Midterm Flashcards

1
Q

what are contraindications to cryotherapy?

A

(1) Cold sensitivity / intolerance (cold urticaria, cryoglobulinemia, Raynaud’s phenomenon, paroxysmal cold hemoglobinuria)
(2) compromised circulation
(3) peripheral vascular disease
(4) areas of nerve regeneration
(5) pregnancy (L/S and abdominal region)

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2
Q

what are precautions to cryotherapy?

A

(1) HTN
(2) aversion to cold
(3) thermoregulatory disorders
(4) over superficial nerves
(5) open wounds
(6) areas of poor sensation
(7) poor cognition
(8) very young or very old

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3
Q

why can cryotherapy cause an increased BP?

A

causes local vasoconstriction of the arterioles which can increased BP

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4
Q

what temperature should a cold pack be at for cryotherapy treatment? what should the total treatment time be?

A

(1) <32 degrees

(2) 20-30 minutes

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5
Q

what temperature should the water be in a cold compression device for cryotherapy treatment? what should the total treatment time be?

A

(1) 50 degrees

(2) 10-20 minutes

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6
Q

what temperature should the water be for a cold whirlpool for cryotherapy treatment? what should the total treatment time be?

A

(1) extremity: 50-65 degrees
(2) whole body: 65-80 degrees
(3) 10-20 minutes

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7
Q

what temperature should an ice massage be for cryotherapy treatment? what should the total treatment time be?

A

(1) <32 degrees

(2) 5-10 minutes

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8
Q

what temperature should an ice bag be at for cryotherapy treatment? what should the total treatment time be?

A

(1) <32 degrees

(2) 20-30 minutes

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9
Q

how should vapocoolant spray be applied for cryotherapy treatment?

A

3-5 slow sweeps; held 12 inches away when applying

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10
Q

what are contraindications to therapeutic heat?

A

(1) decreased sensation to heat
(2) vascular insufficiency
(3) hemorrhage
(4) burns
(5) infection / open wounds / inflammation
(6) cancer
(7) areas where biofreeze agents were recently applied
(8) pregnancy
(9) skin rashes / recent grafts (for paraffin)

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11
Q

what are precautions to cryotherapy?

A

(1) impaired circulation
(2) thermoregulatory diseases
(3) DVT
(4) subacute / chronic edema
(5) scar tissue and recently healed wound (paraffin)
(6) impaired cognition
(7) very young / very old

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12
Q

how many layers are required for a MHP? what should the hydrocollator temperature be set at?

A

(1) 6-8 layers PRONE (towel counts as one layer, thick wrap counts as two)
8-10 layers SUPINE
(2) 158-167 degrees

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13
Q

how many layers of paraffin wax should be applied for treatment? what temperature should the wax be set at?

A

(1) 8-10 layers

(2) 113-129 degrees

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14
Q

what temperature should the water be for a warm whirlpool for a theraputic heat treatment?

A

102-118 degrees

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15
Q

what are contraindications to compression?

A

(1) acute pulmonary edema
(2) CHF
(3) recent or acute DVT
(4) acute fracture
(5) uncontrolled HTN

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16
Q

what are precautions to compression?

A

(1) recent skin graft
(2) acute local dermatological infections
(3) impaired sensation
(4) cognitive impairment

17
Q

what are the two main types of compression?

A

(1) elastic wraps

2) intermittent pneumatic compression (IPC

18
Q

what parameters should be followed for the use of intermittent pneumatic compression (IPC)?

A

(1) 30-70 mmHg (40-50 mmHg more common in clinic)
(2) 1:1 inflation to deflation ratio
(3) 20-60 minutes of total treatment time

19
Q

what amount of poundage should be used to cervical traction treatment? what degree if cervical flexion should be used?

A

(1) 10-25 lbs
(2) C1-C2: 0-5 degrees
(3) C3-C4: 10-20 degrees
(4) C5-C7: 25-30 degrees

20
Q

how long should traction treatment be applied for static and intermittent interventions?

A

(1) static: 5-8 minutes

2) intermittent: 10-20 minutes (1:1 ratio

21
Q

what conditions would static treatment using traction be optimal?

A

(1) HNP

(2) muscle hypertonicity

22
Q

what conditions would intermittent treatment using traction be optimal?

A

(1) stenosis
(2) DDD
(3) facet joint hypomobility

23
Q

what amount of poundage should be used to lumbar traction treatment?

A

1/3 to 1/2 the patient’s body weight

24
Q

what are contraindications to traction?

A

(1) acute C/S trauma (whiplash)
(2) connective tissue diseases
(3) rheumatological disorders (ex. RA)
(4) joint instability
(5) ankylosing spondylitis
(6) osteoporosis / penia
(7) hx of steroid use
(8) post surgical stabilization or decompression, spine implants (discs)
(9) pregnancy (L/S)
(10) spinal malignancies
(11) non-mechanical pain

25
Q

what are precautions to traction?

A

(1) claustrophobia
(2) COPD
(3) pregnancy (C/S)

26
Q

why is cervical traction a precaution for pregnant women?

A

during pregnancy, the relaxin hormone is prevalent causing significant ligament laxity

27
Q

what are contraindications to ultrasound?

A

(1) cancer
(2) pregnancy / reproductive organs
(3) anterior neck
(4) myositis ossificans
(5) DVT / thrombophlebitis
(6) pacemaker
(7) impaired sensation
(8) acute skin injury / epiphyseal plates (Contraindication for continuous but precautions for pulsed)

28
Q

what are precautions to ultrasound?

A

(1) plastic /. cemented implants
(2) spinal cord
(3) superficial or regenerating nerves
(4) areas of infection

29
Q

what is the difference between 1 MHz and 3 MHz US? how deep do each reach?

A

(1) 1 MHz reaches 6cm

(2) 3 MHz reaches 2.5cm

30
Q

what parameters should be used for A-Thermal Ultrasound?

A
  • Duty Cycle: 20% or LESS
  • Frequency: 1 or 3 MHz (depending upon depth of tissues)
  • Intensity: 0.5 - 2 W/cm2
  • Total Treatment Time: 5-10 minutes
31
Q

what parameters should be used for Thermal Ultrasound?

A
  • Duty Cycle: >20% (100% continuous preferred)
  • Frequency: 1 or 3 MHz (depending upon depth of tissues)
  • Intensity: 0.5 - 2 W/cm2
  • Total Treatment Time: 10 minutes
32
Q

how large should the treatment area be for US?

A

2-4x the ERA

33
Q

what is the average BNR of an ultrasound unit?

A

5-6