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Adj Care 2 Flashcards

1
Q

ultra sound non-heating why

A

reduce pain
healing is assisted
fluid disperse through mechanical microstreaming

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2
Q

ultrasound contraindication

A 
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
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3
Q

utrasound precaution

A

over epiphyseal areas in young

nerve plexuses, over spinal cord after laminectomy

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4
Q

ultrasound steps mettler

A
  1. turn on machine
  2. ultrasound set up icon
  3. 1mhz or 3mhz
  4. w/cm2
  5. duty cycle
  6. time
  7. gel
  8. apply sound head
  9. start
  10. set intensity
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5
Q

ultrasound acute setting 1mhz

A

time: 4-6
duty cycle: 10-20%
intensity: 0.5-1.5

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6
Q

ultrasound acute setting 3mhz

A

time: 4-6
duty cycle: 50%
intensity: 0.5

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7
Q

ultrasound subacute setting 1mh

A

time: 6-8
duty cycle: 20-50%
inesnity: 0.75-1.25

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8
Q

ultrasound subacute setting 3mhz

A

time: 6-8
duty cycle: 50%
intensity: 0.75-1

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9
Q

ultrasound chronic setting 1mhz

A

time: 8-10
duty cycle: 100%
inesnity: 1-2

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10
Q

ultrasound chronic 3mhz

A

time: 8-10
duty cycle: 100
inesnity: 0.5-1

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11
Q

electrical modalities contraindications

A 
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
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12
Q

electrical modalities precautions

A

abs and back during menstruation
over carotid sinus, pharynx, larynx, eyes, trans-cerebral, transthoracic
epiphyseal plates

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13
Q

ultra low frequency - microcurrent why

A

tissue healing
increased ATP production
increased membrane transport for waste and nutrients
pain control

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14
Q

tissue stim - monophasic set up

A
  1. stim set up
  2. microcurrent
  3. polarity - acute (+) or chronic (-)
  4. frequency to 0.5
  5. time
  6. plug electrodes to ch. 2
  7. prep electrode (groovy over involved area, other 6-8in away
  8. start
  9. set intensity to 20uA
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15
Q

pain control - biphasic set up

A

same as monophasic

  1. polarity twice
  2. frequency: 30hz
  3. intensity: 100uA (25-500uA)
  4. pads around involved area
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16
Q

microcurrent setting - tissue healing

A

phasic: monophasic
frequency: 0.5
time: 15-20
intensity: 20

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17
Q

microcurrent setting - pain conrol

A

phasic: biphasic
frequency: 30
time: 15-20
intensity: 20-500

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18
Q

low frequency TENS why

A

decrease all pain EXCEPT VICERAL PAIN

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19
Q

low frequency TENS set up

A
  1. stim set up
  2. biphasic
  3. phase duration: 100us
  4. phase duration button
  5. frequency
  6. prep electrode
  7. start
  8. intensity
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20
Q

biphasic TENS settings acute

A

phase duration: 100us

frequency: 80-120
intensity: perception
mode: continuous
polarity: n/a
time: 10-20

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21
Q

biphasic TENS settings chronic

A

phase duration: 100us

frequency: 3-5
intensity: tolerance/contract
mode: continuous
polarity: n/a
time: 20-30

22
Q

HVPC (high volt pulse current) why

A

pump out edema
exercise muscle tissue
decrease pain
stimulate muscle contraction to break myospasm

23
Q

HPVC set up

A
  1. stim set up
  2. high volt button
  3. set polarity - acute (+) chronic (-)
  4. frequency
  5. time
24
Q

HPVC surge for edema or muscle exercise

A
  1. stim set up
  2. high volt button
  3. set polarity - acute (+) chronic (-)
  4. frequency
  5. time
  6. surge button - edema (10:10) muscle exercise (10:50)
  7. hold enter button
  8. prep electrode ch1
  9. acute + chronic: active electrode over involve area
    for myospasm/mm contract : electrodes at both ends of mm
  10. start
  11. intensity set
25
HPVC settings acute
freq: 80-120 intensity: perception mode: continuous polarity: + time: 10-20
26
HPVC settings chronic
freq: 3-5 intensity: tolerance/contraction mode: continuous polarity: - time: 20-30
27
HPVC settings edema
freq: 10 intensity: tolerance/mild contraction mode: surge (10:10) polarity: n/a time: 10-20
28
HPVC settings myospasm
freq: 50-55 intensity: tolerance/mild contraction mode: continuous polarity: n/a time: 10-20
29
HPVC settings muscle ex
freq: 50-55 intensity: tolerance/mild contraction mode: surge (10:40-10:60) polarity: n/a time: 10-20
30
med freq: true inferential why
pump out edema | decrease pain
31
true inferential mettler set up
1. turn on 2. stim set up 3. true inferential 4. set freq same as lsi 5. set time 6. prep electrode 7. channel 1 and channel 2 8. start 9. set intensity with both dials 10. amplitude med key (not for edema)
32
true inferential settings acute
freq: 80-150 intensity: perception mode: continuous time: 10-20 sweep/vector: on/on
33
true inferential settings chronic
freq: 3-5 intensity: tolerance/contraction mode: continuous time: 20-30 sweep/vector: on/on
34
true inferential settings edema
freq: 1-15 intensity: tolerance/patient comfort mode: continuous time: 10-20 sweep/vector: on/off
35
pre-modulated inferential why
pump out edema exercise muscle tissue decrease pain stim mm contraction to reduce myospasm
36
pre-mod inferential mettler set up
1. turn on 2. stim set up 3. press pre-mod button 4. set freq 5. set time 6. *mm ex = press surge (10:40-10:60) 7. press enter 8. prep electrode 9. press start 10. set inensity 11. for surge press start again
37
pre-mod inferential settings acute
freq: 80-150 intensity: perception mode: cont. time: 10-20 sweep/vector (lsi): on/off
38
pre-mod inferential settings chronic
freq: 3-5 intensity: tolerance/contraction mode: cont. time: 20-30 sweep/vector (lsi): on/off
39
pre-mod inferential settings edema
freq: 1-15 intensity: pain comfort/sub-contraction mode: cont. time: 10-20 sweep/vector (lsi): on/off
40
pre-mod inferential settings myospasm
freq: 50-55 intensity: tolerance/strong-contraction mode: cont. time: 10-20 sweep/vector (lsi): on/off
41
pre-mod inferential settings mm ex
freq: 50-55 intensity: tolerance/strong-contraction mode: surge 10:40-10:60 time: 10-20 sweep/vector (lsi): on/off
42
russian stim why
pump out edema mm exercise stim mm contraction to stop myospasm
43
russian stim lsi set up
1. turn on machine 2. set freq (press 25000hz) 3. set time 4. prep electrode over origin/insertion 5. set intensity 6. start 7. surge with 10:10/10:50
44
russian stim mettler set up
1. turn on 2. stim set up 3. med freq button 4. time 5. surge (10:10 for myospasm/edema) (10:50 for mm strength) 6. press enter to set surge 7. prep electrode 8. start 9. set intensity with left dial 10. start button to start on/off cycle
45
russian stim settings edema
freq: 50 intensity: patient comfort/sub contract mode: surge 10:10 time: 10-20 sweep/vector (lsi): off/off
46
russian stim settings myospasm
freq: 50 intensity: tolerance/strong contraction mode: surge 10:10 time: 10-20 sweep/vector (lsi): off/off
47
russian stim settings mm ex
freq: 50 intensity: tolerance/strong contraction mode: surge 10:50 time: 10-20 sweep/vector (lsi): off/off
48
cold laser why
pain control wound healing inflammation control
49
cold laser erchonia set up
1. turn on 2. pw 1234 3. mode select 4. preset protocol 5. extremities: shoulder, axial: neck, radiculopathy: nerve root 6. hold laser 2-6 inch area of complaint then press start 7. move circular motion over area 8. complete by pressing back to mode select then power down
50
cold laser erchonia contraindications
1. taking photo-sensitizing drugs, anti-coagulants or aspirin 2. history of cancer 3. history of herpes simplex 4. history of keloid or hypertrophic scar formation 5. eyes 6. family history of cancer 7. active inf or compromised immune system 8. pregnancy
51
cold laser MR4 set up
1. turn on 2. test head on unit (press arrow button) 3. press program button to enter sweep 4. press arrow to cycle through 1-3: chronic, 4-6: acute/subacute 5. start by placing laser head over lymphatic drainage point (lymphatic drainage point: left axillary for all except right side of upper ext. 6. set machine to target mode on laser head 7. sweep until beep, then lift and place back on 8. beep again then lift then place on skin cont. sweeping
52
cold laser MR4 contraindications
1. dont treat for more than 45 min per day - 10 min max in head area 2. avoid direct treatment of thyroid 3. dont treat over heart or pacemaker 4. children 14 and under = 50% freq 5. history of organ transplant 6. over hemorrhage 7. malignancy 8. pyrexia 9. within a frew weeks after steroid shot 10. throughout pregnancy

Boards pt1 (28 decks)

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