Equipment, Devices, and Therapeutic Modalities Part Two Flashcards
purposes of lower intensities and pulsed TUS
acute conditions
thin tissue
someone with spondylolethesis - should they be using lumbar traction
HARD NO
purpose of Russian Current
strengthening normal muscle by assisting with the muscle contraction during volitional activities
is the cathode positive or negative for iontophoresis
negative
appropriate treatment time for hot packs
20-30 minutes
functional electrical stimulation AKA
neuromuscular electrical stimulation
in general for TUS, 3MHz is used for what kinds of conditions
superficial
for cervical and lumbar traction, what are the required pounds of force to cause distraction
cervical: 20-30 lbs
lumbar: 25-65 lbs
for a tilt table, why might an elastic wrap and abdominal binder be applied to the patient
to prevent venous pooling
for cold treatment, if it is cold for greater than 20 minutes, what will occur
reflex vasodilation and reddening of the skin
purpose of modulation mode TENS
preventing neural or perceptual adaptation due to constant electrical stimulation
purposes of higher intensities and continuous TUS
chronic conditions
thick tissue
what is the duty cycle (normal words)
on time v. off time
how often should intermittent compression be used
every 2 hours
twice per day
purpose of interferential current
pain relief, muscle strengthening
with severe atrophy, what should the duty cycle be for electrical stimulation
1:5-1:10
with ALS, there is weakness of what group of muscles
respiratory
what kind of stimulation is good for denervated muscles
high-voltage pulsed monophasic
purpose of tilt table
to deal with orthostatic hypotension
prevent osteoporosis
if heat is transferring too quickly with hot packs, how does the skin look
mottling (red and white areas)
total treatment time for cold packs
10-20 minutes
positions of the neck during traction in order to isolate various parts of the spine
C1-C4: 0-5 degrees flexion
C5-C7: 20-30 degrees of flexion
what is biofeedback and how is it beneficial
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
how to make patient more comfortable with electrical stimulation
larger electrodes
reduced intensity
increased pulse width
purpose of brief intense TENS
pain relief for painful procedures (wound debridement, deep friction massage, passive stretching)
are metal implants contraindicated for TUS
no - they are a precaution
average nerve conduction velocity time for UE and LE
UE: 45-70 meters/second
LE: 50 meteres/second
purpose of high-voltage pulsed monophasic stimulation
denervated muscles (reeducation)
purpose of acupuncture-like TENS
chronic conditions with longer lasting pain relief
purpose of conventional (high rate) TENS
temporary relief of acute or chronic pain
onset of pain relief is fast
treatment time ice massage
5-10 minutes
is the anode positive or negative for iontophoresis
positive
stages of patient feelings during cold treatment
cold
burn
aching
numbness
patient reports deep and aching pain during TUS.. what’s the play
reduce intensity ASAP
the single axis foot permits what motions
PF/DF
in general for TUS, 1MHz is used for what kinds of conditions
deep
