Midterm Practical Flashcards
(64 cards)
1
Q
Acute Injury or Inflammation
A
- Ice
- Ultrasound
- Diathermy
2
Q
Acute, Chronic, Postsurgical Pain
A
Ice
3
Q
Spasticity in CNS disorders
A
Ice
4
Q
Neuralgia
A
Ice
5
Q
Acute or Chronic Muscle Spasm
A
Ice
6
Q
Increases Tissue Extensibility
A
Paraffin Wax
7
Q
Has Pain relief at rest & during movement
A
Paraffin Wax
8
Q
Muscle Spasm
A
- Heat
- Ultrasound
- Diathermy
- Traction
9
Q
Decreased ROM
A
Heat
10
Q
Joint Contractures
A
- Heat
- Ultrasound
- Diathermy
11
Q
Chronic Inflammatory Conditions
A
- Ultrasound
- Diathermy
12
Q
Neuroma
A
- Ultrasound
- Diathermy
13
Q
Scar Tissue
A
- Ultrasound
- Diathermy
14
Q
Trigger Points
A
- Ultrasound
- Diathermy
15
Q
Warts
A
- Ultrasound
- Diathermy
16
Q
Spasticity
A
- Ultrasound
- Diathermy
17
Q
Degenerative Conditions
A
Traction
18
Q
Disc Bulge/Herniation/Imbibition
A
Traction
19
Q
Radicular Symptoms
A
Traction
20
Q
Joint Mobilization
A
Traction
21
Q
Lack of Proprioception
A
Traction
22
Q
Facet Syndrome
A
Traction
23
Q
Spinal Pain
A
Traction
24
Q
Adhesions & Fibrosis
A
Traction
25
Tx Time for Ice
Until Numb
26
Tx Time for Paraffin Wax
12-15 minutes
27
Tx Time for Heat
20 Minutes
28
Tx Time for Ultrasound
7 Minutes
29
Tx Time for Diathermy
20 Minutes
30
Tx Time for Cervical & Lumbar Traction
15-30 Minutes
31
Contraindication’s for Ice
Any sensitivity to Cold?
32
Contraindication’s for Paraffin Wax
1) Remove Jewelry
2) Check for Wounds
33
Contraindication’s for Heat
Check for Metal in or around Tx area
34
Contraindication’s for Ultrasound
Any Metal Implants or Prosthetics?
35
Contraindication’s for Diathermy:
1) Metal Implants/Prosthetics?
2) Any metal around diathermy field?
3) Could be/Currently Pregnant?
36
Contraindication’s for Traction
1) Claustrophobic?
2) Any Conn. Tissue Disorders?
3) Could Be/Currently Pregnant?
37
Informed Consent for Ice
1) CBAN
2) Let me know if it gets too cold
3) Is it ok if I place this on you?
38
Informed Consent for Paraffin Wax
1) This will warm your hands, then ill wrap them in a towel
2) The metal can cause burns, do dont touch it
3) Is it okay if I continue?
39
Informed Consent for Moist Heat
1) This will relax your muscle
2) It’s gonna get warm, let me know it its too hot
3) is it ok if I place this on you?
40
Informed Consent for Deep Heat Ultrasound
1) this creates deep heat & can potentially cause a burn to the bone if left in place for too long
2) Let me know if it gets too warm
3) Can I place this on you?
41
Informed Consent for Micro Massage Ultrasound
1) this will relax the muscle and move the fluid out
2) Might feel tingling, let me know if you feel any heat
3) Can I place this on you?
42
Informed Consent for Diathermy
1) This creates deep heat & potentially can cause a burn
2) Let me know if it gets too warm
3) Can I place this on you?
43
Informed Consent for Traction
1) This table will pull out slowly; might feel tension
2) Let me know if it gets too uncomfortable
3) Is it ok if I strap this on you?
44
Settings/Set-Up for Paraffin Wax
1) 7 Dips
2) Hand in plastic bag
3) wrap in towel
45
Settings/Set-Up for Heat
1) 6-8 layers
2) place ON not UNDER patient
46
Settings/Set-Up for Deep Heat Ultrasound
1 MHz with 100% or 20% Duty Cycle
47
Settings/Set-Up for Micro Massage Ultrasound
3.3 MHz with 100% or 20% Duty Cycle
48
Settings/Set-Up for Diathermy (Chronic Conditions)
CW with 75 Intensity (NO PULSE WIDTH)
49
Settings/Set-Up for Diathermy (Acute Conditions)
10 Hz with 65 pulse width & 75 intensity
50
Settings/Set-Up for Cervical Traction
10 lbs
51
Settings/Set-Up for Lumbar Traction
50% of Patients Body Weight
52
Procedure for Ice Bag
Wrap towel around it so it stays cold
53
Procedure for Cold Pack
Surround entire Joint (Can wrap with towel to keep it in place)
54
Procedure for CryoCup
1) Round the edges with your palm
2) Use small circles in a small area
3) Lots of Towels
55
Procedure for Paraffin Wax
1) Rest hand in lap
2) Be sure to say don’t use any grip tools
56
Procedure for Moist Heat Pack
Check area often to look for burns
“Let me know if it’s too hot or cold”
57
Procedure For Ultrasound
1) ULTRASOUND -> EDIT
2) MHz: (DEEP TISSUE: 1) (THIN TISSUE: 3.3)
3) Duty Cycle: (DEEP HEAT: 100%) (MICRO MASSAGE: 20%)
[Heat on Thin tissue = 100%]
4) Apply Gel & Spread w/ US Head (with it off)
5) Hit START & move it around SLOWLY in small circles
6) Turn up Frequency to Pt. Preference
58
Procedure for Diathermy (Chronic Conditions)
1) Place drum over area
2) Keep on CW
3) SKIP Pulse Width
4) Next Twice
5) Set time to 20 minutes
6) “Start” the set Resistance to 75
7) Hit Enter
“Do you feel it getting hot?”
59
Procedure for Diathermy (Acute Conditions)
1) Press down arrow to 10/20 Hz
2) Leave Pulse Width at 65-100
3) Hit Next TWICE
4) Set time to 20 minutes
5) Start
6) Set resistance to 75
7) Hit enter
“Do you feel it getting hot?”
60
Procedure for Cervical traction (Table & Pt Set-Up)
1) Bring head piece up
2) Place cervical piece on edge of table
3) Put pt’s Mastoid on b/l pads & tighten with knobs
4) Strap Forehead & Tighten
5) Hit RELEASE -> it will click -> Pull it out & hook it
6) Hit RELEASE again while holding rope to tighten it
7) Hit CERVICAL TRACTION/EDIT then MIN/MAX Levels
8) MAX LEVEL: 10lbs / MIN LEVEL: 0lbs
9) Raise Leg piece & place knee support
10) Give pt. Kill switch
11) START
61
Procedure for Lumbar Traction (Table & Pt. Set Up)
1) Triangle blue thing hook to Bottom of Table
2) Thinner Triangle Blue piece other direction of blue piece with sides on both sides of table
3) PSIS right at connection of blue pieces
4) Lower strap first (both parts) Pull both tight
5) Superior strap over the First
6) UNLOCK TABLE (knob below)
7) Knee support & Head rest
8) Bottom strap between legs comes up to hook in at waistline
9) Give pt. Kill Switch
62
Procedure for Lumbar Traction (Screen Set-Up)
1) LUMBAR TRACTION
2) RELEASE -> it will click -> Hook to bottom ring between pt’s Legs (MUST HOLD BUTTON DOWN)
3) Hold rope & Press RELEASE again
4) EDIT -> MIN/MAX LEVEL
5) MAX LEVEL: 50% body weight
6) MIN LEVEL: Zero
7) Hit BACK then START
63
Procedure for Cervical Traction (Screen Set-Up)
1) Hit RELEASE -> it will click -> Pull it out & hook it
2) Hit RELEASE again while holding rope to tighten it
3) Hit CERVICAL TRACTION/EDIT then MIN/MAX Levels
4) MAX LEVEL: 10lbs / MIN LEVEL: 0lbs
5) Raise Leg piece & place knee support
64
DC it…
HOW ARE YOU FEELING??????
