modalities Flashcards
Most to least resistant
Bone Cartilage Tendon Skin Muscles Blood Nerve
(becareful to see my black needle)
highest to lowest absorption in protein
bone cartilage tendon skin muscle nerve fat blood
lowest to highest in absorption in fluid
blood fat nerve muscles skim tendon cartilage bone
1.abilty to store electrical charges
2. unit
- capacitance
- farad
- intensity needed by the muscle to produce minimum muscle contraction
- N
- rheobase
- 2-18 mA or 5-35 V
- time needed by the muscle to produce minimum muscle contraction
- N
- Chronaxie
- <1 ms
1.automatic rise in the threshold of excitation d/t gradual increase in the intensity of stimulus
2. Law associated in this
- accommodation
- Dubois-Reymond’s Law
- POLAR FORMULA
- associated law
- CCC>ACC>AOC>COC
- Pleuger’s Law
Resting membrane potential
1. nn
2. ms
3. heart
4. GIT
- -70 mv
- -90 mv
- -88 mv
- -56 mv
main electrical properties of a nn.
a. electrical excitability
b. refractory period
impossible for the cell to send more action potentials
absolute period
supramaximal stimulus to stimulate
Relative period
indication for monoplar technique
innervated ms
indication for bipolar technique
innervated & denervated muscles
- <2000 hz
- indication
- examples
- low frequency current
- motor purposes
- ES FES TENS
- 1000-10000 Hz
- indication
3, example
- Medium Frequency Current
- Sensory: for nerve and innervated
- TENS, IFC, RUSSIAN
- > 10000 Hz
- Indication
- example
- High Frequency Current
- Thermal
- Diathermy, US, UVR, IRR, LASER
no off time increase risk of burns
direct constant current
- transfer of drugs into the body via direct current
- associated law
- Dosimetry
- iontophoresis
- law of repulsion
- current intensity: 1-4 mA Tx time: 20-40 mins; 40-80 mAmin
Electrodes Reaction Anode
pH
Color
Burn
Polarity
NCV
Effect
Function
less acidic
pinkish hyperemia
less burn
hyper polarization
less NCV
Sclerotic (hardening)
Function: Healing and closure
Medications for anion cathode & indication
- NaCl Adhesion
- Salicylic Pain and Inflammation
- Acetic Acid Calcium Deposits
- Iodine Wounds and keloids
- Dexamethasone Anti inflammatory
- H20 Hyperhydrosis
application of low frequency current via pulsed rectangular waveform through surface electrodes to reduce pain
Transcutaneous Electrical Nerve Stimulation
- a medium frequency current burst with a base frequency if 2500 hz and a burst of
50hz - Duty cycle
- Russian current
- ms strength: 1:5
fatigue 5:1
rom 2:5
pump 1:1
a medium frequency current beat when 2 or more AC are applied simultaneously
interferential current
study of electrical activities of contracting ms which provides information concerning the structure and function of motor units
EMG Biofeedback
4 criteria of EMG biofeedback
- good vision
- good comprehension and communication
- good motor control
- No sensory deficit
Inital and progressive for relaxation of emg biofeedback
initial: close spaced & low sensitivity detection
progressive: wide spaced and high sensitivity
Inital and progressive for strengthening of emg biofeedback
initial: wide spaced and high sensitivity
progressive: close spaced and low sensitivity
- > 20000 Hz which uses reverse piezoelectric effect
- Crystals in the transducer head
- Factors affecting the depth of penetration
- Ultrasound
- Quarts, Molybdenum, Ceramic
- Frequency, Wavelength, Intensity, Mode
progressive loss of acoustic power as distance travelled increase
attenuation
factors affecting USD Absorption and penetration
- Absorption
- Beam Divergence
- Deflection
Nearfield
convergence fresnel
far field
divergence fraunhoffer
bouncing of US wave
reflection
bending of US wave
refraction
scattering of US wave
Dispersion
scattering of US wave
Dispersion
Irregularities in US Intensity due to irregular shape of quarts crystal
Beam Non-Uniformity Ratio
Effects of BUNR
- Decrease the USD effect
- Increase risk for burn
- Pain
How to decrease BUNR
- Use appropriate intensity
- Move US Head constantly
Type of pain felt in increase intensity in US.
Aching
type of pain felt Insufficient coupling medium in US.
Burning
type of pain in Defective US Machine
Electric
Techniques used in USD
- Direct Contact
- Underwater/immersion technique
- Cushioned Technique
- Phonophoresis
two types of shortwave diathermy
- Electrostatic field
- Electromagnetic field
produces microwave diathermy
Magnetron
Frequency and wavelength of MWD
2450 Mhz = 122.5 mm
415-4339 Mhz = 330mm
Principles contributing to IRR intensity
- Wien’s Law
- Lambert Cosine Law
- Inverse Square Law
Wavelength and temp inversely proporti
Wien’s Law
Intensity and angle
Lambert Cosine Law
Intensity and distance
Inverse Square Law