Modalities (and home set up) Flashcards
moist heat increases…
CO, vasodilaiton, HR, metabolic rate
moist heat decreases…
muscle activity, BP to internal organs, stroke volume
cryotherapy increases…
joint stiffness, pain tolerance, muscle activation (after body adjusts)
cryotherapy decreases…
collagen ext, blood flow, capillary permeability, metabolism, spasticity, and NCV
heat CI
- arterial dx or compromised circulation
- bleeding
- area of malignancy
- impaired mentation/sensation
- pregnant abdomen
cold CI
- cold intolerance
- area of regenerating N
- circulatory compromise
E-stim strengthening parameters
frequency, duration, amp,on/off, time, and times/day
- freq:35-80
- small muscle (150-200) large (250-300)
- > 10% injured, >50% other
- 1:5
- 10-20min
- 2-3hr/day
HVPGC parameters
pulse rate
sensation
treatment time
same for neg/pos electrode
- 100-105
- comfortable tingle
- 45-60min
stages of cryotherapy
CBAN
- cold
- burning
- aching
- numb
iontophoresis (negattive meds/indications)
ISAD, send a calming man
- iodine
- salicylate
- acetate
- dexomethozone
- scars
- analgesic
- calcium deposit
- MSK inflammation
purpose of conventional TENS
and parameters
phases, frequency, pulse duration, time
sensory target for acute pain
* mono/biphasic @ 100pps
* 50-100 microsec
* comfy tingle for 20-30 min
purpose of acupunture/low rate TENS and parameters
phases, frequency, pulse duration, time
motor target for pts adapted to high rate
* mono/biphasic @ <10pps
* >150 microsec pulse duration
*visible twitch for 20-40min
purpose of brief intense TENS and parameters
phases, frequency, pulse duration, time
motor target for tactile distraction
* mono/biphasic @ 100pps
* > 150 pulse duration
* strong twitch
* <15 min
purpose of noxious TENS and parameters
phases, frequency, pulse duration, time
hyperstimulation for triggerpoint release
* DC or monophasic @ 100pps or 1-5
* >250 to 1s
* max pt tolerance for 30-60sec
