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Physical Agents > Final Exam > Flashcards

Final Exam Flashcards

1
Q

Laser: Inflammation

A

2-5 J/cm2, 5000hz, 3x/wk

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2
Q

Laser: Neuralgia/Neuropathy

A

10-12J/cm2, continuous, daily for 2-3 wks

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3
Q

Laser: Pain acute

A

6J/cm2, continuous, 3x/wk

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4
Q

Laser: Pain Chronic

A

12J/cm2, continuous, 3x/wk

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5
Q

Laser: Soft tissue injury

A

4-8 J/cm2, 100 hz, 3x/day, 5days/wk

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6
Q

Laser: soft tissue healing

A

5-16 J/cm2, continuous

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7
Q

Laser: fx healing

A

5-16 J/cm2, continuous

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8
Q

Laser: soft tissue injury chronic

A

10-20 J/cm2, continuous

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9
Q

Laser: tendinitis bursitis

A

2-10 J/cm2, 5000 hz, 3x/wk

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10
Q

Laser: trigger points

A

5-12 J/cm2,

recalcitrant 10-12 J/cm2 continuous

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11
Q

Laser: wound acute

A

8 J/cm2, 700 hz, 5x/wk

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12
Q

Laser: wound chronic

A

1-6 J/cm2, continuous, 2x wk minimum

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13
Q

Laser: arthritis acute

A

2-4 J/cm2, continuous 4x/wk

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14
Q

Laser: arthritis chronic

A

4-8 J/cm2 continuous 4x/wk

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15
Q

Laser: Lymphedema

A

1.5 J/cm2 continuous, 4x/wk

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16
Q

Laser: Joint Disorders Chronic

A

finger= .5 J/cm2
Knee=6J/cm2
Spine= 12J/cm2

continuous 3x/wk

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17
Q

What applicator for laser is used for superficial lesions

A

600-700 nm applicator

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18
Q

what applicator for laser is used for deep lesions

A

700-1000 nm applicator

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19
Q

US wound debridement and decreased bioburden

A

25-35 kHz
Intensity= .15 w/cm2
Duration = until debrided
continuous duty cycle

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20
Q

US cell stim for wound healing

A

40 kHz
intensity= .15w/cm2
duration= until signs of healing are present
continuous

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21
Q

US cell stim. decrease bioburden, debride

A

35 kHz
intensity= .15 w/cm2
duration=until healing process
continuous duty

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22
Q

US wound healing

A

periwound 3 mhz
superficial 3 mhz
deep 1 mhz (3-5 cm depth)

0.8-1.0 w/cm2
4-5 minutes
20% duty

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23
Q

US acute injury edema and pain control

A 
superficial 3 mhz
deep 1 mhz 
0.5 w/cm2 
3-5 min 
continuous
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24
Q

US subacute pain or injury

A 
superficial 3 mhz
deep 1 mhz
0.5-1 w/cm2 
5 min 
continuous
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25
Q

US chronic injury and pain control

A 
sup 3 mhz 
deep 1 mhz
1-1.5 w/cm2
5-8 min 
continuous
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26
Q

US tissue extensibility

A 
sup 3mhz
deep 1mhz
1-1.5 w/cm2
5-8min
continuous and stretch during application
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27
Q

US neurogenic pain

A 
sup 3mhz
deep 1mhz 
0.5-0.8 w/cm2
1 min per area
20% duty
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28
Q

US sickle cell pain

A

40hz
0.1 w/cm2
4 min
continuous

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29
Q

US plantar warts

A

3mhz
0.6-0.8 w/cm2
7-15min
continuous

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30
Q

US inflammation/ phonophoresis

A 
sup 3 mhz
deep 1 mhz 
0.6-0.8 w/cm2
5-10 min
continuous with water based gel
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31
Q

US bone healing

A

1.5 mhz
0.15 w/cm2
15-20 min
20% duty cycle

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32
Q

continuous tens - indication

A

pain superficial, acute , no muscle traction desired
chronic when we want gating theory for long term management
comfortable parathesia with no motor response

continuous tens- length of effect and fiber stimulated
a beta, gate

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33
Q

continuous tens- length of effect and fiber stimulated

A

a beta, gate, dorsal horn stimulates sensory fibers

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34
Q

continuous tens- pulse rate/ freq

A

80-120pps

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35
Q

continous tens- pulse width/ duration

A

50-125 microsec

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36
Q

continuous tens- type of current

A

assymetrical biphasic
unbalanced pulsed
net charge in tissue

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37
Q

low freq tens- indication

A

mytomal pain, chronic pain

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38
Q

low freq tens- length of effector

A

length of effector

b endorphins, c fiber stimulation stimulates muscle contractions

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39
Q

low freq tens- length of stimulus

A

slow relief 20-40 min
wear 40-60min
pain relief 4-6 hours

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40
Q

continuous tens- length of treat

A

fast effect within 30 min, up to 24 hours control pain

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41
Q

low freq tens- pulse rate

A

1-5pps

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42
Q

low freq tens pulse width

A

200-500microsec

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43
Q

low freq tens- type of current

A

type of current
assymetric biphasic
unbalanced pulsed
charge in tissue

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44
Q

modulated tens low freq indication

A

myotomal pain
chronic pain
area of pain prevents accommodation to present stimulus

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45
Q

modulated tens, low freq length of effect

A

descending inhibition, beta endorphins
c fiber stimulation
same effect as low rate

prevents accommodation

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46
Q

modulated tens low freq length of stimulus

A

slow relief 10-40min, wear 20-60min, pain relief 4-6 hours

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47
Q

modulated tens low freq pulse rate/ freq

A

1-5pps

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48
Q

modulated tens low freq pulse width

A

200-500microsec

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49
Q

modulated tens conventional indication

A

pain, prevent accomodation,

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50
Q

modulated tens conventional length of effect

A

duration of stimulus a eta, gate , sensory fibers

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51
Q

modulated tens conventional length of stimulus

A

fast effects within 10-30 min, can keep up to 24 hours

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52
Q

modulated tens conv pulse rate

A

80-120pps

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53
Q

modulated tens conv pulse width

A

50-125 microsec

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54
Q

burst mode tens indication

A

chronic pain, muscle spasms chronic, more superficial than IFC, trigger points

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55
Q

burst mode tens length of effect

A

6-7 hours
c fibers
opiates
gates pain initially

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56
Q

burst mode tens length of stimulus

A

15 min

57
Q

burst mode tens pulse rate

A

carrier freq 70-100hz
modulated to 1-5 bursts per second
low rate and conv tens combo

58
Q

burst mode tens pulse width

A

200-500micros

59
Q

acupuncture tens indication

A

trigger points, very painful

60
Q

acupuncture tens length of effect

A

descending inhibition

enkephalin and seratonin

61
Q

acupuncture tens length stimulus

A

30 sec to 1 min over 15 min period

stimulate the point , each point 30 sec x 2 for 10-20 points

62
Q

acupuncture tens pulse rate

A

1-4pps

63
Q

acupuncture tens pulse width

A

250-10 mili sec

64
Q

brief tens indication

A

trigger point, intense pain

65
Q

brief tens length of effect

A

axonal conduction block. superficial peripheral nerve

66
Q

brief tens length of stimulus

A

15 min max

67
Q

brief tens pulse rate

A

10-200pps

68
Q

brief tens pulse width

A

200 milisec

69
Q

sensory IFC indication

A

acute spasm, pain, acute injury, no muscle contraction desired, deeper than tens, deep spasm

70
Q

sensory IFC effect length

A

duration of stimulus a beta, gate

71
Q

sensory IFC effect stimulus

A

30 min

72
Q

sensory IFC pulse rate

A

80-120hz

73
Q

sensory IFC pulse width

A

summation of carrier freq, variable, around 4000hz, alternating current, no net charge

74
Q

motor IFC indications

A

muscle contraction wanted, chronic pain, chronic spasm, muscle pump for edema, deep stim

75
Q

motor IFC length effect

A

6-7 hours, c fibers, opiates

76
Q

motor IFC length stim

A

15 min

77
Q

motor IFC pulse rate

A

1-150hz beat freq

78
Q

motor IFC pulse width

A

summation of carrier freq, around 4000 hz , alternation current, no net charge in tissue

79
Q

sensory motor IFC indication

A

subacute conditions, acute or chronic, inflammation that is not acute

80
Q

sensory motor IFC length effect

A

gate and opiod, up to 6 hours

81
Q

sensory motor IFC length stim

A

30 min

82
Q

sensory motor IFC pulse freq

A

1-120 hz

83
Q

sensory motor IFC pulse width

A

summation around 4000hz alt current, no net charge

84
Q

iontophoresis indication

A

deliver meds superficially, bursitis, tendinitis, scar management, edema, triggerpoints, gout, myositis ossificans

85
Q

iontophoresis length effect

A

long as meds in system as long as inflammation is reduced

86
Q

iontophoresis length stim

A

40mA min to 80ma
depends on condition treated
10-15 min to hours

87
Q

iontophoresis pulse freq

A

3-5mAmp

88
Q

iontophoresis pulse width

A

variable

89
Q

iontophoresis current

A

direct current

90
Q

hi volt pulsed current sensory indications

A

edema, wound care, pain management, can be used with underwater

91
Q

hi volt pulsed current sensory length effect

A

100 micro, direct current, monophasic twin peaked waveform, charge in tissues

92
Q

hi volt pulsed current motor indications

A

edema, pain management, muscle re ed

93
Q

hi volt pulsed current motor length effect

A

6-7 hours c fibers opiates

94
Q

hi volt pulsed current motor length stim

A

15 min

95
Q

hi volt pulsed current motor pulse freq

A

1-50hz

96
Q

hi volt pulsed current motor pulse width

A

100 micros

97
Q

hi volt current motor current

A

same as the sensory

98
Q

microcurrent indications

A

pain ( not well supported lit)

99
Q

microcurrent effect

A

sensory?

100
Q

microcurrent time

A

15-30 min

101
Q

microcurrent pulse freq

A

0.3-50hz

102
Q

microcurrent pulse width

A

1-500 milisec

103
Q

microcurrent current

A

same as hi volts

104
Q

mfac rom indication

A

move thru available rom on antagonist with reciprocal inhibition , on agonist with spasticity to fatigue

105
Q

mfac rom effect

A

motor unit

106
Q

mfac rom time

A

3-30 min sessions
1:3:4 ration on antagonist
1;1 on agonist

107
Q

mfac rom pulse freq

A

1-50hz

108
Q

mfac rom pulse width

A

300-600 micro alt current with no net charge

109
Q

mfac muscle re edu indication

A

improve motor recruitment

110
Q

mfac muscle re ed time

A

5-20 min ( 15 contractions ) 1:3 ration or 1:5

111
Q

mfac muscle re ed pulse freq

A

1-50pps

112
Q

mfac strength indication

A

strengthen muscle that cannot generate antigravity movement

113
Q

mfac strength time

A

15-20min ( 10-15 contractions) 3 sets 1:5 ratio

114
Q

mfac strength pulse freq

A

1-50hz

115
Q

mfac retard atrophy time

A

15-20 min

116
Q

mfac retard atrophy pulse freq

A

1-50hz

117
Q

fes indication

A

affect weak muscles in synergy pattern, timed mfac or hvpc with functional activity

118
Q

denervated muscle time and pulse freq

A

10-15 min lowe rthan 10hz

119
Q

laser settings for lymphedema

A

1.5j/cm2 to an area of 3cm2, 3x wk for 3 weeks

1-2 cycles

120
Q

laser for fibromyalgia setting

A

2 j/point , used for cervical trigger points

121
Q

laser for acute cervical spine

A

12mw laser, 2j/point 12j/session 5x a week, 3 weeks

122
Q

laser for chronic cervical pain

A

9j/point 2x week, 7 weeks

123
Q

what are the treatment parameters for a 50mw laser

A

acute 0.05-1 j/cm2

chronic 40j/cm2

124
Q

Which of the following physical agent treatments is MOST appropriate for managing a patient who has a right acute sided supraspinatus tendonitis and a pacemaker?

a. Laser 850 nm, 2 J/cm2, 5000 Hz
b. Phonophoresis, 1 MHz, 20% duty cycle, 1.5 w/cm2 for 10 mins
c. Laser 850 nm, 12 J/cm2, 5000 Hz.
d. 3 MHz US, 100% duty cycle, 1.0 W/cm2 for 5-8 mins

A

A. Laser 850 nm, 2 J/cm2, 5000 hz

125
Q

Which of the following treatments should the physical therapist employ to MOST effectively treat peripheral neuropathy and a wound on the lower extremity?

a. Cold pack 20 mins once/day
b. US 1.5 w/cm2, 3 MHz, 8 mins once/day
c. Laser 5 J/cm2 continuous, once a day
d. Moist heat pack 20 mins once a day

A

c. Laser 5 J/cm2, continuous, once a day

126
Q

Which of the following modes of energy transfer is utilized by laser

a. Convection
b. Radiation
c. Conduction
d. Evaporation

A

B. radiation

127
Q

Which of the following light sources produces solely monochromatic light

a. Infrared diode
b. Super luminous diode
c. Light emitting diode
d. Laser diode

A

D. Laser Diode

128
Q

When treating psoriasis with UVB, which of the following dosages should the physical therapist deliver?

a. E3 dose, severe sunburn w/ exfoliation of skin
b. E4 dose, sever sunburn w/ exudate from skin
c. E1 dose, slight reddening of skin
d. E2 dose, mild sunburn w// exfoliation of skin

A

C. E1 dose, slight reddening of skin

129
Q

In which of the following conditions would UVC treatment be appropriate?

a. Herpes simples infection
b. Acute eczema
c. Bacterial infection
d. Hyperthyroidism

A

C. Bacterial Infection

130
Q

Which of the following physical agents and parameters would be MOST appropriate to be able to provide management of pain and hypersensitivity to touch in a patient who has complex regional pain syndrome?

a. Bunsen roscoe law
b. Cosine law
c. Inverse square law
d. Grothus draper law

A

A. Bunsen Roscoe Law

131
Q

Which of the following physical agents and parameters would be MOST appropriate to be able to provide management of pain and hypersensitivity to touch in a patient who has complex regional pain syndrome?

a. Bunsen roscoe law
b. Cosine law
c. Inverse square law
d. Grothus draper law

A

B. Cosine Law

132
Q

A patient reports a total absence of pain and sensation in their lower extremity following a traction treatment. Which of the following is the best response to the patient?

a. refer the pt. back to the physician for further eval
b. tell the pt. that this is a normal reaction to traction
c. perform an additional treatment to the pt. with traction to see if sensation returns
d. tell the pt. that this is not a normal response

A

a. refer the pt. back to the physician for further eval

133
Q

A patient reports a total absence of pain and sensation in their lower
extremity following a traction treatment. Which of the following
is the best response to the patient?
a. refer the pt. back to the physician for further eval
b. tell the pt. that this is a normal reaction to traction
c. perform an additional treatment to the pt. with traction to see if sensation returns
d. tell the pt. that this is not a normal response

A

a. refer the pt. back to the physician for further eval

134
Q

A patient with temporomandibular joint dysfunction needs to be treated with traction.
Which of the following statements is MOST CORRECT regarding this treatment?
a. treatment should be performed using an occipital harness to provide the traction force
b. over the door traction would be an acceptable method to provide traction to this pt.
c. this pt. should not be treated with traction; another agent should be selected
d. treatment should be performed using a chin harness to provide the traction force

A

a. treatment should be performed using an occipital harness to provide the traction force

135
Q

According to the clinical prediction rule for success of traction with mechanical neck pain, which one of the following statements is true?

a. a person that has a positive cervical distraction test will have some relief of symptoms with traction
b. a person under 55 y/o will have more success with traction
c. a person with negative ULTT will have some relief of sx with traction
d. 4 or more predictor variables have to be present for there to be a benefit to the tractions

A

a. person with positive cervical distraction test will have some relief of sx with traction

136
Q 
What is the minimal traction force that should be provided during cervical traction for a patient who weighs 200 lbs in order to provide discal separation? 
a. 14 lbs 
b. 42 lbs
c. 7 lbs.
28 lbs
A

a. 14 lbs

137
Q

Which of following positions should the physical therapist utilize
to address the upper lumbar spine facet joints when utilizing traction?
a. pt. in supine, hips flex 20 deg
b. pt. in supine, hips flex 90 deg
c. pt. in prone, hips flexed 20 deg
d. pt. in prone, hips in neutral position

A

b. pt. in supine, hips flexed to 90 deg

138
Q

Which of the following agents would be MOST effective for the physical therapist to employ to alleviate numbness and tingling that extends from the neck to the hand that responds to distraction?

a. cervical traction
b. friction massage
c. ice massage
d. whirlpool

A

a. cervical traction

Physical Agents (1 decks)

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