Chapter 3: Energy Flashcards

1
Q

Electrophysical Agent

A
  • for of therapy used in rehabilitation that changes tissue through water, temp, sound, electricity. Include TENS, ultrasound, whirlpool, hot and cold packs, and other modalities
  • alternate: application or removal of energy from biological tissue in order to stimulate that tissue to perform its normal function
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2
Q

TENS

A

transcutaneous electrical nerve stimulation

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3
Q

energy

A
  • capacity to do work. manifested as motion (kinetic), potential (potential energy), light, heat, ionizing radiation, sound
  • neither created nor destroyed
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4
Q

radiant energy

A
  • process by which energy of various forms travels through space
  • everything above absolute zero (-273C) emit radiant energy
  • occurs when sufficient electrical or chemical force is applied to an object
  • explained by quantum and electromagnetic wave theory
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5
Q

radiant energy cont.

A
  • thought of as a packet of energy carried along by propagating waves
  • constant velocity (3x10^8 m/sec)
  • includes radio waves, microwaves, infrared waves, visible light waves, ultraviolet waves, x-rays, gamma rays, and cosmic rays
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6
Q

quantum theory

A
  • packet of energy (indivisible)-photon
  • produced by high velocity electronic or molecular motion or transformed kinetic energy released when molecules collide
  • E(quantum)=H(Planck’s constant) x f(frequency)
  • the higher the frequency, the higher the photon energy-> potentially destructive
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7
Q

electromagnetic wave theory

A
  • energy is transmitted by oscillatory motion in the form of electromagnetic waves
  • composed of perpendicularly oriented fields of electric and magnetic composition that vary over time
  • can propagate without the need of a medium (travel through vacuum, like space)
  • velocity=wavelengthxfrequency(f)
  • shorter the wavelength, the higher the frequency
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8
Q

radiant energy cont.

A
  • quantum theory states that if frequency (f) is low, energy (E) must be low
  • electromagnetic theory states that if frequency (f) is low, wavelength is long (high)
  • thus, therapeutic modalities at low electromagnetic frequencies have relatively long wavelengths and low amounts of energy, safe to apply to human system
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9
Q

low frequency electromagnetic radiation

A
  • ELF waves
  • shortwaves
  • microwaves
  • IR radiation
  • visible light
  • ultraviolet A and B radiation
  • all non-ionizing (cannot break molecular bonds or produce ions)
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10
Q

high frequency EMR

A
  • x-rays
  • gamma rays
  • are ionizing (can inhibit cell division, break molecular bonds and form ions)
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11
Q

arndt-schultz principle

A
  • energy absorbed must be sufficient so as to stimulate the absorbing tissues
  • -ex: e-stim for muscle contraction. the current intensity must be strong enough to facilitate depolarization of the nerve
  • -ex: heat to increase tissue elongation. must be intense enough to increase viscoelastic properties of tissue
  • too much energy absorbed may impair normal function of the tissues
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12
Q

law of Grotthus-Draper

A
  • if energy is not absorbed by the superficial tissue, then it will penetrate to deeper tisues
  • ex: 1MHz, US will be more efficient in treating deeper tissues than 3 MHz, US
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13
Q

cosine law

A
  • maximum amount of absorption of radiant energy occurs when the source is at righ angles to the absorbing surface
  • energy absorbed=energy available x cos theta
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14
Q

inverse square law

A

-intensity of the radiation striking the surface varies inversely with the square of the distance from the source

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15
Q

bunsen roscoe law of reciprocity

A
  • intensity and duration of the dose of radiant energy are inversely proportional
  • energy (E)=intensity (I) x Time (T)
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16
Q

how do the laws work

A
  • to increase the amount of energy absorbed by the patient:
  • increase treatment time
  • increase treatment intensity
  • lessen the distance of the source of energy to the pt
  • make the source of energy more perp. to absorbing surface
17
Q

electromagnetic modalities

A
  • e-stim
  • biofeedback
  • iontophoresis
  • shortwave and microwave diathermy
  • infrared
  • UV
  • low-power laser
18
Q

acoustic spectrum

A
  • range of frequencies and wavelengths of sound waves
  • audible sound: frequencies between 16 and 20 KHz
  • ultrasound-frequencies above 20KHz
  • therapeutic ranges-.75 and 3.3 MHz
19
Q

acoustic modalities

A
  • therapeutic ultrasound (above .75 mHZ-3.3MHz)
  • phophoresis
  • ultrasound is generally thought of as a mechanical modality
20
Q

mechanical modalities: mechanical traction

A
  • cervical

- lumbar

21
Q

mechanical modalities: compression

A
  • external pumps

- elastic bandages

22
Q

physical agent categories

A
  • thermal
  • mechanical
  • electromagnetic
23
Q

thermal

A

-deep heating
-superficial heating
-cooling
CLINICAL EXAMPLES
-diatherrmy
-hot pack
-ice massage

24
Q

mechanical

A
traction
compression
water
sound
CLINICAL EXAMPLES
-mechanical
elastic bandage
whirlpool
ultrasound
25
Q

electromagnetic

A
electric currents
electromagnetic fields
CLINICAL EXAMPLES
interferential
ultraviolet
26
Q

precautions and contraindications

A
  • precaution: conditions where a particular physical agent should be applied with care or limitations
  • contraindication: condidtions where the application of a particular agent is unsafe or undesirable
27
Q

general contraindications and precautions

A
  • pregnancy
  • malignancy
  • pacemaker
  • impaired sensation
  • impaired mental status