Exam 1

Question 0

Hot Pack Contraindications

Answer 0

Severe cardiac disease
Over malignancy
Sepsis

Question 1

Hot Pack Indications

Answer 1

Increase Collagen Extensibility
Decrease joint stiffness
Relieve muscle spasm
Pain relief
Increase blood flow
Warm up to exercise
Assist in resolving inflammation

Question 2

Hot Pack Precautions

Answer 2

Insensitive patient

Spinal cord injury

Question 3

Paraffin Bath Indications

Answer 3

Increase joint extensibility
Decrease joint stiffness
Relieve muscle spasm
Pain relief
Warm up to exercise
Assist in resolving inflammation

Question 4

Paraffin Bath Contraindications

Answer 4

Severe cardiac disease
Over malignancy
Sepsis

Question 5

Paraffin Bath Precautions

Answer 5

Insensitive patient

Spinal cord injury

Question 6

Hydrotherapy/Whirlpool Indications

Answer 6

Increase collagen extensibility
Decrease joint stiffness
Relieve muscle spasm
Pain relief
Warm up to exercise
Assist in resolving inflammation

Question 7

Hydrotherapy/Whirlpool Contraindications

Answer 7

Severe Cardiac disease
Over malignancy
Sepsis

Question 8

Hydrotherapy/Whirlpool Precautions

Answer 8

Insensitive patient

Spinal cord injury

Question 9

Pool Therapy Indications

Answer 9

Warm temperature is relaxing
Decrease perception of pain
Buoyancy is useful
Water resistance exercise
Standing and gait improvement
Improve cardiovascular endurance

Question 10

Pool Therapy Contraindications

Answer 10

Open wounds
Incontinence
Isolation precautions
Uncontrolled seizures
Severe cardiac disease

Question 11

Pool Therapy Precautions

Answer 11

Multiple sclerosis
Possible infection sites (e.g. ostomies)
Orthostatic hypotension

Question 12

Dry Heat Methods

Answer 12

Electric hot pads
Chemical heat wraps
Fluidotherapy

Question 13

Electric hot pads advantages and disadvantages

Answer 13

Advantage: Inexpensive and readily available

Disadvantage: Patient must be near power source and remain inactive

Question 14

Chemical heat wraps advantages and disadvantages

Answer 14

Advantage: Portability

Disadvantage: One time use and expensive

Question 15

Fluidotherapy advantage and disadvantages

Answer 15

Advantage: Rapid heat transfer

Disadvantage: Machine cost and patient immobility

Question 16

Contrast Bath Indications

Answer 16

Athletic injuries
Leg ulcers
Orthopedic problems (e.g. extremity strain/sprain)

Question 17

Contrast Bath Contradications

Answer 17

Cardiovascular problems
Peripheral vascular disease
Tendency to hemorrhage

Question 18

Contrast Bath Precautions

Answer 18

Loss of sensation
Pregnancy
Hypersensitivity to temperature

Question 19

Ice Pack Indications

Answer 19

Decrease muscle spasm
Decrease pain
Decrease spasticity
Relieve swelling and edema
Prevent excessive tissue damage

Question 20

Ice Pack Contraindications

Answer 20

Severe coronary artery disease
Severe hypertension
Some rheumatoid conditions
Cold hypersensitivity (cold urticaria, cold hemoglobinuria)
Vasospastic disorders (Raynaud's)

Question 21

Ice Pack Precautions

Answer 21

Paralyzed patient
Comatose patient
Treatment >1 hr.
Ice over superficial nerve

Question 22

Ultrasound Indications- Thermal Effects

Answer 22

Pain relief from -itis
Pain relief from neuroma (aching nerve pain)
Adhesive scars
Affect nerve conduction velocity
Improve connective tissue extensibility

Question 23

Ultrasound Indications- Non Thermal Effects

Answer 23

Cavitation (calcium deposit breakdown in calcified tendonitis)
Affecting nerve conduction velocity
Phonophoresis

Question 24

Ultrasound Contraindications

Answer 24

``` Over eye Pacemaker Over heart Severe cardiac disease Hemophilia Over growth plate Over pregnant abdomen Over neoplasm/malignancy/sepsis Deep vein thrombosis ```

Question 25

Ultrasound Precautions

Answer 25

Over healing fracture Over spinal cord Over metal implant

Question 26

Spinal Traction Indications

Answer 26

``` Herniated nucleus pulposa (HNP) Degenerative joint disease (DJD) Muscle spasm Hypomobility Joint dysfunction ```

Question 27

Traction Contraindications

Answer 27

Structural fault (from tumor or infection) Vascular compromise of vertebral artery Fracture Rheumatoid arthritis Major neck injury (possible odontoid process fx)

Question 28

Traction Precautions

Answer 28

``` Acute strains Pregnancy Osteoporosis Hiatal hernia Claustrophobic patient ```

Question 29

Cervical Spine Traction Force

Answer 29

10-20% of body weight with a max of 35# (add weight of head when seated)

Question 30

Lumbar Spine Traction Force

Answer 30

25-50% of body weight (add 25% of body weight if table doesn't slide)