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Rheobase and Chronaxie Notes

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74 views

Rheobase and Chronaxie Notes

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ner z Vii Degeneration for About 1-6 days afier A heovare ik dancrewed . With ee penorvation jowers theobase values. Partial clenervatton producer no change In Rheobate. * Re- innervation jeads to a sharp ratte in Rheobae , “0 Nerves repair ; “values rive to 5-6 times ,rormal then sowly dal Afte nerve repa s the threshotd mereaies abruptly when tho nerve fibres have eached the muscle and then returns to normal , * Measurement technique » ——————— % Penition of active ectrode over the motor point oF by wiihg bipolar technique . baulse duration of 100 me/300 mand rectangular wave form & used. othe current tatensity & turned up until a geod brisk ation W obtained . hit is performed ery wrimer than the ity i turned down. untti a minimal and. palpabie ¢onmrattfon &% obtained . and the rheopase value determine The currgnt intensity is trned up 1 a good brisk ontradfon Puise dure of 100, ms/.300/1ms and. Benes waveterm i used . & obtained- this) is performed & /to 10 times then the intensiry ume down until a! minimal and St is measured in mp or mv depending on whetter a cwnstane current or constant voltage strmulator is. used , %& Normal values of Rhebpaye are &-18 mA or B= 35 volts aecampes of the normal_Rbeobase value » y% rt varies depending on whether a a. constant voltage machine 1s used, 4 and cimervated or denervated 6:4: DENA - 14 VOLS ok MA qriceps - 18 Volts 5 MP. & sue constant vottage constant current. elo) 2,01 ms onl ms Abductor ign mmimi. 0.04 ms od ms 3 Tibrales anterior He 0-04 ms om ms ; +t tnterpretatton : ioterpretation 2 Ep Inpervated muscle , with constant current stimulator , chronaxie will . I be below IMs 3 with constant voltage stimulator ,chronazie whi) be below eblm % £n denervated muscle, chropaxie values are around fo ms or more Leven upto 40 ms) x Advantages . ra spervated 4 Dt is the simple method 1 digertminate mnervated er de muscle. tf Pisadwantages: Piadeamtages: 2 i a & It & not 4 satisfactory method of testing ¢lectntal séactions in muscles. with potential denervation . eg: te chronaxie of a musde with a % of its fibers innervated would be a that of completely denervated muscle |

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