I-EMS ivuselela ii-neurons ze-motor ngokuthe ngqo, nto leyo ekhokelela ekuqokeleleni nasekuncipheni kwefayibha yemisipha. Ukuncipha kunokuba kokuzithandela okanye kungabi ngokuzithandela, kuxhomekeke kwiiparameter ezibekiweyo.

Uhlobo lokuQonda kweMisipha: I-EMS inokubangela ukuqondana kwe-isotonic (ukuncipha kwe-muscle fibers) kunye nokuqondana kwe-isometric (uxinzelelo lwemisipha ngaphandle kokunyakaza), kuxhomekeke kwindlela esetyenziswa ngayo.

Ukuhamba Kwegazi Okunyukileyo Nokuchacha: Ukuncipha kuphucula ukujikeleza kwegazi kwindawo, okunokunceda ekususweni kwenkunkuma ye-metabolic kunye nokubonelela ngezondlo, ngaloo ndlela kukhuthaza ukuphinda kusebenze kunye nokulungiswa kwemisipha.

3. Useto lweParameter

I-TENS:

Ukuphindaphinda: Ngokwesiqhelo kususela kwi-1 Hz ukuya kwi-150 Hz. Ukuphindaphinda okuphantsi (1-10 Hz) kuyasebenza ekukhupheni i-opioid endogenous, ngelixa ukuphindaphinda okuphezulu (80-100 Hz) kunokubonelela ngokukhululeka ngokukhawuleza kwintlungu.

Ububanzi bePulse: Buhluka ukusuka kwi-50 ukuya kwi-400 microseconds; ububanzi bepulse bunokuvuselela iileya ezinzulu zezicubu.

Ukuguquguquka: Izixhobo zeTENS zihlala zinezicwangciso zokuguquguquka kwe-pulse ukuthintela ukulungelelaniswa, ukuqinisekisa ukusebenza kakuhle okuqhubekayo.

I-EMS:

Ukuphindaphinda: Ngokuqhelekileyo kumiselwa phakathi kwe-1 Hz kunye ne-100 Hz. Ukuphindaphinda phakathi kwe-20 Hz kunye ne-50 Hz kuqhelekile kuqeqesho lwezihlunu, ngelixa ukuphindaphinda okuphezulu kunokubangela ukudinwa ngokukhawuleza.

Ububanzi bePulse: Ngokwesiqhelo isusela kwi-200 ukuya kwi-400 microseconds ukuqinisekisa ukusebenza kwe-muscle fiber ngempumelelo.

Umjikelo Womsebenzi: Izixhobo ze-EMS zihlala zisebenzisa imijikelo eyahlukeneyo yomsebenzi ukuze ziphucule ukucutheka kwemisipha kunye nezigaba zokubuyela kwimeko yesiqhelo (umz., imizuzwana eli-10 ivuliwe, imizuzwana eli-15 ivaliwe).

4. Izicelo zeKlinikhi

I-TENS:

Ulawulo lweentlungu: Isetyenziswa kakhulu kwiimeko ezifana neentlungu ezingapheliyo zomqolo osezantsi, i-osteoarthritis, iintlungu ze-neuropathic, kunye ne-dysmenorrhea.

Iintlungu Emva Kotyando: Ingasetyenziselwa ukunciphisa ukuxhomekeka kwii-analgesics ze-pharmacological emva kweenkqubo zotyando.

Iziphumo Zomzimba: Inganciphisa uxinzelelo lwemisipha, iphucule ukuhambahamba, kwaye iphucule intuthuzelo yesigulana ngokubanzi.

I-EMS:

Ukuvuselelwa: Kusetyenziswa kunyango lomzimba kwizigulana eziphola emva kotyando okanye ukwenzakala ukugcina ubunzima bemisipha kunye nokusebenza kakuhle.

Uqeqesho Lokuqina: Lusetyenziswa kumayeza ezemidlalo ukuphucula amandla nokunyamezela kubadlali, lusetyenziswa rhoqo kunye neendlela zoqeqesho zemveli.

Ulawulo lweSpasticity: Inokunceda ukulawula iSpasticity kwiimeko ze-neurological ngokukhuthaza ukuphumla kwemisipha kunye nokunciphisa ukufinyela okunganyanzelekanga.

5. Ukubekwa kwe-Electrode kunye noCwangciso

Ukubekwa kwe-Electrode ye-TENS:

Ii-electrode zibekwe ngendlela efanelekileyo phezu okanye ngeenxa zonke kwiindawo ezibuhlungu, kwaye ukwakheka kwazo kudla ngokulandela iipateni zedermatome okanye iindawo ezibangela intlungu ukuze kuphuculwe ukukhululeka kwentlungu.

Ukubekwa kwe-EMS Electrode:

Ii-electrode zibekwe phezu kwamaqela athile emisipha, ukuqinisekisa ukuba isisu sonke semisipha sigqunyiwe ukuze kufezekiswe ukucutheka okusebenzayo.

6. Ukhuseleko kunye neZithintelo

Ukhuseleko lwe-TENS:

Ngokubanzi kukhuselekile kuluntu oluninzi; nangona kunjalo, kuyacetyiswa ukuba uqaphele kubantu abaneemeko ezithile ezifana ne-pacemakers, izilonda zesikhumba, okanye iimeko eziphazamisa imvakalelo.

Iziphumo ezimbi zihlala zincinci, kuquka ukurhawuzelelwa lusu okanye ukungonwabi kwiindawo ezine-electrode.

Ukhuseleko lwe-EMS:

Nangona ikhuselekile ngokubanzi, i-EMS kufuneka isetyenziswe ngononophelo kwizigulana ezineengxaki zemithambo-luvo, ukukhulelwa, okanye ezinye izifo zentliziyo.

Iingozi ziquka ukuqaqamba kwemisipha, ukurhawuzelelwa lusu, kwaye kwiimeko ezingaqhelekanga, i-rhabdomyolysis ukuba ayisetyenziswanga kakuhle.

Isiphelo:

Ngamafutshane, i-TENS kunye ne-EMS ziindlela ezixabisekileyo zonyango lwe-electrotherapy, nganye ineendlela ezahlukeneyo, usetyenziso, kunye neziphumo zonyango. I-TENS igxile kakhulu ekunciphiseni iintlungu ngokuvuselela imithambo-luvo, ngelixa i-EMS isetyenziselwa ukusebenza kwemisipha kunye nokubuyisela kwimeko yesiqhelo.