LASER Flashcards

1
Q

LASER stands for

A

light amplification by stimulated emission of radiation

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2
Q

what is population inversion

A

oscillation between ground and excited state to create energy within the body

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3
Q

what is spontaneous emission without population inversion vs with it

A

w/o - normal light
with - LASER

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4
Q

explain coherent vs incoherent LED light

A

coherent = all light in uniform direction

incoherent = light not in uniform direction

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5
Q

what is monochromacity

A

light produced at single wavelength

that is infrared (invisible) or in the visible light spectrum (red)

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6
Q

what does tissue absorbance depend upon?

A

wavelength of laser light

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7
Q

explain how LASER light is initiated and projected

A

imagine two sides with mirrors facing each other

energy moves back and forth from mirror to mirror until it all becomes monochromatic

once it all is lined up, the selective filter mirror allows for it to be emitted from the vacuum

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8
Q

what class of LASER is used in therapy

A

Class 3
- low level laser or “cold” laser

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9
Q

what are the subclasses of class 3 lasers

A

3a = Helium Neon <5mW
3b = Helium Neon 5-500mW

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10
Q

thermal effects of hot lasers

A

elevation of tissue temperature (no kidding!)

dehydration of tissue

coagulation of protein

thermolysis

evaporation

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11
Q

cold LASER physiological effects

A

increased:
oxidative phosphorylation
bactericidal effect
leukocyte activity
DNA/RNA synthesis
calcium fluxes
fibroblast growth / collagen deposition
re-epithelization
angiogenesis

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12
Q

what is low-level LASER typically used on

A

painful / inflammatory neuromusculoskeletal conditions

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13
Q

clinical application of LASER

A

edema reduction
wound healing
pain relief
carpal tunnel syndrome

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14
Q

explain how LASER assists wound healing

A

chronic/surgical wounds
- bactericidal effect can decrease infection

increase collagen synthesis/strength

decrease scar formation

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15
Q

what is LASER typically used for in relation to pain relief

A

RA joints
trigger points
tendonitis
joint pain

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16
Q

what are the application techniques for LASER

A

gridding
surround

17
Q

explain gridding LASER application technique

A

cover a 1-1.5 cm² area with direct skin contact
go from square to square like a grid

18
Q

explain surround application technique of LASER

A

in hopes to stimulate periphery of wound

cover a 2cm² area for 30seconds

19
Q

what is LASER measured in regarding power

A

Joules = watts (J/sec) x time (sec)

20
Q

what is power measured by in pulsed LASER application

A

rate x peak power x pulse width

21
Q

what is energy density measured in

A

joules/cm²

22
Q

Gas LASERs are composed of

A

Helium and Neon

23
Q

HeNe have a _______ of:
- wavelength
- power
- divergence

A

632.8 nm
1-10 mW
18-21°

24
Q

semiconductor LASERS are composed of

A

Gallium Arsenide (GaAs)

25
GaAs LASERS have a ______ of: - wavelength - power - divergence
904 nm peak power = 2 W avg power = 0.4mW at 1000 Hz 10-35°
26
26
27
how is average power calculated
pulse rate x peak power x pulse width
28
depth of penetration of NeHe LASER
direct = 2-5 mm indirect = 8-10 mm
29
depth of penetration of GaAs LASER
direct = 10-20mm indirect = 50 mm
30
precautions / contraindications of LASER
infection abnormal sensation malignancy epilepsy (no C-Spine) no growth plates fever acute hemorrhaging/active bleeding
31
documentation of LASER therapy
location of treatment dosage (joules/cm²) laser power (watts) duration of treatment frequency / type of laser used mode (continuous or pulsed) pre/post treatment assessments