Practical Flashcards

1
Q

TENS Precaution

A
  • over chest/heart
  • infection
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2
Q

TENS Contraindications

A
  • impaired sensation
  • electronic device
  • impaired cognition/communication
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3
Q

TENS Parameters Acute

A
  • pulse duration: 50-80 uSec
  • pulse frequency: 100-150 Hz
  • duration: all day
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4
Q

TENS Parameters Chronic

A
  • pulse duration: 150-300 uSec
  • pulse frequency: 2-10 Hz
  • duration: 30-60 min on/off
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5
Q

TENS Goals

A
  • decrease pain
  • decrease spasm
  • longer pain relief
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6
Q

NMES Precautions

A
  • pt experience
  • infection
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7
Q

NMES Contraindications

A
  • active implant
  • anterior neck
  • active DVT
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8
Q

NMES Parameters

A
  • pulse frequency: 50-80 Hz
  • pulse duration: 300-400 uSec
  • amplitude: muscle contraction
  • duration: 10-20 minutes (1:5)
    - 5 seconds on, 25 off
  • dosage: 5-20 minutes, 2-5x’s/wk
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9
Q

NMES Goals

A
  • muscle contraction
  • increase strength
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10
Q

Ultrasound Precautions

A
  • fractures
  • acute inflammation
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11
Q

Ultrasound Contraindications

A
  • lack of sensation
  • malignancy/metastasis
  • pacemaker
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12
Q

Ultrasound parameters Thermal (Superficial)

A
  • frequency: 3 MHz
  • duty cycle: continuous
  • intensity: 0.5 W/cm2
  • duration: 1 min/ERA
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13
Q

Ultrasound parameters Thermal (Deep)

A
  • frequency: 1 MHz
  • duty cycle: continuous
  • intensity: 1.5-2.0 W/cm2
  • duration: 1 min/ERA
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14
Q

Ultrasound Parameters Non-Thermal

A
  • frequency: 1 (deep), 3 (superficial) MHz
  • duty cycle: 20%
  • intensity: 0.5-1.0 W/cm2
  • duration: 1 min/ERA
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15
Q

Ultrasound Goals Thermal

A
  • increase BF
  • increase tissue extensibility
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16
Q

Ultrasound Goals Non-thermal

A
  • increase cell membrane permeability
  • increase intracellular Ca2+ levels
  • increase mast cell degranulation
17
Q

ICE Contraindicationz

A
  • impaired circulation
  • impaired sensation
  • cold hypersensitivity
18
Q

ICE Precautions

A
  • damaged/at risk skin
  • cardiac failure
19
Q

ICE goals

A
  • decrease pain
  • decrease spasticity
  • decrease DOMs
20
Q

HEAT Contraindications

A
  • impaired circulation
  • impaired sensation
  • impaired cognition/communication
21
Q

HEAT Precautions

A
  • cardiac failure
  • damaged/at risk skin
22
Q

HEAT Goals

A
  • decreased pain
  • decreased muscle guarding
  • increased tissue extensibility
23
Q

TRACTION Precautions

A
  • osteoporosis
  • claustrophobia
24
Q

TRACTION Contraindications

A
  • fractures
  • acute strain, sprain
  • SC compression
25
Q

TRACTION Parameters Disc

A
  • 10-15 lb of pressure
  • 5-10 min (acute)
  • 20-30 min (chronic)
  • 60 sec on: 20 sec off
26
Q

TRACTION Goals Disc

A
  • increase lateral foreminal space for neurovascular flow
27
Q

TRACTION Goals Joint

A
  • increase space for facet joint, intervertebral joint
28
Q

TRACTION Parameters Joint

A
  • 20-30 lb pressure (7% BW)
  • 5-10 min (acute)
  • 15-30 min (chronic)
  • 15 sec on: 15 sec off
29
Q

TRACTION Parameters Lumbar Disc

A
  • 30-40lb or 25% BW
  • 5-10 min
  • 60 sec on/20 sec off
30
Q

TRACTION Parameters Lumbar Joint

A
  • 50lb or 50% BW
  • 10-30 min
  • 15 sec on/off