Electrical Stimulation
NPTE Clinical Files | Physical Therapy
Kyle Rice
4.9 • 631 Ratings
🗓️ 30 July 2019
⏱️ 12 minutes
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Summary
Brady presents with first and second-degree burns across his anterior shins.
The physical therapist is challenged with determining the proper setting of the TENS unit to reduce pain with debridement.
How well do you know your electrical stimulation? Let's test your knowledge in this excellent episode about electrical stimulation.
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Transcript
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| 0:00.0 | You are now tuning in to the MPTE Clinical Files, two mock MPTE-based questions told and solved |
| 0:07.0 | week by week. Thank you for tuning in to the MPT clinical files. My name is Kyle Rice, the MPT |
| 0:12.2 | prep coach, the founder of the PT Hustle and the creator of the MPT Prep Success Coaching Program. |
| 0:18.4 | And if you would like a free cheat sheet that goes along with this specific |
| 0:22.4 | question, tune in to the end of this episode. And I'm going to give you more information on how to |
| 0:27.7 | get that. All right. So for our next MPT clinical file, we have our patient Brady. And Brady |
| 0:32.8 | presents with significant pain secondary to first and second degree burns across his anterior shins. |
| 0:40.6 | Before debreedment of the dead skin, which of the following is the most appropriate? |
| 0:45.6 | So we have A, brief intense tens, B, modulated tens, C, conventional high frequency tens, and D is acupuncture like tens. |
| 1:00.4 | All right. |
| 1:00.9 | And if you're not familiar with tens, that is actually T-E-N-S or transcutaneous electrical nerve stimulation. |
| 1:11.5 | All right. |
| 1:11.7 | So let's go up to the top of the question. |
| 1:13.7 | It says Brady presents with significant pain secondary to first and second degree burns across his anterior shins. |
| 1:20.7 | Let's slow up there for a moment and let's make sure we're all on the same page. |
| 1:25.5 | First and second degree burns. |
| 1:27.3 | So we know that |
| 1:28.8 | with the first degree that the patient has burned the epidermis, right, that top superficial layer |
| 1:35.1 | of the skin. But with the second degree, we know that the patient has now gotten down into the |
| 1:40.5 | dermis. Now, the one thing I can say for certain to you is that second degree burns are pretty got darn painful. All right. They're painful. It makes the skin very hypersensitive. You can get some blistering with that's weeping. All right. That has a serious fluid that weeps out of it. If you've ever burned your hand, you know, you know, exactly what I'm talking about or ever been, you know, severely burn, you know, |
| 2:01.9 | exactly what I'm talking about. So I expect this patient to have some pain, all right? And it's |
| 2:08.1 | across this anterior shins. Now it says before debreedment of the dead skin, which of the |
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