Modalities

Question 1

efx of heat on BP..

Answer 1

decr BP

Question 2

hot pack should be immersed in what temp water?

Answer 2

165 - 170 deg F

Question 3

how many layers of towels between pt & hot pack? how many layers is a terry cloth cover?

Answer 3

-6-8 layers; terry cloth is 4-6 layers

Question 4

when does a hot pack reach peak heat?

Answer 4

5 minutes

Question 5

2 methods of applying paraffin = ?

Answer 5

1. dip & wrap - dip 6-12 layers of paraffin then wrapped in plastic wrap or wax paper and elevate for 15-20 min
2. dip and immersion: same steps except leave in bath at end

Question 6

treatment temp for paraffin:

Answer 6

125-127 deg F

Question 7

IF putting a pt into a whirlpool with open wounds, what precaution should you take?

Answer 7

1. add disinfectant : ie sodium hypochlorite (dilution of 200 ppm) or chloramine-T (100-200 ppm)
2. utilize standard precautions : gown, goggles, gloves, masks

Question 8

temperature of whirlpool or Hubbard for treatment?

incl for open wounds & PVD

Answer 8

whirlpool : 103-110 deg
Hubbard: 100
PVD: 95-100
open wounds: 92-96

Question 9

water temp for aquatic therapy =

Answer 9

92-98 deg

LOWER for MS /temp sensitivity/PVD

Question 10

what are 2 adverse effects that can occur 2/2 cold?

Answer 10

cold urticaria (severe itching) & facial flush/puffiness of eyelids/respiratory problems 
-BOTH 2/2 histamine release

Question 11

contraindications for use of CRYOtherapy:

Answer 11

1. PVD
2. Raynaud’s
3. temperature insensitivity
4. urticaria
5. cryoglobulinemia
6. paroxysmal cold hemoglobinuria
7. over regenerating peripheral nerves

Question 12

ice pack temp should be..

Answer 12

0-10 deg

Question 13

ice massage: stages pt will go thru:

Answer 13

cold -> burning -> aching -> numbness

Question 14

ice massage treatment time?

Answer 14

5-10 minutes

Question 15

after spraying vapocoolant , you should..

Answer 15

have pt perform active exercise (also PROM before and during tx)

Question 16

to achieve thermal effects via US, use which mode?

Answer 16

CONTINUOUS

Question 17

pulsed US is used when?

Answer 17

nonthermal efx desired ie acute soft tissue injury

Question 18

to access the superficial layers during US, what depth of penetration should be used?

Answer 18

3 MHz

Question 19

IF during US a pt expresses periosteal pain, what should you do?

Answer 19

either decrease the intensity OR increase the SA of tx

Question 20

typical US pulsed duty cycle is..

Answer 20

20-50 %

Question 21

US treatment intensity ranges:

Answer 21

0. 5-3 w/cm2

- LOWER intensity for acute conditions/thin tissue

Question 22

for phonophoresis, what mode of US should be used?

Answer 22

pulsed 20% , 1-3 w/cm2,

Question 23

what modality is recommended to aid in healing diabetic ulcers and wounds?

Answer 23

PULSED DIATHERMY

Question 24

To produce disc distraction in the C-spine, what % of BWT should be used for traction? How about for disc protrusion?

Answer 24

approx 7 % (20-30 lbs)

disc protrusion: 12-15 lbs

Question 25

for C-spine traction, what is the positioning?

Answer 25

20-30 deg flexion

Question 26

what % of BWT should be used for lumbar traction for jt distractin?

Answer 26

50% (60-120 lbs ) - same for reduction of disc protrusion - 5-10 min for herniated disc, 10-30 min for other conditions

Question 27

when applying intermittent mechanical compression, after you check the pt's BP what should you do next?

Answer 27

elevate the limb approx 45 deg and abducted 20-70 deg

Question 28

what should the inflation : deflation ratio be for intermittent mechanical compression?

Answer 28

3 : 1

Question 29

what should be the max setting for intermittent mechanical compression?

Answer 29

the pt's diastolic BP

Question 30

treatment time for intermittent mechanical compression for lymphedema?

Answer 30

2 hours (ideal : two 3-hour sessions daily)

Question 31

rate of motion for CPM = ?

Answer 31

1 to 4 minute cycles

Question 32

CPM initial ROM setting?

Answer 32

20-40 deg knee flexion (increase by 5-10 deg )

Question 33

how long can you maintain positioning in a tilt table?

Answer 33

30-60 min

Question 34

to assist in wound healing, what type of e-stim would you use?

Answer 34

either low voltage continuous OR pulsed high voltage

Question 35

when treating a would via ES, in the early phases of healing which of the electrodes should be placed over the wound?

Answer 35

CATHODE for bactericidal effect ; once wound is culture free, use the anode for positive effects

Question 36

conventional TENS parameters: | -pulse rate, pulse duration, mode, duration of treatment

Answer 36

pulse rate: 50-80 pps pulse duration : 50-100 millisec mode: continuous Duration : 20-60 min

Question 37

when applying IONTOPHORESIS, the active electrode should be ---- in comparison to the medicinal ion polarity?

Answer 37

the SAME ie ANODE (+) w lidocaine (+)

Question 38

3 examples of negative medicinal ions used in iontophoresis =

Answer 38

1. acetate 2. salicylate 3. dexamethosone USE A CATHODE WITH THESE

Question 39

during iontophoresis, zinc is used for .. and its polarity is..

Answer 39

used for DERMAL ULCERS; (+) so use an ANODE

Question 40

Russian current (medium frequency) is used for..

Answer 40

muscle strengthening and decreasing ms spasm

Question 41

when applying biofeedback for very weak muscles, you should place the electrodes HOW?

Answer 41

very widely spaced, also increase the sensitivity to increase ms contraction detection