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3 Biophysical Agents > Practical Exam > Flashcards

Practical Exam Flashcards

1
Q

NMES Indications

A

incontinence, neurologic conditions, orthopedic surgery

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2
Q

NMES expectations for pts

A

should be strong but comfortable. will help to gain muscle strength and ROM as we do an exercise with stimulation

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3
Q

Goals for NMES

A

restoring muscle function, inhibit spasms, increase ROM

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4
Q

Application of NMES

A

Frequency = 50-80 hz.

Pulse duration = 300 ms.

5-20 min for 2-5x/week.

Higher frequency & longer duration = larger muscles.

Longer off time = stronger contraction, Shorter off time = more reps.

Low frequency = small muscles.

Start with 1:5 ratio and then go to 1:1 ratio

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5
Q

Post-intervention NMES

A

MMT, pain

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6
Q

Precautions of NMES

A

impaired sensation, decreased circulation

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7
Q

Contraindications of NMES

A

malignancy, active bleeding, 3rd trimester pregnancy

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8
Q

Indications of TENS

A

RA, OA, DOMS, pain

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9
Q

TENS expectations for pt

A

Strong but comfortable. Tingling sensation. Will help muscles to relax

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10
Q

TENS goals

A

Decreases pain, stops muscle spasms, increase blood flow to muscles

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11
Q

TENS application

A

Wider spacing allows for deeper penetration.

Acute pain = lower pulse (50-80 uSec) and higher frequency (100-150 hz), continuous duration (can be on for hours) .

Chronic = higher pulse (150-300 uSec) and lower frequency (2-10 Hz), phasic duration (30-60 min on and off)

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12
Q

TENS post intervention

A

Rate pain, ROM?

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13
Q

Precautions of TENS

A

impaired circulation, infection

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14
Q

Contraindications of TENS

A

malignancy, impaired communication, damaged skin

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15
Q

Ultrasound indications

A

Acute pain, wound healing, carpal tunnel syndrome

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16
Q

Ultrasound expectations of treatment

A

increases blood flow, thermal effects that would help to decrease pain. Increases cellular activity for wound healing. 3-5 min window after done for thermal effects drop

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17
Q

Goals of ultrasound

A

helps increase quality of inflammation phase, stimulates cellular growth w/protein synthesis in proliferative phase, enhances collagen maturation in remodeling phase. INCREASES blood flow and tissue extensibility

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18
Q

Application of ultrasound

A

superficial tissue = 3 MHz, continuous duty, 5-10 min @ .5 intensity.

Deep = 1 MHz, continuous duty, 5-10 min, 1.5-2.0 intensity.

Max of 15 min, movement should be small slow circles

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19
Q

Post intervention of ultrasound

A

Exercise! Rate pain, ROM

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20
Q

precautions of ultrasound

A

breast implants, acute inflammation

21
Q

contraindications of ultrasound

A

active bleeding, lack of sensation, malignancy

22
Q

indications of cyrotherapy

A

pain, inflammation, swelling, DOMS

23
Q

expectations for pt for cyrotherapy

A

Stages: Cold, Burning, Aching, Numbness

24
Q

goals of cyrotherapy

A

improving pain, increases pain threshold, reduction in DOMS

25
Q

Application of cyrotherapy

A

barrier to the skin
small area = 3-5 min
large area= 15 min
inflammation = 10 min on/off

26
Q

post intervention for cyrotherapy

A

have patient rate pain, rate edema

27
Q

precautions of cyrotherapy

A

damaged skin, very young/old patient

28
Q

contraindications of cyrotherapy

A

impaired circulation, impaired sensation, malignancy

29
Q

indications for thermotherapy

A

muscle guarding, pain, muscle spasms

30
Q

pt expectations for thermotherapy

A

comfortable and warm, not hot or burning

31
Q

goals of thermotherapy

A

relax muscle spasms, increased pain threshold, increase extensibility

32
Q

application of thermotherapy

A

No set time, 10-20 min is the best. Protect from burns with barrier to skin

33
Q

post intervention for thermotherapy

A

have patient rate pain, ask about muscle spasms, ROM. MMT

34
Q

precautions of thermotherapy

A

chronic wound, damaged skin

35
Q

contraindications of thermotherapy

A

impaired circulation, impaired sensation, malignancy

36
Q

Cervical traction indications

A

pain, tight joint capsule

37
Q

cervical traction expectations for pt

A

pulling sensation, should be comfortable stretch

38
Q

goals of cervical traction

A

distracting joints, soft tissue stretch, reducing disc herniation, reduce pain, muscle relaxation

39
Q

Application of cervical traction

A

Supine, 15-20 degrees.

Joint = 20 to 30 lbs, Disc = 10-15 lbs.

Acute = 5-10 min, chronic = 15-30 min.

Can do static (disc/motion aggravated pain) or intermittent (disc/joint distraction)

40
Q

Post intervention cervical traction

A

ROM, rate pain

41
Q

Precautions of cervical traction

A

claustrophobia, pregnancy

42
Q

contraindications of cervical traction

A

fractures, worsening neural signs, acute inflammation

43
Q

iontophoresis indications

A

inflammation, tendonitis/bursitis

44
Q

ionto expectations for pt

A

little sting, should not be painful. helping to deliver drugs deeper into the skin.

45
Q

goals of ionto

A

reduce inflammation, break up scar tissue, decrease pain/muscle spasms. All dependent on medication

46
Q

Application of ionto

A

applied with a medication, like dexamethasone.

Clean skin, trim hair.

Longer treatment = more comfortable and more meds.

Usually worn on avg for an hour

47
Q

Post intervention for ionto

A

reduction of pain w/ADLs?

48
Q

ionto precautions

A

obesity, metal implants

49
Q

ionto contraindications

A

impaired sensation, impaired cognition, malignancy

3 Biophysical Agents (13 decks)

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