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46 Cards in this Set

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  • Back
joint instability, tumor, pregnancy due to laxin in the body creating loose ligaments, acute inflammatory response, acute sprain, osteoporosis, fx
what are the contraindications for traction?
lidocaine/ acetate
tx: inflammation/ calcific tendonitis
hydrocortisone/ dexamethasone
tx: inflammation
histamine/ salicylate
tx: acute and chronic joint and muscle pain
lithium/ iodine
tx: pain inflammation/ adhesive capsulitis
magnesium/ chlorine
tx: muscle spasm
zinc/ tapwater
tx: open wounds/ hyperhydrosis
a condition marked by intermittent muscular spasms, caused by malfunction of the parathyroid glands and a consequent deficiency of calcium
what is tetany?
polyphasic waveform, AC, medium frequency, pulsatile
what is the waveform used in Russian stimulation ?
check the skin every 2-5 minutes
when do we check the patients skin when using iontophoresis?
to separate jt surfaces, decrease pressure, jt distraction, soft tissue stretching, reduction of disk protrusion, muscle relaxation , jt mobility
why do we use traction?
up to 10lbs 1st session. can increase in 7-10% of BW for soft tissue stretch, muscle spasm or disc protrusion, 13-20% of BW as tolerated for separation of vertebrae.
what is the amount of force used in cervical traction?
7 sec, rest time should be adequate for pt.
what are the phases of cervical traction?
20-25 min
what is the treatment time for cervical traction?
head resting in the open position prior to pt lying down.
what has to be ensured before using cervical traction?
pt needs a call bell and panic control
what is provided during the use of cervical traction?
supine, neck flexion of 20-30*.
what is the pt positioning for cervical traction?
pull placed on occiput , not the chin.
where is the harness placed during the use of cervical traction?
prior spinal testing, halters and belts are secured, call bell and panic control is in contact, correct parameters
what are the safety measures to use when using traction?
vertebral artery tests, alar ligament test, sharp purser test
what tests are applied before using cervical traction?
used to check vertebral artery blood flow to see if there is any blood reduction that may result in a transient ascetic attack (stroke)
what is the vertebral artery test?
ext, sidebending, and rotation of the neck
what is the classic vertebral artery test?
ext or bilateral occlusion
what is the full backward bending vertebral artery test?
rotation of the neck in short sitting
what is the acted australian protocol vertebral artery test?
while palpating the SP of C2 the head is passively moved side to side. if this ligament is intact , movement of the SP of axis should be detected with palpating fingers
what is the alar ligament test?
the therapist uses two fingers to make contact with TP of C2 on each side of the SP. the oher hand contacts the pts forehead or cradles the entire head for stability . the test is performed by having the pt perform active FB. the therapist then pushes C2 anteriorly. A disruption of the cruciate ligament will produce a clunk sound, or a perceived back glide of axis on atlas.
what is the sharp -purcer test for cervical traction?
TENS, IFC, premod, high volt, russian, NMES
what are the different types of E-stim?
commonly used as a e stim for pain management which is also portable
what is TENS?
reaches deeper tissues because of the higher frequency and shorter pulse with. quadripolar
what is IFC?
delivery of the current is regulated through the machine and is bi polar
what is premod?
muscle strengthening for healthy individuals
what is Russian stimulation ?
used for postural alignment and re education to facilitate return of functional muscular activity
what is NMES?
conventional: 50-150 HZ, 20-100 usec, 10-30 mA

acupuncture: 1-4 HZ, 100-200 usec, 30-80 mA
what is the parameters of TENS?
pain management: 50-120 pps, 50-150 usec

muscle contraction: 20-50pps, 100-200 usec
what are the parameters for IFC and pre mod?
pain: 100-200 usec, 150V-500V
what are the parameters for High Volt?
contraction: 50-200 usec, 50bps, 10/50
what are the parameters for Russian stimulation?
function: 35-50pps, 6-10sec, 50-60 sec
what are the parameters for NMES?
wound management, pain management, soft tissue edema, legator ani syndrome, muscle spasm, muscle weakness, bells palsy
what are the indications for High Volt?
cardiac pacemaker, heavy scarring tissue, malignancy, over pregnant uterus, over transcervical area, osteomyletis
what are the contraindications for High Volt?
current (mA)* duration (min)= dosage (mA.min)
what is the proper dosage equation when using iontophoresis on a pt?
single channel: used for bipolar application for muscle re-education

co contraction: used to stabilize a jt while performing a functional activity

reciprocating: during functional activities when you want one muscle group to contract and then another
what are the different settings for Russian stimulation?
continuos: used for spasticity to achieve muscle fatigue

co contration: stabilize a jt during functional movement

reciprocating: functional movement when you want one muscle group to move and then another
what are the settings for NMES?
allows the interference of the 2 medium frequency waves to encompass a larger area
what is vector scan when using IFC?
this helps to avoid accommodation . the machine will modulate the beat frequency currents
what is the sweep setting when using IFC?
the resultant frequency that is delivered to the tissue after the 2 medium frequency waves destructively interfere with each other
what is the beat frequency of IFC?
the lower of the 2 medium frequency waves that are generated by the machine. the other medium frequency wave is the sum of the carrier frequency and the beat frequency
what is the carrier frequency when using IFC?