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Passive care practical > interferential, ESTHR, NMES, ultrasound > Flashcards

interferential, ESTHR, NMES, ultrasound Flashcards

1
Q

Contraindeications for interferential current

A 
Anterior cervical area
through chest
Through head
Pacemakers
Abdomen, pelvis, lumbars of first tri pregnancy
Mental implants
Epilepsy
Areas of hemorrhage
Cancer
Confused patients
Damaged skin
Unknown etiology
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2
Q

What is the frequency of premod and interferential for acute? Chronic?

A

Acute: 80-150
Chronic: 1-15

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3
Q

What is the intensity/amplitude for premod or interferential?

A

Patient comfort

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4
Q

What is the treatment time for interferential?

A

15-20minutes

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5
Q

Describe interferential current

A

4 electrodes, 2 channels

Criss cross around the area of pain

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6
Q

Describe premodulated technique

A

2 electrodes, 1 channel

One electrode on either side of pain

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7
Q

When treating acute pain for interferential, what are the target fibers?

A

A beta

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8
Q

When treating chronic pain for interferential, what are the target fibers?

A

A delta

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9
Q

Contraindications for NMES

A 
Anterior cervical area
Through the head
Chest
Pacemakers
Confused/unreliable patients
Abdomen, pelvis, lumbar areas of first tri pregnancy
Hemorrhage
Damaged skin
Metal implants
Epilepsy
Cancer
Unreliable patients
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10
Q

Indications for premod/interferential

A

Pain reduction

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11
Q

Indications for NMES (russian or biphasic)

A

Muscle re-education
Retard atrophy
Muscle strengthening
Decrease muscle spasm through fatigue

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12
Q

Treatment frequency for NMES (russian or biphasic)

A

50 Hz

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13
Q

What is the intensity/amplitude of NMES (russian or biphasic)

A

Patient tolerance

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14
Q

What is the treatment time and EPA to fatigue muscle spasm, NMES (russian or biphasic)

A

15-20min, 10/10

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15
Q

What is the treatment time and EPA to prevent atrophy or re educate muscle, NMES (russian or biphasic)

A

10 minutes, 10/50

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16
Q

When would you use co contract NMES (russian or biphasic)

A

Bilateral muscle groups

17
Q

When would you use reciprocal NMES (russian or biphasic)

A

Agonist, antagonist muscles

18
Q

When would you use single mm NMES (russian or biphasic)

A

Single muscle

19
Q

Indications for ESTHR, hi volt, and microcurrent

A

Stimulate healing
Reduce edema
Decrease spasm

20
Q

Contraindications for ESTHR, hi volt, and microcurrent

A 
Osteomyelitis
Cancer
Electronic implants
Anterior cervical area
Through chest
Through head
Metal implants
Abs, lumbar, pelvis of first tri pregnancy
Hemorrhage
Unknown etiology
21
Q

What is the treatment area for ESTHR, hi volt, and microcurrent

A

Wound

22
Q

Where do you place the electrodes for ESTHR, hi volt, and microcurrent

A

Over or around edema, wound, etc

23
Q

Intensity or amplitude for ESTHR, hi volt, and microcurrent

A

Patient comfort

24
Q

Treatment time for ESTHR, hi volt, and microcurrent

A

30-90 min 1-3x a day

25
Q

Clinical goal for ESTHR, hi volt, and microcurrent

A

Healing

26
Q

Treatment frequency for hi volt

A

1-200Hz

27
Q

Treatment frequency for microcurrent

A

Continuous

28
Q

Indications for ultrasound

A

Increase extensibility of co.lagen fibers and tendons
Increase blood flow
Increase cell metabolism
Increase collagen synthesis
Decrease joint stiffness
Decrease muscle spasm
Enhance tendon, ligament, and muscle healing

29
Q

Contraindications for ultrasound

A 
Cancer
Hemorrhage
Ischemia
Thrombus
Infection
Gonads
Eye
Pelvic, abdominal and lumbar areas of pregnancy
Spinal cord aftern laminectomy
Plastic or cemented implants
Near electronic implants
Unknown etiology
30
Q

what is the treatment area for direct ultrasound?

A

2-3x the size of the treatment area, move in slow circles

31
Q

clinical goals for direct ultrasound

A

increase healing

32
Q

duty cycle for direct ultrasound

A

no heat, 50% (pulsed)
OR
100% (continuous), heat

33
Q

treatment time for ultrasound

A

5-10 minutes

34
Q

clinical goal for direct ultrasound with heat

A

decrease chronic pain

decrease muscle spasm

35
Q

when do you use underwater ultrasound?

A

when the head won’t contact the skin flat

36
Q

what is the clinical goal of underwater ultrasound?

A

increase healing, decrease pain

37
Q

what is the duty cycle of underwater ultrasound?

A

50-100%

heat or no heat

38
Q

combination of ultrasound and premodulated interferential has what clinical goal?

A

chronic tendinosis, trigger points, acute or chronic pain

39
Q

duty cycle of combination of ultrasound and premodulated interferential

A

50-100%

heat or no heat

Passive care practical (4 decks)

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