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Modalities > Modalities > Flashcards

Modalities Flashcards

1
Q

Russian pulse duration

A

150-200 µsec

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2
Q

Russian pulse frequency

A

50-70

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3
Q

Russian On:Off time

A

10:50

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4
Q

Russian Ramp

A

1-5 sec

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5
Q

Russian electrode placement

A

Bipolar

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6
Q

Russian Treatment time

A

Based on number of contractions

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7
Q

Russian Amplitude

A

Max contraction/tolerance

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8
Q

Russian Parameters

A

Pulse width/Duration= 150-200 µsec

Pulse Frequency= 50-70 pps

On:Off time: Will vary on your use, 10 sec on:50 sec off is common for >10 reps

Ramp: 1-5 sec up/down

Bipolar electrode placement

Determine treatment based on number of contractions not length of time (similar to therapeutic exercise prescription)

Amplitude: Maximal contraction/tolerance

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9
Q

NMES Pulse Duration

A

200-800 Pulse µsec

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10
Q

NMES Pulse Frequency

A

30-100 pps

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11
Q

NMES On:Off time

A

10:50 common for >10 reps

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12
Q

NMES Ramp

A

1-5 sec

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13
Q

NMES electrode placement

A

bipolar

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14
Q

NMES treatment time

A

based off of # of contractions

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15
Q

NMES Amplitude

A

Max contraction/tolerance

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16
Q

Typical NMES parameters

A

Pulse width/Duration= 200-800 µsec

Pulse Frequency= 30-100 pps

On:Off time: Will vary on your use, 10 sec on:50 sec off is common for >10 reps

Ramp: 1-5 sec up/down

Bipolar electrode placement

Determine treatment based on number of contractions not length of time (similar to therapeutic exercise prescription)

Amplitude: Maximal contraction/tolerance

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17
Q

IFC Pulse duration

A

200-400µsec

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18
Q

IFC Frequency

A

10-150 pps

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19
Q

IFC duration

A

10-30 mins

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20
Q

IFC electrode setup

A

Quadripolar

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21
Q

IFC amplitude

A

strong but tolerable

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22
Q

IFC parameters

A

Wave form: alternating current (polyphasic sinusoidal) amplitude modulated beats

Pulse width/Duration= 200-400 µsec

Frequency= 10-150 pps

Duration = 10-30 mins

Quadripolar electrode setup

Goal: pain reduction

Amplitude: strong but tolerable sensation

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23
Q

High Rate TENS wave form

A

typically asymmetrical biphasic

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24
Q

Hight Rate TENS current

A

continuous, pulsatile, or burst

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25
Q

High Rate TENS Amplitude

A

comfortable tingling with no muscle response

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26
Q

Hight Rate TENS Frequency

A

50-80 pps

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27
Q

High Rate TENS pulse duration

A

50-100 µsec

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28
Q

High Rate TENS treatment time

A

10 minutes-several hours

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29
Q

High Rate TENS parameters

A

Wave form: typically asymmetrical biphasic
Current: continuous, pulsatile, or burst
Amplitude: comfortable tingling sensation; no muscle response
Pulse rate: 50-80pps
Pulse duration: 50-100 µsec
Duration of treatment: 10 minutes-several hours
Onset of pain relief: relatively fast
Duration of pain relief: temporary

30
Q

Low Rate TENS Wave form

A

typically asymmetrical biphasic

31
Q

Low Rate TENS current

A

continuous, pulsatile, or burst

32
Q

Low Rate TENS amplitude

A

strong but comfortable rhythmic muscle twitch

33
Q

Low Rate TENS frequency

A

1-5 pps

34
Q

Low Rate TENS pulse duration

A

150-300

35
Q

Low Rate TENS duration of treatment

A

20-40 minutes

36
Q

Low Rate TENS Onset of pain relief

A

20-40 minutes

37
Q

Low Rate TENS duration of pain relief

A

over 1 hr

38
Q

Low Rate TENS parameters

A

Wave form: typically asymmetrical biphasic
Current: continuous, pulsatile, or burst
Amplitude: strong, but comfortable rhythmic muscle twitch
Pulse rate: 1-5pps
Pulse duration: 150-300 µsec
Duration of treatment: 20-40 minutes
Onset of pain relief: 20-40 minutes
Duration of pain relief: long lasting > 1 hour

39
Q

Brief Intense TENS wave form

A

asymmetrical biphasic

40
Q

Brief Intense TENS current

A

continuous, pulsatile, or burst

41
Q

Brief Intense TENS amplitude

A

to tolerance

42
Q

Brief Intense TENS frequency

A

80-150 pps

43
Q

Brief Intense TENS pulse duration

A

50-250 µsec

44
Q

Brief Intense TENS duration of treatment

A

15 minutes

45
Q

Brief Intense TENS parameters

A 
Wave form: typically asymmetrical biphasic
Current: continuous, pulsatile, or burst
Amplitude: patient’s tolerance
Pulse rate: 80-150pps 
Pulse duration: 50-250 µsec 
Duration of treatment: 15 minutes
Onset of pain relief: relatively fast
Duration of pain relief: temporary (30-60 minutes)
46
Q

Burst mode TENS wave form

A

asymmetrical biphasic

47
Q

Burst mode TENS current

A

continuous, pulsatile, or burst

48
Q

Burst mode TENS amplitude

A

comfortable, intermittent paresthesia

49
Q

Burst mode TENS frequency

A

50-100 pps in bursts of 1-4

50
Q

Burst mode TENS pulse duration

A

50-200 µsec

51
Q

Burst mode TENS treatment time

A

20-30 minutes

52
Q

Burst mode TENS parameters

A

Wave form: typically asymmetrical biphasic
Current: continuous, pulsatile, or burst
Amplitude: comfortable, intermittent paresthesia
Pulse rate: 50-100 pps delivered in packets or bursts 1-4 pps
Pulse duration: 50-200 µsec
Duration of treatment: 20-30 minutes
Onset of pain relief: 20-40 minutes
Duration of pain relief: long lasting (hours)

53
Q

Hyperstimulation (point stimulation) TENS wave form

A

asymmetrical biphasic

54
Q

Hyperstimulation TENS current

A

continuous, pulsatile, or burst

55
Q

Hyperstimulation TENS amplitude

A

max tolerance, should be uncomfortable

56
Q

Hyperstimulation TENS frequency

A

1-5 pps

57
Q

Hyperstimulation TENS pulse duration

A

150-300 µsec

58
Q

Hyperstimulation TENS on/off cycle

A

15-30 second increments

59
Q

Hyperstimulation TENS treatment time

A

15-20 minutes

60
Q

Hyperstimulation TENS parameters

A

Wave form: typically asymmetrical biphasic
Current: continuous, pulsatile, or burst
Amplitude: maximum tolerance should be uncomfortable
Pulse rate: 1-5pps
Pulse duration: 150-300 µsec
On/off cycle: 15-30 second increments
Duration of treatment: generally 15-20 minutes but can be longer
Onset of pain relief: 20-40 minutes
Duration of pain relief: long-lasting

61
Q

Iontophoresis wave form

A

DC

62
Q

Iontophoresis amplitude

A

max intensity 4-5 mA

63
Q

Iontophoresis electrode placement

A

similar charge electrode over treatment area
positive (anode)
negative (cathode)

64
Q

US Contraindications

A 
Impaired circulation
Impaired cognitive function
Absent sensation
Cancer
Joint cement
over plastic components
vital areas
pregnancy
65
Q

US precautions

A

acute inflammation
open epiphyseal plate
healing fx
breast implants

66
Q

Thermal US parameters 1-2 cm depth

A

duty cycle: 100%
frequency: 3 MHZ
intensity: 0.5-1.0 W/cm2
Duration: 5-10 min

67
Q

Thermal US parameters 5cm depth for soft tissue shorteni

A

duty cycle: 100%
frequency: 1MHZ
intensity: 1.5-2.0 W/cm2
Duration: 5-10 min

68
Q

Non- Thermal US parameters 1-2cm

A

duty cycle: 20% or 50%

frequency: 3 MHZ
intensity: 0.5-1.0 W/cm2
duration: 5-10 min

69
Q

Non- Thermal US parameters 5cm

A

duty cycle: 20% or 50%

frequency: 1 MHZ
intensity: 1.5-2.0 W/cm2
duration: 5-10 min

70
Q

What are the contraindications for E-Stim?

A
  1. pacemaker/electronic medical device
  2. over carotid artery, thrombosis, eyes, phrenic nerve, pelvis, low back with pregnancy
  3. transcerebrally
  4. active bleeding or infection
  5. superficial metal implants
  6. malignant tumors
  7. pharyngeal muscles
  8. laryngeal muscles
  9. motor level stim in conditions that prohibit motion
71
Q

E-stim precautions

A
  1. cardiac disease
  2. impaired mentation
  3. impaired sensation
  4. skin irritation/open wounds
  5. uncontrolled hyper/hypotension
  6. bleeding disorders

Modalities (1 decks)

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