CES & MET Certification

Please fill out the form below for your certificate information, then complete the test by answering each question below.

Welcome to your CES and MET Certification.

Full Name (as you would like it to appear on your certificate)

Facility/Organization

Address

City

State

Country

Zip Code

Phone

In treating a patient with pain utilizing Microcurrent Electrical Therapy (MET), the first step for any site is:

Placing probes in a star pattern around the area

Crossing the spine with the probes

Placing the probes beyond the treatment area in at least 2 places, directing the current between the Probes through the treatment area (“big X”)

The 1-minute protocol

The standard recommended frequency for use in both Alpha-Stim® Cranial Electrotherapy Stimulation (CES) and Microcurrent Electrical Therapy (MET) is:

0.5 Hz

200 Hz

500 Hz

100 Hz

Neuroimaging studies, such as qEEG and fMRI, have shown CES to:

Increase activity of hyperactive nerve cells in the anxiety and pain processing centers of the brain

Balance nerve cell activity to restore homeostasis to the nervous system

Have no effect on nerve cell activity

Decrease the activity of hypoactive nerve cells

It is never recommended to perform a CES session while:

Working on a computer

Using a microwave

Operating a vehicle

Within 20 minutes of waking

In the United States, cranial electrotherapy stimulation (CES) is cleared for:

Anxiety & Insomnia

ADHD

Schizophrenia

Substance Use Disorders

How do patients most commonly report feeling after a session of Cranial Electrotherapy Stimulation (CES)?

Relaxed

Alert

Calm

All of the above

The main factor(s) influencing outcomes when treating with Microcurrent Electrical Therapy (MET) is/are:

Electrode placement

Waveform of the device being used

Belief in the treatment by the patient

A and B

True or False: The last step of the Microcurrent Electrical Therapy (MET) protocol is Cranial Electrotherapy Stimulation (CES).

True

False

What is the One Minute Protocol, when using the Smart Probes with Microcurrent Electrical Therapy?

Placing the probes ipsilateral on the body

Placing the probes on each of the digits of either the hands or the feet

Placing the probes contralateral on the body

Placing the probes in a star pattern

After speaking with Mrs. Jay, you prescribe Cranial Electrotherapy Stimulation (CES). During the last 5 minutes of a 20-minute treatment session, she reports feeling “heavy”, “groggy”, and “disoriented”. Based on these symptoms, what next steps should you take?

Discontinue treatment immediately

Advise the patient to go home and sleep

Continue CES until at least 2 minutes after the patient no longer reports these symptoms

Reduce the current for 2 minutes and discontinue treatment

Mr. Kay initially sought treatment for insomnia and you prescribed Cranial Electrotherapy Stimulation (CES) daily. During his two-week follow up appointment, Mr. Kay complains that his insomnia is not improving. How will you advise the patient?

The insomnia is treatment resistant and therefore will never go away

Educate the patient that insomnia may take 3 weeks for CES to provide relief

Discontinue CES treatment immediately

Recommend doubling the current and time of treatments

Contraindications for use of Cranial Electrotherapy Stimulation (CES) and Microcurrent Electrical Therapy (MET) are:

Pacemakers, defibrillators, and other implanted electric devices that cannot be turned off.

Headaches

Seizures

Cancer

During a follow up appointment with a patient for which you prescribed Cranial Electrotherapy Stimulation (CES), the patient complains of having headaches, vertigo, and nausea when they use their CES. The symptoms appear after they start the session and remain for several hours following treatment. How do you advise the patient?

You tell them they are “imagining things”

You recommend using a lower current and treating longer if necessary.

You recommend continuing treatment as is until the symptoms go away

You add a 24 mg Ondansetron

Before treating a patient for pain with Microcurrent Electrical Therapy (MET), a best practice is to:

Have the patient estimate their pain on a scale of 0 to 10

Have the patient lay supine on a table

Wash the area with iodine solution

Have the patient lay prostrate on a table

Which of the following is true regarding Cranial Electrotherapy Stimulation (CES) treatment?

Higher currents will provide better results

The patient needs to feel the current for treatment to be effective

The proper dosage is an inverse relationship between current level and time of treatment

None of the above

What is the protocol for determining the current level for a Cranial Electrotherapy Stimulation (CES) treatment session?

The current and duration of treatment depends on the indication being treated

Turn the current up until a slight vertigo is experienced, then decrease immediately until the dizziness stops

Use the same current for every treatment session

Leave the current on the default setting when the device is powered on

Which of the following are possible side effects to Cranial Electrotherapy Stimulation (CES) treatment?

Headaches

Transient vertigo

Skin irritation at site of electrodes

All of the above

Alpha-Stim is FDA cleared and CE certified.

True

False

Which of the following is true of Alpha-Stim treatments:

They are complicated and require a trained, licensed provider to conduct treatments in office.

They are ineffective and have no supporting research, the benefits can be attributed to placebo effect.

Treatments are easy to complete and can be done by the patient at home at their convenience.

Alpha-Stim treatments are stand-alone treatment only. No other treatment approaches, such as medications or therapy, should be attempted while a patient is undergoing a course of Alpha-Stim treatment.

Why is 0.5 Hz the most effective frequency for conducting Alpha-Stim treatments?

It’s not, faster frequencies, such as 100 Hz, have been shown in fMRI research to be more effective.

Using a slow frequency such as 0.5 Hz allows Alpha-Stim’s patented waveform to generate as many biological frequencies as possible. It is these frequencies that activate neuron receptors to balance the nervous system.

The frequency is not important, it’s the current level that is solely responsible for any treatment benefits.

Frequencies such as 1.5 Hz or 100 Hz should only be used under the supervision of a physician.