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Physical Agents > Practical !!! > Flashcards

Practical !!! Flashcards

1
Q

Ultrasound Contraindications

A
  1. Pregnancy
  2. Pacemaker
  3. Plastic Implants
  4. Malignancy
  5. Surgical cement
  6. Over eyes
  7. Over heart
  8. Over exposed CNS tissue
  9. Over reproductive organs
  10. DVT
  11. Infection
  12. Heat is contraindicated
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2
Q

What are the contraindications of cold therapy(7)?

A

Cold hypersensitivity

Cold intolerance

Cryglobulinemia Paroxysmal

cold Hemoglobinuria

Raynaud’s Disease (digital cyanosis)

Over regenerating peripheral nerves

Circulatory compromise or PVD

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3
Q

How do you use a cold pack?

A

Temp 10-15 degrees F cover with pillow case layers? 15 min! Hunting response.

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4
Q

How do you do Ice massage?

A

Drape area to catch drips. 5-10 min until analgesia occurs

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5
Q

What are the contraindications of heat therapy (5)?

A
  • Hemorrhage potential, o recent
  • Impaired sensation or mentation
  • Thrombophlebitis
  • IR radiation over eyes
  • Tumor
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6
Q

Parafin wax treatment. What is the temperature and procedure?

A

126-134 degrees F. Dip wrap: fingers apart dip 6x wrap in paperboy after for 15 min. Dip-immersion Let Pt hand sit in parafin at 126 F for 20 min. Heating unit is turned off during treatment.

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7
Q

Hot pack treatment. How do you do it and what is the storage temperature?

A

Stored at 158-167 F cover hot pack in 6-8 layers of dry towels. Hot pack cover count as 2-3 layers. Check Pt after 5 min for burning. Use for 15-20 min total

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8
Q

Cold therapy. What does it do and how do it do it?

A

What does it do: Helps control pain and edema How does it do it: Decrease nerve conduction velocity Decreases metabolic rate and increases local blood viscosity.

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9
Q

Heat therapy. What does it do and how do it do it?

A

What does it do: Increases tissue elasticity Accelerates healing Increases blood flow relaxes smooth muscle How does it do it? Increased collagen extensibility increased metabolic rate

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10
Q

What are the contraindications for Traction (5).

A
  • Movement not indicated
  • RA or hypermobility
  • Major Neck injury
  • Structural fault
  • vascular compromise
  • MR and MS V
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11
Q

Traction settings for disc protrusion?

A

60sec on 20sec off 25% bw lumbar 11-15lb cervical 20-30 min

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12
Q

Traction settings for DJD/ general joint distraction

A

15 sec on 15 sec off 50% body weight Lumbar 7% or 20-29lbs cervical 20-30 min

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13
Q

Traction settings for Muscle spasm/ opening foramen?

A

5 sec on 5 sec off 25% body weight lumbar 11-15lbs cervical (with 25-30 degree flexion!) 20-30 min

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14
Q

What are the contraindications of Massage(11)

A
  1. ​contagious skin condition
  2. acute condition
  3. systemic edema
  4. tuberculosis
  5. Severe distress
  6. circulation not desired
  7. surgery
  8. foreign bodies or bony prominence
  9. pregnancy
  10. bone growth Severe distress
  11. areas of decreased sensation
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15
Q

What are the contraindications of eletrical modalities? (5)

A

thrombosis

hypersensistivity to electricity

over carotid sinus

pacemaker

pregnancy

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16
Q

What are the setting for NMES

A
17
Q

What are the settings for Tens?

A
18
Q

What are the edema (HiVolt) settings?

A
19
Q

What are the settings for Iontophoresis

A

40 mA-min, Negative (black) on med pad, depth 3-20mm

20
Q

What are the settings for russian?

A

AC current 2500 Hz at 50 bps for 10ms

21
Q

What are the settings for interferential and Premodulation?

A

IF: 2 AC currents 5000Hz and 5100Hz

PM: between 1000Hz and 10,000Hz

22
Q

Contraindications of Cyriax OHIA

A
  • Open skin
  • Hematoma
  • Incresed bleeding
  • Acute inflamation
23
Q

why would I use thermal US?

Why would I use nonthermal US?

A

Thermal: Pain, Muscle spasm, Extensibility.

Non Thermal Calcium breakdown and Chronic tendinopathy

24
Q

what do you do for spondylosis/ facet syndrome?

A

Flex it!

Physical Agents (9 decks)

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