Therapeutic protocols

Question 1

Cryotherapy

Answer 1

• ice pack
• cryokinetics- ice 20 mins, exercise 5 minutes. 5 bouts of exercise for 2/3 minutes
• cryostretch- ms. spasm/ contusion and relax
• ice massage
• connective tissue stretch- heat 15 mins, then stretch, then place cold pak for another 15 mins. combo heat and cold

Question 2

Thermotherpay

Answer 2

superficial
- hot pan
- paraffin bath
- heating pad
deep
- ultrasound

Question 3

MASSAGE

Answer 3

swedish massage
deep tissue
trigger point
IASTM

Question 4

KINESIOTAPE

Answer 4

lymphatic drainage
tight muscles- I to O
weak muscles- O to I

Question 5

ultrasound

Answer 5

ACUTE
- edema, pain, healing
SUBACUTE
pain, ms. spasm, inc. blood flow
CHRONIC 2-4c
inflam, pain, inc. blood flow, conn. tissue stretching

Question 6

LASER

Answer 6

ACUTE
-inflamm. pain edema 
Chronic- 
inflame, pan , healing
3000hz- inhibitory
<500- stimulatory

Question 7

TRACTION

Answer 7

pain relief
centralize nucleus
reduce lig contracture

spondylo, fx of pars, pregnant, glaucoma, detached retina, HBP,

Question 8

Electric stim-PAIN

Answer 8

IFC
-acute >80-120 hz, sweep/target/20-30 mins
-chronic> 0-10 pps, (low #) sweep/target/30-60mins.
TENS
acute pain
chronic pain
High volt pulsed current- wound healing, muscle spasm, under water/dry, pain acute/chronic

Question 9

electric stem-muscle spasm

Answer 9

-IFC
NMES/RUSSIAN STIM- 10sec on/10secs off. 
  - > 1 muscle
   >2 muscles
   25 RAMPS, 10mins minimum up to 30mins for ms. spasm 
  - LOW VOLT/BIPHASIC

Question 10

Immediate care

Answer 10

IFC- 
 HVPC- 
LASER, 50 hz, pps
CRYOTHERAPY
KINESIOTAPE:
Ultrasound- 10-20%duty cycle, 5-7minutes

Question 11

laser

Answer 11

3-5 joules/cm2

held just above the skin

Question 12

ACUTE CARE

Answer 12

TENS: high pulse rate, low pulse width.
>80-150pps, 20-30MINS

Russian stem: 10/50/10 strength

Question 13

kINESIOTAPE

Answer 13

improve proprioception
reduce edema
reduce muscle spasm
assist in strengthening weak muscles

Question 14

27 yo female w chronic LBP

Answer 14

TENS: 5pps, 200 pulse width, 30miinutes

Question 15

27 yo female w chronic LBP

Answer 15

TENS: 5pps, 200 pulse width, 30miinutes

Question 16

64 Yo male patient with lateral epicondylitis

Answer 16

NONE OF THE ABOVE

Question 17

18 yo female patient w ankle sprain which occurred 18hours ago

Answer 17

kinesiotape

home care: ice pack,

Question 18

29 yo male with acute cervical spine pain (24hours)

Answer 18

ultrasound : 1mhz, 20%duty cycle, .5 w/cm2, 4 minutes

ice pack