Final Exam Flashcards by Alexis McCrea

Laser: Inflammation

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

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Laser: Neuralgia/Neuropathy

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

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Laser: Pain acute

6J/cm2, continuous, 3x/wk

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Laser: Pain Chronic

12J/cm2, continuous, 3x/wk

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Laser: Soft tissue injury

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

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Laser: soft tissue healing

5-16 J/cm2, continuous

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Laser: fx healing

5-16 J/cm2, continuous

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Laser: soft tissue injury chronic

10-20 J/cm2, continuous

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Laser: tendinitis bursitis

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

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Laser: trigger points

5-12 J/cm2,

recalcitrant 10-12 J/cm2 continuous

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Laser: wound acute

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

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Laser: wound chronic

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

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Laser: arthritis acute

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

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Laser: arthritis chronic

4-8 J/cm2 continuous 4x/wk

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Laser: Lymphedema

1.5 J/cm2 continuous, 4x/wk

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Laser: Joint Disorders Chronic

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

continuous 3x/wk

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What applicator for laser is used for superficial lesions

600-700 nm applicator

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what applicator for laser is used for deep lesions

700-1000 nm applicator

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US wound debridement and decreased bioburden

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

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US cell stim for wound healing

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

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US cell stim. decrease bioburden, debride

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

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US wound healing

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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US acute injury edema and pain control

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

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US subacute pain or injury

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

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US chronic injury and pain control

``` sup 3 mhz deep 1 mhz 1-1.5 w/cm2 5-8 min continuous ```

US tissue extensibility

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

US neurogenic pain

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

US sickle cell pain

40hz 0.1 w/cm2 4 min continuous

US plantar warts

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

US inflammation/ phonophoresis

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

US bone healing

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

continuous tens - indication

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

continuous tens- length of effect and fiber stimulated

a beta, gate, dorsal horn stimulates sensory fibers

continuous tens- pulse rate/ freq

80-120pps

continous tens- pulse width/ duration

50-125 microsec

continuous tens- type of current

assymetrical biphasic unbalanced pulsed net charge in tissue

low freq tens- indication

mytomal pain, chronic pain

low freq tens- length of effector

length of effector | b endorphins, c fiber stimulation stimulates muscle contractions

low freq tens- length of stimulus

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

continuous tens- length of treat

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

low freq tens- pulse rate

1-5pps

low freq tens pulse width

200-500microsec

low freq tens- type of current

type of current assymetric biphasic unbalanced pulsed charge in tissue

modulated tens low freq indication

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

modulated tens, low freq length of effect

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

modulated tens low freq length of stimulus

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

modulated tens low freq pulse rate/ freq

1-5pps

modulated tens low freq pulse width

200-500microsec

modulated tens conventional indication

pain, prevent accomodation,

modulated tens conventional length of effect

duration of stimulus a eta, gate , sensory fibers

modulated tens conventional length of stimulus

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

modulated tens conv pulse rate

80-120pps

modulated tens conv pulse width

50-125 microsec

burst mode tens indication

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

burst mode tens length of effect

6-7 hours c fibers opiates gates pain initially

burst mode tens length of stimulus

15 min

burst mode tens pulse rate

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

burst mode tens pulse width

200-500micros

acupuncture tens indication

trigger points, very painful

acupuncture tens length of effect

descending inhibition | enkephalin and seratonin

acupuncture tens length stimulus

30 sec to 1 min over 15 min period | stimulate the point , each point 30 sec x 2 for 10-20 points

acupuncture tens pulse rate

1-4pps

acupuncture tens pulse width

250-10 mili sec

brief tens indication

trigger point, intense pain

brief tens length of effect

axonal conduction block. superficial peripheral nerve

brief tens length of stimulus

15 min max

brief tens pulse rate

10-200pps

brief tens pulse width

200 milisec

sensory IFC indication

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

sensory IFC effect length

duration of stimulus a beta, gate

sensory IFC effect stimulus

30 min

sensory IFC pulse rate

80-120hz

sensory IFC pulse width

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

motor IFC indications

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

motor IFC length effect

6-7 hours, c fibers, opiates

motor IFC length stim

15 min

motor IFC pulse rate

1-150hz beat freq

motor IFC pulse width

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

sensory motor IFC indication

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

sensory motor IFC length effect

gate and opiod, up to 6 hours

sensory motor IFC length stim

30 min

sensory motor IFC pulse freq

1-120 hz

sensory motor IFC pulse width

summation around 4000hz alt current, no net charge

iontophoresis indication

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

iontophoresis length effect

long as meds in system as long as inflammation is reduced

iontophoresis length stim

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

iontophoresis pulse freq

3-5mAmp

iontophoresis pulse width

variable

iontophoresis current

direct current

hi volt pulsed current sensory indications

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

hi volt pulsed current sensory length effect

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

hi volt pulsed current motor indications

edema, pain management, muscle re ed

hi volt pulsed current motor length effect

6-7 hours c fibers opiates

hi volt pulsed current motor length stim

15 min

hi volt pulsed current motor pulse freq

1-50hz

hi volt pulsed current motor pulse width

100 micros

hi volt current motor current

same as the sensory

microcurrent indications

pain ( not well supported lit)

microcurrent effect

sensory?

microcurrent time

15-30 min

microcurrent pulse freq

0.3-50hz

microcurrent pulse width

1-500 milisec

microcurrent current

same as hi volts

mfac rom indication

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

mfac rom effect

motor unit

mfac rom time

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

mfac rom pulse freq

1-50hz

mfac rom pulse width

300-600 micro alt current with no net charge

mfac muscle re edu indication

improve motor recruitment

mfac muscle re ed time

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

mfac muscle re ed pulse freq

1-50pps

mfac strength indication

strengthen muscle that cannot generate antigravity movement

mfac strength time

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

mfac strength pulse freq

1-50hz

mfac retard atrophy time

15-20 min

mfac retard atrophy pulse freq

1-50hz

fes indication

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

denervated muscle time and pulse freq

10-15 min lowe rthan 10hz

laser settings for lymphedema

1.5j/cm2 to an area of 3cm2, 3x wk for 3 weeks | 1-2 cycles

laser for fibromyalgia setting

2 j/point , used for cervical trigger points

laser for acute cervical spine

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

laser for chronic cervical pain

9j/point 2x week, 7 weeks

what are the treatment parameters for a 50mw laser

acute 0.05-1 j/cm2 | chronic 40j/cm2

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

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

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

Which of the following modes of energy transfer is utilized by laser a. Convection b. Radiation c. Conduction d. Evaporation

B. radiation

Which of the following light sources produces solely monochromatic light a. Infrared diode b. Super luminous diode c. Light emitting diode d. Laser diode

D. Laser Diode

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

C. E1 dose, slight reddening of skin

In which of the following conditions would UVC treatment be appropriate? a. Herpes simples infection b. Acute eczema c. Bacterial infection d. Hyperthyroidism

C. Bacterial Infection

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. Bunsen Roscoe Law

B. Cosine Law

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

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

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

``` 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. 14 lbs

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

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

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. cervical traction