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Basics of Modalities Flashcards

1
Q

Therapeutic modalities are tools for bringing about a desired ___________ ___________.

A

therapeutic response

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2
Q

Define Rehabilitation:

A

restoring to former capacity by providing treatment or therapy.

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3
Q

Proper _________ of the role of modalities depends on an __________ of the overall orthopedic injury rehabilitation process.

A

Understanding

understanding

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4
Q

“knob-ology”?

A

just turning knobs and buttons while not interested in knowing why they are doing it. Modalities is not all evidence based practice.
Application usually precedes theory

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5
Q

Clinical Decision Making: 4 main sources when making a decision

A

tradition
experience
theory
research

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6
Q

Tradition

A

how it has always been done

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7
Q

Experience

A

result of success and failures with similar patients and similar conditions

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8
Q

Theory

A

best guess at what is going on, based on logical evaluation of the evidence

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9
Q

Research

A

result of scientific investigation (test theories)

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10
Q

When selecting criteria for rehabilitation keep in mind…

A
  1. Correct diagnosis
  2. Definite concept of pathological &physiological changes associated with injury (create problem list)
  3. Outline treatment plan (STG, LTG)
  4. Understand Modality’s effects, indications, contraindications
  5. Match goals with modality that will help achieve it
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11
Q

Myths about rehab: True or false, treat injuries, then rehabilitate them?

A

False belief. Rehabilitation is the whole process of returning an individual to pre-injury levels…we treatment with modalities is part of the rehab process. (not something that precedes it)

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12
Q

Myths about rehab: True or false, rehabilitation = reconditioning?

A

False, rehabilitation includes promotion of healing and pain relief (in addition to conditioning activities)
Example: cannot condition someone with a torn tendon until it is healed. Can condition because pain inhibits strength, flexibility, etc.

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13
Q

Myths about rehab: True or false, rehab is primarily physical?

A

False, most clinicians & patients will tell you that rehabilitation is 75% mental and 25% physical. Direct connection exists between mind and body. (some pt seem to “give up” after injury, others must be held back)

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14
Q

Types of modalities?

A

Acoustic Modalities

Electromagnetic Modalities

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15
Q

Acoustic Modalities

A

Ultrasound

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16
Q

Electromagnetic Modalities

A

(radiation=radiant energy=EM waves=EM radiation

  1. Electrical stimulation currents (including iontophoresis
  2. Biofeedback
  3. Shortwave diathermy
  4. Infrared Modalities
  5. Ultraviolet Therapy
  6. Laser/light Theryapy
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17
Q

Classifications of modalities

A 
Cryotherapy
Thermotherapy
Hydrotherapy
Electrotherapy
Light Therapy
Mechanotherapy
Exercise
18
Q

Cryotherapy

A

Description: Use of cold (~ 32-70F, 0-21C)

Ice massage, ice packs, immersion, cold whirlpool, vapocoolant sprays

19
Q

Thermotherapy

A

Description: Use of superficial and deep heat (~98-109F, 37-43C)
Moist heat packs, warm whirlpool, paraffin wax baths, ultrasound, diathermy, ultraviolet

20
Q

Hydrotherapy

A

Description: Application of water

Whirlpool, immersion

21
Q

Electrotherapy

A

Description: Use of electricity

TENS, NMES, iontophoresis, Diathermy

22
Q

Light Therapy

A

Description: Use of electromagnetic radiation.

Laser, light theryapy, infrared

23
Q

Mechanotherapy

A

Description: Use of motion, force, pressure.

Massage, mobilization, intermit, compression, CPM, traction, whirlpool, ultrasound

24
Q

Exercise

A

Description: Performed by patients

Various (cryokinetics)

25
Electomagnetic Spectrum: What is the difference between Infrared Radiation and Ultraviolet Radiation?
Infrared region: produces heat, located beyond visible red region. Ultraviolet region: produces chemical changes, located beyond the visible violet region
26
Common Theoretical Characterististcs of EM Radiation
1. They all travel at an equal velocity 2. The basic unit of radiant energy is a PHOTON 3. They travel in a straight line until they come in contact with some other surface. * Reflected, Refracted, Absorbed, or Transmitted
27
Describe the characteristics of Wavelengths & Frequency
Inverse relationship Frequency - # of cycles per sec (Hz or MHz) Wavelength - distance between one wave and the next Velocity = (wavelength)(frequency) 3x108m/sec (speed of light)
28
Depths of electromagnetic modalities?
``` E-stim = Anywhere btw electrodes MW diathermy = 5cm SW diathermy = 3cm Laser = 10-15mm everything else 1cm ultrasound = 1mm ```
29
What are Photons
"packets" of energy The amount of energy in a photon is a function of the frequency of the EM wave. Greater Frequency = shorter wavelength (has more energy lower frequencies have no therapeutic values
30
The four different ways EM radiation is transfered/moved
Reflection Refraction Transmission Absorption
31
Reflection
As waves hit substance, they bounce back. No penetration into substance.
32
Refraction
Waves bend as they pass through substance
33
Transmission
Wave is transmitted through substance. Depth of penetration is dependent on energy waves.
34
Absorption
Waves are absorbed by tissues and turned to heat
35
TRUE or FALSE | Radiations that have the shortest wavelengths have greatest depth of penetration.
False longest example: US
36
Name the Laws covering the effects of EM radiation
Arndt-Schultz Principle Law of Grothhus-Draper Cosine Law Inverse Square Law
37
Arndt-Schultz Principle
No reaction or change can occur in the tissues if the amount of energy absorbed is insufficient to stimulate the absorbing tissue. Goal: deliver sufficient energy to stimulate tissues to perform normal function. (not to much though)
38
Law of Grothhus-Draper
The greater the amount of energy absorbed, the less penetration through the tissue. If therapeutic energy is not absorbed by superficial tissues, it will penetrate deeper
39
Cosine Law
Radiant energy is more easily transmitted to deeper tissues if source of radiation is at a right angle to area being radiated. Important for ultrasound Sun-bathing example, less EM energy will be reflected.
40
Inverse Square Law
The intensity of the radiation striking a surface varies inversely with the square of the distance from the source. Closer you are to the skin the more energy is passed. Important for Diarthermies and ultraviolet light
41
Acoustic waves vs EM waves
Transmit waves transmit BEST through solids and not at all in vacuums. Inverse for EM. Transmitted by collisions. EM waves slowed by collisions. Accoustic waves do not travel as fast as EMS waves

Basic Modalities (6 decks)

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