Modalities Test

Question 1

What are the three types of wound drainage?

Answer 1

Perulent = Cloudy and Smelly (sign of infection)

Serous = Loose and Clear

Serosanguinous = Has blood in it

Question 2

What are the two types of scars?

Answer 2

Adherent = stuck to the tissue underneath

Keloid = raised above the tissue.

Question 3

What is the most effective way to use a hot pack?

Answer 3

Don’t just let them sit there with the heat, best way to utilize the time is to simultaneously stretch while they are being heated (ex: put a heating pack under their arm and give them weight to hold in order to stretch wrist)

Question 4

What is the main and most effective use for a whirlpool and why?

Answer 4

For wound debridement, its not effective for heat because it does not stay hot long enough.

Question 5

What is a benefit of paraffin?

Answer 5

It conforms to the joints and distributes heat evenly around the extremity. Can be taken off and then patient can squeeze for strengthening exercise.

Question 6

What can be a benefit of fluidotherapy besides heat?

Answer 6

Can be used for hyposensitive scars. Client can start at the top where there is less sensory input and work down to the bottom where there is more sensory input.

Question 7

When is the best time to use ice or heat for pain?

Answer 7

Acute pain or injury = ice at first

Chronic pain or injury = heat

Question 8

How does ultrasound work?

Answer 8

Produces sound waves which delivers deep heat to the tissues.

Question 9

What level of sound waves go deepest with ultrasound?

Answer 9

1mhz goes deeper than 3mhz

Question 10

What is the purpose of thermal ultrasound?

Answer 10

Increases blood flow

reduces muscle spasms

Increases extensibility of tissues

Question 11

What is the purpose of non-thermal ultrasound?

Answer 11

Treats soft tissue lesions. Used for acute injury.

Question 12

What is the purpose of different size trandusers with ultrasounds?

Answer 12

The larger the treatment area the larger the transduser.

The treatment area should be 4X larger than the transduser.

Question 13

What is phonophoresis?

Answer 13

It is a form of ultrasound that delivers medication into the tissue.

Question 14

What are 2 contraindications of phonophoresis?

Answer 14

Burn on the bone

Cavitation: Air bubbles in the blood that can explode

Question 15

What are the 3 types of Estim that is A/C?

Answer 15

TENS

MNMES

Interferential

Question 16

What are the 3 types of Estim that is D/C (Direct Current)?

Answer 16

Hi-Volt Pulsed Current

Iontophoresis

Microcurrent

Question 17

What is TENS typically used to treat?

Answer 17

Reduce Pain by decreasing the pain impulses to the brain.

Question 18

How long do the effects of TENS last?

Answer 18

Usually have 1-2 hours of relief

Question 19

What is the use for MNMES (neuromuscular electrical stimulation)?

Answer 19

Can put the ground wire on you and the the other on the patient. Can use to elicit muscle contraction to find a particular muscle group.

Can be used for flaccidity to improve ROM and Strength

Question 20

What is Interferential typically used to treat?

Answer 20

Used for pain control and can also elicit muscle contractions.

Good for back and knee pain

Question 21

What is hi-volt pulsed current typically used to treat?

Answer 21

Best for wound care!!!

Used for wound healing, edema, pain relief, nerve stimulation and muscle reeducation.

Question 22

What is the one thing you always need when using hi-volt pulsed current?

Answer 22

A dispersive because of the hi concentrated voltage. The dispersive is placed on a larger area of the body such as the back.

Question 23

What is Iontophoresis?

Answer 23

This is a low voltage direct current simulation used for apply medication transcutaneously.

Question 24

What is the rule of charge when using Iontophoresis?

Answer 24

You have to use the same voltage pad as the medication so they repel each other and the medication goes into the skin.

Question 25

What is biofeedback and how is it used?

Answer 25

Measures the amount of muscle contraction and gives feedback when you are activating a particular muscle.

Can be used for high tone to give client feedback when they are activating a muscle they dont need so they can focus on not letting their tone activate and learn to relax that muscle.

Question 26

What is Jobst?

Answer 26

An air cast that helps to give compression and elevation.

Used for edema