Modalities Flashcards
heat application increases
CO
vasodilation
HR
RR
metabolic rate
heat application decreases
muscle activity
blood pressure
blood to internal organs
BF to resting muscle
SV
cold application increases
joint stiffness
pain threshold
muscle activation
cold application decreases
collagen extensibility
BF
capillary permeability
local metabolism
spasticity
NCV
hot pack temp
160-170
hot pack time
20-30min
hot pack layers
6-8 layers
cold pack temp
25
cold pack time
10-20 min
stages of cold
CBAN
cold, burning, aching, numb
contraindications heat pack
arterial disease
bleeding or hemorrhage
over an area of compromised circulation
over an area of malignancy
thrombophlebitis
impaired sensation or mentation
infared irraditation of eyes
contra cold pack
cold hypersensitivity
cold intolerance
cryoglobulinemia
paroxysmal CHg
Raynaud’s
over-regenerating peripheral nerves
circulatory compromise
NMES frequency
35-80pps
NMES duration
150-200 us small m.
200-350 us large m.
NMES amplitude
> 10% MVIC injured m.
50% MVIC uninjured m.
NMES on:off ration
1:5
treatment time
10-20 min to produced 10-20 repetitions for strengthening
negative electrode
promote healing of inflamed or infected wounds
positive electrode
healing of wounds without inflammation (proliferation phase)
HVPC frequency
60-125 pps
HVPC duration
40-100 us
HVPC amplitude
comfortable tingling
HVPC treatment time
45-60 minutes 5d/wk
iodine
sclerotic scares
salicylate
analgesic
acetate
calcium deposits
dexamethasone
musculoskeletal inflammation
copper
fungal infections
hyaluronidase
edema reduction
calcium/magnesium
muscle spasm
zinc
dermal ulcers
water
hyperhidrosis
high-rate TENS frequency
100 pps
high-rate TES durations
50-100 us
high-rate TENS amplitude
comfortable tingling
high-rate TENS duration
20-30min or during activities
low-rate TENS frequency
<10 pps
low-rate TENS pulse duration
> 150 us
low-rate TENS amplitude
visible twitch
low-rate TENS duration
20-45 min
noxious TENS frequency
high: 100 pps
low: 1-5 pps
noxious TENS duration
> 250 us up to 1sec
noxious TENS amplitude
highest tolerance/painful stimulus
noxious TENS duraiton
30-60s per area
thermal US impairments
soft tissue shortening
pain
non-thermal US impairments
delayed tissue healing
prolonged inflammation
superficial US frequency
3 MHz
deep US frequency
1 MHz
thermal/superficial intensity
0.5
thermal/deep intensity
1.5-2
non-thermal intensity
0.5-1.00
L5-S1 traction position
45-60 knee flexion
L3-4 traction position
75-90 knee flexion
disc traction dosage
25% BW
joint distraction traction dosage
50 lbs or 50% BW
cervical traction initial dosage
7-9 lbs
cervical traction disc dosage
11-15lbs
cervical traction joint distraction dosage
20-29 lbs or 7% BW
traction contraindications
immobilization
acute injury or inflammation
joint hypermobility or instability
peripherilization with traction
uncontrolled HTN
