Midterm

Question 1

Nociception

Answer 1

Pain with a known cause; from activation of nociceptors; injury/inflammation

Question 1

Allodynia

Answer 1

@70 degrees the water hurts due to sunburn

Question 2

Primary Hyperalgesia

Answer 2

@90 the water hurts way more than normal

Question 3

A delta fibers (myelinated)

Answer 3

Faster conducting
acute, sharp, localized pain
Respond to noxious stimuli/ temp

Question 4

C Nociceptors

Answer 4

Slower conducting
dull, achy, burning, widespread, diffuse
Noxious-chemical heat

Question 5

Nociplastic

Answer 5

Pain without cause or tissue damage
Due to disturbance in central pain processing; fibromyalgia, nonspecific LBP

Question 6

Secondary Hyperalgesia

Answer 6

Hyperalgesia at a different location

Question 7

Temporal Summation

Answer 7

Increase pain with respeated noxious stimuli 1/10, 2/10, 3/10

Question 8

Conditioned pain modulated

Answer 8

Pain inhibits pain

Question 9

Neuropathic

Answer 9

Due to lesion of the somatosensoty system; injury to nerve/ metabolic disease

Question 10

Dysesthesia

Answer 10

Unpleasant numbness/tingling - diabetes/reynauds

Question 11

Paresthesia

Answer 11

Numbness/ tingling

Question 12

Radicular pain

Answer 12

moves along nerve root

Question 13

Thermal Therapy

Answer 13

Used in rehab to control pain and increase soft tissue extensibility

Question 14

Hemodynamic

Answer 14

Localized, superficial increased blood supply (heat) decreased for cold

Question 15

Neruomuscular

Answer 15

Decreased alpha motor neuron firing

Question 16

Altered Tissue Extensibility

Answer 16

Increase collagen extensibilty

Question 17

Physical Principles of tissue heating

Answer 17

Conduction
Convection
Conversion
Radiation

Question 18

Thermal Condtraindications

Answer 18

Recent/potential hemmorage
Thrombophlebitis
Impaired sensation
Impaired mentation
Malignant tumor

Question 19

Cryotherapy

Answer 19

Used to control pain, decrease inflammation, decrease edema, decrease spacicity; only 10-20 min vasoconstriction

Question 20

Compression

Answer 20

Lymphedema treatment; helps prevent DVT, facilitate the healing or venous ulcers

Question 21

Compression Contraindications

Answer 21

Heart failure/pulmonary edema
Recent/acute DVT
Obstructed lymphatic or venous system
Uncontrolled HTN
Significant hypoproteinemia
Acute trauma or fracture
Arterial revascularization

Question 22

PEACE & LOVE

Answer 22

Protection, elevation,avoid anti-inflammatories, compression, education

Load, optimism, vascularization, exercise

Question 23

EMG Biofeedback

Answer 23

Monitoring and assessment of skeletal muscle electrical activity
depolarization of muscle is measured then amplified to audio or visual feedback

Question 24

Biofeedback Facilitory

Answer 24

Impaired volitional motor recruitment post surgery/ injury Impaired motor contril following CNS dysfunction Impaired volitional control of pelvic loor muscles

Question 25

Biofeedback Inhibition

Answer 25

Help reduce spacsticity in muscles following CNS dysfunction Reduce tension/activity of muscles associated with stress and chronic pain

Question 26

Biofeedback parameters

Answer 26

Sensitivity- abilty of the unit to detect electrical motor activity Gain- sensitivity settings, 1, 10 ,100 , 1000 Smallest level of muscle activity tha can be detected is 1 mv **If it is 1000 mv then there will be low sensitivity

Question 27

Iontophoresis

Answer 27

The use of low amplitude DC to facilitate transdermal drug delivery; dexamethasone or lidocaine Depth uncertain 3-20 mm Recommended to use 40 mA -min or 80 mA-min

Question 28

Iontophoresis Parameters

Answer 28

Electrode placement and size; drug delivery electrode is placed over the area of pathology Drug delivery elecrode should have the same polarity as the active ion of the drug to be delivered