Modalities Flashcards

1
Q

For every 10 degrees increase in tissue temperature, the rate of cellular oxidation increases by

A

2-3x

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2
Q

Hot pack water

A

165-170

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3
Q

Hot pack reaches peak heat within the first ___ minutes of application

A

5

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4
Q

Paraffin: mineral oil

A

6-7:1

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5
Q

Paraffin temp

A

118-130

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6
Q

Cold packs storage temp

A

0-10

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7
Q

Ice massage application

A

4-6 inches, 2 in per second, 5-10 min

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8
Q

Vasocoolant application

A

18-24 inches away

30 degree angle

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9
Q

Contrast bath: hot and cold temp

A

Hot: 100-110
Cold: 55-65

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10
Q

Ultra sound depth of penetration

A

3-5 cm

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11
Q

Ultrasound treatment intensity

A

0.5-2.5 w/cm^2

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12
Q

Ultrasound treatment time

A

3-10 min

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13
Q

Phonophoresis treatment

A

Mode: pulsed- 20%
Time: 5-10 min
Intensity: 0.5-0.75

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14
Q

Lumbar spine force required for separation

A

50% bw

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15
Q

Cervical separation force

A

7% bw

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16
Q

Treatment of spasm initial treatment in lumbar

A

30-40

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17
Q

Treatment of spasm initial treatment in cervical

A

8-10

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18
Q

Reduction of disc protrusion lumbar

A

60-120

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19
Q

Reduction of disc protrusion cervical

A

12-15

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20
Q

Soft tissue stretch lumbar

A

25%

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21
Q

Soft tissue stretch cervical

A

12-15 lb

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22
Q

Muscle relaxation lumbar

A

25%

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23
Q

Muscle relaxation cervical

A

12-15 lb

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24
Q

Which angle of the neck can target C1-C5

A

0-5

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25
Q

Which angle of the neck targets C5-7

A

25-30

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26
Q

Angle of the hips to target L3-4

A

75-90

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27
Q

Angle of the hips to target L5-S1

A

45-60

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28
Q

Compression for lymphedema

A

<45

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29
Q

Compression for venous ulcers

A

> 30 @ ankle

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30
Q

Compression Treatment time for lymphedema

A

2 hr—> 3hr x2 day

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31
Q

Compression Treatment time for traumatic edema

A

2 hr/ day

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32
Q

Compression Treatment time for venous ulcers

A

2.5 hr x3/wk —> 2 hr/ day

33
Q

Compression Treatment time for Residual limb edema

A

1 hr—> 1hr x3/ day

34
Q

Effleurage is used to

A

Move from one area to another between strokes

35
Q

Petrissage is used to

A

Loosen adhesions and increase venous return

36
Q

Friction is used to

A

Stretch scars and loosen adhesions

37
Q

Positive or negative warranted: macrophages

A

Positive

38
Q

Positive or negative warranted: mast cells

A

Negative

39
Q

Positive or negative warranted: neutrophils

A

Both

40
Q

Positive or negative warranted: proliferation/ fibroblasts

A

Positive

41
Q

Positive or negative warranted: wound contraction phase

A

Alternating positive negative

42
Q

Positive or negative warranted: epithelial cells

A

Positive

43
Q

Positive or negative warranted: edema reduction

A

Negative

44
Q

The space between the active and dispersive electrodes should be at least

A

The diameter of the active electrode

45
Q

How many muscle contractions is sufficient to strengthen a muscle with eStim

A

10-25

46
Q

E stim duty cycle for muscle strengthening and re-education

A

> 1:3

47
Q

Duty cycle for eStim for muscle spasm

A

1:1

48
Q

Maximum intensity for ionto

A

4-5 mA

49
Q

Positive or negative warranted: lidocaine

A

Positive

50
Q

Positive or negative warranted: xylocaine

A

Positive

51
Q

Positive or negative warranted: salicylate

A

Negative

52
Q

Positive or negative warranted: acetate

A

Negative

53
Q

Positive or negative warranted: zinc

A

Positive

54
Q

Positive or negative warranted: hyaluronidase

A

Positive

55
Q

Positive or negative warranted: copper

A

Positive

56
Q

Positive or negative warranted: water

A

Either

57
Q

Positive or negative warranted: calcium

A

Positive

58
Q

Positive or negative warranted: magnesium

A

Positive

59
Q

Positive or negative warranted: dexamethasone

A

Negative

60
Q

Positive or negative warranted: hydrocortisone

A

Positive

61
Q

TENS dosage for conventional

A

Pulse rate 50-88pps
Duration 55-100 usec
Time 20-60 min

62
Q

TENS dosage for acupuncture

A

Pulse rate 1-5pps
Duration 150-300usec
Time 30-40 min

63
Q

TENS dosage for brief intense

A

Pulse rate 80-150 pps
Duration 50-250 usec
Treatment time 15 min

64
Q

TENS dosage for burst

A

Rate 55-100pps in bursts of 1-4pps
Duration 50-200 usec
Treatment time 20-30 min

65
Q

TENS dosage for hyper stimulation

A

Pulse rate 1-5 pps
Duration 150-300 usec
Treatment time 15-30 sec increments

66
Q

HiVolt wound healing parameters

A

Pulse rate 50-200 pps
Duration 20-100 usec
Mode continuous
Treatment time 20-60 min

67
Q

Russian dosage for muscle strength

A
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
68
Q

Movement of the joint for Russian stim should be around __-__ degrees per sec

A

5-10

69
Q

Russian duty cycle for muscle pumping

A

1:1

70
Q

Russian duty cycle for ROM

A

2:5

71
Q

Functional eStim procedure for shoulder subluxation

A

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

72
Q

Functional eStim treatment for dorsiflexion

A

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

73
Q

EMG: Active electrodes are placed ___cm apart and ____ to muscle fibers

A

1-5 cm

Parallel to fibers

74
Q

EMG: Active electrodes close together

A

Minimize crosstalk, yield small, more precise signals

75
Q

EMG: Active electrodes places further apart

A

He loves large signals, detection from more than one muscle

76
Q

How long to contract for EMG

A

6-10 sec

77
Q

EMG: as a patient’s motor recruitment ability improves, ____ sensitivity

A

Decrease sensitivity, making it more difficult to produce an audiovisual signal

78
Q

EMG: to decrease muscle signal, begin with electrodes …

A

Closely spaced and sensitivity low to minimize cross talk