Modalities Flashcards
For every 10 degrees increase in tissue temperature, the rate of cellular oxidation increases by
2-3x
Hot pack water
165-170
Hot pack reaches peak heat within the first ___ minutes of application
5
Paraffin: mineral oil
6-7:1
Paraffin temp
118-130
Cold packs storage temp
0-10
Ice massage application
4-6 inches, 2 in per second, 5-10 min
Vasocoolant application
18-24 inches away
30 degree angle
Contrast bath: hot and cold temp
Hot: 100-110
Cold: 55-65
Ultra sound depth of penetration
3-5 cm
Ultrasound treatment intensity
0.5-2.5 w/cm^2
Ultrasound treatment time
3-10 min
Phonophoresis treatment
Mode: pulsed- 20%
Time: 5-10 min
Intensity: 0.5-0.75
Lumbar spine force required for separation
50% bw
Cervical separation force
7% bw
Treatment of spasm initial treatment in lumbar
30-40
Treatment of spasm initial treatment in cervical
8-10
Reduction of disc protrusion lumbar
60-120
Reduction of disc protrusion cervical
12-15
Soft tissue stretch lumbar
25%
Soft tissue stretch cervical
12-15 lb
Muscle relaxation lumbar
25%
Muscle relaxation cervical
12-15 lb
Which angle of the neck can target C1-C5
0-5
Which angle of the neck targets C5-7
25-30
Angle of the hips to target L3-4
75-90
Angle of the hips to target L5-S1
45-60
Compression for lymphedema
<45
Compression for venous ulcers
> 30 @ ankle
Compression Treatment time for lymphedema
2 hr—> 3hr x2 day
Compression Treatment time for traumatic edema
2 hr/ day
Compression Treatment time for venous ulcers
2.5 hr x3/wk —> 2 hr/ day
Compression Treatment time for Residual limb edema
1 hr—> 1hr x3/ day
Effleurage is used to
Move from one area to another between strokes
Petrissage is used to
Loosen adhesions and increase venous return
Friction is used to
Stretch scars and loosen adhesions
Positive or negative warranted: macrophages
Positive
Positive or negative warranted: mast cells
Negative
Positive or negative warranted: neutrophils
Both
Positive or negative warranted: proliferation/ fibroblasts
Positive
Positive or negative warranted: wound contraction phase
Alternating positive negative
Positive or negative warranted: epithelial cells
Positive
Positive or negative warranted: edema reduction
Negative
The space between the active and dispersive electrodes should be at least
The diameter of the active electrode
How many muscle contractions is sufficient to strengthen a muscle with eStim
10-25
E stim duty cycle for muscle strengthening and re-education
> 1:3
Duty cycle for eStim for muscle spasm
1:1
Maximum intensity for ionto
4-5 mA
Positive or negative warranted: lidocaine
Positive
Positive or negative warranted: xylocaine
Positive
Positive or negative warranted: salicylate
Negative
Positive or negative warranted: acetate
Negative
Positive or negative warranted: zinc
Positive
Positive or negative warranted: hyaluronidase
Positive
Positive or negative warranted: copper
Positive
Positive or negative warranted: water
Either
Positive or negative warranted: calcium
Positive
Positive or negative warranted: magnesium
Positive
Positive or negative warranted: dexamethasone
Negative
Positive or negative warranted: hydrocortisone
Positive
TENS dosage for conventional
Pulse rate 50-88pps
Duration 55-100 usec
Time 20-60 min
TENS dosage for acupuncture
Pulse rate 1-5pps
Duration 150-300usec
Time 30-40 min
TENS dosage for brief intense
Pulse rate 80-150 pps
Duration 50-250 usec
Treatment time 15 min
TENS dosage for burst
Rate 55-100pps in bursts of 1-4pps
Duration 50-200 usec
Treatment time 20-30 min
TENS dosage for hyper stimulation
Pulse rate 1-5 pps
Duration 150-300 usec
Treatment time 15-30 sec increments
HiVolt wound healing parameters
Pulse rate 50-200 pps
Duration 20-100 usec
Mode continuous
Treatment time 20-60 min
Russian dosage for muscle strength
Amplitude: tetanic muscle contraction Pulse rate 50-70 pps Duration 150-200 usec or 50% duty cycle Mode: interrupted Ramp 1-5 based on tolerance Duty cycle 1:5
Movement of the joint for Russian stim should be around __-__ degrees per sec
5-10
Russian duty cycle for muscle pumping
1:1
Russian duty cycle for ROM
2:5
Functional eStim procedure for shoulder subluxation
Electrode placement: bipolar on supraspinatus and deltoid
Amplitude: tetanic muscle contraction to tolerance
Pulse rate 12-25 pps
Treatment duration 15-30 min x3 daily —>6-7 hours
On:off 1:3–>12:1
Functional eStim treatment for dorsiflexion
Pulse duration: 20-250 usec Electrode placement: bipolar on peroneal nerve or anterior tib
Amplitude: tetanic muscle contraction to decrease plantar flexion
Pulse rate 30-300 pps
Treatment mode: switch c stance limb
EMG: Active electrodes are placed ___cm apart and ____ to muscle fibers
1-5 cm
Parallel to fibers
EMG: Active electrodes close together
Minimize crosstalk, yield small, more precise signals
EMG: Active electrodes places further apart
He loves large signals, detection from more than one muscle
How long to contract for EMG
6-10 sec
EMG: as a patient’s motor recruitment ability improves, ____ sensitivity
Decrease sensitivity, making it more difficult to produce an audiovisual signal
EMG: to decrease muscle signal, begin with electrodes …
Closely spaced and sensitivity low to minimize cross talk