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57 Cards in this Set

  • Front
  • Back
Modalities to treat SPASTICITY?
Cryotherapy
E-Stim
Modalities to resolve EDEMA?
Cryotherapy
E-Stim
Hydrotherapy
Compression
Non-thermal diathermy
Modalities to treat INFLAMMATION?
Cryotherapy
Laser/Light
Hydrotherapy
Traction (subacute joint inflammation only)
E-Stim
Modalities to treat PAIN?
Cryotherapy
Thermotherapy
Thermal U/S
Laser/Light
Hydrotherapy
Diathermy (thermal & nonthermal)
E-Stim
Modalities to treat JOINT STIFFNESS?
Thermotherapy
Laser/Light
Thermal diathermy
Modalities to treat MUSCLE SPASM?
Thermal ultrasound
E-Stim
Traction (for paraspinal spasms)
Modalities to treat ULCERS?
Nonthermal U/S
Laser & Light
Modalities to treat SURGICAL SKIN INCISIONS?
Nonthermal U/S
Modalities to treat BONE FRACTURES?
Nonthermal U/S
Modalities for SOFT TISSUE & BONE HEALING?
Laser/Light
Thermal diathermy
UV Radiation (UVC)
Modalities to treat ARTHRITIS?
Laser/Light
Modalities to treat LYMPHEDEMA?
Laser/Light
Compression
Modalities to treat NERVE ROOT IMPINGEMENT?
Traction
What are the (4) main clinical applications of E-STIM?
Muscle contraction
Pain modulation
Tissue Healing
Transdermal drug delivery
What are the (4) contraindications of E-STIM?
Cardiac pacemaker or arrhythmias
Electrodes over carotid sinus
Areas with venous or arterial thrombosis or thrombophlebitis
Pregnancy
What are the (5) precautions of E-STIM?
Cardiac disease
Impaired mentation/sensation
Malignancy
Skin irritation/open wounds
Using Iontophoresis after other physical agents
What are the (3) possible adverse effects to using E-STIM?
Electrical burns
Skin reactions to the electrodes
Pain
What are the (4) main physical properties of water which are important in hydrotherapy?
Specific heat & thermal conductivity
Buoyancy
Drag (resistance)
Hydrostatic pressure
What are the cleansing effects of hydrotherapy?
pressure
dissolved surfactants/antimicrobials
What are the musculoskeletal effects of hydrotherapy?
decreased WB
Strengthening
Slowed bone density loss
Less fat loss than other exercise
What are the cardiovascular effects of hydrotherapy?
Increased venous circulation
Increased cardiac output
decreased HR, systolic BP, VO2 response
What are the respiratory effects of hydrotherapy?
Decreased vital capacity
Increased work of breathing
Decreased exercise-induced asthma
What are the renal effects of hydrotherapy?
Diuresis
Increased Na & K excretion
What are the psychological effects of hydrotherapy?
Relaxing
or
Invigorating
(Temperature-dependent)
What are the (5) main uses of HYDROTHERAPY?
Superficial heating/cooling
Wound care
Water exercise
Pain control
Edema control
What are the (2) contraindications for HYDROTHERAPY?
(for LOCAL immersion)
Maceration around a wound
Bleeding
What are the (5) contraindications for HYDROTHERAPY?
(for FULL BODY immersion)
Cardiac instability
Infectious conditions
Bowel incontinence
Severe epilepsy
Suicidal
What are the (3) contraindications for HYDROTHERAPY?
(for FULL BODY immersion in HOT water)
Pregnancy
MS
Poor thermal regulation
What are the (4) precautions for HYDROTHERAPY?
(for LOCAL immersion)
Impaired thermal sensation
Infection
Confusion or impaired cognition
Recent skin grafts
What are the (7) precautions for HYDROTHERAPY?
(for FULL BODY immersion)
Confusion or disorientation
After ingestion of alcohol
Limited strength/endurance/balance/ROM
Medications
Urinary incontinence
Fear of water
Respiratory problems
What are (7) adverse effects of HYDROTHERAPY?
Drowning
Fainting
Bleeding
Hyponatremia
Infection
Aggravation of edema
What are the (5) possible application techniques for HYDROTHERAPY?
Whirlpool
Hubbard Tank
Contrast bath
Nonimmersion irrigation devices
Pool
What are the (6) effects of TRACTION?
Joint distraction
Reduction of disc protrusion
Soft tissue stretching
Muscle relaxation
Joint mobilization
Patient immobilization
What are the (5) indications for the use of TRACTION?
Disc bulge or herniation
Nerve root impingement
Joint hypomobility
Subacute joint inflammation
Paraspinal muscle spasm
What are the (5) contraindications for TRACTION?
Where motion is contraindicated
With acute injury
Joint hypermobility or instability
Peripheralization of symptoms occurs with traction
Uncontrolled hypertension
What are the (10) precautions for the use of TRACTION?
Structural diseases affecting the spine
Pressure of the belts
Displacement of annular fragment
Medial disc protrusion
Severe pain fully relieved by traction
Claustrophobia
Patients intolerant of prone or supine positions
Disorientation
TMJ problems
Dentures
What are the (4) application techniques for TRACTION?
Mechanical traction
Self-traction
Positional lumbar traction
Manual traction
What are the (3) effects of COMPRESSION?
Improved venous and lymphatic circulation
Limits shape and size of tissue
Increased tissue temperature
What are the (5) indications for the use of COMPRESSION?
Edema
DVT
Venous statis ulcers
Residual liimb shaping after amputation
Control of hypertrophic scarring
What are the (7) contraindications for the use of COMPRESSION?
(sequential compression pumps)
Heart failure/pulmonary edema
Recent or acute DVT or pulmonary embolism
Obstructed lymphatic or venous return
Severe peripheral arterial disease
Acute local skin infection
Significant hypoproteinemia
Acute fracture or other trauma
What are the (5) precautions for the use of COMPRESSION?
Impaired sensation or mentation
Uncontrolled hypertension
Cancer
Stroke or vascular insufficiency
Superficial peripheral nerves
What are the (3) application techniques for COMPRESSION?
Compression bandage
Compression garment
Intermittent pneumatic compression pump
What are the effects of UV RADIATION?
Erythema production
Vitamin D synthesis
What are the effects of COLD LASERS?
Vasodilation
Altered nerve conduction
Increased ATP production
Stimulation of macrophages
Stimulation of fibroblasts
What are indications for the use of UV RADIATION?
Psoriasis
Wound healing
What are the indications for the use of COLD LASERS?
Wound and fracture healing
Musculoskeletal disorders
Pain management
What are indications for the use of NONTHERMAL DIATHERMY?
Control of pain and edema
Wound healing
Nerve healing
Bone healing
What are the (6) contraindications for UV RADIATION?
Irradiation of the eyes
Skin cancer
Pulmonary TB
Cardiac, kidney, or liver disease
Systemic lupus erythematosus
Fever
What are the (4) contraindications for LASERS?
Direct irradiation of the eyes
Within 4 to 6 months after radiotherapy
Hemorrhaging regions
Locally to the endocrine glands
What is the contraindication to ALL DIATHERMY?
Implanted or transcutaneous neural stimulators
What are the (6) contraindications for the use of THERMAL DIATHERMY?
Metal implants or pacemakers
Malignancy
Pregnancy
Eyes
Testes
Growing epiphyses
What are the (3) contraindications for the use of NONTHERMAL DIATHERMY?
Deep tissue
Substitute conventional therapy for edema and pain
Pacemakers, electronic devices, metal implants
What are the (4) precautions for the use of UV RADIATION?
Photosensitivity
Photosensitizing medication use
Recent X-Ray therapy
Wait for previous dose's effects to disappear
What are the (11) precautions for the use of LASERS?
Epilepsy
Fever
Malignancy
Low back or abdomen during pregnancy or menstruation
Embryo
Gonads
Epiphyseal lines in children
Confused or disoriented patient
Decreased sensation
Infected tissue
Sympathetic ganglia, vagus nerves
What are the (3) precautions for ALL types of DIATHERMY?
Electronic or magnetic equipment in the vicinity
Obesity
Copper IUD
What are the (2) precautions for NONTHERMAL DIATHERMY?
Pregnancy
Skeletal immaturity
What are the (5) adverse effects of ELECTROMAGNETIC RADIATION?
Burning
Premature aging of skin
Carcinogenesis
Eye damage
Adverse effects of PUVA