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PMOD 1ST SHIFTING > Superficial Cold Modalities > Flashcards

Superficial Cold Modalities Flashcards

1
Q

use of ice or cold applications

A

cyrotherapy/cold therapy

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2
Q

ice/cold in greek

A

cyro

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3
Q

effects of cold

A

hemodynamic effects
neuromuscular effects
metabolic effects

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4
Q

initial decrease in blood flow; later increase in blood flow

A

hemodynamic effect

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5
Q

responses to increase in blood flow

A

cold-induced vasodilation
hunting response

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6
Q

neuromuscular effects to cold

A

decrease in nerve conduction velocity

inc in pain threshold

altered muscle strength

dec spasticity

facilitation of muscle contraction

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7
Q

myelinated, small fibers a-delta

A

increase effect; nerve conduction velocity

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8
Q

unmyelinated & large fibers

A

decrease effect; nerve conduction velocity

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9
Q

increase pain threshold

A

gate control theory

interruption of pain spasm cycle

reduction of sensory nerve NCV

reduction of edema

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10
Q

exposure to cold less than/equal to 5 mins

A

increase muscle strength

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11
Q

exposure to cold > 5-30 mins

A

decreased muscle strength

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12
Q

initial effect of cold to dec spasticity

A

dec in gamma motor activity

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13
Q

later effect of cold to dec spasticity

A

dec in afferent spindle & GTO activity

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14
Q

quick application of cold for muscle contraction

A

facilitate alpha motor neuron (for flaccid muscles)

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15
Q

decreased metabolic rate

A

controls acute inflammation

inhibits activity of cartilage-degrading enzymes for OA

reduced level of histamine in the blood for RA

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16
Q

cartilage-degrading ezymes

A

collagenase, elastase, hyaluronidase, protease

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17
Q

methods of heat loss

A

conduction

convection

evaporation

radiation

respiration

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18
Q

inflammation control

edema control

pain control

modification of spasticity

symptom management in MS

Facilitation

Cyrokinetics Cyrostretch

Treatment of acute burns

Treatment in conjuction w joint mob, deep friction massage, strenuous workouts and rest, compression & elevation

A

uses of cyrotherapy/indications

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19
Q

example of inflammation control

A

reduce DOMS after exercise

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20
Q

cold hypersensitivity/cold induced urticaria

cold intolerance

cyroglobulunemia

paroxysmal cold hemoglobinuria

raynaud’s disease/phenomenon

over a regenerating peripheral nerve

over an area w circulatory compromise of peripheral vascular disorder (PVD)

A

contraindications of cyrotherapy

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21
Q

over superficial main branch of a nerve

over an open wound

hypertension

poor sensation of mentation

extreme ages of pts

A

precautions of cyrotherapy

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22
Q

tissue death from ischemia

frostbite

A

adverse effects of cold

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23
Q

four stages of sensation in application of cyrotherapy

A

Cold

Burning

Aching

Numbness

CBAN!!

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24
Q

PRICES

A

protection

rest

ice

compression

elevation

stabilization

25
Q

filled w silica/saline gel covered w vinyl

A

cold packs

26
Q

storing of cold packs for INITIAL use

A

> = 2 hrs

27
Q

storing of cold packs for SUCCEEDING use

A

at least 30 mins

28
Q

alternative for cold packs

A

4:1 water and rubbing alcohol

29
Q

duration for cold packs

A

10-20 minutes

30
Q

crushed ice in a plastic bag; more aggressive than cold packs

A

ice packs

31
Q

duration of ice packs

A

10-20 mins

32
Q

easy to use

inexpensive materials

brief use of clinicians time

low level of skill req for application

covers moderate to large areas

can be applies to elevated limb

A

advantages of cold/ice packs

33
Q

pack must be removed to check area

pt may not tolerate the weight

pack may have inadequate contact on certain areas

longer duration compared to ice massage

A

disadvantages of cold/ice packs

34
Q

ice cups or frozen water popsicles; done over a small area before deep pressure massage

A

ice massage

35
Q

when using ice massage, skin temperature will not drop below

A

15 C

36
Q

treatment area can be observed during application

for small, irreg areas

short duration

inexpensive

can be applied to an elevated limb

A

advantages of ice massage

37
Q

time consuming for large areas

requires active participation of clinician or pt throughout the application

A

disadvantages of ice packs

38
Q

cooled water is circulated through the sleeve which is applied to the extremity then inflated intermittently

Used for inflammation and edema post op and in other circumstances

A

controlled cold impression unit

39
Q

temperature of controlled cold impression unit

A

10-25 C

40
Q

duration of controlled cold impression unit

A

10-15 minutes

41
Q

allows simultaneous application of cold and compression

temp and compression force are easily controlled

can be applied to large joints

A

advantages of controlled cold impression unit

42
Q

treatment site cant be seen during treatments

expensive

usable for extremities

cannot be used for trunk or digits

A

disadvantages of controlled cold impression unit

43
Q

application of vapocoolant spray

A

application is upright and held at 30 deg acute angle, approx 30-35 cm from the skin at rate of 10cm/sec

44
Q

brief, localized, superficial cooling before stretching

A

advantages of vapocoolant spray

45
Q

limited use

requires covering of the pt’s eyes, nose, and mouth when treating close to the face

A

disadvantages of vapocoolant spray

46
Q

used primarily in pts w CNS disorder

A

quick/brief icing

47
Q

application of brief icing

A

quick swipes of ice cube over the belly of involved muscle performed 3-5 times,

have a facilitatory effect which might occur immediately or 27-42 mins of applucation

48
Q

3 swipes, wipe water after every swipe

A

A-icing

49
Q

hold ice for 3-5 seconds, wipe water after

A

C-icing

50
Q

consist of 2 chemical substances, one in a small vinyl bag within a larger bag

convenient for emergency use

A

chemical cold packs

51
Q

storing of chemical cold packs

A

should remain in tank at least 24 hrs before first use

at least 30 mins for subsequent uses

52
Q

duration of chemical cold packs

A

10-15 minutes

53
Q

terry cloth towels soaked in a bucket of crushed ice/slush

frozen wet towels

A

ice towels

54
Q

duration of ice towels

A

10-15 mins

55
Q

most practical if cooling of the distal extremities is desired

ensures circumferential cooling of extremities

A

cold baths

56
Q

indicated for conditions in which exercise of the injured part during cold treatment is desired

most intense application of cold

A

cold whirlpool

57
Q

duration of cold whirlpool

A

5-15 minutes

58
Q

documentation of cyrotherapy

A

<cyrotherapy> on <body> in <position> x <duration> to <rationale>
</rationale></duration></position></body></cyrotherapy>

PMOD 1ST SHIFTING (3 decks)

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