Physical Agents Flashcards

1
Q

What is ultrasound used for?

A

Heating up small areas w/collagen & stimulate healing

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2
Q

What are all of the indications for ultrasound?

A
  • ST shortening
  • Tendon/Ligament Injuries
  • Pain
  • Carpal Tunnel Syndrome
  • Dermal ulcers/plantar warts
  • Fx
  • Inflammation
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3
Q

What are the params for ultrasound?

A
  • Acute–>Non-thermal, Pulsed 20% Duty Cycle, 3MHz, .5W/cm^2, 3-10min
    • Also used for phonophoresis
  • Chronic–>Thermal, Continuous 100% Duty Cycle, 1Mhz, 1.5W/cm^2, 5-10 min
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4
Q

What are the contraindications for ultrasound?

A
  • Pregnancy
  • CA
  • Pacemaker
  • Thrombophlebitis
  • Plastic implants
  • Eyes & balls
  • Epiphyseal plates
  • Fx
  • Breast implants
  • Jt cement
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5
Q

How does ultrasound work (in layman’s terms)?

A

Bubbles move back & forth, which allows certain molecules into cells easier, which incr blood flow so it speeds up healing

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6
Q

What is diathermy used for?

A

Heating large areas & peripheral nerve regeneration

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7
Q

What are all the indications for diathermy?

A
  • Decr collagen extensibility
  • Jt stiffness
  • Muscle guarding
  • DJD
  • Bursitis
  • Peripheral nerve regeneration
  • Uneven tx area
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8
Q

What are the params for diathermy?

A
  • Frequency=27.12MHz
  • Wavelength=11nm
  • Thermal=15-20min
  • Non-thermal (pulsed)=30-60min

*1st Dose=No sensation of heat

*2nd Dose=Mild heat

*3rd Dose=Comfortable heat

*4th Dose=Vigorous heat below pain threshold

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9
Q

What are the contraindications for diathermy?

A
  • Pregnancy
  • CA
  • Pacemaker
  • Thrombophlebitis
  • Hemorrhage
  • Metal Implants
  • Eyes & balls (all organs)
  • Epiphyseal plates
  • Impaired sensation & mentation
  • Obesity
  • Near magnetic/electronic equipment
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10
Q

How does diathermy work (in layman’s terms)

A

Sends currents through tissues, which causes molecules to move around & they collide & give off heat

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11
Q

What is hydrotherapy used for?

A

Superficial heating or cooling w/movement

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12
Q

What are all the indications for hydrotherapy?

A
  • Superficial heating or cooling
  • Wound care
  • Edema control
  • Pain management
  • Water exercise (not aquatic therapy)
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13
Q

What are the params for hydrotherapy?

A

32-79°=Inflammation & Edema

79-92°=Exercise

92-96°=Tone, circulation, & sensation

96-98°=Burns

99-104°=ST Extensibility & Pain

104°-114°=Same + Arthritis

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14
Q

What are the contraindications for hydrotherapy?

A
  • Bleeding
  • Impaired sensation & mentation
  • Recent skin grafts
  • Hydrophobia
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15
Q

What temperature would you use to do hydrotherapy to address inflammation & edema?

A

32-79°

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16
Q

What temperature would you use to do hydrotherapy for exercise?

A

79-92°

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17
Q

What temperature would you use to do hydrotherapy to address tone, circulation, & sensation?

A

92-96°

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18
Q

What temperature would you use to do hydrotherapy to tx a burn?

A

96-98°

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19
Q

What temperature would you use to do hydrotherapy to address ST extensibility & pain?

A

99-104°

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20
Q

What temperature would you use to do hydrotherapy to address ST extensibility, pain, & OA

A

104-114°

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21
Q

What are the params for cyrotherapy?

A
  • Inflammation=15-20min
  • Edema=15min w/compression
  • Pain=10-15min
  • Spasm=5min (DTR); 10-30min (Clonus)
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22
Q

What are the params for TENS?

A

*Chronic=Low rate, 50-80usec, 100-150pps, 20-30min *Acute & Repetitive Strain=Conventional, 200-300usec, 2-10pps, Unlimited time

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23
Q

What are the params for NMES?

A

Strengthening

  • Pulsed
  • 150-300usec,
  • Duty Cycle=1:5-3
  • Frequency=50-80pps,
  • Time=10-20 contractions

Spasm, Edema, & DVT

  • Duty Cycle=1:1
  • Frequency=20-80pps
  • Time=10-30min

Russian

  • Duty Cycle=1:5
  • 2,500Hz AC w/50bursts in 10ms,
  • Time=10 min
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24
Q

What are the params for IFC?

A
  • Frequency=3,000-5,000Hz
  • Beat Frequency:
    • Pain=80-150pps
    • Muscle=10-100pps
    • Edema=1-10pps
  • Time:
    • Acute=5-10min
    • Chronic=20-30min
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25
Q

What are the params for high volt?

A

Infection/Inflammation + Proliferation: *Polarity=(-)/(+) *Pulse Frequency=60-125pps *Pulse Duration=Preset @40-100us *Amplitude=Comfy Tingling *Tx Time=40-60min Edema: *Polarity=(-) *Pulse Frequency=100-120pps *Pulse Duration=Fixed @40-100us *Amplitude=Comfortable Sensory *Tx Time=20-30min Edema from lack of muscle contraction: *Pulse Frequency=100-120pps *Pulse Duration=Fixed @150-300us *Amplitude=Small visible muscle contractions *Tx Time=20-30min On/Off Time=1/2:1/2

26
Q

What are the params for heat pack?

A

158-167°, up to 20 min

27
Q

What are the params for parafin?

A

126-134° Continuous=1 coat, immerse Dip-Wrap=6-10 dips, wrap in plastic Paint=Brush 6-10 times, wrap in towel

28
Q

What are the contraindications for cryotherapy?

A

*Open wound *Impaired sensation/mentation *Very young/very old *Cold allergy/hypersensitivity *Circulatory compromise *HTN *Superficial main nerve branches *Regenerating peripheral nerves *Raynaud’s *Cryoglobulinemia *Paroxysmal Cold Hemoglobulinuria

29
Q

What are the contraindications for TENS?

A
  • Pregnant
  • CA
  • Pacemaker/Defibrillator
  • Thrombophlebitis
  • Hemorrhage
  • Metal Implants
  • Eyes & balls
  • Epiphyseal plates
  • Impaired sensation & mentation
  • Cardiac conditions
  • Open wounds
  • Carotid Sinus
  • Cranial, cervical, & thoracic regions (Ant)
  • Mucous membranes
  • Undx’ed pain
30
Q

What are the contraindications for IFC?

A
  • Pregnancy
  • CA
  • Electronic & metal implants
  • Thrombosis
  • Hemorrhage
  • Impaired mentation
  • Cranial & thoracic regions
  • Severe cardiopathy
  • Fragile skin
  • Hairy areas
  • When AROM is contraindicated
  • Near diathermy
31
Q

What are the contraindications for NMES?

A
  • Pregnancy
  • CA
  • Pacemaker
  • Thrombosis
  • Arrhythmia
  • Cardiac disease
  • Impaired sensation & mentation
  • Open wound
  • Over carotid sinus
  • Tendinitis
  • DOMS
32
Q

What are the contraindications for high volt?

A

*Usual areas during pregnancy *Thrombosis/Thrombophlebitis *Pacemaker *Unstable arrhythmias *Over the carotid sinus & cervical area

33
Q

What is high volt used for?

A

Edema & inflammation (think wound care)

34
Q

What is superficial heat used for?

A

To loosen tight/stiff tissues & pain relief

35
Q

What is iontophoresis used for?

A

Delivers meds for inflammation & pain relief through the skin

36
Q

What are all the indications for iontophoresis?

A

*Pain *Inflammation *Muscle spasm *Scar tissue *Keloids *Wounds *Ca2+ deposits *Fungal infection *Hyperhidrosis *Myositis ossificans *Plantar warts *Ischemia

37
Q

What are the params for iontophoresis?

A

*Current type/Waveform=DC *Amplitude=To pt tol, but <4mA *Dosage=40-120mA/min *Tx Time=Calculated by machine *Polarity=Same as drug *Electrode Placement=Active on inflammed area, dispersive on remote area *Pulse frequency & duration are N/A

38
Q

What are the contraindications for iontophoresis?

A

*CA *Cardiac disease *Metal in/near tx area *Impaired sensation or mentation *Skin irritation/open wounds *Drug allergies *Sensitive skin to specific ions *Tattoos

39
Q

How does iontophoresis work (in layman’s terms)?

A

Uses electrical currents to change the permeability of skin so more ions can penetrate it & enter the body

40
Q

What are all the indications for TENS?

A
  • Pain
  • Arthritis
  • Ankylosing spondylitis
41
Q

What is TENS used for?

A

Pain relief

42
Q

What are all the indications for NMES?

A
  • Strengthen type 2 muscle fibers
  • Slow/prevent atrophy
  • Muscle re-ed
  • Restore fxnl ability
  • Stim calves to prevent DVT
  • Incr venous return via muscle pumping
43
Q

What is NMES used for?

A

To create a muscle contraction for one reason or another

44
Q

What are all the indications for high volt?

A

Infected wound Wound healing Inflammation Edema bc or inflammation or lack of muscle contraction

45
Q

What is IFC used for?

A

Weakness, pain, edema, & inflammation

46
Q

What are all the indications for IFC?

A
  • Back pain Sprains & strains
  • Arthritis
  • DJD
  • Neuralgia
  • Shingles
  • RSD
  • Interstitial cystitis
47
Q

What is laser used for?

A

Stims ATP production & thus incr rate of healing

48
Q

What are all the indications for laser?

A
  • St & bone healing
  • Arthritis
  • Lymphedema
  • Pain management
  • Neuro conditions
49
Q

What are the params for laser?

A

*

50
Q

What are the contraindications for laser?

A
  • Pregnant
  • CA
  • Hemorrhage
  • Eyes
  • Epiphyseal plates
  • Impaired sensation & mentation
  • Endocrine glands
  • Light sensitivity
  • 4-6mo post-radiation therapy
51
Q

What are the contraindications for general electrotherapy?

A
  • Pregnancy
  • CA
  • Pacemaker
  • Thrombosis
  • Impaired sensation & mentation
  • Cardiac disease
  • Unstable arrhythmia
  • Skin irritation/Open wound
  • Over carotid sinus
52
Q

What are the indications for general electrotherapy?

A
  • Pain relief
  • Labor &
  • Delivery Incontinence
  • Muscle spasm
  • Spasticity/Hypertonia
  • Muscle Re-ed
  • Disuse Atrophy
  • Shoulder subluxation
  • Edema reduction
  • Jt effusion
  • Incr ROM
  • Fx
  • Wound Healing
53
Q

What is electrotherapy used for?

A

Strengthen & relax muscles Pain relief Improve circulation Facilitate wound healing

54
Q

What is cryotherapy used for?

A

Inflammation, edema, pain

55
Q

What are all the indications for cryotherapy?

A

Inflammation Pain Bursitis Tendinopathy Abn muscle tone Muscle spasm MSK trauma Trigger points

56
Q

What are the params for cryotherapy?

A

Inflammation=15-20min Edema=15min w/compression Pain=10-15min Spasm=5min(DTR); 10-30min (Clonus)

57
Q

What are the contraindications for superficial heat?

A

Pregnancy CA Thrombosis Hemorrhage Eyes Impaired sensation & mentation Circulatory compromise Cardiac insufficiency Metal implants & jewlery Open & closed wounds Demyelinated nerves Systemic infection Skin grafts Acute inflammation Topical drugs

58
Q

What is EMG biofeedback used for?

A

To assist pt’s w/strengthening

59
Q

What are all the indications for EMG biofeedback?

A
  • Muscle strengthening
  • Muscle re-ed
  • Tell pt to use the right muscle(s)
  • Muscle spasm Incontinence
  • HA/Stress/Relaxation
60
Q

What are the contraindications for EMG biofeedback?

A
  • Contraindicated muscle contractions
  • Contraindicated monitoring of physiological fxn
61
Q

What are the params for EMG biofeedback?

A

Surface electrode goes over the clinical motor point & the other is 1-5cm away

62
Q

True or False: Laser can be used on pt’s w/metal implants & pacemakers.

A

True