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Fundamentals 2014 > Modalities > Flashcards

Modalities Flashcards

1
Q

Ultrasound Contraindications

A 
Malignant tissues or space occupying lesions
Pregnant (ie cant do US over fetus)
CNS tissue
Cemented prosthesis or plastic 
Over Pacemaker
prosthesis
Over Blood Clots (or thrombophlebitis)
Over the eyes
Over the genitals
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2
Q

Ultrasound precautions

A 
Acute Inflammation
Unclosed Epiphyseal plates (children)
Only a low dose over a fracture
Over breast implants
Reduced sensation or circulation
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3
Q

Ultrasound Indications

A 
Acute/Subacute Inflammation
Soft Tissue healing 
Increase soft tissue extensibility 
Increase circulation
Decrease Pain
Decrease muscle spasm
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4
Q

Ultrasound parameters for superficial heat

A

3MHz.
continuous cycle
.5W/cm2
5-10 minutes

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5
Q

Ultrasound Parameters for Deep heat

A

1 MHz
continuous cycle
1.5-2.0W/cm2
5-10 minutes

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6
Q

ultrasound parameters for non-thermal usage

A

1-3MHz
20% duty cycle
0.5-1.0W/cm2
5-10 minutes

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7
Q

why would you use non thermal US?

A

to accelerate healing through altering the membrane permeability in the tissue

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8
Q

Contraindications for Cold

A

Cold hypersensitivity or intolerance
Cryobulinemia and paroxysmal cold hemoglobinuria
Cold allergy/raynaud’s disease
Over regenerating peripheral nerves
Impaired circulation, sensation, or mentation

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9
Q

Precautions for Cold

A 
Over a superficial main branch of a nerve
Over an open wound
HTN
Poor sensation or mentation
Very young or old
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10
Q

indications for cold

A 
Acute/Subacute swelling
Inflammation
Pain
Spasticity Management
Post Exercise or stretching
Mild Burns
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11
Q

Physiologic effects of cold

A

Decrease local temperature followed by hunting response
Decrease circulation and vasoconstriction followed by increased circulation and vasodilation
Decrease edema
Decrease muscle excitability, muscle spindle depolarization
Decrease local metabolism
Decrease sensation

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12
Q

stages of cold

A

Intense Cold (within 3 minutes)
Burning or Aching (4-7 minutes)
Local Analgesia (8-15 minutes)
Numbness (15-30 minutes)

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13
Q

Contraindications for Heat

A 
Acute inflammatory conditions;
Acute spasm
Thrombophlebitis 
Impaired sensation, mentation
Malignance
IR over eyes
Recent or potential hemorrhage
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14
Q

Precautions for Heat

A 
Over an open wound 
Pregnancy
Impaired circulation
Poor thermal regulation
Edema
Cardiac insufficiency 
Metal in the area
Over areas where topical creams were recently applied
Demyelinated nerves
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15
Q

Indications for Heat

A

Subacute or chronic phase of healing
Decreased ROM (ie prior to stretching)
Muscle guarding or spasm

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16
Q

physiologic effects of heat

A

Increase collagen extensibility
Pain control
Increase pain threshold
Increase metabolic rate (increase oxygen uptake and accelerate healing at a cellular level)
Increased ROM and decreased joint stiffness

17
Q

Contrast Bath Precautions

A 
Maceration around a wound
Bleeding
Impaired Thermal Sensation in the limb to be immersed
Infection in the area to be immersed
Confusion or impaired cognition
Recent skin grafts
18
Q

Contrast Bath Parameters

A

Two containers of water
Hot 98-110 Deg
Cold 50-60 Deg
Need thermometer to closely monitor water temperature
Start Warm water then to cold water
3-4 minutes warm water 1 minute cold water
Repeat 5-6 times for a total treatment of 25-30 minutes

19
Q

Contrast Bath indications

A

Edema Control

Pain Control

20
Q

indications for Compression

A 
Prevent DVT
to decrease edema
Venous ulcers
Hypertrophic scarring
s/p ortho injury
Lymphedema
21
Q

Precautions for Compression

A

Neuropathy

Fragile skin

22
Q

Contraindications for Compression

A

Active Infection
Malignancy in an extremity
Systemic heart failure (ABI <.6)

23
Q

Contraindications for Paraffin

A 
Open wounds
Thrombophlebitis
Impaired sensation
Impaired mentation
Malignant tumor
Eye area
24
Q

Precautions for Paraffin

A 
Acute injury or inflammation
Impaired circulation
Pregnancy
Poor thermal regulation
Edema
Cardiac insufficiency
Metal in the area
Over an area where topical counterirritants were applied
demyelinated nerves
25
Q

Acute Phase

A

up to one week

26
Q

Subacute Phase

A

up to 3 weeks

27
Q

Chronic Phase

A

more than 3 weeks

28
Q

Assessment

A 
Impairments
activity restrictions
participation restrictions
Clinical Impression
 diagnosis, prognosis, assets, barriers, recommendation
Goals

Fundamentals 2014 (1 decks)

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