EMS Faradic

Question 1

What does EMS stand for?

Answer 1

Electrical Muscle Stimulation

Question 2

What type of nerve cell is stimulated to create a contraction?

Answer 2

Motor nerve

Question 3

What is the primary use of EMS?

Answer 3

To improve muscle tone, condition and to maintain muscle strength.

Question 4

How are muscle contractions produced?

Answer 4

Electrical impulses stimulate the motor nerve to produce contraction of the muscle.

Question 5

What type of current is used ?

Answer 5

Interrupted direct current

Question 6

Describe the structure of skeletal muscle;

Answer 6

Skeletal muscle is composed of long, thin, multinucleated cells called muscle fibres. Muscle fibres groups together to form muscle bundles, any many bundles make up a complete muscle.

Question 7

What proteins are found in muscle fibres?

Answer 7

Actin and myosin

Question 8

What do muscle fibres look like under a microscope?

Answer 8

Light and dark bands are seen along the fibre; these are known as A and I bands composed of actin and myosin proteins.

Question 9

What role do the A and I bands play in muscle contraction?

Answer 9

These bands move into each other to create a contraction.

Question 10

What structure of the nervous system controls the voluntary action of muscles?

Answer 10

PNS Peripheral nervous system

Question 11

Briefly explain voluntary muscle action:

Answer 11

Brain impluses transmitted via the spinal corn and peripheral motor nerves to muscle fibres, causing them to contract.

Question 12

What frequency would be used to stimulate facial muscles?

Answer 12

135Hz

Question 13

What is the name of the two phases used with EMS?

Answer 13

Biphasic and Monophasic

Question 14

What is monophasic current?

Answer 14

With monophasic current, the currrent flows mainly in one direction from negative (Cathode) to the positive (Anode).

Question 15

What is biphasic current?

Answer 15

Each alternate pulse is reversed and polarity is cancelled out, therfore, even contractins are produced under each electrode.

Question 16

What part of the muscle with be stimulated by the electrical impluse?

Answer 16

Motor Point

Question 17

What is a motor point?

Answer 17

Where the nerve enters the muscle belly.

Question 18

What phase is used for facial EMS?

Answer 18

Biphasic

Question 19

What may stop an effective contraction?

Answer 19

Oil or grease in area
Lack of conductive solution ( Gel or saline solution)
Incorrect set up of machine
Incorrect intensity
Incorrect positioning of the pads
Poor contact between the pad and the skin
Loose wires
Excess adipose tissue in the area

Question 20

What will increase the response of a muscle?

Answer 20

Pre-heat treatment such as steam

Question 21

What are the indications for use of facial EMS?

Answer 21

Ageing skin
Loss of firm contours
Preventative measure to delay the effects of ageing
Puffiness around the eyes

Question 22

What are the effects of EMS?

Answer 22

Imporves muscle tone and general condition of the muscle
The pumping action increases blood supply to skin delivering nutrients and oxygen as well as removing waste.
Vasodilation producing an erythema
The contractin and relaxation of the muscle aids the removal of flui from the area
Irritation of sensory nerve endings

Question 23

List the specifica contra-indications to EMS;

Answer 23

Hypersentivie skin
Highly vascular complexions
High blood pressure
Sinus congestion
Headaches or migraines
Skin abrasions
Over bony areas
A large number of fillings or bridgework
Epilepsy
Diabetic client

Question 24

How many times would you stimulate the face muscles?

Answer 24

6 - 8 times repeated 3 times

Question 25

How would you check the machine is working before you apply it to the client?

Answer 25

Apply conductive solution to arm muscle on self , apply facial block electrode and test current is flowing through. Wipe over the electrode before applying to the client.

Question 26

What machine checks would you complete before the client arrives?

Answer 26

Check the machine is intact
Check wires are not split
test the machine on self
Turn intensity dials to zero

Question 27

What safety checks would you complete on the client before applying EMS?

Answer 27

Check for contra-indications
Complete skin anlaysis
Complete tactile and thermal testing
Remove all jewellery
Only turn up the intensity when the surge is on
Always turn the intensity to zero before moving the electrode
Check with client confort throughout

Question 28

What sensation is felt?

Answer 28

Prickling sensation followed by contraction of the muscle

Question 29

What specific homecare advice would help to improve the effectiveness of the treatment?

Answer 29

Facial exercises

Question 30

List the specific contra-actions of EMS;

Answer 30

Muscle fatigue

Excessive erythema