Modalities Flashcards
Heat or cold source contacts the pt directly?
Conduction
Hot pack/cold pack
The hot or cold source has a medium between it and the pt?
Convection
Hot tub/emersion w/ parrafin, fluidotherapy
Non heat source that causes heating?
Conversion
U.S, diathermy
What are the stages of ice sensation?
C.B.A.N
Cold, burning, achy, numbness
Contradictions for cryotherapy?
Hypersensitivity
Intolerance
Raynauds syndrome
Over regenerating PNS
Over PVD
What are the indications for cryotherapy? And does cryotherapy decrease or increase all indications?
Pain
Inflammation
Nerve conduction
Spasticity
Circulation
Metabolism
Decrease
How long should a cold pack be in the freezer effort first use? And the how long between uses?
2 hours first use
30 min between
How many cm is superficial heat?
1-2cm
What is used for superficial heat?
Hot pack
Parrafin
Fludiotherapy
Infrared
What is used as deep heat?
Continuous u.s
Diathermy
What are the indications for heat? And what is increased and decreased?
Vasodilation- increase
Nerve conduction- increase
Pain- decrease
Healing/metabolism- increase
Extensibility- increase
How often should you check pt skin when on heat?
1st 5 min
How often should you check pt skin when on heat?
1st 5 min
When should you not use heat or what are the contradictions?
Hemorrhage/bruise
Blood clot/ DVT
Sensation/mentation
Over tumor
Acute inflammation
How many times should you dip hand in parrafin with dip wrap?
6-10 times out of
What temp should fludiotherapy be set on?
100-118 degrees F
What should the temp difference be for contrast bath?
40 degrees F
What is the ratio for contrast bath? What type of water should be used first? How many cycles?
3:1, 4:1
Hot/cold
3
What frequency is ultrasound between at a depth of 2-5cm?
1-3 megahertz (MHz)
What is ultrasound useful for?
Soft tissue shortening
Pain
Dermal ulcers
Surgical skin incisions
Tendon injuries
Contradictions for U.S?
Pregnant belly
Tumor
Pacemaker
Blood clot
Growth plates
Recent fracture
Bony prominence
What are the indications for traction?
Disc bulge or herniation
Nerve root impingement
Joint hypomobility
Subacute inflammation
Spasm
Contradictions of traction?
Acute inflammation or injury
Joint hyper mobility or instability
Peripheral symptoms increase
Uncontrolled HTN
Suspected fracture
How many pounds for cervical traction? How many pounds for lumbar traction?
8-10
25-50% body weight. 30-45
Indications for compression?
Edema
Prevent DVTs
Venous statsis ulcers
Limb shaping
Hypertrophic scarring
Contradictions for compression?
Heart failure or pulmonary edema
Recent DVT or embolism
Arterial insufficiency
Acute trauma or fracture
Arterial revascularization
Can you use static or intermittent compression acutely?
Static can be applies acutely
What type of contraction should high volt be for muscle re education?
Tetanic contraction
What are some therapeutic gains for muscle contraction?
Muscle re education
Muscle pump contractions
Prevention of disuse atrophy
Maintaining range of motion
Muscle strengthening
What current is high volt?
Pulsed DC current
What current is high volt?
Pulsed DC current
What is indications for high volt in negative and positive tx pad?
Negative- decrease inflammation, decrease infection and edema
Positive- slow to heal wounds
What is indications for high volt in negative and positive tx pad?
Negative- decrease inflammation, decrease infection and edema
Positive- slow to heal wounds
How to get the dosage for iontophoresis?
Dosage (mA*min)=current (mA) X time (min)
How to get the dosage for iontophoresis?
Dosage (mA*min)=current (mA) X time (min)
What medication is used for inflammation, spasm, analgesia in iontophoresis?
Inflammation- dexamethasone, hydrocortisone
Spasm-calcium, magnesium
Analgesia- lidocaine
What medication is used for edema, open skin lesions, scar tissues and calcific deposits in iontophoresis?
Edema- Mecholyl, hyaluronidase
Open skin lesions- zinc
Scar tissue- iodine, chlorine
Calcific deposits- acetic acid
What type of ions do cathode and anode attract?
Cathode- positive charged
Anode- negative charged
What are indications for iontophoresis?
Superficial locations
Inflammation itis, osis
Scarring
Calcium deposits
What are 3 components of laser light?
Directional
Monochromatic
Coherent
What is the wavelength for shallow laser light? What color is shallow and how many mm?
600 nm
Red
1-2mm
What is wavelength for deep laser light? What color is it and how many mm is deep?
900 nm
Blue
2-4 mm
What are contradictions for UV light?
Fever of 99.5 or greater
TB pts
Cardiac, kidney, liver disease
