cata lab final Flashcards
Electrical contraindications
- Skin disorder
- Altered sensation
- Demand type pacemaker
- Psychological issues
- Over anterior cervical area
- Over anterior thoracic region
- Over carnival region
- Unstable fractures
- Metal implants
- Epilepsy
- Hemorrhagic area / Blood clot
Ultrasound Contraindications
- Skin disorder
- Altered sensation
- Demand type pacemaker
- Psychological issues
- Osteoporosis
- Fractures
- Severely ischemic Tissue/Venous thrombosis
- Acute infection
- Near organ/spinal cord
- Metal implants
- Active epiphyseal regions
- Thrombophlebities
Mobilization contraindications
- Skin disorder
- Altered sensation
- Demand type pacemaker
- Psychological issues
- Pathological changes (neoplasm/inflammation/infection/osteopania)
- Active Collagen vascular Disorder
- Massive degenerative changes
- Loss of skeletal or ligamentous stability
- Congenital anomalies
- Coagulation problems
- Hypo or hyper mobile joint
- Pain and protective muscle spasm
- Fractures
Cryotherapy contraindication
- Skin disorder
- Altered sensation
- Demand type pacemaker
- Psychological Issues
- Hypersensitivity to cold
- Raynaud’s
Thermotherapy contraindication
-Skin disorder
-Altered sensation
-Demand type pacemaker
-Psychological issues
-Acute injury
-Near eye
-Near Genitals
-
PNF contraindications
- Skin disorder
- Altered sensation
- Demand type pacemaker
- Psychological issues
- Osteoporosis
- Fractures
Massage contraindications
- Skin disorder.
- Altered sensation.
- Demand type Pacemaker.
- Psychological issues.
- Osteoporosis.
- Fractures.
- Acute Injury (Primary stage of bruising/inflammation).
Patient explanation
1) Goal of modality
2) Appropriate Aim for the problem
3) How Modality will achieve goal (Physiological effect)
4) What should a pt do during application
5) Safety measures
Lab exam order
1) Pt Explanation
2) contraindications
3) Cautions
4) Sensation check
5) Ask Permission to proceed with modality clear and conscious explanation , Wash hands
6) Pt Positioninng
7) Pt Privacy
8) Application
9) Treatment plan
Massage cautions
- Metabolic disease
- Cardiovascular disease
- Circulatory disease
- Systemic Disease
- Cancer
Ultrasound cautions
- Metabolic disease
- Cardiovascular disease
- Circulatory disease
- Systemic Disease
- Cancer
Electrical Stimulation cautions
- Pregnancy
- Unfused epiphyseal plates
- Metabolic disease
- Cardiovascular disease
- Circulatory disease
- Systemic Disease
- Cancer
PNF Patterns cautions
- Hyper or hypo mobility
- Metabolic disease
- Cardiovascular disease
- Circulatory disease
- Systemic Disease
- Cancer
Thermotherapy cautions
- Pregnancy
- Metabolic disease
- Cardiovascular disease
- Circulatory disease
- Systemic Disease
- Cancer
cryotherapy cautions
- Dislikes cold
- Metabolic disease
- Cardiovascular disease
- Circulatory disease
- Systemic Disease
- Cancer
Mobilizations cautions
- Metabolic disease
- Cardiovascular disease
- Circulatory disease
- Systemic Disease
- Cancer
Application of acute Tens
100 micro second ,100 pulse per second ,20 min, daily. pleasant tingling without contraction,pads on pain (relief duration –> 30 min– 2hr).
Application of chronic Tens
150 micro second , 5pulse per second ,20 min, daily. To tolerance , Burning needling sensation, slight muscle twitch (Duration relief –> 6-7 Hr) , Pads on pain.
Application of Tens before Rehab.
250 micro sec , 100 pulse per second , 20 min ,daily, to tolerance ,visible twitch and titanic muscle contraction.
relief duration up to 30 min
Application of IFC Acute
5000Hz 150 Pulse per second, (SWEEP) ,20 min,crisscross pain, 40 % scan. Pleasant tingling without contraction,3 times a day daily.
Application of IFC Chronic
2500 Hz , 10 Pulse per second ,(Sweep), 20 min, crisscross pain 40 % scan . With or without muscle contraction , pleasant tingling , once a day , daily.
Application IFC Edema
5000 Hz , 50 pulse per second , 20 min , criss cross pain , 3 times a day, strong but comfortable contraction.
Application of IFC Spasm
2500 HZ , 4 pulse per second , criss cross local trigger point , Moderate visible muscle contraction , 20 min daily.
Application of NMES (Re education)
5000 Hz carrier frequency , 50 pulse per second, 10 sec on\ 30 sec off , 2 sec Ramp , placement on motor points and muscle belly, visible muscle contraction. Patient Duty : Contract with On cycle , 20 min daily.
Application of NMES (Edema)
5000 Hz carrier frequency , 50 Pulse per second bipolar on motor point muscle spasm , 20 min , 10 sec on/10 sec off elevated Limb , no ramp! ,twice a day daily.
** If it is Acute Edema put ramp 2 sec and no need to elevate the limb , Just relax.
goal of Mobilization
- Restore structures within joint to their normal position
- Stretch a stiff painless joint to restore range
- Relieve pain.
goal of grade 1 mobilization
decrease pain, with traction to reduce joint compression
goal of grade 2 mobilization
grade 2a:(slack): relieve pain and spasm
grade 2b:(transition): mobility
goal of grade 3 mobilization
increase ROM
Mobilization Physiological effect?
Physiological effect: When you move your body part there are also small complementary movements happening within the joint. Mobs will put the joint through this normal motion to get the joint re-used to doing it so that they occur during active movement. It also moves the synovial fluid to increase circulation to and from the joint, as well as breaks up adhesions to allow easier movement.
Application of Mobilization parameters
Grade 1: Small oscillations. ROM parameters, ex. 3 x 20x 2s Grade 2a(slack): Slightly bigger oscillations, ROM parameters, ex. 3 x 20 x 5s Grade 2b(transition): Large oscillations, ROM parameters, ex. 3 x 20 x 15s Grade 3: Hold like a stretch. Flexibility parameters, ex. 3 x 20s
Thermotherapy goal
hronic pain, muscle guarding/ spasm, myofascial trigger points,chronic inflam, Subacute sprain/ strain/ contusion, decreased ROM
Cryotherapy goal
hronic pain, muscle guarding/ spasm, myofascial trigger points, Acute pain/ inflam/ sprain/ strain/ contusion
Cryotherapy physiological effects
lower tissue temperature decreased nerve activity and speed of signal transmission. So less signals sent to the brain will decrease pain felt. Also decreases local blood flow and metabolism to help prevent further inflammation by decreasing fluid brought to area (vasoconstriction) and decreasing tissue oxygen needs.
Thermotherapy hysiological effects
GCT? increase in temperature will increase local blood flow (vasodilation). increase nutrients brought to area to help with healing. Increase flow also helps with return of fluid through the veins to decrease chronic inflamma
Game Ready (cold-compression units) goal
Acute and post-surgery
Time (10mins ish)
Ice Massage goal
stretch without pain
Hydro Collator application
for heat application (chronic inflam/ pain, decreased ROM) 6-8 layers of towel (wrap thing counts as 4) for 15mins.
Paraffin Bath application
persistent swelling not resolved with other techniques Cold water (1min) —> Hot water (3mins) x5 (or opposite).
