PHT 222 – UNIT – 4 – TENS - QUIZ TRUE OR FALSE TENS is the application of E.S. to the skin via surface electrodes to stimulate nerve (Sensory) fibers primarily for PAIN RELIEF symptomatically. Nociceptive pathways means (the encoding and processing in the nervous system of noxious stimuli) In Acute pain, The signs & symptoms of inflammation are very strongly perceived which leads to very intense pain. The signs & symptoms of inflammation is very less – leads to mild pain in certain activities. TRUE OR FALSE Aδ is a Myelinated nerve fiber. C afferent fiber is an unmyelinated nerve fiber. Neurotransmitter – Substance “P” is believed to be the neurotransmitter involved at the synapse between 1st & 2nd order neurons. The passage of nociceptive information is interrupted along several stages of ascending nociceptive pathways to produce Neuromodulation of pain. TRUE OR FALSE The modulation of pain occurs by Gate control theory (Pre-synaptic inhibition) & Descending pain suppression The fundamental – physiological gating mechanism exists in the dorsal horn which may allow or inhibit the nociceptive to proceed centrally. It is believed that the input from mechanoreceptor effectively ↓ the excitability of nociceptor cell to pain generated stimuli. If pain stimuli is more then the information is passed to the higher centers with out inhibition. COMPLETE THE SENTENCE Main physiological mechanism A. ___________ B. ______________ Define Pain? ____________________________________________________ Types of Pain? A. _______________ B. _______________ List the regions of nervous system in which the pain impulse/stimulus travels? A. ____________ B. ____________ C. _____________ D. _______________ List the various types of sensory receptors? A. ____________ B. ____________ C. ____________ D. __________ E. _________ COMPLETE THE SENTENCE List the 3 types of neuron arrangement between the periphery & the cerebral cortex.? A. __________ B. __________ C. ___________ Name the pathway in which the 2nd order neuron carry the noxious stimuli? A. _____________ B. _______________ Important facts about Reticular Formation? A. __________________ B. ____________________ C. _________________ What is the important role of PAG & NRM? A. ___________________ B. _____________________ COMPLETE THE SENTENCE Important role of Thalamus? A. __________ B. __________ Important role of cerebral cortex? A. _____________ B. _______________ C. _______________ D. _____________ Important role of limbic system? A. __________________ B. ____________________ What is the main concept behind the modulation of pain at peripheral level? _________________________________ COMPLETE THE SENTENCE What is the main concept behind the modulation of pain at spinal segmental & supra segmental level? _______________________________________________________________ What is the main concept behind the modulation of pain at cortical level? A. ________________________ B. _____________________________ The Gate control theory was proposed by? ______________________________________ List the main sources, which are responsible for descending pain mechanism? A._______________B.__________________c._________________