Modality Parameters Flashcards
Superficial Thermal US (all)
Duty Cycle: 100% Depth: 1-2cm Frequency: 3MHz Intensity: 0.5-1.5 W/cm2 Duration: 5-10min
Deep Thermal US (all)
Duty Cycle: 100% Depth: up to 5 cm Frequency: 1MHz Intensity: 1.5 - 2.0 W/cm2 Duration: 5-10min
Impairments thermal US is used for
soft tissue shortening, pain
Superficial Non-Thermal US (all)
Duty Cycle: 20%, 50% Depth: 1-2cm Frequency: 3MHz Intensity: 0.5-1.5 W/cm2 Duration: 5-10min
Deep Non-Thermal US (all)
Duty Cycle: 20%, 50% Depth: up to 5 cm Frequency: 1MHz Intensity: 1.5 - 2.0 W/cm2 Duration: 5-10min
NMES (all)
Current: alternating (biphasic) Pulse width/duration: 200-800microseconds Pulse frequency: 30 - 100 pps On/off time: varies (10on:50off for around 10x) Ramp: 1-2s up/down Placement: bipolar Duration: determined for treatment given Amplitude: maximal contraction/tolerance
IFC (all)
Current: alternating (polyphasic)
Pulse width/duration: 200-400 microseconds
Pulse frequency/rate: 10 - 150 pps
Placement: quadripolar
Duration: 10 - 30 mins
Goal: pain reduction
Amplitude: strong but tolerable sensation
High Rate (Conventional) TENS
Current: asymmetrical biphasic; continuous, pulsatile, or burst
Pulse duration: 50 - 100 microseconds
Pulse frequency/rate: 50 - 80 pps
Duration: 10 min - several hours
Amplitude: comfortable tingling sensation, no muscle response
Onset of pain relief: relatively fast
Duration of pain relief: temporary
Mechanism of pain relief: gate control theory
Low Rate (acupuncture like) TENS
Current: asymmetrical biphasic; continuous, pulsatile, or burst
Pulse duration: 150 - 300 microseconds
Pulse frequency/rate: 1 - 5 pps
Duration: 30 - 40 mins
Amplitude: strong but comfortable rhythmic muscle twitch
Onset of pain relief: 20 - 40 mins
Duration of pain relief: long lasting up to 1 hr
Mechanism of pain relief: stimulation-evoked production of endogenous opiates
Cold Laser - carpal tunnel
points for tx: 2 - 3
total joules/session: 8
Minimum J/point: 4
Cold Laser - lateral epicondylitis
points for tx: 1 - 2
total joules/session: 4
Minimum J/point: 4
Cold Laser - supraspinatus
points for tx: 2 - 3
total joules/session: 8
Minimum J/point: 4
Cold Laser - achilles tendon
points for tx: 2 - 3
total joules/session: 8
Minimum J/point: 4
Cold Laser - TMJ
points for tx: 1 - 2
total joules/session: 4
Minimum J/point: 4
Cold Laser - cervical spine
points for tx: 4 - 12
total joules/session: 16
Minimum J/point: 4