Let's make a deal (with physiotherapists): Easter Edition (CH15) Flashcards

1
Q

What does ESTHR stand for?

A

Electrical stimulation for tissue healing and repair

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2
Q

What three types of current are used for ESTHR?

A

Microcurrent, low intensity direct current, and HVPC or high-voltage pulsed current

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3
Q

What is the rationale for ESTHR intervention?

A

Accelerating the healing phase of slow to heal, chronic, cutaneous wounds

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4
Q

Describe a microcurrent wave:

A

Continuous or pulse modulated and monophasic that does not exceed 1 mA

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5
Q

Describe an HVPC wave:

A

Twin-peak, monophasic, peak voltage of 500 V, with a duration of 10-100 microseconds

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6
Q

What is the “current of injury”?

A

The shift in the body’s electrical system that recruits the appropriate cells/substances for healing

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7
Q

How does ESTHR act on the current of injury?

A

It enhances/increases it

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8
Q

The attraction of cells to a certain charge is called what?

A

Galvanotaxis

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9
Q

What types of cells are recruited with anodal therapy?

A

Neutrophils and macrophages

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10
Q

What stage of healing would anodal therapy be used for?

A

Inflammatory phase

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11
Q

What types of cells are recruited with cathodal therapy?

A

Fibroblasts, Epidermal cells, and Keratinocytes

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12
Q

What stage of healing would cathodal therapy be used for?

A

Proliferative and Remodeling phases

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13
Q

HVPC is also said to have what effect with regards to microorganisms

A

Germicidal

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14
Q

Which statements about HVPC are supported/conflicting or not-supported by literature:

1) Retard posttraumatic edema
2) Increase muscle strength and blood flow
3) Decrease pelvic floor spasms
4) Decrease delayed onset muscle soreness
5) Decrease pain

A

1 - conflicting
2,4 - not supported
3,5 - supported

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15
Q

Both microcurrent and HVPC should be set to patient ______.

A

Comfort

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16
Q

Because stages of healing overlap, what should be done with the cathode and anode?

A

Reverse the polarity every three days

17
Q

How often should ESTHR be done and for how long?

A

30-90 minutes 1-3 times a day