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

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
Clinical goal for ESTHR, hi volt, and microcurrent
Healing
26
Treatment frequency for hi volt
1-200Hz
27
Treatment frequency for microcurrent
Continuous
28
Indications for ultrasound
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
Contraindications for ultrasound
``` 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
what is the treatment area for direct ultrasound?
2-3x the size of the treatment area, move in slow circles
31
clinical goals for direct ultrasound
increase healing
32
duty cycle for direct ultrasound
no heat, 50% (pulsed) OR 100% (continuous), heat
33
treatment time for ultrasound
5-10 minutes
34
clinical goal for direct ultrasound with heat
decrease chronic pain | decrease muscle spasm
35
when do you use underwater ultrasound?
when the head won't contact the skin flat
36
what is the clinical goal of underwater ultrasound?
increase healing, decrease pain
37
what is the duty cycle of underwater ultrasound?
50-100% | heat or no heat
38
combination of ultrasound and premodulated interferential has what clinical goal?
chronic tendinosis, trigger points, acute or chronic pain
39
duty cycle of combination of ultrasound and premodulated interferential
50-100% | heat or no heat