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19 Cards in this Set
- Front
- Back
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Types of Physical Agents
7 main divisions |
Heat
Cold Water Pressure Sound Electromagnetic radiation Electrical Current |
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Thermal Agents
main idea |
Thermal agents transfer energy to a patient to produce an increase or decrease in tissue temperature.
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Mechanical Agents
main idea |
Mechanical force to > or < pressure in the body
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Mechanical Agents
examples of |
Traction
Compression Water Ultrasound |
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ElectroMagnetic Agents
. main idea |
Apply energy in the form of electromagnetic radiation or an electrical current
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ElectroMagnetic Agents
examples of |
Ultraviolet
Electrical stimulation Diathermy Laser |
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Electromagnetic Currents
how can they cause a sensory or motor response? |
Electrical currents of sufficient intensity and duration can depolarize nerves, causing sensory or motor responses that may be used to control pain or increase muscles strength and control.
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Electromagnetic Currents
how can they alter cell membrane permeability ? |
Electrical currents with an appropriate direction of flow can attract or repel charged particles and alter cell membrane permeability to control the formation of edema, promote tissue healing and facilitate transdermal drug penetration
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Role of Rehab
what is the goal of rehab? |
Rehabilitation is a goal-oriented treatment process designed to maximize independence in individuals who have compromised function as a result of underlying pathologic processes and secondary impairments
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Role of Rehab
primary focus? |
Generally addresses the sequelae of pathology rather than the pathology itself
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APTA’s position statement on the use of PHYSICAL AGENTS
when is the use of PHYSICAL AGENTS considered PT? |
Without documentation which justifies the necessity of the exclusive use of physical agents/modalities, the use of physical agents/modalities, in the absence of other skilled therapeutic or education intervention, should not be considered physical therapy.
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Physiological Effects
what level to PHYSICAL AGENTS intervene at? |
Physical Agents intervene at the Impairment Level
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How to PHYSICAL AGENTS intervene at the IMPAIRMENT LEVEL?
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reducing soft tissue inflammation or circulatory dysfunction
increasing the healing rate modulating pain modifying tone increasing tissue extensibility remodeling scar tissue treating skin conditions. |
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Decisional Steps for the use of PHYSICAL AGENTS
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Is the Physical Agent indicated?
(What physiologic result am I looking for? Check physician referral. Is it in the plan of care?) Are there any contraindications? What functional goal am I trying to achieve? What evidence is there regarding effectiveness? What is the most suitable agent? |
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General Precautions
what is meant by CONTRAINDICATION? |
Contraindication – condition exists that renders a particular agent improper or undesirable
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General Precautions
what is meant by PRECAUTION? |
Precaution – treatment should be applied with special care or limitations
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General Precautions
4 major PRECAUTIONS for all PHYSICAL AGENTS |
Pregnancy
Malignancy Pacemaker Impaired Sensation and Mentation |
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Evidence Based Practice
what is the GOAL of EBP? |
The goal of EBP is to provide the best possible patient care based on scientifically based research and applying it to each individual patient
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Quality research will have 4 components...?
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Patient population
Intervention Comparative intervention Outcome |
