rehab + management

Question 1

What are the 4 types of care?

Answer 1

• Inflammation
• pain
• hypomobility
• hypermobility

Question 2

How to care for inflammation?

Answer 2

• PRICE
• ultrasound
• NSAIDs

Question 3

How to care for pain?

Answer 3

• manipulation
• mobilization
• trigger point therapy
• TENS
• IFC
• ice
• cryotherapy
• acupuncture
• NSAIDs

Question 4

How to care for hypomobility?

Answer 4

• stretch
• manipulation
• mobilisation
• myofascial release

Question 5

How to care for hypermobility?

Answer 5

taping

• casts
• brace
• strenghtening
• proprioception training

Question 6

Therapeutics of ultrasound?

Answer 6

• deep tissue heating
• stimualte repair
• pain relief
• deep heating without superficial heating

Question 7

What is the therapeutic ultrsound frequency?

Answer 7

• 0.75 to 3 MHz

Question 8

What is thermal ultrasound?

Answer 8

• constant 1 MHz at intensity of 1 W/cm^2 takes 10 mins

conttant 3 MHz at intensity of 1 W/cm^2 takes 3 min to give thermal effects

Question 9

What is non-thermal uultrasound?

Answer 9

• intensity at < 1 W/cm^2 fort less than 10 mins

Question 10

Contraindications of ultrasound?

Answer 10

• acute
• thrombophlebitis
• pregnancy
• malignacny
• infection

Question 11

Thermal ultasound benefits?

Answer 11

• diminished pain proprioception
• increase metabolism
• reduced oedema
• increased blood flow
• increased tissue elasticity

Question 12

Non-thermal effects of ultrasound?

Answer 12

• tissue regeneration
• wound, connective tissue, bone healing
• cell membrane alteration

Question 13

IFC contraindication?

Answer 13

• heart disease
• not over trans thorasic area
• sto pif skin irritation

Question 14

How to apply IFC?

Answer 14

• criss cross formation over the area to be stimulated

Question 15

IFC parameter for acute pain?

Answer 15

• 80 - 150 pps

- should feel tingling without contraction

Question 16

IFC for chronic pain?

Answer 16

• 1 - 10 pps

- plesant tingling with mild contraction

Question 17

IFC for muscle spasm?

Answer 17

• 4 pps

- moderate visible muscle contraction

Question 18

When to use tens compared to IFC?

Answer 18

• smaller treatment area

- motor nerve stimulation

Question 19

When to use IFC compared to tens?

Answer 19

• larger area

- deeper stimulation than tens

Question 20

When to use NMES?

Answer 20

• muscle reducation
• preventing atophy
• decreasing odema
• decreasing muscle spasm

Question 21

How to find NMES motor point?

Answer 21

• place of greatest contraction between the start and end of the muscle
• usually at the start of the muscle belly

Question 22

NMES contraindications?

Answer 22

• heasrt problems
• over #
• over malignancies

Question 23

When to use sensory tens?

Answer 23

• for acute pain
• 80 - 200 pps
• comfortable pins and needles

Question 24

When to use motor tens?

Answer 24

• chronic pain
• 1 - 5 pps
  intensirty higher than sensory tens
• burning, needlingm muscle twitch
• looking for the twitch contraction

Question 25

Tens contraindication?

Answer 25

• heart disease
• n oover trans thoracic area
• stop if skin irriation

Question 26

When to use low level laser therapy?

Answer 26

• pain

- swelling

Question 27

When to use shockwave theraphy?

Answer 27

• breakdown stones
• breakdown tendon, muscle, ligmaent adhesions
• analgesic
• anti-inflammatory

Question 28

What effect does low energyu shockwave ahve?

Answer 28

• neoangiogenic effect

Question 29

What effect does radial pulse shock wave provide?

Answer 29

• superficial effect

- no penetraiting effect on tissue