MT1

Question 1

What is the treatment time for Cryotherapy (Commercial Cold Pack/Bag of Ice)?

Answer 1

5 Minutes (until numb)
Wait at least 60 minutes before re-applying

Question 2

What is the mode of heat transfer for Cryotherapy (Commercial Cold Pack/Bag of Ice)?

Answer 2

Conduction

Question 3

What is the level of penetration for Cryotherapy (Commercial Cold Pack/Bag of Ice)?

Answer 3

1/2 inch

Question 4

How many towel layers must be used for Cryotherapy (Commercial Cold Pack/Bag of Ice)?

Answer 4

1-2

Question 5

What are some physiologic effects of Cryotherapy?

Answer 5

• Decreases Circulation
• Local Vasoconstriction
• Decreases Inflammatory Effects
• Decreases Metabolism
• Decreases Muscle Spasm
• Decrease Pain
• Decreases Nerve Conduction Velocity
• Increases Tissue Stiffness

Question 6

The best indication for use of Cryotherapy is _____ conditions

Answer 6

Acute

Question 7

What are some physiologic effects of Superficial heat?

Answer 7

• Increases Blood Flow
• Promotes abnormal ossification
• Increases Cellular Metabolism
• Heat may prevent adhesion formation
• Increases Inflammatory Response and Edema
• Promotes reabsorption of Hematomas
• Increases possibility of Hematoma becoming infected
• Analgesia

Question 8

The best indication for use for Superficial Heat is ____ conditions

Answer 8

Chronic

Question 9

The treatment time for Superficial Heat is ____

Answer 9

10-20 Minutes

Question 10

The mode of heat transfer for Superficial Heat is ____

Answer 10

Conduction

Question 11

The depth of penetration for Superficial Heat is ____

Answer 11

1/4-1/2 inch

Question 12

How many towel layers thick should you have for Superficial Heat?

Answer 12

6-8 layers

Question 13

What are some indications (effects) of use for Microcurrent?

Answer 13

• Decrease Swelling
• Decrease Pain
• Improve Healing

Question 14

What are some contraindications for Microcurrent?

Answer 14

• Over a Gravid Uterus
• Cardiac Arrhythmias
• Hypersensitivity
• Putting it over implanted electrical devices
• Vascular Disease

Question 15

What are some methods of application for Microcurrent?

Answer 15

• Pads
• Probes
• Electromassage
• Transcranial

Question 16

If you are administering Microcurrent to a patient and want to use probes, what is the first thing you should do after selecting “Microcurrent” on the unit?

Answer 16

Click the channel button and switch it to the “Probe” channel

Question 17

The intensity for Microcurrent when using probes is ____

Answer 17

350-550 uA

Question 18

What is the frequency we use when administering Microcurrent through the probes?

Answer 18

.5Hz-10Hz

Question 19

What polarity do we use when administering Microcurrent through the probes for patients who are in an acute state?

Answer 19

Positive
(or alternating/bipolar)

Question 20

What polarity do we use when administering Microcurrent through probes for a patient who is in a chronic state?

Answer 20

Negative

Question 21

What is “Circle the Dragon”?

Answer 21

How we use the probes when we are treating with Microcurrent. You do 4-6 points for 10 seconds, and a total of 3 passes.

Question 22

When we are using pads for Microcurrent, what intensity do we use?

Answer 22

50 uA

Question 23

What frequency do we use when using pads to administer Microcurrent?

Answer 23

.3Hz

Question 24

How long do we administer Microcurrent when we are using pads?

Answer 24

20-30 minutes

Question 25

What is the intensity we use when administering Microcurrent through the AlphaStim probes?

Answer 25

350uA-550uA

Question 26

What is the frequency we use when administering Microcurrent through the AlphaStim probes?

Answer 26

.5Hz

Question 27

True or False: The Circle the Dragon Technique is different when administering Microcurrent through the Dynatron unit compared the the AlphaStim probes?

Answer 27

False: it's always 4-6 points for 10 seconds, and a total of 3 passes

Question 28

What is the intensity we use when administering Microcurrent through the AlphaStim unit for Transcranial?

Answer 28

350uA-550uA

Question 29

What is the frequency we use when administering Microcurrent through The AlphaStim unit for Transcranial?

Answer 29

.5Hz

Question 30

How long do we administer Microcurrent through the AlphaStim unit for Transcranial?

Answer 30

30min-2 hours

Question 31

What are some contraindications for Russian/Biphasic?

Answer 31

Don't apply: - On thoracic region for patients with Cardiac Pacemakers or Cardiac Arrhythmias - Over the lumbar or abdomen of a pregnant patient - On pts who unable to give feedback - In regions of neoplasm - On regions with Thrombosis or Thrombophlebitis - Over the eye - Over surgical implants - On the anterior neck - Over a bruise or Bony Prominence - On irritated or broken skin

Question 32

What are some situations we need to take precautions with?

Answer 32

- Hypertensive Patients - Patients with Arrhythmia's or congestive heart failure - Seizure disorder - Sensory loss - Peripheral Vascular disease - Immature nervous system - Impaired cognition - Tissues vulnerable to hemorrhage or hematoma

Question 33

What are we looking to do when using Russian/Biphasic for patients in acute pain?

Answer 33

Release Enkephalins

Question 34

When using Russian/Biphasic for patients in acute pain, how long do we treat?

Answer 34

15 minutes

Question 35

When using Russian/Biphasic for patients in acute pain, what is the pulse rate?

Answer 35

80-150 Hz

Question 36

When using Russian/Biphasic for patients in acute pain, what is the intensity we are looking for?

Answer 36

Mild Sensory Stimulation

Question 37

When using Russian/Biphasic for patients in acute pain, what is the pulse duration?

Answer 37

75-150 usec, or maximum Dynatron is set to 200 DON'T CHANGE IT

Question 38

True or False: When using Russian/Biphasic for patients in acute pain, we use the continuous setting?

Answer 38

t

Question 39

When using Russian/Biphasic for patients who are experiencing a Muscle Spasm, how long do we treat?

Answer 39

15 Minutes

Question 40

When using Russian/Biphasic for patients who are experiencing a Muscle Spasm, what is the pulse rate?

Answer 40

80-150Hz

Question 41

When using Russian/Biphasic for patients who are experiencing a Muscle Spasm, what is the pulse duration?

Answer 41

75-150 usec, or maximum Dynatron is set to 200 DON'T CHANGE IT

Question 42

True or False: When using Russian/Biphasic for patients who are experiencing a Muscle Spasm, we set the setting to continuous?

Answer 42

t

Question 43

When using Russian/Biphasic for patients who are experiencing a Muscle Spasm, where should you place the pads?

Answer 43

Proximal and Distal aspects of the muscle belly

Question 44

When using Russian/Biphasic for patients who are experiencing a Muscle Spasm, what is the intensity we are looking for?

Answer 44

Mild Motor Stimulation

Question 45

When using Russian/Biphasic for patients in chronic pain, what are we looking to do?

Answer 45

Release Endorphins

Question 46

When using Russian/Biphasic for patients who are in a chronic pain, what is the length of treatment?

Answer 46

15 minutes

Question 47

When using Russian/Biphasic for patients who are in a chronic pain, what is the pulse rate?

Answer 47

1-10Hz

Question 48

When using Russian/Biphasic for patients who are in a chronic pain, what is the pulse duration?

Answer 48

10msec, or maximum Dynatron is set to 200 DON'T CHANGE IT

Question 49

True or False: When using Russian/Biphasic for patients who are in a chronic pain, we should choose the continuous setting?

Answer 49

t

Question 50

When using Russian/Biphasic for patients who are in a chronic pain, what intensity are we looking for?

Answer 50

Strong Sensory Stimulation

Question 51

What procedural steps must be taken prior to applying any modality?

Answer 51

- greet pt - ask about prior treatment (hopefully partner says NO!) - explain modality (3 physiological effects) - ask 3 contraindications - obtain consent - assess sensation (light/deep touch) - CONFIRM CONSENT TO START TREATMENT!!!!!