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NPTE Prep_Mitch > Modalities > Flashcards

Modalities Flashcards

4
Q

Ultra sound: depth

A

up to 5cm

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5
Q

Ultra sound: Frequency

A

1MHz for deeper tissue (up to 5cm)

3Mhz for shallow tissue (1-2cm)

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6
Q

Ultra sound: duty cycle

A

= on time/ (on time+off time)
eg 20% = 1msec on , 4msec off
lower percentage are for non-heating effects
20%is most commonly recommended for non-thermal

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7
Q

Ultrasound: duration

A

2-3 times the size of transducer =5 min

longer duration for lower intensity/ lower frequencies

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8
Q

bilik mandi

A

bathroom

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8
Q

Phonophoresis

A

Ultrasound to deliver meds

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9
Q

Ultrasound contraindications

A

active bleeding, decreased temp sensation, decreased circulation, DVT, infection, malignancy, over breast implants, over carotid sinus/cervical ganglia, epiphyseal areas in kids, overs eyes, heart, genitals, over preg bump, over pacemaker, thrombophlebitis, vascular insificianecy

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10
Q

Hydrotherapy tanks: extremity tank

A

for distal LE / UE

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11
Q

botol

A

bottle

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11
Q

Hydrotherapy tank: lowboy tank

A

larger body parts, permits long sitting, wter to midthoracic level,

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12
Q

Hydrotherapy tank:highboy tank

A

larger parts, permits sitting in chest deep water with hips and knees flexed,

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13
Q

Hydrotherapy tank: hubbard tank

A

full body emersion, contraindications= unstable BP, incontinence) not excedd 100degF

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14
Q

meja

A

table

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14
Q

Lumbar traction: supine vs prone

A

Supine= more separation of posterior structures (facet joints, intervertebral foramin)
Prone: separation of anterior structures (disk spaces)

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15
Q

Lumbar traction: intermittent vs static

A

Static: for symptoms exaggerated by mvmt
intermittent: joint mobilization for those who cannot tolerate static

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16
Q

Lumbar traction: Force

A

max 30 lbs for initial session
25% of BW for soft tissue stetch (muscle spasm/disc protrusion)
50% of BW for separation of vertebrae

17
Q

Lumbar traction: duration

A

no specific guidelines: 5-30min
disk= 10min or less
up to 30 with other conditions

18
Q

Cervical traction: amt of flexion to target c spine

A

upper cervical: 0-5deg
mid cervical: 10-20deg
lower cervical: 25-35deg

19
Q

Cervical traction: Force

A

up to 10lbs in 1st session
7-10% of pts BW for soft tissue (11-15lbs)
13-20% of BW for joint distraction (20-30lbs)
do not exceed 30lbs

20
Q

Compression garmaents: Antiembolism, scar/burn, edema control pressures

A

Antiembolism: 16-18mmHg (off the shelf)
Burn/scar: 20-30mmHg
Edema control: 30-40mmHg

21
Q

CPM rate

A

2 cycles /min

22
Q

Electrotherapy: Current

A

direct flow of charge from one place to another. Measures in ampere =6.25x10^18 electrons/ sec

23
Q

Electrotherapy: Voltage

A

electromotive force/ electrical potential difference. Volts

24
Q

Electrotherapy: Resistance

A

ability of a material to oppose the flow of ions through it. Ohms. resistance= voltage/current

25
Q

Ionto: Dosage

A

measured in milli amp minutes. ranges from 40-80 mA-min. (40mA-min can be delived in 10min with 4.0mA. lower amplitude will take longer to admin but less likely to irritate skin)

26
Q

Ionto: Duration

A

10-20min. check every 3-5 min

27
Q

Ionto: Positive Meds

A

Copper sulfate: fungal infection
lidocaine: analgesia, inflammation
Magnesium Sulfate: muscle spasms, ischemia
Zinc oxide: Healing, dermal ulcers, wounds

28
Q

Ionto: negative meds

A 
Acetic acid: calcific deposits/myositis ossifican
Calcium Chloride: scar, keloid, ms spams
Dexamethasone: inflamm
Iodine: scars, adhesive capsulitis
salicylates: ms/jt pain, plantar warts
29
Q

Massage: effleurage

A

light stroke, performed at beginning and end to allow pt to relax, direct toward heart

30
Q

Massage: friction

A

small circles over trigger pt, or spasm, deep. loosens adhesions, reduce edema

31
Q

Massage: petrissage

A

kneading/ rolling of ms. loosen adhesions, improve lymph return, remove metabolic waste. distal to proximal

32
Q

Massage: Tapotement

A

rapid alternating movements,: cupping, tapping, hacking. increase circulation, stim peripheral nerve endings

33
Q

Massage: vibration

A

rapid shaking movement for relaxation

34
Q

Electrodes size: current density, impedance, current flow

A

Small Vs large
Current density: S=increased L=decreased
Impedance: S =inc L= decr
Current flow: S= Decr L= Inc

NPTE Prep_Mitch (7 decks)

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