Equipment, Devices, and Therapeutic Modalities Part Two

Question 1

purposes of lower intensities and pulsed TUS

Answer 1

acute conditions

thin tissue

Question 2

someone with spondylolethesis - should they be using lumbar traction

Answer 2

HARD NO

Question 3

purpose of Russian Current

Answer 3

strengthening normal muscle by assisting with the muscle contraction during volitional activities

Question 4

is the cathode positive or negative for iontophoresis

Answer 4

negative

Question 5

appropriate treatment time for hot packs

Answer 5

20-30 minutes

Question 6

functional electrical stimulation AKA

Answer 6

neuromuscular electrical stimulation

Question 7

in general for TUS, 3MHz is used for what kinds of conditions

Answer 7

superficial

Question 8

for cervical and lumbar traction, what are the required pounds of force to cause distraction

Answer 8

cervical: 20-30 lbs
lumbar: 25-65 lbs

Question 9

for a tilt table, why might an elastic wrap and abdominal binder be applied to the patient

Answer 9

to prevent venous pooling

Question 10

for cold treatment, if it is cold for greater than 20 minutes, what will occur

Answer 10

reflex vasodilation and reddening of the skin

Question 11

purpose of modulation mode TENS

Answer 11

preventing neural or perceptual adaptation due to constant electrical stimulation

Question 12

purposes of higher intensities and continuous TUS

Answer 12

chronic conditions

thick tissue

Question 13

what is the duty cycle (normal words)

Answer 13

on time v. off time

Question 14

how often should intermittent compression be used

Answer 14

every 2 hours

twice per day

Question 15

purpose of interferential current

Answer 15

pain relief, muscle strengthening

Question 16

with severe atrophy, what should the duty cycle be for electrical stimulation

Answer 16

1:5-1:10

Question 17

with ALS, there is weakness of what group of muscles

Answer 17

respiratory

Question 18

what kind of stimulation is good for denervated muscles

Answer 18

high-voltage pulsed monophasic

Question 19

purpose of tilt table

Answer 19

to deal with orthostatic hypotension

prevent osteoporosis

Question 20

if heat is transferring too quickly with hot packs, how does the skin look

Answer 20

mottling (red and white areas)

Question 21

total treatment time for cold packs

Answer 21

10-20 minutes

Question 22

positions of the neck during traction in order to isolate various parts of the spine

Answer 22

C1-C4: 0-5 degrees flexion

C5-C7: 20-30 degrees of flexion

Question 23

what is biofeedback and how is it beneficial

Answer 23

monitors muscle activity of selected muscles and provides physiological info to the patient

patient tries to manipulate or change the feedback, and thus can control muscle activity

Question 24

how to make patient more comfortable with electrical stimulation

Answer 24

larger electrodes

reduced intensity

increased pulse width

Question 25

purpose of brief intense TENS

Answer 25

pain relief for painful procedures (wound debridement, deep friction massage, passive stretching)

Question 26

are metal implants contraindicated for TUS

Answer 26

no - they are a precaution

Question 27

average nerve conduction velocity time for UE and LE

Answer 27

UE: 45-70 meters/second

LE: 50 meteres/second

Question 28

purpose of high-voltage pulsed monophasic stimulation

Answer 28

denervated muscles (reeducation)

Question 29

purpose of acupuncture-like TENS

Answer 29

chronic conditions with longer lasting pain relief

Question 30

purpose of conventional (high rate) TENS

Answer 30

temporary relief of acute or chronic pain

onset of pain relief is fast

Question 31

treatment time ice massage

Answer 31

5-10 minutes

Question 32

is the anode positive or negative for iontophoresis

Answer 32

positive

Question 33

stages of patient feelings during cold treatment

Answer 33

cold

burn

aching

numbness

Question 34

patient reports deep and aching pain during TUS.. what’s the play

Answer 34

reduce intensity ASAP

Question 35

the single axis foot permits what motions

Answer 35

PF/DF

Question 36

in general for TUS, 1MHz is used for what kinds of conditions

Answer 36

deep