Therapietic Modalities Intro Flashcards

1
Q

T/f: TM used to be a big part of pts POC in PT, but them people stopped using them and now PTs are beginning to use them more again

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

T/f: Pts used to require physicians referral for modalities and physicians viewed PT and modalities as one and the same

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Are all modalities covered by insurance and reimbursed?

A

Nope

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Should we still use a modality if it is not covered but the patient may benefit from its use?

A

Yes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What personnel are not authorized to provide outpatient PT services?

A

AIDS, ATCs, exercise physiologists, lymphedema specialists, low vision specialists, pilates instructors, rehab techs, kinesiotherapists, life skills trainers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

T/f: treatment may be reimbursed at a higher rate for faster recovery

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

T/f: if evidence for a modality is peer reviewed, it will be covered and reimbursed by insurance

A

False

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

T/f: ES for Bell’s palsy, low level laser therapy, microwave diathermy, infrared, and iontophoresis are modalities that are covered by insurance

A

False, none of these are covered

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

T/f: the use of modalities as stand alone treatment is rarely therapeutic and usually not required

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

When symptoms that require modalities begin to subside and fxn improves, the medical record should reflect what?

A

The discontinuation of the modality and why it was discontinued

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is involved in clinical decision making with when and what modalities to use?

A

Consider the pts wants and needs
Consider the pts fxnal goals
Consider contraindications, precautions, and warnings

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What interventions are in our tool boxes for POC?

A

Manual therapy
Ther ex
Pt ed
TM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

T/f: modalities can be applied with many different parameters, particularly energy dose for different pts and different stages of recovery

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the types of TM?

A

Thermal
Electromagnetic
Mechanical

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the types of cold TM?

A

Ice, cold water, cold packs, vapocoolant sprays

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the physiological responses to cryotherapy (cold TM)?

A

Decreased blood flow/tissue metabolism
Increased threshold for pain perception

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are the types of heat TM?

A

Warm water
Heat packs
US
Diathermy

18
Q

What are the physiological responses to thermotherapy (heat TM)?

A

Decreased spasms and pain
Increased blood flow and tissue extensibility
Facilitate tissue healing

19
Q

What are the types of electromagnetic modalities?

A

Electrotherapy
Electromagnetic radiation
Diathermy, US, infrared???

20
Q

What are the effects of electrotherapy?

A

Strengthen/relax muscle
Neuromuscular re education
Decrease pain and edema
Increase tissue and wound healing
Increase blood flow

21
Q

What are the applications of electrotherapy?

A

TENS, NMES, FES, iontophoresis

22
Q

What are the types of electromagnetic radiation?

A

Shortwave diathermy
Infrared radiation

23
Q

What are the effects of electromagnetic radiation?

A

Increase tissue temp
Promote wound healing

24
Q

What are the types of mechanical modalities?

A

Compression
Traction

25
Q

What are some forms of compression modalities?

A

Wraps, stockings, garments, compression pumps

26
Q

What are the effects of compression modalities?

A

Decreased edema
Promote modeling of scar tissue

27
Q

T/f: traction can be either manual or mechanical

28
Q

What are the effects of traction?

A

Decreased compression on structures

29
Q

What are the clinical applications of TM?

A

Modulation of pain
Alteration of skeletal muscle performance
Decrease inflammation and facilitate tissue healing
Increase tissue extensibility

30
Q

How does TM modulate pain?

A

Gate control theory

31
Q

How does TM alterate muscle performance?

A

Increase strength
Decrease spasticity
Retaining

32
Q

When do we use TM to decrease and facilitate tissue healing?

A

Inflammatory, proliferation, and maturation stages

33
Q

What TM can increase tissue extensibility?

A

Stim and diathermy

34
Q

What are some ways that modalities can complement other therapies?

A

Heat b4 stretching
Decrease pain b4 exercise

35
Q

What are consideration for using the right outcomes?

A

Consider appropriate measures or techniques
Consider best measurement for each individual
Consider the enigmatic nature of pain
Consider the expected physiologic effects

36
Q

What are contraindications?

A

Factors that will harm the pt

Increased risk of an adverse event or undesired outcome and use may be harmful

37
Q

What are precautions?

A

The pt may have an adverse event

Factors, findings, or circumstances require special consideration

A situation with some risk of an adverse event

38
Q

What are warnings?

A

When the DPT should think about the evidence and the goals of the pt

39
Q

What some contraindications/precautions for TM?

A

Compromised/diminished/impaired sensation

Compromised/diminished/impaired cognition or communication

Electronic implants

Pregnancy

Presence or history of cancer

DVT

40
Q

T/f: it is the student’s responsibility to know the potential to cause harm with a modality

41
Q

What should a student do to know the risk of a TM?

A

Know and refer to the manuals of the TM being used