cata lab final

Question 1

Electrical contraindications

Answer 1

• Skin disorder
• Altered sensation
• Demand type pacemaker
• Psychological issues
• Over anterior cervical area
• Over anterior thoracic region
• Over carnival region
• Unstable fractures
• Metal implants
• Epilepsy
• Hemorrhagic area / Blood clot

Question 2

Ultrasound Contraindications

Answer 2

• Skin disorder
• Altered sensation
• Demand type pacemaker
• Psychological issues
• Osteoporosis
• Fractures
• Severely ischemic Tissue/Venous thrombosis
• Acute infection
• Near organ/spinal cord
• Metal implants
• Active epiphyseal regions
• Thrombophlebities

Question 3

Mobilization contraindications

Answer 3

• Skin disorder
• Altered sensation
• Demand type pacemaker
• Psychological issues
• Pathological changes (neoplasm/inflammation/infection/osteopania)
• Active Collagen vascular Disorder
• Massive degenerative changes
• Loss of skeletal or ligamentous stability
• Congenital anomalies
• Coagulation problems
• Hypo or hyper mobile joint
• Pain and protective muscle spasm
• Fractures

Question 4

Cryotherapy contraindication

Answer 4

• Skin disorder
• Altered sensation
• Demand type pacemaker
• Psychological Issues
• Hypersensitivity to cold
• Raynaud’s

Question 5

Thermotherapy contraindication

Answer 5

-Skin disorder
-Altered sensation
-Demand type pacemaker
-Psychological issues
-Acute injury
-Near eye
-Near Genitals
-

Question 6

PNF contraindications

Answer 6

• Skin disorder
• Altered sensation
• Demand type pacemaker
• Psychological issues
• Osteoporosis
• Fractures

Question 7

Massage contraindications

Answer 7

• Skin disorder.
• Altered sensation.
• Demand type Pacemaker.
• Psychological issues.
• Osteoporosis.
• Fractures.
• Acute Injury (Primary stage of bruising/inflammation).

Question 8

Patient explanation

Answer 8

1) Goal of modality
2) Appropriate Aim for the problem
3) How Modality will achieve goal (Physiological effect)
4) What should a pt do during application
5) Safety measures

Question 9

Lab exam order

Answer 9

1) Pt Explanation
2) contraindications
3) Cautions
4) Sensation check
5) Ask Permission to proceed with modality clear and conscious explanation , Wash hands
6) Pt Positioninng
7) Pt Privacy
8) Application
9) Treatment plan

Question 10

Massage cautions

Answer 10

• Metabolic disease
• Cardiovascular disease
• Circulatory disease
• Systemic Disease
• Cancer

Question 11

Ultrasound cautions

Answer 11

• Metabolic disease
• Cardiovascular disease
• Circulatory disease
• Systemic Disease
• Cancer

Question 12

Electrical Stimulation cautions

Answer 12

• Pregnancy
• Unfused epiphyseal plates
• Metabolic disease
• Cardiovascular disease
• Circulatory disease
• Systemic Disease
• Cancer

Question 13

PNF Patterns cautions

Answer 13

• Hyper or hypo mobility
• Metabolic disease
• Cardiovascular disease
• Circulatory disease
• Systemic Disease
• Cancer

Question 14

Thermotherapy cautions

Answer 14

• Pregnancy
• Metabolic disease
• Cardiovascular disease
• Circulatory disease
• Systemic Disease
• Cancer

Question 15

cryotherapy cautions

Answer 15

• Dislikes cold
• Metabolic disease
• Cardiovascular disease
• Circulatory disease
• Systemic Disease
• Cancer

Question 16

Mobilizations cautions

Answer 16

• Metabolic disease
• Cardiovascular disease
• Circulatory disease
• Systemic Disease
• Cancer

Question 17

Application of acute Tens

Answer 17

100 micro second ,100 pulse per second ,20 min, daily. pleasant tingling without contraction,pads on pain (relief duration –> 30 min– 2hr).

Question 18

Application of chronic Tens

Answer 18

150 micro second , 5pulse per second ,20 min, daily. To tolerance , Burning needling sensation, slight muscle twitch (Duration relief –> 6-7 Hr) , Pads on pain.

Question 19

Application of Tens before Rehab.

Answer 19

250 micro sec , 100 pulse per second , 20 min ,daily, to tolerance ,visible twitch and titanic muscle contraction.
relief duration up to 30 min

Question 20

Application of IFC Acute

Answer 20

5000Hz 150 Pulse per second, (SWEEP) ,20 min,crisscross pain, 40 % scan. Pleasant tingling without contraction,3 times a day daily.

Question 21

Application of IFC Chronic

Answer 21

2500 Hz , 10 Pulse per second ,(Sweep), 20 min, crisscross pain 40 % scan . With or without muscle contraction , pleasant tingling , once a day , daily.

Question 22

Application IFC Edema

Answer 22

5000 Hz , 50 pulse per second , 20 min , criss cross pain , 3 times a day, strong but comfortable contraction.

Question 23

Application of IFC Spasm

Answer 23

2500 HZ , 4 pulse per second , criss cross local trigger point , Moderate visible muscle contraction , 20 min daily.

Question 24

Application of NMES (Re education)

Answer 24

5000 Hz carrier frequency , 50 pulse per second, 10 sec on\ 30 sec off , 2 sec Ramp , placement on motor points and muscle belly, visible muscle contraction. Patient Duty : Contract with On cycle , 20 min daily.

Question 25

Application of NMES (Edema)

Answer 25

5000 Hz carrier frequency , 50 Pulse per second bipolar on motor point muscle spasm , 20 min , 10 sec on/10 sec off elevated Limb , no ramp! ,twice a day daily. ** If it is Acute Edema put ramp 2 sec and no need to elevate the limb , Just relax.

Question 26

goal of Mobilization

Answer 26

- Restore structures within joint to their normal position - Stretch a stiff painless joint to restore range - Relieve pain.

Question 27

goal of grade 1 mobilization

Answer 27

decrease pain, with traction to reduce joint compression

Question 28

goal of grade 2 mobilization

Answer 28

grade 2a:(slack): relieve pain and spasm | grade 2b:(transition): mobility

Question 29

goal of grade 3 mobilization

Answer 29

increase ROM

Question 30

Mobilization Physiological effect?

Answer 30

Physiological effect: When you move your body part there are also small complementary movements happening within the joint. Mobs will put the joint through this normal motion to get the joint re-used to doing it so that they occur during active movement. It also moves the synovial fluid to increase circulation to and from the joint, as well as breaks up adhesions to allow easier movement.

Question 31

Application of Mobilization parameters

Answer 31

``` Grade 1: Small oscillations. ROM parameters, ex. 3 x 20x 2s Grade 2a(slack): Slightly bigger oscillations, ROM parameters, ex. 3 x 20 x 5s Grade 2b(transition): Large oscillations, ROM parameters, ex. 3 x 20 x 15s Grade 3: Hold like a stretch. Flexibility parameters, ex. 3 x 20s ```

Question 32

Thermotherapy goal

Answer 32

hronic pain, muscle guarding/ spasm, myofascial trigger points,chronic inflam, Subacute sprain/ strain/ contusion, decreased ROM

Question 33

Cryotherapy goal

Answer 33

hronic pain, muscle guarding/ spasm, myofascial trigger points, Acute pain/ inflam/ sprain/ strain/ contusion

Question 34

Cryotherapy physiological effects

Answer 34

lower tissue temperature decreased nerve activity and speed of signal transmission. So less signals sent to the brain will decrease pain felt. Also decreases local blood flow and metabolism to help prevent further inflammation by decreasing fluid brought to area (vasoconstriction) and decreasing tissue oxygen needs.

Question 35

Thermotherapy hysiological effects

Answer 35

GCT? increase in temperature will increase local blood flow (vasodilation). increase nutrients brought to area to help with healing. Increase flow also helps with return of fluid through the veins to decrease chronic inflamma

Question 36

Game Ready (cold-compression units) goal

Answer 36

Acute and post-surgery | Time (10mins ish)

Question 37

Ice Massage goal

Answer 37

stretch without pain

Question 38

Hydro Collator application

Answer 38

for heat application (chronic inflam/ pain, decreased ROM) 6-8 layers of towel (wrap thing counts as 4) for 15mins.

Question 39

Paraffin Bath application

Answer 39

persistent swelling not resolved with other techniques Cold water (1min) —> Hot water (3mins) x5 (or opposite).