Short wave diathermy, cold laser, thermotherapy, cryotherapy Flashcards
Indications for short wave diathermy
osteoarthritis neck/back pain ankle pain dermal wounds other musculoskeletal injuries/ pain
contraindications for diathermy
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
treatment area for diathermy
area of pain or wound
remove all metal
clinical goal of diathermy
decrease pain, increase joint mobility, increase wound healing
electrode of diathermy
capacitive or inductive
towels beetween electrode and skin
duty cycle of diathermy
continuous or pulsed
treatment time for diathermy
15-20 minutes
indications for cold laser
pain
tendinopathy, epicondylitis
wound management
rheumatoid and osteoarthritis
contraindications for cold laser
cancer pregnancy direct exposure to eyes hemorrhage thyroid gland directly over open wounds, unless there is a clear protective barriers
clinical goal of cold laser
stimulate healing
inhibit swelling
acute pain
chronic pain
what is the intensity of cold laser to stimulate healing
low
what is the intensity for cold laser to inhibit swelling, acute pain, chronic pain
high
what is teh pulse frequency for stimulating healing for cold laser
1-500 Hz
what is the pulse frequency for inhibiting swelling during cold laser
1000 Hz
what is the pulse frequency for acute and chronic pain for cold laser
1000-3000 Hz
treatment time for each of the cold laser
stimulate healing- 2-10 min
inhibit swelling- 1-3 min
acute pain- 3-5 min
chronic pain- 5-10 min
indications for thermotherapy
decrease pain
decrease muscle spasm
osteoarthritis
RA
contraindications for thermotherapy
areas of impaired heat sensation malignancy thrombophlebitis hemorrhage abdomen, pelvis, low back in pregnancy acute inflammation/inflammatory conditions unreliable patients
describe hydrocollator pack protocol
heat application: moist heat treatment area: any best used for: chronic conditions layers: 6-8 layers treatment time: 15-20 minutes
describe paraffin bath protocol
heat application: moist heat treatment area: distal extremities best used for: joint stiffness layers: 7-10 treatment time: 30 minutes
describe infrared lamp protocol
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
describe warm whirlpool protocol
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
describe fluidotherapy protocol
heat application: dry heat
treatment area: limbs
best used for: chronic conditions, heat plus active movement of limb
treatment time: 15-20 minutes
describe contrast bath protocol
heat application: alternating warm and cool
treatment area: any
best used for: subacute or chronic pain
treatment time: 15-20 minutes
indications for cryotherapy
relieve or decrease pain
decrease blood flow and metabolism
protect injured tissue
decrease muscle spasm
contraindications for cryotherapy
impaired cold sensation cold-induced urticaria raynaud's cryoglobulinemia paroxysmal cold hemoglobinuria open wounds peripheral vascular disease unreliable patients
describe ice cube test protocol
used in treatment area to rule out allergic reaction to cold
describe nail bed protocol
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
describe ice massage protocol
treatment area: superficial
best used for: bony prominence, tendon areas, small areas
treat no more than 10 minutes
describe ice bath protocol
treatment area: distal extremity best used for: submerging area in ice treatment time: 15-20 minutes first 5 minutes: sit next 15: active ROM
gel pack protocol
treatment area: anywhere
do no compress gel packs
treatment time: 15-20 minutes
ice bag protocol
treatment area: anywhere
fill bag 1/2 full of ice and suck all the air out
treatment time: 15-20 minutes
