class five: modalities Flashcards

1
Q

what increases with moist heat application

A

CO

vasodilation

HR

RR

metabolic rate

think of a dog in a hot care

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2
Q

what does metabolic rate mean

A

the rate in which your body burns calories

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3
Q

what decrease with application of moist heat

A

muscle activity

BP

blood to the internal internal organs

blood flow to resting muscle

SV

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4
Q

what increase with application of cold pack

A

joint stiffness

pain threshold

muscle activation

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5
Q

what decrease with application of clod pack

A

collagen extensibility

blood flow

capillary permability

local metabolism

spaticity

nerve conduction velocity

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6
Q

what is the time for prolonged ice in order to treat spatiscity

A

25 - 30 min

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7
Q

how can ice treatment create both muscle activation and decreased spaticity

A

short icing vs prolonged iceing

prolonged ice is use to treat spas

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8
Q

what temp should ice pack be stored

A

25 F

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9
Q

do we want our skin to be blanchable

A

yes - if not there is an injury like pressure sore or burn

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10
Q

with prolonged icing do we experience vasodilation or constriction

A

vasodilation

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11
Q

what should be the temp hot pack are kept

A

160-170F

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12
Q

how many layers of toweling should we have for hot packs

A

6-8

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13
Q

when does hot pack heat peak

A

5 min

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14
Q

how long should hot pack treatment time be

A

20-30 mins

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15
Q

what temp should cold pack be kept at

A

25 F

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16
Q

how long should cold pack treatment take

A

10-20 min

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17
Q

how often can cold pack treatment be places

A

every 2-3 hours

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18
Q

how many layers is the the terry cloth cover when new

A

4-6

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19
Q

what are the stages of cold

A

CBAN

cold
burn
aching
numbness

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20
Q

what are contraindication for superficial thermo modalities

A
  • Arterial disease
  • Bleeding or hemorrhage
  • Over an area of compromised circulation
  • Over an area of malignancy
  • Thrombophlebitis
  • Impaired sensation or mentation
  • Infrared irradiation of the eyes
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21
Q

what is Thrombophlebitis

A

inflammation of the wall of a vein with associated thrombosis, often occurring in the legs during pregnancy.

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22
Q

Superficial Cryotherapy: Contraindications

A
  • Cold hypersensitivity
  • Cold intolerance
  • Cryoglobulinemia
  • Paroxysmal cold hemoglobinuria
  • Raynaud’s phenomenon
  • Over-regenerating peripheral nerves
  • Circulatory compromise
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23
Q

what is Cryoglobulinemia

A

medical condition in which the blood contains large amounts of pathological cold sensitive antibodies called cryoglobulins – proteins that become insoluble at reduced temperatures.

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24
Q

what does pulse freq mean

A

in 1sec (period of time) how many pulse are there

35

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25
Q

what is more comfotable higher or lower pulse freq

A

higher is more comfortable - more vibration feeling

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26
Q

what is pulse duration

A

how long is how long the pulse are lasting

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27
Q

what is more comfortable longer or shorter pulse duration

A

shorter pulse duration is more comfotable

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28
Q

what is amp in estim

A

this is the insensity - this is what we turn up

29
Q

what is ramp time

A

the time it take to get to the highest amp

longer ramp time slower to the top - feels better

30
Q

for muscle strengthening - pulse freq

A

35-80 pps

31
Q

for muscle strengthening -pulse duration

A

150-200 small muscle

200-250 large muscle

32
Q

for muscle strengthening - amp

A

to 10%of MVIC in injured

50% or more if not injury

33
Q

for muscle strengthening - on and off

A

(on) 1:5 (off)

34
Q

for muscle strengthening - ramp time

A

2 secs

35
Q

for muscle strengthening - treatment time

A

10-20 mins

36
Q

what kind of eletrical stimulation do we use for wound care

A

High-Voltage Pulsed Galvanic Current

37
Q

what is the Negative electrode used for in High-Voltage Pulsed Galvanic Current

A

used to promote healing of the inflamed or infected wounds.

  • = bad
38
Q

what is the positive electrode used for in High-Voltage Pulsed Galvanic Current

A

used to promote healing of the wounds without inflammation.

39
Q

for High-Voltage Pulsed Galvanic Current - where can the electrodes be placed

A

placed in or around the wound area.

40
Q

what is the treatment time for High-Voltage Pulsed Galvanic Current -

A

At least 5 days/week with treatment sessions lasting 45 to 60
minutes.

41
Q

positive - High-Voltage Pulsed Galvanic Current

A

pluse freq:60-125

pulse duration: 40-100

amp: enough to promote comfortable tingling

treatment time : 45-60 min

42
Q

negative - High-Voltage Pulsed Galvanic Current

A

pluse freq:60-125

pulse duration: 40-100

amp: enough to promote comfortable tingling

treatment time : 45-60 min

43
Q

what is iontophoresis

A

the is a type of estim that delivers a type of medication into the skin

paired with different ions

44
Q

what are the negative ions for ionphoresis

A

ISAD

idoine

salicylate

acetate

dexamethasone

45
Q

do big electrodes or small electrodes feel better

A

big electrodes feel better

46
Q

US - intensity

A

̶Amount of energy delivered per unit area (W/cm2)

̶Dependent on treatment goal

like amp

47
Q

US - freq.

A

̶Cycles per second (Hz, 1 or 3MHz)

48
Q

US - * Duty Cycle

A

̶On Time / (On Time + Off Time)
̶Pulsed or continuous

49
Q

US - freq 1 HZ

A

this is for a deep tissue
1 > D

50
Q

US freq 3 HZ

A

this is for a superficial tissue
3 > S

51
Q

what is a periosteal burn

A

occurs when the thin membrane around the bone becomes overheated

seen with ultra sound

52
Q

100% duty cycle is for what

A

soft tissue shortenting

and

pain

53
Q

what is a 20% duty cycle for

A

delayed issue healing

and

prolonged inflammation

54
Q

acute injury - thermal or non thermal US

A

nonthermal - this issue is already warm do not add heat to it

55
Q

what are conractindication of estim

A

implanted devices - pacemaker

pregnacy - abd or LB

broken bones

corotid sinus

thrombosis

56
Q

what are thrombosis

A

local coagulation or clotting of the blood in a part of the circulatory system.

57
Q

is cancer a precaution to estim

A

yes not a contrindication

58
Q

what is EMG biofeedback

A

a technique that uses electrodes to monitor muscle activity and provide feedback to help patients learn to control their muscles

59
Q

EMG biofeedback - close electrodes

A

muscle relaxation

low sensitivity

60
Q

EMG biofeedback - far apart electrodes

A

for muscle reed

high sensitivity

61
Q

when do we do prone lumbar traction

A

when there is a posterior disc herniation

62
Q

how much hip flexion for L5-S1 increased space

A

45-60-deg

63
Q

how much hip flexion for L3-L4 increased space

A

75-90 deg

64
Q

how much weight do we need for joint distraction

A

50lbs or 50% of body weight

65
Q

how long is the first lumbar traction session

A

5-10 min - see how it feel

progress up to - 20-30 min sessions

66
Q

cervical traction - initial weight

A

7-9 lbs

67
Q

cervical traction - Disc protrusion, spasm, elongation

A

11-15 lbs

68
Q

cervical traction - Joint distraction

A

20-29 lbs (max), or 7% body weight

69
Q

Mechanical Traction- Contraindications

A
  • Immobilization
  • Acute injury or inflammation
  • Joint hypermobility or instability
  • Peripheralization of symptoms with traction
  • Uncontrolled hypertension