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PEA > INTRODUCTION TO PHYSICAL AGENTS/THERAPEUTIC MODALITIES > Flashcards

INTRODUCTION TO PHYSICAL AGENTS/THERAPEUTIC MODALITIES Flashcards

1
Q

Components of the Patient-client management process (5)

A
  1. examination
  2. evaluation (what is need to refer and to give PT intervention)
  3. referral
  4. diagnosis (envi, personal factors) and prognosis (possible response to pt intervention)
  5. intervention and outcomes (are continually evaluated/observing)(modalities are part of intervention)
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2
Q

To treat different medical conditions (pain, weakness)
Uses of physical elements (use of outside forces - Use of equipments)

A

THERAPEUTIC MODALITIES

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2
Q

Administration of thermal, mechanical, electromagnetic, acoustic, and light energies to produce biophysical effects at the cellular , tissue, organic, and whole body-levels

A

THERAPEUTIC MODALITIES

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2
Q

The biophysical effects (of therapeutic modalities) aim to achieve ______ and ____ effects that serve to maintain and optimize health

A

aim to achieve physiological and clinical effects

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2
Q

The biophysical effects aim to achieve physiological and clinical effects that serve to?

A

serve to maintain and optimize health

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3
Q

3 levels of disability

A

impairment ( body structure & function)
activity limitation (ADLs, IADL)
participation restriction - societal roles/occupation

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3
Q

PRIMARY BENEFICIAL EFFECTS OF PHYSICAL AGENTS

A

Tissue healing & repair
Increase tissue extensibility
Modify tone abnormalities
Pain relief
Decrease motion restrictions

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4
Q

Denotes intended effects

A

Biophysical Agents

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4
Q

Which of these is not considered as physical energies
Thermal
Mechanical
Surgical
Electromagnetic
Light

A

Surgical

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5
Q

reflects the ability of these interventions to provide therapeutic benefits

A

THERAPEUTIC MODALITIES

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5
Q

T or F
Therapeutic modalities are a constant part of rehabilitative care
Skilled interventions are used to complement other parts of comprehensive plan of care

A

TRUE

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6
Q

Multi-dimensional, non-linear cognitive process that involves synthesis of information and collaboration with the patient, caregivers, and healthcare (O,Sullivan, 2019).
We create goals with the pt
How you think as a pt

A

Clinical reasoning

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6
Q

Outcomes of the interactive clinical reasoning process and form the basis of pt/client management (ito yung gagawin kay pt.)

A

Clinical decisions

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6
Q

What is EBCPGs?

A

Evidence-based clinical practice guidelines
utilization of interventions that have undergone rigorous scientific examination

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6
Q

integration of best research evidence with our clinical expertise and put patient’s unique values and circumstances

A

EVIDENCE-BASED PRACTICE

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6
Q

process of using information , experience, and judgements to decide which clinical intervention will most likely improve the problems, limitation, or impairments identified in the examination

A

Clinical decision making

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7
Q

TYPES OF THERAPEUTIC MODALITIES

A

THERMAL MODALITIES
MECHANICAL MODALITIES
ELECTROMAGNETIC MODALITIES

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7
Q

T or F
Get you information from materials published 20 years ago

A

FALSE
we must be best supported by latest information

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8
Q

Apply energy in the form of EM radiation or an electrical current.
Use of radiation or light energy

A

ELECTROMAGNETIC MODALITIES

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9
Q

Examples of electromagnetic modalities

A

UV radiation (blue light) - cellular effects
Infrared (IR) radiation (red light) - thermal radiation
Laser - can penetrate to deeper tissues
Diathermy
Electrical current

9
Q

Transfer of energy to a pt to produce an ↑ or ↓ in tissue temperature

Superficial and deep-heating modalities (ultrasound and diathermy)

A

THERMAL MODALITIES

9
Q

Deep or superficial thermal modality?
Ice pack and hot pack

A

Superficial
*note: If you want to target a deeper tissue, increase the duration of the ice pack on the body surface but should not exceed 30-45 minutes.
Exceeding in 30-45 minutes may burn the pt’s skin

10
Q

is the therapeutic application of heat to ↑ circulation (vasodilation), metabolic rate, and soft tissue extensibility or to ↓ pain

A

THERMOTHERAPY

10
Q

Deep or superficial thermal modality?
Diathermy

A

Deep

10
Q

Cooling modalities like ice pack etc. are under what therapeutic category?

A

Thermal modality

10
Q

Deep or superficial thermal modality?
Ultrasound

A

Superficial and deep

10
Q

therapeutic application of cold is the therapeutic application of cold to decrease circulation (vasoconstriction), metabolic rate, or pain

A

CRYOTHERAPY

11
Q

Increases pressure around the area, provides buoyancy, and transfers heat to or from that area

A

WATER IMMERSION

12
Q

Used to counteract fluid pressure and to control or reverse edema; for cryo cuff; compression stockings “ for venous vains
alter formation of scar tissue during proliferation

A

COMPRESSION

12
Q

Used to alleviate pressure on structures that become inflamed when stretched
Application of distraction forces can be Cervical and/or Lumbar

A

TRACTION

13
Q

Use of water
Bath tubs
Can be applied with or without water
Immersion increases pressure around the immersed area, provides buoyancy, and transfer heat
movement of water provides resistance and cleansing or debridement

A

HYDROTHERAPY

13
Q

ULTRASOUND frequency is greater than ____ Hz

A

20,000Hz

13
Q

Apply energy in the form of EM radiation or an electrical current.
Use of radiation or light energy

A

ELECTROMAGNETIC MODALITIES

13
Q

Both thermal and on-thermal effects
Sound frequency greater than 20,000 Hz cycles per second
Uses sound or vibrations

A

ULTRASOUND

14
Q

use of electrical current to include muscle contraction and changes in sensation; reduce edema, or accelerate tissue healing
Can stimulate in a motor or sensory level or both

A

ES/TENS

14
Q

What does IRR and lasers do in the context of electromagnetic modalities?

A

IRR
Produces erythema & heat only in superficial tissues
LASER
In the frequency range of visible light or IR radiation

14
Q

CLINICAL APPLICATION OF THERAPEUTIC MODALITIES

A

modulation of pain/ Pain control
alteration of skeletal muscle performance
Decreasing inflammation & facilitating tissue healing
Increase tissue extensibility

14
Q

Produces erythema and tanning of the skin
Has antibacterial effects
Usually applied in pt suffering from pressure ulcer (stage 3) to cleanse the wound

A

UVR

14
Q

ATTRIBUTES TO CONSIDER CHOOSING A MODALITY

A

Goals, indications and effects of t/x
Contraindication and precautions
Evidence for the use of Therapeutic Modality
Cost, convenience, and availability

14
Q

Common Outcome Measures

A

Girth, circumference, volumetics
Goniometric measurements - ROM
Strength tests
Functional tests
Tissue healing
Pain

14
Q

deal intervention will facilitate progress in a number of areas
1A: ?
1B: ?
2: ?
3: ?

A

deal intervention will facilitate progress in a number of areas
1A: Primary underlying problem
1B: Problem most likely to respond to treatment
2: Treatment that address more than one problem simultaneously
3: Symptomatic treatment only

14
Q

T or F
if the patient present more than one problem and numerous goals: Address all the goals in 1 session

A

FALSE
if the patient present more than one problem and numerous goals: only a limited number of goals should be addressed one at a time

15
Q

specific situations on which a drug, procedure, surgery, or modality, should NOT be used because it may be harmful to the patient

A

Contraindication

15
Q

Common Precautions and Contraindications

A

Active Deep Vein Thrombosis or Thrombophlebitis (eg. in knees - may lead to brain or lung prob)
Compromised, impaired, or diminished cognition or communication
Hemorrhagic condition (Acute condition)
Electronic implants (superficial modalities like heating)(eg. may pacemaker)
Pregnancy
Compromised, impaired, or diminished sensations
Presence of Malignancy
thorough ang history taking

15
Q

Cases where Contraindication may be present

A

Pregnancy, malignancy, pacemaker/ or other implanted electronic device, impaired sensation, impaired mentation

15
Q

Are circumstance in which a physical agent should be used with caution

A

Precaution
*check every 5 minutes

16
Q

Primary Beneficial Effects of Physical Agents

A

Tissue healing and repair
Increase tissue extensibility
Modify tone abnormalities
Pain relief
Decrease motion restrictions

16
Q

For every 10 degrees increase in temperature, there is 2-3 times increase in metabolism
In 10 degrees increase in a tissue, you increase the temperature or the turn over of the cellular nutrients

A

Van’t Hoff’s Law

16
Q
A

PEA (12 decks)

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