Modalities Ch. 20 Light Therapy Flashcards

1
Q

how does laser work

A

light at specific wavelengths cause specific physiological responses in the body
lasers used as a therapeutic modality in physical medicine have a low power, typically 1 milliwatts (mW)

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2
Q

laser effects

A

photobiomodulation
stimulated tissue repair
decreased pain

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3
Q

photobiomodulation

A

the act of stimulating or inhibiting biological processes with light

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4
Q

mechanisms of action for photobiomodulation

A

excitation of electrical bonds to change molecular structure
excitation of atoms, creating greater movement and generation of heat
rotation of atoms, resulting in the generation of heat

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5
Q

stimulated tissue repair

A

numerous intracellular effects

enhanced ATP synthesis

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6
Q

decreased pain

A

decreased nociceptor response

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7
Q

what does the research say

A

still a “young” modality

not entirely decisive regarding mechanisms of action and effects

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8
Q

delivery technique

A

single vs cluster probe
laser probe should be in contact with the skin throughout the treatment
in cases of open wounds, the probe should be held <1 cm. away from the wound
single probe options
-grid application
-scanning

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9
Q

advantage of cluster probe

A

treat a larger area

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10
Q

disadvantage of scanning method

A

hard to know dosage each treatment area receives

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11
Q

wavelength determinant

-infrared

A

determines how deep the beam penetrates
-infrared lasers have the best penetration, thus achieving deeper absorption which is of great importance in treating muscle and joint pain types

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12
Q

tissue penetration and lasers

A

issue with the therapeutic use of lasers

light does not penetrate deeper than 5 mm into the tissue

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13
Q

dosage =

A

dosage = (average power x treatment time) / treatment area

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14
Q

dosage measure

A

j/cm2

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15
Q

average power

A

power output of the machine (in mW)

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16
Q

power output

A

fixed in the machine

the altered variable is time

17
Q

new formula as a result of altering time

A

treatment time = (dosage x treatment area) / power

18
Q

current recommended parameters for tissue repair

A

frequency: 630 nm
wounds: begin with 4 J/cm2; increase if not responding
soft tissue injury: 4-8 J/cm2 up to 3x/day
chronic: up to 30 J/cm2

19
Q

current recommended parameters for pain control

A

frequency: 830 nm
treat from nerve root to site of pain to trigger points
10-12 J/cm2
trigger points: 10-20 J/cm2

20
Q

other current recommended parameters

A

lower doses for acute, higher for chronic

lower doses for superficial, higher for deep