Modalities Flashcards

1
Q

Contraindications for ultrasound

A
Directly over heart
Area with embolus
Infected areas or neoplasia
Epiphyseal area of growing bones
Spinal cord post laminectomy
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2
Q

Indications for ultrasound

A
Decrease pain
Decrease muscle spasm
Increase ROM/decrease stiffness
Increase blood flow/metabolic rate/ tissue healing
Calcific tendinitis
Wound healing
Fracture healing
Fibrotic myopathy
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3
Q

Which ultrasound frequency penetrates further and with more divergence 1 or 3?

A

1

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4
Q

What 3 things does laser therapy accomplish?

A
  1. Relieves pain
  2. Reduces inflammation
  3. Increases microcirculation
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5
Q

What is The application of electromagnetic radiation
within the red and infrared spectrum over
injuries and lesions to stimulate healing and
pain relief within those tissues.”

A

Photobiomodulation

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6
Q

How are lasers classified?

A

By power output and their
potential to cause damage to biological tissue
(especially the eye) if used improperly.

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7
Q

What is a measure of how deep light or any
electromagnetic radiation can penetrate into a material.
It is defined as the depth at which the intensity of the
radiation inside the material falls to 1/e (about 37%) of the
original value at the surface.

A

Penetration depth

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8
Q

What is most important factor for penetration depth?

A

Wavelength

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9
Q

How deep a therapeutic dose of laser therapy penetrates is dependent on 3 things

A

Power
Wavelength
Time

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10
Q

A 10 watt laser will deliver how many joules over one minute?

A

600 joules/minute

1 watt= 1 joule per second so 10 watts equals 10 joulesx60 seconds= 600 joules/ minute

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11
Q

What is heat transfer by direct interaction of molecules in one area with those in another area?

A

Conduction

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12
Q

What type of energy transfer is the use of a hot pavk?

A

Conduction

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13
Q

What is heat transfer by movement of air or fluid from a warm area to a cooler area?

A

Convection

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14
Q

What type of energy transfer is used in a whirlpool?

A

Convection

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15
Q

What process is the exchange of electromagnetic energy that occurs when there is a difference in temperature between 2 objects?

A

Radiation

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16
Q

What is evaporation?

A

Changing liquid to vapor

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17
Q

What is a nonthermal form of energy that penetrates the tissues and is converted to heat?

A

Conversion example is ultrasound

18
Q

What is thermal conductivity?

A

The ability of a substance to conduct heat

19
Q

How much should tissue temperature be increased to increase extensibility of tissue?

A

at least 2 degrees

20
Q

What is the Gate theory of pain?

A

Severity of pain sensation is determined by balance of excitability and inhibitory responses to T cells in spinal cord that block C&A delta

21
Q

What is the thermal agent of choice for acute injuries?

22
Q

What depth does 1 MHz ultrasound penetrate?

23
Q

What depth does 3 MHz ultrasound penetrate?

24
Q

True or False Average energy is lower with pulsed ultrasound than continuous?

25
Does continuous or pulsed ultrasound have the greatest heating effect?
Continuous
26
What is NMES?
Application of an electrical current to elicit a muscle contraction
27
What are the general uses for NMES?
muscle reeducation/strengthening, improving function
28
Which type of muscle fiber is effected the most by disuse atrophy?
Type I
29
What is the best frequency for NMES?
30-50pps
30
When is NMES best utilized?
First 2-4 weeks postop, for atrophy, for selective strengthening of muscle groups
31
What is target dose for superficial tissue with laser?
3-4 joules/cm2
32
What is target dose for deep tissues with laser?
6-10 joules/cm2
33
How many cm2 is a 3x5 index xard?
100cm2
34
With continuous wave laser how many joules is 1 watt for 1 second?
1 Joule
35
With pulsed wave laser how many joules is 1 watt per second?
1/2 Joule
36
How many cm of tissue depth can shockwave penetrate?
11 cm
37
How many days does it take to see visible clinical respomse to shockwave?
3-7 days
38
What features of water make it useful in therapy?
Thermal, buoyancy, Hydrostatic pressure, surface tension, cohesion and turbulence
39
What % of BW is borne when dog has water level at hip?
38%
40
What % of body weight is borne when water is at dog's lateral condyle of femur?
85%
41
What amount of body weight is borne when water level is at arteral malleolus of tibia?
91%