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74 Cards in this Set
- Front
- Back
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Therapeutic hteat is not to be used |
During first 48 hours of injury or while there is active swelling |
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Name 3 physiologic effects of therapeutic heat |
Vasodilation
Increase local tissue metabolism
Decrease joint stiffness
Increase capillary permeability
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Name 3 uses of therapeutic heat |
Arthritis
Stiff joints
Muscle spasms
Inflammation
Pain
Trauma |
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Therapeutic heat is not to be used |
During first 48 hours of injury or while there is active swelling |
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Temperature and time of heat modalities |
45 degrees C 113 degrees F
15-30 minutes |
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Contraindication for superficial heat |
Photosensitivity |
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Mechanical agitation which relaxes and massages muscles |
Whirlpool |
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Mechanical agitation which relaxes and massages muscles |
Whirlpool |
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Whirlpools are okay to use with ulcers that ___________ |
Don't involve bone |
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Are the effects of contrast bath that of heat or cold |
Heat |
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Are the effects of contrast bath that of heat or cold |
Heat |
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How long is contrast bath in each type of water done for? |
1 minute |
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Are the effects of contrast bath that of heat or cold |
Heat |
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How long is contrast bath in each type of water done for? |
1 minute |
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Always start and end contrast baths with |
Cold |
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Are the effects of contrast bath that of heat or cold |
Heat |
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How long is contrast bath in each type of water done for? |
1 minute |
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Always start and end contrast baths with |
Cold |
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The effect of contrast baths are due the principle of |
Reflexive hyperemia |
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Hunting effect = |
Reflexive hyperemia |
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What's the process for paraffin wax |
Dip foot 6-10 times for several seconds. Wrap for 30 minutes. |
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Name 3 superficial heating modalities |
Contrast bath Whirlpool Paraffin wax |
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What is the process for paraffin wax |
Dip foot 6-8 times for several seconds then wrap for 30 minutes |
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Name 3 deep heating modalities |
Ultrasound Microwave diathermy Shortwave diathermy |
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Contraindications for deep heating modalities |
Metal implants Pacemakers |
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Ultrasound has both _______ and _______ effects on tissue |
Thermal
Mechanical |
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Name 3 deep heating modalities |
Ultrasound Microwave diathermy Shortwave diathermy |
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Contraindications for deep heating modalities |
Metal implants Pacemakers |
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Ultrasound has both _______ and _______ effects on tissue |
Thermal
Mechanical |
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Ultrasound can help to |
Breakdown adhesions/scars Streaming effect-movement of molecules
Edema Pain |
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Important contraindications for ultrasound |
Anesthetized skin Embolism Vascular disease Bony prominences Epiphyseal plates in kids Acute infection Around implants Patients with pacemakers |
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Name 3 deep heating modalities |
Ultrasound Microwave diathermy Shortwave diathermy |
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Contraindications for deep heating modalities |
Metal implants Pacemakers |
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Ultrasound has both _______ and _______ effects on tissue |
Thermal
Mechanical |
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Ultrasound can help to |
Breakdown adhesions/scars Streaming effect-movement of molecules
Edema Pain |
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Important contraindications for ultrasound |
Anesthetized skin Embolism Vascular disease Bony prominences Epiphyseal plates in kids Acute infection Around implants Patients with pacemakers |
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Ultrasound requires a ________ to propagate |
Coupling medium |
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Ultrasound can either be ________ or ________ waves |
Continuous or pulsed |
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Ultrasound can either be ________ or ________ waves |
Continuous or pulsed |
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Pulsed ultrasound does not have |
Thermal effects |
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Direct coupling vs water immersion coupling |
Direct - use gel and place head directly on skin
Water - place foot in water with head in water 1" away from foot |
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Short wave diathermy works by |
Heating through high frequency current |
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Short wave diathermy works by |
Heating through high frequency current |
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Microwave diathermy work by |
Heating tissues with more water
Good for muscles and joints |
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When is cold therapeutic therapy to be used |
During the first 48 hrs of injury |
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RICE |
Rest Ice Compression Elevation |
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RICE |
Rest Ice Compression Elevation |
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Regimen for ice pack therapy |
10 minutes on 10 minutes off |
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RICE |
Rest Ice Compression Elevation |
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Regimen for ice pack therapy |
10 minutes on 10 minutes off |
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Physiological effects of therapeutic cold |
Vasoconstriction Decrease inflammation/swelling Decrease spasm Analgesia |
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TENS = |
Transcutaneous electrical nerve stimulation |
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High TENS work by |
Blocking pain and are used 24hrs /day |
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High TENS work by |
Blocking pain and are used 24hrs /day |
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Low TENS works by |
Endorphin release
Only use for 15-30 minutes |
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TENS may be used for |
Chronic pain Muscle problems Peripheral neuropathy |
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TENS may be used for |
Chronic pain Muscle problems Peripheral neuropathy |
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TENS are contraindicated in |
Pacemakers Pregnancy |
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Noninvasive Method of delivering chemicals through skin with current |
Iontophoresis |
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Noninvasive Method of delivering chemicals through skin with current |
Iontophoresis |
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Noninvasive method of delivering chemical through skin by ultrasound |
Phonophoresis |
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Muscle contraction not associated with joint motion or change in muscle length |
Isometric contraction |
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Muscle contraction not associated with joint motion or change in muscle length |
Isometric contraction |
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Muscle contraction that is associated with a change in motion and length. Either concentric or eccentric. |
Isotonic contraction |
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Muscle lengthens with contraction |
Eccentric contraction |
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Muscle shortens with contraction |
Concentric contraction |
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Muscle lengthens with contraction |
Eccentric contraction |
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Contraction at a constant velocity at all ranges of motion by using a machine with an accommodating resistance |
Isokinetic contraction |
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How to size crutches |
Height two fingers below axilla 30 degrees of flexion in elbow |
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How to size crutches |
Height two fingers below axilla 30 degrees of flexion in elbow |
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How to size cane |
Cane height to greater trochanter
Elbow flexed 30 degrees
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How to size crutches |
Height two fingers below axilla 30 degrees of flexion in elbow |
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How to size cane |
Cane height to greater trochanter
Elbow flexed 30 degrees
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Cane is held on |
Arm opposite affected foot |
