Modalities Flashcards
1
Q
For every 10 degrees increase in tissue temperature, the rate of cellular oxidation increases by
A
2-3x
2
Q
Hot pack water
A
165-170
3
Q
Hot pack reaches peak heat within the first ___ minutes of application
A
5
4
Q
Paraffin: mineral oil
A
6-7:1
5
Q
Paraffin temp
A
118-130
6
Q
Cold packs storage temp
A
0-10
7
Q
Ice massage application
A
4-6 inches, 2 in per second, 5-10 min
8
Q
Vasocoolant application
A
18-24 inches away
30 degree angle
9
Q
Contrast bath: hot and cold temp
A
Hot: 100-110
Cold: 55-65
10
Q
Ultra sound depth of penetration
A
3-5 cm
11
Q
Ultrasound treatment intensity
A
0.5-2.5 w/cm^2
12
Q
Ultrasound treatment time
A
3-10 min
13
Q
Phonophoresis treatment
A
Mode: pulsed- 20%
Time: 5-10 min
Intensity: 0.5-0.75
14
Q
Lumbar spine force required for separation
A
50% bw
15
Q
Cervical separation force
A
7% bw
16
Q
Treatment of spasm initial treatment in lumbar
A
30-40
17
Q
Treatment of spasm initial treatment in cervical
A
8-10
18
Q
Reduction of disc protrusion lumbar
A
60-120
19
Q
Reduction of disc protrusion cervical
A
12-15
20
Q
Soft tissue stretch lumbar
A
25%
21
Q
Soft tissue stretch cervical
A
12-15 lb
22
Q
Muscle relaxation lumbar
A
25%
23
Q
Muscle relaxation cervical
A
12-15 lb
24
Q
Which angle of the neck can target C1-C5
A
0-5
25
Which angle of the neck targets C5-7
25-30
26
Angle of the hips to target L3-4
75-90
27
Angle of the hips to target L5-S1
45-60
28
Compression for lymphedema
<45
29
Compression for venous ulcers
>30 @ ankle
30
Compression Treatment time for lymphedema
2 hr—> 3hr x2 day
31
Compression Treatment time for traumatic edema
2 hr/ day
32
Compression Treatment time for venous ulcers
2.5 hr x3/wk —> 2 hr/ day
33
Compression Treatment time for Residual limb edema
1 hr—> 1hr x3/ day
34
Effleurage is used to
Move from one area to another between strokes
35
Petrissage is used to
Loosen adhesions and increase venous return
36
Friction is used to
Stretch scars and loosen adhesions
37
Positive or negative warranted: macrophages
Positive
38
Positive or negative warranted: mast cells
Negative
39
Positive or negative warranted: neutrophils
Both
40
Positive or negative warranted: proliferation/ fibroblasts
Positive
41
Positive or negative warranted: wound contraction phase
Alternating positive negative
42
Positive or negative warranted: epithelial cells
Positive
43
Positive or negative warranted: edema reduction
Negative
44
The space between the active and dispersive electrodes should be at least
The diameter of the active electrode
45
How many muscle contractions is sufficient to strengthen a muscle with eStim
10-25
46
E stim duty cycle for muscle strengthening and re-education
>1:3
47
Duty cycle for eStim for muscle spasm
1:1
48
Maximum intensity for ionto
4-5 mA
49
Positive or negative warranted: lidocaine
Positive
50
Positive or negative warranted: xylocaine
Positive
51
Positive or negative warranted: salicylate
Negative
52
Positive or negative warranted: acetate
Negative
53
Positive or negative warranted: zinc
Positive
54
Positive or negative warranted: hyaluronidase
Positive
55
Positive or negative warranted: copper
Positive
56
Positive or negative warranted: water
Either
57
Positive or negative warranted: calcium
Positive
58
Positive or negative warranted: magnesium
Positive
59
Positive or negative warranted: dexamethasone
Negative
60
Positive or negative warranted: hydrocortisone
Positive
61
TENS dosage for conventional
Pulse rate 50-88pps
Duration 55-100 usec
Time 20-60 min
62
TENS dosage for acupuncture
Pulse rate 1-5pps
Duration 150-300usec
Time 30-40 min
63
TENS dosage for brief intense
Pulse rate 80-150 pps
Duration 50-250 usec
Treatment time 15 min
64
TENS dosage for burst
Rate 55-100pps in bursts of 1-4pps
Duration 50-200 usec
Treatment time 20-30 min
65
TENS dosage for hyper stimulation
Pulse rate 1-5 pps
Duration 150-300 usec
Treatment time 15-30 sec increments
66
HiVolt wound healing parameters
Pulse rate 50-200 pps
Duration 20-100 usec
Mode continuous
Treatment time 20-60 min
67
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
```
68
Movement of the joint for Russian stim should be around __-__ degrees per sec
5-10
69
Russian duty cycle for muscle pumping
1:1
70
Russian duty cycle for ROM
2:5
71
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
72
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
73
EMG: Active electrodes are placed ___cm apart and ____ to muscle fibers
1-5 cm
| Parallel to fibers
74
EMG: Active electrodes close together
Minimize crosstalk, yield small, more precise signals
75
EMG: Active electrodes places further apart
He loves large signals, detection from more than one muscle
76
How long to contract for EMG
6-10 sec
77
EMG: as a patient’s motor recruitment ability improves, ____ sensitivity
Decrease sensitivity, making it more difficult to produce an audiovisual signal
78
EMG: to decrease muscle signal, begin with electrodes ...
Closely spaced and sensitivity low to minimize cross talk
