Rehab Modalities

Question 1

t/f TENS improves pain through affecting ascending and descending pain pathways

Answer 1

true

Question 2

how does TENs improve pain through the descending pain pathways?

Answer 2

cause endorphin release from C and A delta fibers

Question 3

what biophysical rehab modality is used after knee surgery to improve motor recruitment/prevention of atrophy?

Answer 3

neuromuscular electrical stimulation (NMES)

Question 4

what is the arthrogenic muscle inhibition phenomenon?

Answer 4

surgery or joint injury causes alteration in signals sent to the brain, and protection mechanism is triggered, resulting in decreased muscular output

Question 5

t/f NMES is effective for post op cases of shoulder and knee surgery

Answer 5

true

Question 6

t/f NMES is effective for chronic low back pain

Answer 6

false

Question 7

what is the difference between heat and cold for short term pain and function?

Answer 7

no significant difference

Question 8

what is the term used to describe a physical modality causing minor pain that distracts or lessens the pain from the primary pain site?

Answer 8

diffuse noxious inhibitory control

Question 9

which fibers carry non painful sensory information to the spinal cord?

Answer 9

a beta fibers

Question 10

the activation of a beta fibers results in decreased sensory input from which other two fibers?

Answer 10

c fibers and a delta fibers

Question 11

t/f the current evidence shows that dry needling is superior to placebo for improvements in pain intensity

Answer 11

true

Question 12

for low level laser therapy, the concept is that recovery starts by activating what enzyme, responsible for downstream ATP production and antiinflammatory effects in the muscle?

Answer 12

cytochrome C oxidase

Question 13

how does BFR cause adaptations?

Answer 13

reducing the workload needed to achieve fatigue

Question 14

when is the optimal time to use BFR?

Answer 14

recovery when the patient is not able to yet tolerate high intensity training