Tell Me the Modality
Decreases Metabolism
Cold
What is a cavitation?
creation of gas bubbles that affect cell membrane permeability
Why do we use compression therapies?
abnormal accumulation of fluid
local or systemic
Ratio for ROM
1:1
order of sensation with TENS
sensory, motor, noxious
Name 3 contraindications to hot packs and paraffin
ACUTE INFLAMMATION
EXISTING FEVER
MALIGNANCIES
OVER AREAS OF COMPROMISED CIRCULATION
RADIATION TREATMENT EFFECTS
RECENT HEMORRHAGE
IMPAIRED SENSATION
CANCER/MALIGNANCY
OINTMENTS
IMPAIRED COGNITION
Lumbar or cervical more effective?
Cervical
Hot using CONVECTION
(2)
Whirlpool, Fluido
Pt has post tib tendonitis- what US frequency?
3MHz
How much fluid is absorbed in the lymphatic system (old understanding)
10-20%
PPS
20-80
Electrode placement
closest to the pain/ surround the pain
For Paraffin dip and wrap method- how many dips?
8-10
The angle height for LOWER cervical
15 ish degs
Contraindication:
Over Epiphyseal Plates
US, Diathermy
3 day old lateral ankle sprain- what duty cycle?
20%
What is a RED FLAG parameter choice- (AKA DO NOT DO THIS) with intermittent pneumatic compression
inflation pressure should not exceed diastolic blood pressure
Size of motor unit to depolarize first
Large diameter
decrease habituation
What is angiogenesis and what modality causes this?
creation of new blood vessels
US
To have actual effects in the lumbar spine, how much weight?
50%
Hot Cold Modality that allows for ROM
Hydrotherapy
Do you use US over the SCM?
Why or why not?
NO- over thyroid gland and carotid artery
4 types of edema
acute
venous
lymphatic
systemic
Do you know the muffin man?
The one on dreary lane?
Parameters for MOTOR TENS
2-5pps
150-200 PW
15-60 mins
On a scale of zero to excited, how excited are you for finals to be over?
Pretty Excited
Name 3 contraindications to traction
Acute spine trauma
Joint hypermobility or instability
Rheumatoid arthritis (RA) and ankylosing spondylitis
History of osteoporosis or osteopenia
History of steroid use
Patients who have received surgical stabilization or decompression, spine implants, or prosthetic disks
Pregnancy (lumbar traction)
Non Mechanical pain
Precautions
Chronic obstructive pulmonary disease (COPD), claustrophobia
Contraindication:
Incontinence
Hydrotherapy/Aquatics
Name 2 thermal effects of US
Decrease pain
Increase metabolic rate
Increase blood flow
Promotes cell activity
Increase extensibility of soft tissue
Decrease tissue viscosity
3 ways fluid travels in the body
circulatory
lymphatic
interstitial space
What do you do if the electrodes won't stick?
shave them
wrap them
wet the pads
What is a duty cycle?
cycle time of wave form being on/off
Dex is ____ and goes on the ____ and what type of drug is it?
negative and cathode, steroid/anti inflammatory
When do you use static?
Acute, NR, stenosis
Works by increasing the number of motor units that fire
Neural Adaptations from NMES
Pt can tolerate 1.5 W/Cm2 at 1MHz to increase tissue tempt to 3.8 deg C- this would increase temp by .3 deg per min- how long is treatment?
12 min 40 sec
For intermittent compression therapy- how long is a treatment usually?
>60 mins
Give me a functional (FS) use
foot drop
Goals of TENS
pain relief
Type of current used with ionto
DC
With LUMBAR traction what are 2 safety things to do..
unlock/lock table
watch for rebound effect
give alarm bell
Contraindication:
Over synthetic clothes
diathermy
Pt can tolerate 1.0 W/Cm2 at 3MHz to increase tissue tempt to 3.8 deg C- this would increase temp by .6 deg per min- how long is treatment?
6 mins 20 sec
Contraindications for IPC
CHF
Active infection
Unstable fractures
Recent thrombophlebitis or DVT
Pulmonary emboli
Pulmonary edema (acute)
Uncontrolled HTN
Parameters for muscle strengthening after ACL reconstruction
PPS 20-80
PW 300-600
1:4 (5) ratio
parallel to muscle fibers
OR CLICK THE RUSSIAN BUTTON AND DO IT
What is a carrier frequency?
two frequencies that interfere with each other to generate an amplitude- modulated beat frequency-
used in IFC and Russian
Contra indications to biofeedback
contraindications to voluntary movement
confused individuals
over thick adipose
What is Scallops favorite toy?
Frisbee