Adj Care 2 Flashcards
ultra sound non-heating why
reduce pain
healing is assisted
fluid disperse through mechanical microstreaming
ultrasound contraindication
acute conditions ischemic areas impaired circulation deep vein thrombosis poor sensation eyes, heart, carotid sinus and genitals exposed metal penetrating skin over cancer over active infection over fractures over plastic or cement joint replacements over pace maker over pelvis and lumbar areas during pregnancy
utrasound precaution
over epiphyseal areas in young
nerve plexuses, over spinal cord after laminectomy
ultrasound steps mettler
- turn on machine
- ultrasound set up icon
- 1mhz or 3mhz
- w/cm2
- duty cycle
- time
- gel
- apply sound head
- start
- set intensity
ultrasound acute setting 1mhz
time: 4-6
duty cycle: 10-20%
intensity: 0.5-1.5
ultrasound acute setting 3mhz
time: 4-6
duty cycle: 50%
intensity: 0.5
ultrasound subacute setting 1mh
time: 6-8
duty cycle: 20-50%
inesnity: 0.75-1.25
ultrasound subacute setting 3mhz
time: 6-8
duty cycle: 50%
intensity: 0.75-1
ultrasound chronic setting 1mhz
time: 8-10
duty cycle: 100%
inesnity: 1-2
ultrasound chronic 3mhz
time: 8-10
duty cycle: 100
inesnity: 0.5-1
electrical modalities contraindications
poor cardiac function pacemakers arterial disease uncontrolled hemorrhage over infection over cancer blood clots- DPV pelvis and low back during pregnancy history of seizures exposed metal implants sensory or mental impairment unstable fractures
electrical modalities precautions
abs and back during menstruation
over carotid sinus, pharynx, larynx, eyes, trans-cerebral, transthoracic
epiphyseal plates
ultra low frequency - microcurrent why
tissue healing
increased ATP production
increased membrane transport for waste and nutrients
pain control
tissue stim - monophasic set up
- stim set up
- microcurrent
- polarity - acute (+) or chronic (-)
- frequency to 0.5
- time
- plug electrodes to ch. 2
- prep electrode (groovy over involved area, other 6-8in away
- start
- set intensity to 20uA
pain control - biphasic set up
same as monophasic
- polarity twice
- frequency: 30hz
- intensity: 100uA (25-500uA)
- pads around involved area
microcurrent setting - tissue healing
phasic: monophasic
frequency: 0.5
time: 15-20
intensity: 20
microcurrent setting - pain conrol
phasic: biphasic
frequency: 30
time: 15-20
intensity: 20-500
low frequency TENS why
decrease all pain EXCEPT VICERAL PAIN
low frequency TENS set up
- stim set up
- biphasic
- phase duration: 100us
- phase duration button
- frequency
- prep electrode
- start
- intensity
biphasic TENS settings acute
phase duration: 100us
frequency: 80-120
intensity: perception
mode: continuous
polarity: n/a
time: 10-20