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NMES and Muscle Contraction Quiz

Total questions: 12

Worksheet time: 6mins

Name
Class
Date
1.

Which muscle fibers are recruited first during electrically induced muscle contractions (NMES)?

a)

Type I (Slow-twitch)

b)

Type IIa (Fast oxidative)

c)

Type IIx (Fast-twitch)

d)

Both Type I and Type II fibers simultaneously

2.

When using NMES for muscle strengthening, what is the recommended target intensity?

a)

10% of Maximum Voluntary Contraction (MVC)

b)

30% of MVC

c)

50% or higher of MVC

d)

90% of MVC

3.

Which of the following is a key difference between NMES-induced and voluntary muscle contractions?

a)

Voluntary contractions activate fast-twitch fibers first.

b)

NMES-induced contractions have a smooth onset.

c)

NMES activates large fibers with low activation thresholds first.

d)

Voluntary contractions recruit superficial muscle fibers first.

4.

What is the primary purpose of using sensory-level electrical stimulation in edema management?

a)

To induce muscle contraction for muscle pumping

b)

To directly stimulate nerve regeneration

c)

To decrease capillary permeability and fluid leakage

d)

To activate motor units in deep muscles

5.

Which of the following best describes the mechanism of sensory habituation in reducing spasticity?

a)

Fatiguing the spastic muscle by continuous contractions

b)

Reducing the sensitivity of the nervous system to repeated sensory input

c)

Directly stimulating the spastic muscle to inhibit contraction

d)

Strengthening the antagonist muscle to reduce spasticity

6.

When applying NMES for muscle strengthening, which of the following pulse durations is typically used?

a)

10-50 µsec

b)

100-200 µsec

c)

200-400 µsec

d)

500-1000 µsec

7.

For a denervated muscle, which type of current and pulse duration is generally recommended?

a)

Biphasic current with 100 µsec pulse duration

b)

Monophasic current with 1-450 msec pulse duration

c)

Russian current with 50 Hz frequency

d)

High-frequency biphasic current with 20 msec pulse duration

8.

Which mechanism is involved when NMES is used on the antagonist muscle to reduce spasticity in the spastic agonist muscle?

a)

Sensory habituation

b)

Reciprocal inhibition

c)

Direct muscle fatigue

d)

Renshaw cell activation

9.

What is a recommended frequency for muscle strengthening using NMES?

a)

1-10 Hz

b)

20-50 Hz

c)

80-100 Hz

d)

120 Hz

10.

Which of the following is a common precaution when using EMS on denervated muscles?

a)

Using high-frequency currents to ensure deep muscle activation

b)

Avoiding the use of long pulse durations

c)

Monitoring the skin closely to prevent burns due to higher currents

d)

Always starting with the highest amplitude for quicker results

11.

In edema control, which method is most suitable for initiating treatment immediately after injury (within 6 hours)?

a)

Muscle pumping with motor-level stimulation

b)

Sensory-level stimulation with negative electrodes over the injured area

c)

High-intensity NMES to the affected limb

d)

Alternating current for deep muscle contraction

12.

Which parameter is NOT typically adjusted when using NMES for muscle strengthening?

a)

Pulse duration

b)

Frequency

c)

Ramp-up time

d)

Current polarity

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