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41 Cards in this Set

  • Front
  • Back

Ice massage tx time

5-10 mins

Cold pack tx time

20 mins

Cold pack temp

25 degrees F

Cold bath temp

55-64 degrees F

Cold bath tx time

15-20 mins

Vapocoolant Spray

3-4 sweeps in direction of muscle fibers only in 1 direction, 30 degree angle 12-18" away from skin

US intensity measures

the quantity of energy delivered per unit area

US frequency: 1 MHZ

deep tissues, up to 5 cm

US frequency: 3 MHZ

superficial tissues, 1-2 cm

US continuous mode

intensity remains constant throughout the tx

US pulsed mode

intensity is interrupted

US Duty cycle calculation

on time / (on time + off time)

US duration

area 2-3x size of transducer head requires 5 mins

Direct current: constant flow of electrons from the __ which is ___ to the ___ which is negative

anode, +, cathode

Alternating current

polarity changes from positive to negative with the change in direction of current flow

Types of alternating current

biphasic, symmetrical, or asymmetrical and has a characteristic waveform that is sinusoidal in shape

How is frequency of cycles of alternating current measured?

cycles per sec or Hertz

Pulsatile current

characterized by the non-continuous flow of direct or alternating current

Small or large electrode: increased current density

small

Small or large electrode: increased impedance

small

Small or large electrode: decreased current flow

small

Small or large electrode: decreased current density

large

Small or large electrode: decreased impedance

large

Small or large electrode: increased current flow

large

monopolar electrode placement

active electrode is placed over the target area; dispersive electrode is place away from target area

monopolar electrode placement is used for

wound, into, and tx of edema

bipolar electrode placement

two active, even-sized electrodes are placed over the target area

bipolar electrode placement is used for

muscle weakness, NM facilitation, spasms, and ROM

Parameters of e-stim info: amp

magnitude of current

Parameters of e-stim info: rise time

time it takes for the current to move from 0 to peak intensity within each phase

Parameters of e-stim info: when do you need a fast rise time?

tissues with low capacitance like large motor nerves

Parameters of e-stim info: phase duration

amount of time it takes for one phase of a pulse; zero to zero

Parameters of e-stim info: frequency

number of pulses delivered through each channel per second

Parameters of e-stim info: current modulation

any alteration in the amp, duration or frequency of current during a series of pulses or cycles; bursts, interrupted, and ramps

NMES: electrode placement

over the muscle aligned in parallel; one over the motor point to produce strongest contraction with least amount of current

NMES: current amp

depends... ie: stronger for general strengthening; weaker for recent surgery

NMES: pulse duration

high (enough to overcome capacitance of motor nerve fibers and account for the depth of the fibers)

NMES: frequency

enough to make a tetanus contraction; 35-50 pulses/sec

NMES: duty cycle

on time 6-10 secs; ratio of work: rest = 1:6-10

NMES: ramp time

gradual increase = less painful

NMES: tx time

min 10 contractions and max of 20 contractions; 3x/wk