Untitled Deck Flashcards

1
Q

What are Biophysical Agents (BPA)?

A

Modalities that use electrical, thermal, or mechanical energy to induce physiological changes

Used in physical therapy for various purposes, including pain relief and improving circulation.

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2
Q

List the primary purposes of Biophysical Agents.

A
  • Relieve pain
  • Decrease edema
  • Increase circulation
  • Improve healing
  • Relieve muscle spasms
  • Pass medication transdermally
  • Improve muscle activation, ROM, motor control
  • Reduce scarring & improve posture
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3
Q

What are the types of Biophysical Agents?

A
  • Thermotherapy
  • Cryotherapy
  • Hydrotherapy
  • Deep Heat
  • Traction
  • Soft Tissue Mobilization
  • Manual Therapy
  • Electrical Stimulation
  • Other Agents
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4
Q

What biophysical agents are used in the Acute Phase (0-4 days)?

A
  • Cryotherapy
  • Electrical stimulation
  • Non-thermal Ultrasound
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5
Q

What biophysical agents are used in the Fibroblastic Repair Phase (2 days-6 weeks)?

A
  • Thermotherapy
  • Electrical stimulation
  • Intermittent compression
  • Non-thermal Ultrasound
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6
Q

Barriers to the use of Biophysical Agents include _______.

A

[key learning term]

Therapist complacency, lack of research, reimbursement issues, and perception of BPA as ‘unskilled’ by some insurance providers.

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7
Q

True or False: Electrical stimulation can only affect sensory nerves.

A

False

It can also affect motor nerves and is commonly used for muscle re-education.

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8
Q

What is the primary physiological effect of spinal traction?

A

Reduces pressure on nerve roots

It separates joint surfaces and increases circulation.

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9
Q

Which of the following is NOT a contraindication for mechanical traction?

A

Disc herniation

Mechanical traction is often used to relieve symptoms associated with disc herniation.

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10
Q

What does central sensitization result in?

A

Amplified pain signaling in the CNS

It occurs in chronic pain conditions.

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11
Q

Fill in the blank: _______ states that bone adapts to the loads placed upon it.

A

Wolff’s Law

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12
Q

List the indications for Cryotherapy.

A
  • Acute injuries
  • Post-surgical pain
  • Inflammation
  • Muscle spasms
  • Edema
  • Acute tendinitis
  • Ligament sprains
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13
Q

What are some contraindications for Thermotherapy?

A
  • Acute inflammation
  • Recent hemorrhage
  • Thrombophlebitis
  • Impaired sensation
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14
Q

What physiological effect does Cryotherapy have?

A
  • Vasoconstriction
  • Reduced nerve conduction velocity
  • Decreased metabolic rate
  • Reduced inflammation
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15
Q

What is the best biophysical agent for post-surgical ACL repair (2 days post-op)?

A

Cryotherapy + Electrical Stimulation (NMES)

Cryotherapy reduces pain and swelling, while NMES prevents muscle atrophy.

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16
Q

True or False: Inversion traction is contraindicated for patients with glaucoma.

A

True

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17
Q

What is the primary purpose of spinal traction?

A

To apply a distractive force to separate joint surfaces and stretch soft tissue

It aims to relieve conditions like disc bulges and nerve root compression.

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18
Q

Identify the physiological effects of Ultrasound (Non-Thermal).

A
  • Cavitation
  • Microstreaming
  • Enhanced tissue healing
  • Increased membrane permeability
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19
Q

What are the effects of the Inflammatory Healing Phase?

A
  • Reduces pain
  • Controls swelling
  • Decreases metabolic rate
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20
Q

What types of traction are there?

A
  • Mechanical
  • Manual
  • Positional
  • Inversion
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21
Q

List some precautions to monitor during traction treatment.

A
  • Monitor symptoms closely
  • Be cautious with hypermobility
  • Watch for dizziness or nausea
22
Q

Fill in the blank: BPAs are used as an adjunct to _______ interventions.

A

physical therapy

23
Q

What are the primary goals of spinal traction?

A
  • Increase joint separation
  • Reduce disc pressure
  • Improve synovial fluid exchange & disc hydration
  • Decrease pain via decompression of nerve roots
  • Induce muscle relaxation
24
Q

What is inversion traction used for?

A
  • Hypertension
  • Glaucoma
  • Heart Disease
25
What are the contraindications for mechanical traction?
* Structural spinal diseases (e.g., osteoporosis, RA) * Acute soft tissue injury or inflammation * Joint hypermobility/instability * Peripheralization of symptoms * Uncontrolled hypertension or cardiopulmonary conditions
26
What are the types of spinal traction?
* Mechanical Traction * Manual Traction * Positional Traction * Inversion Traction
27
What patient position is recommended for mechanical lumbar traction?
Supine with knees 90/90 or prone
28
What is the typical starting force for mechanical lumbar traction?
Half of body weight
29
What are the indications for mechanical cervical traction?
* Radiculopathy * Discogenic pain * Facet dysfunction
30
What is the initial force for mechanical cervical traction?
10-15 lbs
31
Fill in the blank: The hold time for muscle spasm traction is _______.
5 sec hold / 5 sec relax
32
What are the indications for using traction?
* Disc pathology * Nerve root compression * Facet joint dysfunction * Muscle spasm/guarding * Spinal malalignment * SI joint dysfunction
33
What is the duration for disc herniation traction treatment?
10-30 min
34
What should be monitored closely during traction treatment?
Symptoms—STOP if worsening occurs
35
What is the treatment for cervical radiculopathy?
Supine, 24-30° flexion, 15-25 lbs, Intermittent (30 sec hold)
36
What is the hold time and relax time for facet joint dysfunction traction?
15 sec hold / 15 sec relax
37
What are the force parameters for lumbar traction in case of disc herniation?
30-50% BW
38
What is the patient position for unilateral leg pull traction?
Supine with hip in 30° flexion, 30° abduction, full external rotation
39
What is the rationale for using prone traction for disc herniation?
Increases lumbar extension, which helps reduce disc bulge
40
What is a common precaution when using inversion traction?
Watch for dizziness and nausea
41
What documentation format should be used for traction treatments?
Example: Rx: Static mechanical lumbar traction in 90/90 for 15 minutes at 75 lbs.
42
What is the rationale for using mechanical cervical traction?
Gently stretches the neck to reduce pressure on pinched nerves
43
What is the treatment for SI joint dysfunction?
Unilateral leg pull traction (Supine, 30° hip flexion, 30° abduction, external rotation, 10 min)
44
What is the force parameter for manual lumbar traction?
Typically less than ½ body weight
45
Fill in the blank: For cervical traction, the therapist should apply a force of _______.
10-15 lbs
46
What are the types of traction techniques?
* Mechanical * Manual * Positional * Inversion
47
What should be done if severe radiculopathy symptoms worsen during traction?
Stop the treatment
48
What are the parameters for towel traction at home?
Supine with towel under occiput
49
What is the duration for facet joint dysfunction traction treatment?
15-25 min
50
What is the hold time for sustained traction for disc herniation?
60 sec hold / 20 sec relax