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30 Cards in this Set

  • Front
  • Back
Name the 3 different types of PAMs
Physical Agent Modalities
1)Thermal Modalities
2)Cooling Modalities
3)Electrical Modalities
What are the beneftis of Thermal Modalities
Increase: motion, blood flow.
Decrease: joint stiffness, pain.
Relieve MS spasms
Aids in reabsorption of exudates and edema
What are contraindications of Thermal Modalities
Acute conditions
Sensory losses
Impaired vascular structures
application on very young or old persons
What are the 3 modes of heat generation
Define and give example of the heat generation, Conduction
Heat is transferred from one object to another through direct contact
Ex: hot packs, paraffin wax
Contraindications of Conduction heat generation
Parrafin: when open cuts exist; care to protect insensate parts to aviod burns; avoid excessive vasodilation; mod to severe edema exist
Define and give example of the heat generation,
heat supplied to tissue by way of fluid motion around the tissue:
Examples: fluidotherapy, whirlpool
Define and give example of the heat generation,
Heat is generated internally by friction
Example: Ultrasound (a deep heating agent)
What are the benefits of Cooling Modalities?
What are examples
decreases edema, pain, inflammation and bloodflow to injured areas (appropriate for acute setting).
Examples: Cold packs and cooling devices
What are the contraindications of Cooling Modalities
Pt hyper sensitive to cold or with vascular repair
What are the benefits of Electrical Modalities?
Decrease pain, edema. Increase motion. Re-educate muscles to increase pt's functional ability
What are the contraindications of Electrical Modalities
Pt's with pacemakers or cardiac conditions
Define TENS and give its uses
Transcutaneous Electrical Nerve Stimulation: employs constant electrical stimulation w/modulated current to decrease pain can be used in acute or chronic situations
Define FES and give its uses
Functional Electrical Stimulation: employes a continuous interrupted current to provide MS contraction. Used to increase ROM, MS contractions and strength, retrain MS (like in orthopedic injury)
Define therapeutic exercise
Any body movement or muscle contraction to PREVENT impairment, IMPROVE func, MAINTAIN state of well being
What is the 8 purpose of therapeutic Exercise
1 Develop awareness of normal movement patterns and improve voluntary, automatic movement responses
2. Develop strength and endurance that do not prod deformity
3.Improve coordination, regardless of strength
4.Increase strength of isolated MS(s)
5. ROM benefits
6.Incr MS strength to use hand splints, mobile are support and other devices
7. Increase strength
8. Prevent/eliminate contractures
types of exercise used to
ACTIVE-ASSISTED; ACTIVE; and resistive isotonic and isometric exercises
To increase strength, MS must contract at or near its Max Cap and for enough REPS and DURATION
and MS grade needed to perform the ex
-Isotonic MS contraction. Pt moves through partial ROM and range is completed by therapist/devise
-used to Incr Strength, maintain ROM
MS GRADE: (0)to(3-)
ISOTONIC RESISTIVE CONTRACTIONS EX, what is the MS GRADE needed to perform ex
MS GRADES (2)to (3). (This is part of PRE's)
-to Increase Strength
Describe PRE
Progressie Resistive Ex. DeLorme tech:
1. Start w/50% of max weight @ 10 reps
2. increase to 75% of max weight @ 10 reps
3. use max weight @ 10 reps
Describe Oxford Tech
opposite of DeLorme Tech
Exercises to increase MS endurance
Hi load w/low reps = MS strength
Lo load w/hi reps = MS Endurance
Exercises for physical conditioning and cardiovascular fitness
Give Ex examples
ex should be done 3-5 day/week @ 60-90% of max heart rate, using large MS groups
Examples, swimming, walking, bicycling, jogging
Exercises for ROM and joint Flex
ACTIVE and PASSIVE ROM Exercises used to maintain; Stretches used to increase ROM.
i.e. Eccentric for Passive ROM Exercise
-Maintains ROM; no contraction
-Prevents contractions/adhesions/deformities
-Perform 3 reps 2/day
-Stabilize proximal area to affected joint
-MS GRADE (0)to(1)
Describe PASSIVE STRETCH, i.e. forced exercise
-Will increase ROM
-NO residual pain should be evident, ONLY some discomfort
-Low-resistance stretch of sustained duration is most effective
Describe ACTIVE EX,
what MS GRADE is needed
-Patient moves the joint through ROM against NO OUTSIDE resistance
-Maintain ROM, MS strength may improve
-Ex can be graded by changing resistense as strength improves
MS GRADE: (2)to(3)
Describe ACTIVE stretch and give MS GRADE
-TO increase ROM
-Pt does the work
-MS GRADE (4) to (5)
Describe Isometric Ex without resistance and MS grade
-isometric contractions of specific MS or Ms grp
-Purpose is to MAINTAIN MS strength
-MS GRADE: above 1 (trace)
Describe Isometric Ex with resistance and MS grade
-Purpose is to increase MS strength
-MS GRADE: (3+)to(5)