Wheel of Physiotherapy: Easter Edition (CH 16) Flashcards

1
Q

What is ionotophoresis?

A

A local transfer of substances into the skin using electrical energy

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2
Q

What is an advantage of administering something with ionotophoresis?

A

It bypasses the digestive system and isn’t as invasive as a needle

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3
Q

What is the main disadvantage of ionotophoresis?

A

It is limited to the superficial tissues (stratum corneum mostly)

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4
Q

What type of current is ionotophoresis?

A

Continuous and monophasic

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5
Q

How does ionotophoresis work with regard to charges?

A

Drug/solution polarity is matched to the polarity of the electrode, this repels the the solution away from the electrode into the skin

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6
Q

Does amplitude govern how far the drug penetrates?

A

No, rather how fast it gets there

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7
Q

What determines how far the drug goes after delivery?

A

Passive diffusion

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8
Q

By virtue of being direct current, what other effect does direct current on the tissue?

A

An electrolytic effect

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9
Q

What type of electrolytic product is created under the anode?

A

HCl

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10
Q

What effects does HCl have on tissue?

A

A sclerotic effect

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11
Q

What type of electrolytic product forms under the cathode?

A

NaOH

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12
Q

What effects does NaOH have on tissue?

A

Sclerolytic or softening effect

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13
Q

By virtue of producing redox products of HCl and NaOH, what also changes in the skin tissue?

A

pH

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14
Q

What concentrations of aqueous solution should be administered? Ointment?

A

2-5%, 1-5%

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15
Q

What is one way to minimize the side-effects of electrolysis?

A

Use a buffered electrode

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16
Q

What condition has tap water Ionotophoresis been shown to be an effective treatment of?

A

Hyperhidrosis

17
Q

What other conditions is there moderate support for use of ionotophoresis?

A

Rheumatoid disorders, epicondylitis, Peyronie’s disease, TMJ disorder, and calcifying tendinitis