Overview Flashcards
Contraindications to ALL modalities (3)
Hemorrhage
Infection with suppuration
Malignancy (EXCEPT TENS)
Contraindications to heating
DM, active TB, sensory loss, pregnancy (LB or abdomen), swelling/edema/acute injury
Contraindications to electrical
Carotid sinus, anesthesia (EXCEPT HV), pregnancy (EXCEPT TENS), open wounds
Acute
Up to 72 hours
AC current
Biphasic (no polarity)
DC current
Monophasic (polarity)
Electrothermal
HEAT: microvibration leads to heat
Electrochemical
Iontophoresis DC current
Opioids: endorphins freq 1-10; enkephalins freq 70-120
Electrophysical
Kinetic: ions push and shift Na/K pumps resulting in contraction
Increase frequency
Get deeper penetration
Medium frequency
Decreased skin impedance (Use big electrode and increase voltage)
Pad rule
1 mA/ square inch pad
Monopolar pad
Large area or trigger/acupuncture point)
large dispersal/ground pad and active pads small
Bipolar
Small muscle group
dispersal and active pads are equal size
Quadripolar
Criss-cross pattern
Chronaxie
The time necessary for contraction when the rheobase is doubled
Rheobase
the minimum volts necessary to excite a nerve (threshold)
Reaction of degeneration (RD factor)
Innervated and denervated muscle respond differently. galvanic and faradic current are compared to determine extent of damage and prognosis
EMG
Elecromyography- best for testing muscles
NCV
Nerve conduction velocity- best for testing nerves
Arndt-Schultz Principle
Energy of modality has to be absorbed by body to stimulate physiological response
Grotthus-Draper law
Inverse relationship between penetration and absorption of energy
Hunting-Lewis reaction
Pumping of hot and cold cycles
Cryotherapy
- Vasocontriction
- Anesthesia
- Pumping reaction
Cryotherapy stages
Cold, burn, ache, numb
Convection
Transmission of heat via gases and liquids
Convection examples
Hot & cold baths, IR
Radiation
Transmission of heat without heating intervening medium
Radiation examples
Lamps, MWD, IR, UV
Conversion
Electrical energy to mechanical energy (heat)
Conversion examples
Ultrasound (reverse piezoelectric)
Conduction
Transfer of heat through a substance; often heating up a solid
Conduction examples
Ice, hydrocollator, paraffin, IR
Cold
55-65
Cool
65-80
Tepid
80-92
Neutral
92-96
Warm
*96-99
Hot
*99-104
Very hot
105-115