Questions Flashcards

1
Q

You decide your patient would benefit from the use of ice. What are the two tests you might use to determine whether ice is contradicted? Please provide the positive finding for each

A

ice cube test

nail bed test

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2
Q

What sensations might your patient feel during an ace application? Please list them in order of occurance.

A

cold, burning, aching pain, numbness

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3
Q

briefly describe the method of application of an ice pack and the length of treatment.

A

fill bag 1/2 with ice, get all the air out, tie it off and put it on the treatment area for 15-20 minutes

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4
Q

Name two reasons why using an ice pack on your patient is superior to the use of a gel pack.

A

less of a chance of frost bite

cheaper

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5
Q

in which situation might ice massage be preferable to an ice pack or gel pack?

A

in smaller areas like bony prominences and tendons

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6
Q

list three primary treatment frequencies and the associated clinical goal for each frequency along with target tissues

A
80-150= acute pain, A beta fibers
1-15= chronic pain, A-delta fibers
0-120= subacute pain, A delta and beta fibers
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7
Q

how many channels are used during a pre-mod application? How many electrodes? Where are the electrodes placed?

A

1 channel, 2 electrodes

one electrode on either side of pain

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8
Q

How many channels are used during an interferential application? How many electrodes? how are the electrodes placed on the patient?

A

2 channels, 4 electrodes

criss-cross around the area of pain

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9
Q

list the contraindications for the use of pre-mod or interferential current

A
head
anterior cervical area
epilepsy
anterior chest
lumbar, pelvis and abs of 1st tri pregnancy
mental implants
pacemakers
hemorrhage
unreliable patients
cancer
damaged skin
unknown etiology
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10
Q

other than the difference in the number of channels and electrodes, what is the difference between pre-mod and interferential therapy?

A

interferential is for a larger area of the body

pre-mod can be used on smaller areas

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11
Q

name one reason why pre-mod may be prefereable to interferential in the treatment of your patient

A

if they have pain on a smaller part of their body

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12
Q

what should be your guideline in determining the intensity seting for pre-mod and interferential?

A

patient comfort

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13
Q

list the different on/off ratios utilized with russian current and the clinical indication for the use of each ratio.

A

10/10- reduce muscle spasm

10/50- re-educate muscle, prevent atrophy

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14
Q

list contraindications for russian current

A
anterior cervical area
through chest and head
pacemakers
abdomen, pelvis and lumbars of first tri pregnancy
mental implants
epilepsy
areas of hemorrhage
cancer
unreliable patients
damaged skin
unknown etiology
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15
Q

which polarity setting should be used to control acute inflmmation when using hivolt stimulation

A

negative polarity

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16
Q

describe the difference between normal, co-contract, and reciprocal as these terms apply to russian current

A

co-contract- use on bilateral muscles
normal- use on one muscle
reciprocal- use on agonist and antagonist muscles

17
Q

what should be your guide in determining the appropriate intensity setting during russian stim? what about hivolt therapy?

A

russian- patient tolerance

hivolt- patient comfort

18
Q

list the contraindications to the use of hydrocollator packs

A

area of impaired heat sensaiton
malignancy
thrombophlebitis
hemorrhage
abdomen, pelvis and lumbar of pregnant woment
acute inflammtion/inflammatory conditions
confused or unreliable patients

19
Q

how many layers of toweling are used during a hydrocollator pack treatment?

A

6-8 layers

20
Q

list contraindications of paraffin baths

A

area of impaired heat sensaiton
malignancy
thrombophlebitis
hemorrhage
abdomen, pelvis and lumbar of pregnant woment
acute inflammtion/inflammatory conditions
confused or unreliable patients

21
Q

name a unique clinical situation where diathermy would be the most appropriate modality to apply to the patient

A

osteoarthritis

22
Q

what clinical results would you expect with the above treatment

A

increased joint mobility

23
Q

when treating a very superficial region with ultrasound, what is the most frequency setting, assuming the machine is adjustable?

A

3 Hz

24
Q

give three examples where combo therapy may be preferable to the use of ultrasound alone

A

chronic tendonosis
trigger point
acute or chronic pain

25
Q

describe three ways to treat muscle spasm without the use of electrical currents

A

ice pack
massage
traction

26
Q

descreibe at least 3 ways to treat chronic neck pain in a patient who has vertebral fusion with metal screws and plates

A

massage muscles
adjust above and below the fusion (if needed)
ultrasound

27
Q

describe at least 3 ways to treat pectoralis muscle pain in a patient with a pacemaker

A

cold laser
massage
ice pack