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Physical Agents > Intro > Flashcards

Intro Flashcards

1
Q

Procedural Interventions

A
  • Therapeutic exercise
  • Functional Training-home & work
  • Manual therapy techniques
  • prescription, application, fabrication of assistive devices
  • Airway clearance techniques
  • integumentary repair/protection
  • electrotherapeutic modalities
  • Physical agents and mechanical modalities
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2
Q

Electrotherapeutic modalities

A

Broad group of agents that use electricity

-biofeedback

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3
Q

Electrotherapeutic modalities intend to:

A
  • assist functional training
  • assist muscle force generation & contraction
  • Decrease unwanted muscular activity
  • Increase the rate of healing of open wounds/soft tissue
  • maintain strength after injury or surgery
  • modulate of decrease pain
  • reduce or eliminate soft tissue swelling, inflammation, or restriction
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4
Q

Electrotherapeutic delivery of medication

A

iontophoresis

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5
Q

Electrical Stimulation

A
  • Electrical muscular stimulation ( EMS)
  • electrical stimulation for tissue repair (ESTR)
  • Functional electrical Stimulation (FES)
  • High voltage pulsed current ( HVPC)
  • Neuromuscular electrical stimulation (NMES)
  • Transcutaneous electrical nerve stimulation (TENS)
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6
Q

Physical Agents

A

A broad group of procedures using various forms of energy that are applied to tissues in a systemic manner

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7
Q

Physical agents are intended to:

A
  • Increase CT extensibility
  • increase healing rate of open wounds and soft tissue
  • Modulate pain
  • reduce/eliminate soft tissue swelling or restriction associated with musculoskeletal injury or circulation dysfunction
  • Remodel scar tissue
  • Treat skin conditions
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8
Q

Athermal agents

A

Pulsed electromagnetic fields

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9
Q

Cyrotherapy

A
  • Cold packs or ice packs
  • ice massage
  • ice immersion
  • Vapocoolant spray
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10
Q

hydrotherapy

A
  • Contrast baths
  • Pools
  • Pulsatile lavage (H20 to debride wounds)
  • whirlpool tanks
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11
Q

light agents

A
  • Infrared
  • Laser
  • Ultraviolet
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12
Q

Sound agents

A
  • Phonophoresis

- Ultrasound

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13
Q

Thermotherapy

A
  • Diathermy
  • Dry heat
  • Moist hot packs
  • Paraffin baths
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14
Q

Mechanical modalities

A

A group of devices that use forces such as approximation, compression, and distraction

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15
Q

mechanical modalities intend to :

A
  • improve circulation
  • Increase ROM
  • Modulate pain
  • Stabilize an area that requires temporary support
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16
Q

Types of mechanical modalities

A
  • compression therapy
  • gravity assisted compression devices
  • mechanical motion devices
  • Traction devices
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17
Q

Compression therapies

A
  • Compression bandaging
  • Compression garment
  • Taping
  • Total contact casting
  • Vasopneumatic compression devices
18
Q

Gravity assisted compression devices

A
  • Tilt table

- Standing frame

19
Q

mechanical motion devices

A

-Continuous passive motion (CPM)

20
Q

Traction devices

A
  • Intermittent
  • Positional
  • Sustained
21
Q

Physical agents primarily effective in what part of disablement model?

A

Impairment

- abnormality of structure (Tissue level)

22
Q

Physical agents secondarily effective in what part of disablement model?

A

Pathology/ pathophysiology

- disease or injury (cellular level)

23
Q

Reasons for interventions

A
  • must understand why we are applying a physical agent

- Need to document clearly what & why we are doing something

24
Q

Documentation

A

What we are doing and why

  • type of modality
  • location (body part)
  • patient position
  • dosage/time
  • reason for intervention
25
Q

Physiological properties that will be effected & can be manipulated by physical agents:

A
  • Inflammatory process & tissue repair
  • Pain
  • Tone abnormalities
  • motion restrictions
26
Q

Steps to application of an electrophysical agent

A
  • Communication
  • Preparation
  • Application
  • Post application
27
Q

Application of electrophysical agent: communication with yourself

A
  • Is the PA appropriate for this patient’s impairment?
  • is PA appropriate for the stage of healing?
  • Does PA fit your therapy objective
28
Q

Application of an electrophysical agent: communication with your patient

A
  • Explain the procedure to the patient ( effects, feeling, how long, should be comfortable)
  • tell your pt why you intend to use this PA to treat their impairment
  • Explain the benefits
  • Explain the precautions/risks
  • Ask their permission
29
Q

Application of Electrophysical agent: Prepare the patient

A
  • Have pt expose part to be treated & remove jewelry
  • inspect the area for lesions
  • Perform and document pre-intervention test
  • Position & drape pt appropriately being sensitive to cultural & individual differences
30
Q

Application of Electrophysical agent: Prepare the physical agent

A

Select appropriate parameters

31
Q

Application of Physical agent: Application

A
  1. Specific for each PA
  2. Reassess the treatment area frequently within first 5 minutes
  3. Set a timer and provide a call system for your patient
32
Q

Application of electrophysical agent: Post application

A
  1. Remove PA
  2. Turn off PA
  3. Reassess treatment area and document properly
  4. continue with other treatment as indicated
    perform post intervention test and document appropriately
33
Q

Post application documentation

A
  • Type of modality
  • location (body part)
  • patient position
  • dosage/time
  • reason for intervention
34
Q

Risk management

A
  • Process of analyzing exposure to risk and determining how to handle such exposure
  • Provide safe environment for our patients
35
Q

Risk management categories

A
  • Near miss
  • Incident
  • Adverse event
  • Sentinel Event
36
Q

Near miss

A

potential to due harm that is identified before the event resulting in no harm to the patient

37
Q

Incident

A

an event that has caused harm or has potential to cause harm to patinet

38
Q

Adverse Event

A

Unintended injury or harm which results in disability or death and is caused by the management of the patients condition and not the disease process

39
Q

sentinel event

A

A serious event that must be reported immediately to DHS

40
Q

Risk management checklist

A
  • Inspect skin before
  • correctly apply PA
  • Monitor pt
  • reexamine post intervention
  • Document
41
Q

The Law

A

Education law

  • Article 136, PT and PTAs
  • NYS PT law article 136
  • November 23, 2006
42
Q

Duties of PTA do not include:

A
  • Evaluation
  • Testing
  • Interpretation
  • Planning or modification of pt programs

Physical Agents (21 decks)

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