Deck 15: Pain Management With Electrical Stimulation

Question 1

Which of the following terms is best described as something that is administered to provide temporary relief of pain?

A)Analgesia or analgesic
B)Anesthesia or anesthetic
C)An anti-inflammatory
D)An endogenous opiate

Answer 1

A

Question 2

If you have the capability of stimulating either the release of long-lasting endogenous opiates or shorter lasting enkephalins, why would it be most prudent to stimulate the enkephalins first?

A)Stimulating enkephalins first would encourage the patient to let you use electrical stimulation.
B)It wouldn't be prudent; you should stimulate the release of the longer lasting endogenous opiates first.
C)Both will be stimulated simultaneously; there is no selective stimulation option.
D)The statement is false; you do not have this ability to stimulate either.

Answer 2

A

Question 3

Which of the following terms is used to describe an area that has decreased skin resistance and causes pain to travel when it is palpated?

A)The area is an acupuncture point.
B)The area is a trigger point.
C)The area is located on a sensory nerve that is segmentally related to the spinal cord nerve root for that area.
D)The area that when stimulated will require the least amount of current to elicit a motor response.

Answer 3

B

Question 4

Which of the following terms is best described as something that is capable of providing complete relief of pain and all sensation?

A)Analgesia or analgesic
B)Anesthesia or anesthetic
C)An anti-inflammatory
D)An endogenous opiate

Question 5

Transcutaneous electrical nerve stimulation (TENS) is a term that is usually associated with which type of electrical stimulation (ES)?

A)ES for pain management
B)NMES
C)FES
D)Interferential ES

Question 6

Alcohol consumption by the patient will produce which of the following effects on the patient's ability to control pain with electrical stimulation?

A)Alcohol is a sedative and tends to produce analgesia, negating the need for electrical stimulation for pain relief.
B)Alcohol is a sedative and may produce analgesia; however, it also impairs judgment, which makes the independent use of electrical stimulation questionable in terms of patient safety.
C)Electrical stimulation is contraindicated for patients consuming alcohol in large quantities.
D)Alcohol consumption by the patient will have no effect; patients who receive electrical stimulation are not consuming alcohol.

Question 7

If the desired response is sensory analgesia, which type of point would be the most beneficial to select, and why?

A)An acupuncture point would be most beneficial because it is mapped on charts.
B)A motor point would be most beneficial because it has decreased resistance to the flow of electrical stimulation.
C)A trigger point would be most beneficial because it is mapped and has decreased resistance to the flow of electrical stimulation.
D)All of the above

Question 8

If the desired response from the electrical stimulation includes a twitch, which type of electrode placement site would be most effective, and why?

A)An acupuncture point would be most effective because it is mapped on charts.
B)A motor point would be most effective because it has decreased resistance to the flow of electrical stimulation.
C)A trigger point would be most effective because it is mapped and has decreased resistance to the flow of electrical stimulation.
D)Pressure points on distally related muscle groups bilaterally would be most effective since the flow of electrical stimulation in a bilateral application will make it easiest to elicit twitch responses.

Question 9

Which of the following statements is most accurate regarding the application of electrical stimulation during the performance of therapeutic exercise?

A)Patients will be able to detect sharp pain if injury results.
B)Patients will not be able to detect sharp pain if injury results.
C)Patients will be able to move with less discomfort.
D)None of the above

Question 10

Which of the following terms is best described as something that the body produces that is capable of providing temporary relief of pain?

A)Analgesia or analgesic
B)Anesthesia or anesthetic
C)An anti-inflammatory
D)An endogenous opiate

Question 11

Pain relief from electrical stimulation is considered to be which of the following?

A)The primary indication for treatment
B)The goal for treatment
C)Attempted but ignored in favor of accomplishing functional goals
D)An adjunctive treatment technique to accomplish functional goals for the patient

Question 12

Which of the following statements is most accurate?

A)Patients who have not experienced success with electrical stimulation in the past probably will never experience successful pain relief with electrical stimulation.
B)Patients who have experienced success with electrical stimulation in the past probably will not experience successful pain relief with electrical stimulation.
C)Patients who have experienced success with electrical stimulation in the past but are now taking narcotic pain medications may not experience successful pain relief with electrical stimulation.
D)Patients who have not experienced success with electrical stimulation in the past will not experience success with electrical stimulation for pain relief.

Question 13

What is the potential purpose for providing sensory stimulation along the corresponding dermatome of a painful site?

A)The sensory stimulation will enhance perception of that area.
B)The sensory stimulation may block painful sensation from that corresponding area from ascending to the brain.
C)The sensory stimulation may enhance the perpetuation of the painful stimulus from that area.
D)None of the above

Question 14

What characteristics determine whether an electrode placement site is considered optimal for pain management with TENS?

A)The area is an acupuncture point.
B)The area is a trigger point.
C)The area is located on a sensory nerve that is segmentally related to the spinal cord nerve root for that area.
D)All of the above

Question 15

Which of the following terms is best described as something that is capable of eliminating pain, edema, loss of function, heat, and erythema?

A)Analgesia or analgesic
B)Anesthesia or anesthetic
C)An anti-inflammatory
D)An endogenous opiate

Question 16

Why is it difficult to master the assessment of a patient's pain?

A)Only the patient knows how much pain he or she is experiencing.
B)There are psychological and physiological components to the patient's pain perception.
C)Individuals respond differently to different types of stimuli.
D)All of the above

Question 17

Which of the following factors will limit the success that a patient has for pain relief with a portable electrical stimulation?

A)Sufficient joint range of motion to apply electrodes
B)Ample dexterity to adjust controls
C)An understanding of the reasonable expectations for the use of the electrical stimulator and the instances when it is NOT to be applied
D)All of the above

Question 18

Which type of point would you select if your treatment goal involved sensory stimulation without a motor response?

A)An acupuncture point
B)A motor point
C)The area located on a sensory nerve that is segmentally related to the spinal cord nerve root for that area
D)A trigger point