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What is cryotherapy
The terapeutic use of cold in the treatment and rehailiationfo musculodseltal injurisand codnitaions
What are the geral therapeutic efects of cold therapy?
VAsoconstrction (reduce blleding, etc.)
Vsodilation (rebound dilation which brings in nutrients , elimnates wastews from the injred are)
reduceo ro slwo nerve ocnduction
recue muscle spasm or spaticity
reduce tissue meabolism
reduce pain
What is the hunting reaction
REboudn vasodlation folowing cold application . to preserve tissue viabiity and prevent tissues form falling below a critical temrpature. This is a reqarming phenomeno or recctiv ehyepremia. It shoud be ntoed that hte early int hpost injury period whre ther is atendicny to bleed due to vascualr disrupiton, follwoing cold therapy, ther area shoud always be elvsated and compress with some form of compressive deveis to prevent psot cryotherapy swelling due to the reobund vasodiation
What are ht suybjectiv epahse of ice therpay?
frsit si coldnss
second is burnin/pain
thid is aching /pain
fourt isnumbness
How does cold application reuce msucle spasm/spaxticity.
by a dirce activy o nth muscle spindle producitn reduce msucle spindle excitability
What is the hoffman or H respons
an intia bu ttemporary incrase in felex muscle otne following cold appicatio, ossibly secondary to increased aplhp otor neuyron activty thruogh stimualtin of skon senaory receptors. Thi si however, temorary and thre is an ultmate decrease in muscle tone form coolg of thetiessues
Hwo does tissue cooling reue pain?
the may be anumber of mechanism:
direct effect on swensory nerv ending and pain carryign fibers
secondary to recution fo muscle spasm
secondary to limitng bleedng and edma with lowe3r tissue pressure
secondary to limitng the infalmmatory resoponse
?inflenc eont htspna gaitn mechanis
?enhancing endorphi production
What has ddepr tissue pentratin, surperficaly applied ocdl or superfically applied heat?
superfiially applied cold ahas as gnifcantly greater penetrating pwoer than spujerficially applied heat. Fat seme to be abetter insulato agianst heaitn grom th eoutsind and once penetrated tghrogh the fat layer, cold seems to be maintained in deeper structures longer than heat. Tissues tend to cool themselve fololowng heat application better thatn hating hteslemve adtg cold application. Vasodiation more rapidly cools wamr tissue than warms cool tissue.
What woudl be soem contraidncations ot the use of codl therapy?
loac ischmeic conditions; raynaud's cold allergy; imapird sensor perception; psosibly post poli hypertension
Waht are differnt mehtod sof cryotherapy application
ic pack / comrpesse/ice ba
ice bath
ic emassage (ice cujps , ice bues, "poscle"_)
cold spary (limited effectivenes for tyupical cryotherapy uses)
What is cryotherapy
The terapeutic use of cold in the treatment and rehailiationfo musculodseltal injurisand codnitaions
What are the geral therapeutic efects of cold therapy?
VAsoconstrction (reduce blleding, etc.)
Vsodilation (rebound dilation which brings in nutrients , elimnates wastews from the injred are)
reduceo ro slwo nerve ocnduction
recue muscle spasm or spaticity
reduce tissue meabolism
reduce pain
What is the hunting reaction
REboudn vasodlation folowing cold application . to preserve tissue viabiity and prevent tissues form falling below a critical temrpature. This is a reqarming phenomeno or recctiv ehyepremia. It shoud be ntoed that hte early int hpost injury period whre ther is atendicny to bleed due to vascualr disrupiton, follwoing cold therapy, ther area shoud always be elvsated and compress with some form of compressive deveis to prevent psot cryotherapy swelling due to the reobund vasodiation
What are ht suybjectiv epahse of ice therpay?
frsit si coldnss
second is burnin/pain
thid is aching /pain
fourt isnumbness
How does cold application reuce msucle spasm/spaxticity.
by a dirce activy o nth muscle spindle producitn reduce msucle spindle excitability
What is the hoffman or H respons
an intia bu ttemporary incrase in felex muscle otne following cold appicatio, ossibly secondary to increased aplhp otor neuyron activty thruogh stimualtin of skon senaory receptors. Thi si however, temorary and thre is an ultmate decrease in muscle tone form coolg of thetiessues
Hwo does tissue cooling reue pain?
the may be anumber of mechanism:
direct effect on swensory nerv ending and pain carryign fibers
secondary to recution fo muscle spasm
secondary to limitng bleedng and edma with lowe3r tissue pressure
secondary to limitng the infalmmatory resoponse
?inflenc eont htspna gaitn mechanis
?enhancing endorphi production
What has ddepr tissue pentratin, surperficaly applied ocdl or superfically applied heat?
superfiially applied cold ahas as gnifcantly greater penetrating pwoer than spujerficially applied heat. Fat seme to be abetter insulato agianst heaitn grom th eoutsind and once penetrated tghrogh the fat layer, cold seems to be maintained in deeper structures longer than heat. Tissues tend to cool themselve fololowng heat application better thatn hating hteslemve adtg cold application. Vasodiation more rapidly cools wamr tissue than warms cool tissue.
What woudl be soem contraidncations ot the use of codl therapy?
loac ischmeic conditions; raynaud's cold allergy; imapird sensor perception; psosibly post poli hypertension
Waht are differnt mehtod sof cryotherapy application
ic pack / comrpesse/ice ba
ice bath
ic emassage (ice cujps , ice bues, "poscle"_)
cold spary (limited effectivenes for tyupical cryotherapy uses)
What is cryotherapy
The terapeutic use of cold in the treatment and rehailiationfo musculodseltal injurisand codnitaions
What are the geral therapeutic efects of cold therapy?
VAsoconstrction (reduce blleding, etc.)
Vsodilation (rebound dilation which brings in nutrients , elimnates wastews from the injred are)
reduceo ro slwo nerve ocnduction
recue muscle spasm or spaticity
reduce tissue meabolism
reduce pain
What is the hunting reaction
REboudn vasodlation folowing cold application . to preserve tissue viabiity and prevent tissues form falling below a critical temrpature. This is a reqarming phenomeno or recctiv ehyepremia. It shoud be ntoed that hte early int hpost injury period whre ther is atendicny to bleed due to vascualr disrupiton, follwoing cold therapy, ther area shoud always be elvsated and compress with some form of compressive deveis to prevent psot cryotherapy swelling due to the reobund vasodiation
What are ht suybjectiv epahse of ice therpay?
frsit si coldnss
second is burnin/pain
thid is aching /pain
fourt isnumbness
How does cold application reuce msucle spasm/spaxticity.
by a dirce activy o nth muscle spindle producitn reduce msucle spindle excitability
What is the hoffman or H respons
an intia bu ttemporary incrase in felex muscle otne following cold appicatio, ossibly secondary to increased aplhp otor neuyron activty thruogh stimualtin of skon senaory receptors. Thi si however, temorary and thre is an ultmate decrease in muscle tone form coolg of thetiessues
Hwo does tissue cooling reue pain?
the may be anumber of mechanism:
direct effect on swensory nerv ending and pain carryign fibers
secondary to recution fo muscle spasm
secondary to limitng bleedng and edma with lowe3r tissue pressure
secondary to limitng the infalmmatory resoponse
?inflenc eont htspna gaitn mechanis
?enhancing endorphi production
What has ddepr tissue pentratin, surperficaly applied ocdl or superfically applied heat?
superfiially applied cold ahas as gnifcantly greater penetrating pwoer than spujerficially applied heat. Fat seme to be abetter insulato agianst heaitn grom th eoutsind and once penetrated tghrogh the fat layer, cold seems to be maintained in deeper structures longer than heat. Tissues tend to cool themselve fololowng heat application better thatn hating hteslemve adtg cold application. Vasodiation more rapidly cools wamr tissue than warms cool tissue.
What woudl be soem contraidncations ot the use of codl therapy?
loac ischmeic conditions; raynaud's cold allergy; imapird sensor perception; psosibly post poli hypertension
Waht are differnt mehtod sof cryotherapy application
ic pack / comrpesse/ice ba
ice bath
ic emassage (ice cujps , ice bues, "poscle"_)
cold spary (limited effectivenes for tyupical cryotherapy uses)
What is cryotherapy
The terapeutic use of cold in the treatment and rehailiationfo musculodseltal injurisand codnitaions
What are the geral therapeutic efects of cold therapy?
VAsoconstrction (reduce blleding, etc.)
Vsodilation (rebound dilation which brings in nutrients , elimnates wastews from the injred are)
reduceo ro slwo nerve ocnduction
recue muscle spasm or spaticity
reduce tissue meabolism
reduce pain
What is the hunting reaction
REboudn vasodlation folowing cold application . to preserve tissue viabiity and prevent tissues form falling below a critical temrpature. This is a reqarming phenomeno or recctiv ehyepremia. It shoud be ntoed that hte early int hpost injury period whre ther is atendicny to bleed due to vascualr disrupiton, follwoing cold therapy, ther area shoud always be elvsated and compress with some form of compressive deveis to prevent psot cryotherapy swelling due to the reobund vasodiation
What are ht suybjectiv epahse of ice therpay?
frsit si coldnss
second is burnin/pain
thid is aching /pain
fourt isnumbness
How does cold application reuce msucle spasm/spaxticity.
by a dirce activy o nth muscle spindle producitn reduce msucle spindle excitability
What is the hoffman or H respons
an intia bu ttemporary incrase in felex muscle otne following cold appicatio, ossibly secondary to increased aplhp otor neuyron activty thruogh stimualtin of skon senaory receptors. Thi si however, temorary and thre is an ultmate decrease in muscle tone form coolg of thetiessues
Hwo does tissue cooling reue pain?
the may be anumber of mechanism:
direct effect on swensory nerv ending and pain carryign fibers
secondary to recution fo muscle spasm
secondary to limitng bleedng and edma with lowe3r tissue pressure
secondary to limitng the infalmmatory resoponse
?inflenc eont htspna gaitn mechanis
?enhancing endorphi production
What has ddepr tissue pentratin, surperficaly applied ocdl or superfically applied heat?
superfiially applied cold ahas as gnifcantly greater penetrating pwoer than spujerficially applied heat. Fat seme to be abetter insulato agianst heaitn grom th eoutsind and once penetrated tghrogh the fat layer, cold seems to be maintained in deeper structures longer than heat. Tissues tend to cool themselve fololowng heat application better thatn hating hteslemve adtg cold application. Vasodiation more rapidly cools wamr tissue than warms cool tissue.
What woudl be soem contraidncations ot the use of codl therapy?
loac ischmeic conditions; raynaud's cold allergy; imapird sensor perception; psosibly post poli hypertension
Waht are differnt mehtod sof cryotherapy application
ic pack / comrpesse/ice ba
ice bath
ic emassage (ice cujps , ice bues, "poscle"_)
cold spary (limited effectivenes for tyupical cryotherapy uses)
What is cryotherapy
The terapeutic use of cold in the treatment and rehailiationfo musculodseltal injurisand codnitaions
What are the geral therapeutic efects of cold therapy?
VAsoconstrction (reduce blleding, etc.)
Vsodilation (rebound dilation which brings in nutrients , elimnates wastews from the injred are)
reduceo ro slwo nerve ocnduction
recue muscle spasm or spaticity
reduce tissue meabolism
reduce pain
What is the hunting reaction
REboudn vasodlation folowing cold application . to preserve tissue viabiity and prevent tissues form falling below a critical temrpature. This is a reqarming phenomeno or recctiv ehyepremia. It shoud be ntoed that hte early int hpost injury period whre ther is atendicny to bleed due to vascualr disrupiton, follwoing cold therapy, ther area shoud always be elvsated and compress with some form of compressive deveis to prevent psot cryotherapy swelling due to the reobund vasodiation
What are ht suybjectiv epahse of ice therpay?
frsit si coldnss
second is burnin/pain
thid is aching /pain
fourt isnumbness
How does cold application reuce msucle spasm/spaxticity.
by a dirce activy o nth muscle spindle producitn reduce msucle spindle excitability
What is the hoffman or H respons
an intia bu ttemporary incrase in felex muscle otne following cold appicatio, ossibly secondary to increased aplhp otor neuyron activty thruogh stimualtin of skon senaory receptors. Thi si however, temorary and thre is an ultmate decrease in muscle tone form coolg of thetiessues
Hwo does tissue cooling reue pain?
the may be anumber of mechanism:
direct effect on swensory nerv ending and pain carryign fibers
secondary to recution fo muscle spasm
secondary to limitng bleedng and edma with lowe3r tissue pressure
secondary to limitng the infalmmatory resoponse
?inflenc eont htspna gaitn mechanis
?enhancing endorphi production
What has ddepr tissue pentratin, surperficaly applied ocdl or superfically applied heat?
superfiially applied cold ahas as gnifcantly greater penetrating pwoer than spujerficially applied heat. Fat seme to be abetter insulato agianst heaitn grom th eoutsind and once penetrated tghrogh the fat layer, cold seems to be maintained in deeper structures longer than heat. Tissues tend to cool themselve fololowng heat application better thatn hating hteslemve adtg cold application. Vasodiation more rapidly cools wamr tissue than warms cool tissue.
What woudl be soem contraidncations ot the use of codl therapy?
loac ischmeic conditions; raynaud's cold allergy; imapird sensor perception; psosibly post poli hypertension
Waht are differnt mehtod sof cryotherapy application
ic pack / comrpesse/ice ba
ice bath
ic emassage (ice cujps , ice bues, "poscle"_)
cold spary (limited effectivenes for tyupical cryotherapy uses)
how long should cold be applied ot be effective
10 minutes
cool to point of numbess
How long should one utilize cryhothearpy befoer intiating heat therapy
Heat should never be used in situation which may produce more bleeding/hemorrhage sucha s for th first couple days following an injury. Ont hte other hand, beacuse osoof the dedep penetarting pwer of codl and the reslutign vasodiation whcih occurs folowing cold erhapy, some practitioners may not go to typical heat applications at all and get the same healing benefits of deep vasodlation form applcation fo cold
What are contrast baths
This comined , alternating use of cold nad heat during the same treatment seesion. Dep;ending on the tprotocol you mjay start with cold and end withcold or insome instance, start with ocld and end with heaqt. the times may be 1-2 minute scold nad 4-6 minutes heat. When completing one pahse ie. cold the estremity is immediatley subemerged nthe heat for the apporiate tim. Whem doe wit he heat, the extemity is immediatley submertd in thcold. This is done with alternating cold and heat ro 30-45 minutes. theistnes ot proce a contricitondialtion consticiton dilatin acgtivty whic may produce a miking actgion on post traumtic edma and owudl hterfor be appropriat eouse insituation involving selling due to rauma. Care shoudl be taqken to avoid using heat in situation whre vasodiatin would incres the selling ie. inthe immediat post injury perido of a couple dyas.
What are the different forms of heat or thermotrehapy?
conductive hea
convectiv heat
coversiv ehat
What is an example of conducti vheat
parafin therapy
hot pack
What is an example of convective haeat?
whrilpool
fluidorhtapy
ultraviolet therapy
heat source is projected towars the skin and craets a swriling oconvetion around the objnect beng treate
what is an exampel of convective heat
ultrasound, diatrhy , or inrared therapy
heating is produce by coversion of one enrgy form to theat sas it passes theroght he tissue
Waht are some the phuysiologic effct o heat/thermotherapy?
physioldogc effects of heat/htehrotherapy are:
vasodiation (active heyperemai) with iencrease blood flwo increase capillary permabilty with aincrase exchneo fo mateials betwene tissu and cirucalin
icrease dexchne of oxygen adn carbon dioxie
incrase metabolis
increase collage extnesibilty to improv eROM and decrase stiffness adn adhresion
muscle rlaxation by reduction of muscle spoinidl exctabilty
seation
analgesia
What is the advantageo fcnversiv eheat over conductive and covctive hat?
conversive heat has the oteintai of greater/deeper tissue pernetraion as it penterates and become voncetie dot heat. both comdcutive nad ovnctive forms of heat hav evety minimal tisuse pernetaron generaly less than 2-5 mm with the fat layer bieng a realtively effecive barrie agaisnt penetariton. therfore ot onbtain depe heating efefct conversiv eheat methdso msut be applid
What owudl be osme contraindicatio nto the use fhet/thermotheryapy
d\Acute tarum
advanced PVD
patients with heat senstivity
patietns with insenstivyt
febrile ocnditon
-conditon where vasodiation may exacerbat exudaiton fo fluid sor interfer iwth blod flwo
over magnancie sor inextems isn age
How shoud hto pack pe applied
th hot pack whic is a gell gilled colth pack is heated to 140-170 degrees in a hydrocollator th ot hapck sho NOT be palced idrectly on the skin but wrapped in a about 8 layer osf etery cloth and then appplied to the surace. The treatment time is usually aobut 20-30minutes at twhic thiem the hot apck has lost suffienct temeprature by conduciton tot hbody to be of no further effect. The hto pack supplie "mosit He
how is a paraffing bath adminster
A paraffin and mitneral oil msxtujre is heate dto 122-138 degrees and the extemity is "dipped ' 6-13 time intot he paraffin gbath nad remeoved allowng each successive layer to haerd. when the extemity has been dipped suffiecnt nubmer otiems the wxtemity is wrapepd inpasltic or waxed pater and ocmre with a town and pmainten en this wrap for 2-30 minutes after whic the wrap nad paraffin may be remvoed. parafin may be apaticualry good for arthritic ondtions, tiendonits and bursitis and hwoudl nto be used in stuatation sinvolving open wound or ulcers, activ dermatitis, PVD or in patients wit decreased senston
WHO WAS THE 1ST MASTER CHIEF PETTY OFFICER OF THE COAST GUARD (MCPOCG)?
BMCM CHARLES CALHOUN
1
What is ultrasound adn how is the heat produce
coversive heat
piezo eolctric crystal, soudn wvae
..8 to 1.2 mHz
heats best at aras of great varinsce in stissue density
What ar the gernal tisue effects of utlrasound
heating effect - the absorpiton o fthe energy by tissue resistance produces heat. the greater the energy absorvbe the greater the theating efect whic his a funciton f both the frequency and th intensit of the wave

mechanical effeect he sound vibration produce a cavation effect producign slits beween intgermolecular obnds resulting in the breakdown fo scar na dadhesion anddcreased joitn fluid viscosity

chiemica;/clellular effect - effects includ increase enzyem activty icrased cell membrane permeabiltiy
icnrased local blood flwo increase mdeatbolit build up and dcrese msuclular spasm
How is ultasuon applied?
The ultraswound is applied with soudn heat on skinsuing gel or other cuooplin medium.
Where should ultrasound nto be used
over the spinal cord
over open eiphyseal plates
in hemorrhagic condition or disorders
over malignacies or tumors
over pacemakers over a pregnat uterus or rprodcutve organs
inv vascualr insuffienncy
over anesthetic aras
a relative contraindiacton woudl be over metallic impalnts
wht is diatherym and how does it perouce a heationg effect
diathermy is a form of conversive heating whre a form of elctircla enrgy is vonvcetid in to heat energy.
In short wave idtaherym a high frequency electical current produces heat as it passe thogh tissue by resitance of the4 current. n microwave diatehrmy, hgih frequency elecromagnetic radiation produces molecular stimualtin s it apsses hterogh tissues producing a heating effeecdt
Which tissues ar more greatly affected by diathermy?
tissues iwth high er water content. Hwerver in fluids iwht increased polarity such as synovia fluid and cerbrspoinal fludi the heating is exaggerated with a grater and etrmental temrapature eldvation ad ntherfor ditharermy should be afidded over aers with synovial fludi or cerbrspinal fluid
Which aappears to hve the greatres theating effect shortwave or mcriowave idaterhy
micrwav diathermy, also microwave last about 2o min aft stoping treatmetn
What woudl be some contraindicatios for the use of diathermy?
over a pcemaker
in acute hermragic condito or with acute trauma
in patient wit heat insenestitivey
over a pregnat uterus or with mestruation
over a a ara of maognancy
overa metallic implants
over araesw of local or stystetmi infeciton
over open epehysial plates
in pateints wit PVD
In forms of conversive heat what effecs shld the patient notice
there should actually be meinimal to neo heat sensation appreciated in eather ultrasound or diatermy and teartment should not peroduce pain or dicomfot
Wha tis the differnce between utlraviolet nd infraed light therapy
ualtarviodl light terapy is a form of radioant heat ie suns rays, whic whnm apploied ot hte surfac eo fhts kin produces a photocmenical effect and erythema producing "subnrun" effect. teh radian that pernetares to the bsal skin layer and is absorbed producign its effects . infrared light therapy is a form o vcoversive het therapyer where infreared light, hwich is invisble , isnsocopvneted ot heat by ienteraicon with tissue. Inf frared, the light wve in imtted as photos and thpohons are bsorved by the skin adntissue and vonverted ot heat
What is the effecto f infrared therapy
infreared tharapy provids superfical hating nd vasodiation. the effect is only ac ouple mm in depht of pentqartion owiut heat absorvbed ins ubcuatenou layers snd dipated. IR therapy stimualtes cuateous nerve dnign, stimualtes superfidal capillary circulaion and stimualtes eccreine sweat glands. the is minal heat sensation and mild erythema whci hrapidly cleas folowing discontinuation of hte IR source
Waht is the ffecto of utraviolet radioation therayp
the raidont energy produces as alsting eryhema or sunberun effect with some indivuals mroe sesitve to the ultravioet radion (ie redghed bldons0the does is as functo theo MED or menima erytma ods reo minmial amount o fuv radion that poroduces ans erythematoud reaciont. advesloong gterm oeffects of utnraviole treadion are weel nkown sucha sh theincrsae incidenc of skin mmilingancies. UV therapy is most used itn he rtteatment o fdermatlotogical conditonm (granulaiton tissue, ulcraion, acne, psorias,)_ due ot ist bateriocida, gundstant anc dbiamis D producing effects
What ar some of hte phsyical bnefists ot electriral sitmualt?
pain relief
reducito of edma
msucle sterntign and re- eudcoant
osteogenesis
How does elsectrical stimualtion reduce poain
trhe answer may still be ucnlrea but anumber mechanis ha ebeen propooese
effect otn thspinal gaitn mechanism
stimualtin fo producito nfo endorphis andendkaphlins
alterednocreceptor polarity
enzyamtic dgradoation of oansubstance
stijmaliton of mucrociruclaitn
What ar some physolgic effect sf ocuatnous electrical stimualtion?
icnreaed ciruclation with activ hyperemsia
accleration of lymphatic flow
stimualtionof cellluslar funcitgon
icnrfase atp pdroductoin
What is the diffence bewen hagh voldag eand low voldatgage elctircla stimualtor dviese
high voltbe divices use as set hgigh voltag current to overcom areas of variabl tissue restance (impedance) wher ethe is hgh reswistance due ot "ohm's lawe" ther woudl b elwoer current and arews os fo lwoer restance ther woudl b ehigher current. aTHerfore ,b casue a fixed heig current is ususe dot over ocmo ares of hgih resitanc, when arso f low restanc are encounte dhte higher current may poroduce discomf tan day b edetriment ato healin. IN newe rlow voldtag deveces, a cruuent meter detects impedanc (tissue restance) and th voldtag is adusted according ot impedance providang a constant low amp curren in a comfrotable rand and without as sddtrimenta effct to heatling
What is MENS theapy
micoam electrical nerve stimujaltin
curran with tine ampe, cofotrable safe, icnres atp
resor memvre trnaor tsytme
setc. mostly pain
How do diffent eletrical ferequncis ahv eidffernt effects
sympathery nermve 0-5 hz
moter nev e10-50 hz

senasor nerve curr in 90 to 110 hz range

lw frequency stimualt e smooth muscle for edema control
i9ntermidate waves timualt msucl .
hig frequency stimuls sensry nerve for pain frelim
Wah is the difference bewtween premodulaten and itnerentiao elecrtical stumulation
pre modulate = pre -mixed sine waves , 2 mixe frequinces , 2 electordes er used

In itgnerferinial 2 pairs of lectroedes (total 4 elctrodes) sot hta the 2 current cros nad tiernfere with each other . deeper stimulation ad larger area.
What is russian stimualtion
fixed sunusoid acurrent of hgih frequency (2500 hz) stron tetanic contarction for msucle sternthen and re education
What amey be soem contraindication to electricla dstimualtin
pacemaker
eelctrical imaplants
not on cancer patient, thrombophelbitis, eplipsy , cardiac condction orblems, pregnat uterus, larynx , pharyx, caritd dsnus, tarnsthoracically, tanrscerebrally
what are the mechanical effects of massage therapy?
production of intramucsular motin to strtch or brak adheison,k mibilzie fluid accmulatin and brek up or mibilsze doepsits. ther is noe ffect on strngh
'
ciuclartory effects by comressing lwo pressure vessels therby augmenting beous and lympahtic return as well as stimualtin areriolar bloodmoivbn ign to the vacated capillary bes.
How does massage releive pain?
stimlut sueprfical receptosr,
seadion relation of msucl spasm.
What are the differnt basic strokes of massage
effelurage or stroking
presissage or comressionm
taptoment or percujssion
How si effleurage sccomplihsed/
effleurage cna be i dont' care
What is anodyne monchromatic therapy
the anodyne monochromatic infratred trherapy systema is an FDA claredinfrared medical device that increses circualiton ansd decreases pain. it isusued primarily to reduce trhe pain and restor sensation in diabetic neuropathyl.
When fiting crutches , how olng should the crutchs be?
withthe paitn standng and ther cruthc tips slightly ahead of hte toes nad the curches angle otu 6-10 inches form thje body there shoudl be abou 2-3 finger breatds distance form the axillary pds of the curtec .
weigth shoudl not be boenr in the axilla
what is the proper psotion/location fo the hadngrip fo crtches cnae and warker?
with the elbow flexed at about 15-20 dgrees and the hand on the handgrip, the grip is at the appproximate level of the greater trochangre of the femur
Whe climing stair swith crutches in an ont'weighberaing gait, what is the correct oredr of crthces and protectede and nomral limgs
Whe ngoing up stairs hte good, weigh beraing limb goes oup first followed gby th protected limg and the crutches

When going odwn stairs the cruches nad protected limg go down first followed by the good, wiegh bearing limb
When ambulaitn with a singlecnae or single curtchi in whci side should the caneo or crutch be used?
the cane shoulc beuse on the sideopposite the proetecte sied therfore ont he normal good side