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Passive care practical > Short wave diathermy, cold laser, thermotherapy, cryotherapy > Flashcards

Short wave diathermy, cold laser, thermotherapy, cryotherapy Flashcards

1
Q

Indications for short wave diathermy

A 
osteoarthritis
neck/back pain
ankle pain
dermal wounds
other musculoskeletal injuries/ pain
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2
Q

contraindications for diathermy

A 
loss of sensation
electronic implants
surgically implanted metal
metal in contact with skin
cancer
pregnancy
hemorrhage
ischemic areas
testes
eyes
open growth plates in children
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3
Q

treatment area for diathermy

A

area of pain or wound

remove all metal

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4
Q

clinical goal of diathermy

A

decrease pain, increase joint mobility, increase wound healing

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5
Q

electrode of diathermy

A

capacitive or inductive

towels beetween electrode and skin

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6
Q

duty cycle of diathermy

A

continuous or pulsed

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7
Q

treatment time for diathermy

A

15-20 minutes

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8
Q

indications for cold laser

A

pain
tendinopathy, epicondylitis
wound management
rheumatoid and osteoarthritis

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9
Q

contraindications for cold laser

A 
cancer
pregnancy
direct exposure to eyes
hemorrhage
thyroid gland
directly over open wounds, unless there is a clear protective barriers
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10
Q

clinical goal of cold laser

A

stimulate healing
inhibit swelling
acute pain
chronic pain

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11
Q

what is the intensity of cold laser to stimulate healing

A

low

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12
Q

what is the intensity for cold laser to inhibit swelling, acute pain, chronic pain

A

high

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13
Q

what is teh pulse frequency for stimulating healing for cold laser

A

1-500 Hz

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14
Q

what is the pulse frequency for inhibiting swelling during cold laser

A

1000 Hz

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15
Q

what is the pulse frequency for acute and chronic pain for cold laser

A

1000-3000 Hz

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16
Q

treatment time for each of the cold laser

A

stimulate healing- 2-10 min
inhibit swelling- 1-3 min
acute pain- 3-5 min
chronic pain- 5-10 min

17
Q

indications for thermotherapy

A

decrease pain
decrease muscle spasm
osteoarthritis
RA

18
Q

contraindications for thermotherapy

A 
areas of impaired heat sensation
malignancy
thrombophlebitis
hemorrhage
abdomen, pelvis, low back in pregnancy
acute inflammation/inflammatory conditions
unreliable patients
19
Q

describe hydrocollator pack protocol

A 
heat application: moist heat
treatment area: any
best used for: chronic conditions
layers: 6-8 layers
treatment time: 15-20 minutes
20
Q

describe paraffin bath protocol

A 
heat application: moist heat
treatment area: distal extremities
best used for: joint stiffness
layers: 7-10
treatment time: 30 minutes
21
Q

describe infrared lamp protocol

A

heat application: dry heat
treatment area: superficial
best used for: skin conditions or sensitive skin
layers: 18-20 inches perpendicular to skin
treatment time: 15-20 minutes

22
Q

describe warm whirlpool protocol

A

heat application: moist heat
treatment area: any
best used for: chronic conditions
layers: larger the body surface, the lower the temperature should be
additional notes: avoid body immersion for MS, fever, incontenince and pregnency
treatment time: 15-20 minutes

23
Q

describe fluidotherapy protocol

A

heat application: dry heat
treatment area: limbs
best used for: chronic conditions, heat plus active movement of limb
treatment time: 15-20 minutes

24
Q

describe contrast bath protocol

A

heat application: alternating warm and cool
treatment area: any
best used for: subacute or chronic pain
treatment time: 15-20 minutes

25
Q

indications for cryotherapy

A

relieve or decrease pain
decrease blood flow and metabolism
protect injured tissue
decrease muscle spasm

26
Q

contraindications for cryotherapy

A 
impaired cold sensation
cold-induced urticaria
raynaud's
cryoglobulinemia
paroxysmal cold hemoglobinuria
open wounds
peripheral vascular disease
unreliable patients
27
Q

describe ice cube test protocol

A

used in treatment area to rule out allergic reaction to cold

28
Q

describe nail bed protocol

A

compress the mail bed of a finger or toe and then release pressure
nail bed should return to red/pin color within a few seconds

29
Q

describe ice massage protocol

A

treatment area: superficial
best used for: bony prominence, tendon areas, small areas
treat no more than 10 minutes

30
Q

describe ice bath protocol

A 
treatment area: distal extremity
best used for: submerging area in ice
treatment time: 15-20 minutes
first 5 minutes: sit
next 15: active ROM
31
Q

gel pack protocol

A

treatment area: anywhere
do no compress gel packs
treatment time: 15-20 minutes

32
Q

ice bag protocol

A

treatment area: anywhere
fill bag 1/2 full of ice and suck all the air out
treatment time: 15-20 minutes

Passive care practical (4 decks)

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