Flashcards
Modalities
Flashcards do conjunto (14)
- 1Ultrasound: Thermal vs nonthermalThermal: continuous
Non-thermal: duty cycle 20-50% - 2Goals for thermal ultrasoundIncrease tissue extensibility
increase tissue perfusion - 3Goals for non-thermalIncrease tissue healing
Increase protein synthesis
reduce inflammation
Reduce muscle spasm - 4Deep vs Superficial3 Hz: Superficial
1Hz: Deep layers - 5PhonophoresisTo drive medications through skin into deeper tissues (lidocaine) or anti-inflammatory (dexamethasone)
Mode: Pulsed 20%
Intensity 1-3 w/cm2, 5-10 min
Goal: dec pain and inflammation, subacute/chronic - 6Lumbar distractionL5-S1: 45-60 deg hip flexion
L3-L4: 75-90 deg hip flexion
Goal: increase space between foramen & facets, and elongate mm
Acute: 30-40lbs
Disc protrusion: 25% BW (prone if displaced posterior)
Joint distraction: 50 lbs/50% BW
Time: 5-10 for disc, 10-30 other - 7Precautions & Contraindications for tractionPrecautions: claustrophobia, impaired cognition, vascular compromise, RA/OA, tumor, pregnancy
CONTRAINDICATION: Acute symptoms, spondy, fracture , hypermobility/instability, hypertension, neurological symptoms** - 8Cervical tractionNever exceed 7% of BW or 20-30 lbs (joint distraction)
10-15 lbs for disc herniation
Supine is preferred
20-30 deg of flexion
Duty Cycle: 3:1 OR 1:1 for inc mobility - 9IontophoresisApplication of continuous direct current using ES to disperse medication.
Medication should be applied to "like" charge pad (anode -, cathode +)
-Treatment time: 10-30 min
Dose=anode: 1mA/cm, cathode: 0.5 mA/cm
Anode should always be double size of cathode - 10Contraindications of IontophoresisSame as ES +
Skin integrity compromised
Allergy to medication - 11RussianPulse rate- 50-70
Amp: visible muscle contraction
Pulse Duration 50%
Mode: interrupted. ramp 1-5 sec, duty cycle: 1:5 - 12Functional ES (NMES)Wave form: asymmetric biphasic
Amp: visible muscle contraction
Pulse rate: 12-25 ops (low)
Pulse duration: 20-250 micro sec (low)
*Can be switched on/off DF during gait, or used during treatment - 13Contraindications for ESPacemaker, arrythmias, unstable angina, cancer, seizure disorder
Area: carotid, eyes, thoracic region, phrenic nerve, low back during pregnancy, urinary bladder stimulators, malignancies, healing fractures
Superficial metal implants, active infection/bleeding, pharyngeal muscles - 14PrecautionsCardiac disease, dec sensation, dec cognition, menstrating uterus, pregnancy, hypotension/hypertension, inc adipose tissue
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- FlashCards sobre Modalities, criado por clingenhoel em 08-02-2016.
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- clingenhoel
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