Practical

Question 1

MHP: Indications

Answer 1

Subacute or chronic inflammation, pn, and spasm

Decreased ROM

Question 2

MHP: Mechanism

Answer 2

Increased cellular metabolism

Increased tissue elasticity

Increased vasodilation

Question 3

MHP: Hydrocolator

Answer 3

160-166*F

Question 4

MHP: Therapeutic

Answer 4

Skin temp reaches 104-113*F

Question 5

MHP: Toweling

Answer 5

6-8 layers of toweling; based on pt response

Cover is 2 layers

Question 6

MHP: Time

Answer 6

20-30min

Question 7

MHP: Risk

Answer 7

Burning; visualize mottling, ghost-white skin, or red splotches

Check skin at 5min to make sure not burning

Question 8

Paraffin: Indications

Answer 8

Subacute or chronic inflammation, pain, and spasm.

Decreased ROM

Question 9

Paraffin: Mechanism

Answer 9

Increased cellular metabolism

Increased tissue elasticity

Increased vasodilation

Question 10

Paraffin: Temperature

Answer 10

118-126*F

Question 11

Paraffin: Specific Heat

Answer 11

Conducts heat slow

Lower specific heat than water

Question 12

Paraffin: Dips

Answer 12

7-12 dips, fingers spread, not touching sides, allowing time to dry between dips

Question 13

Paraffin: Sustained Heat

Answer 13

Wrap hand with plastic bag, wrap bag with terry cloth

Question 14

Paraffin: Time

Answer 14

15-20 min

Question 15

Paraffin: Method

Answer 15

Pack (glove) method

7:1 ratio of wax and mineral oil

Question 16

RICE: Indications

Answer 16

Acute, subacute, or chronic pain

Acute inflammation

Question 17

RICE: Mechanism

Answer 17

Decrease cellular metabolism

Question 18

RICE: Temperature

Answer 18

Cryotherapy range 32-65*F

Question 19

RICE: Analgesia

Answer 19

Skin temp reaches 58*F

Question 20

RICE: Risk

Answer 20

Sustained (2hrs) skin temp 55*F

Question 21

RICE: Time

Answer 21

20 min

Question 22

RICE: Edema

Answer 22

Compression and elevation decrease swelling

Question 23

US: Frequency

Answer 23

Superficial: 3.3 MHz

Deep: 1 MHz

Question 24

US: Duty Cycle

Answer 24

Acute: non-thermal, pulsed (20%)

Chronic: thermal, continuous (100%)

Question 25

US: Intensity

Answer 25

Acute: 0.5 W/cm^2 Chronic: 1.0-2.0 W/cm^2, varies by pt preference

Question 26

US: Time

Answer 26

Acute: 15 min Chronic Superficial: 3-4 min Chronic Deep: 10-12 min

Question 27

Interferential (Chattanooga): Carrier Frequency

Answer 27

4000 Hz

Question 28

Interferential (Chattanooga): Beat Frequency

Answer 28

Acute: 80-120 Hz Chronic: 3-5 Hz

Question 29

Interferential (Chattanooga): Intensity

Answer 29

Sensory to muscle twitch, at pt comfort

Question 30

Interferential (Chattanooga): Time

Answer 30

10-30 min

Question 31

Interferential (Chattanooga): Pads

Answer 31

“Bracketing” pain

Question 32

Interferential (Chattanooga): Leads

Answer 32

Quadripolar Channel 1 perpendicular to Channel 2

Question 33

Interferential (LSI): Carrier Frequency

Answer 33

4000 Hz

Question 34

Interferential (LSI): Beat Frequency

Answer 34

Acute: 80-120 Hz Chronic: 3-5 Hz

Question 35

Interferential (LSI): Intensity

Answer 35

Sensory to muscle twitch; at pt comfort

Question 36

Interferential (LSI): Time

Answer 36

10-30 min

Question 37

Premod (Chattanooga): Frequency

Answer 37

Beat frequency created w/in the generator

Question 38

Premod (Chattanooga): Beat Frequency

Answer 38

Acute: 80-120 Hz Chronic: 3-5 Hz

Question 39

Premod (Chattanooga): Cycle Time

Answer 39

Continuous

Question 40

Premod (Chattanooga): Intensity

Answer 40

Sensory or slight muscle twitch, at pt comfort level

Question 41

Premod (Chattanooga): Time

Answer 41

10-30 min

Question 42

Premod (Chattanooga): Pads

Answer 42

Bipolar, “bracketing” pn

Question 43

Russian (Chattanooga): Frequency

Answer 43

2500 Hz

Question 44

Russian (Chattanooga): Cycle Time

Answer 44

10/50 (10s on, 50s off)

Question 45

Russian (Chattanooga): Burst

Answer 45

Burst modulation of 50 bps Can increase to 75 or 100 bps

Question 46

Russian (Chattanooga): Intensity

Answer 46

Strong muscle contraction, at pt comfort Instruct conscious contraction to pt

Question 47

Russian (Chattanooga): Time

Answer 47

10 min

Question 48

Russian (Chattanooga): Pads

Answer 48

Bipolar, longitudinally along muscle