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23 Cards in this Set
- Front
- Back
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Cryotherapy Contraindications |
(CCCRPDOO) Cold hypersensitivity Cold intolerance Cryoglobulinemia Paroxysmal cold hemoglobinuria DVT Over regenerating peripheral nerves |
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Thermotherapy Contraindications |
AII + Presets (except pregnancy) Active inflammation Impaired mentation Impaired sensation |
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Ultrasound Contraindications |
MJPA + Presets Myositis Ossificans Joint replacement (plastic & cement) Pacemaker Anterior neck and carotid sinus |
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TENS / IFC / NMES Contraindications |
PABC + Presets Pacemaker Anterior neck or carotid sinus Broken neck |
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Preset Contraindications |
1) Malignancy 2) Pregnancy 3) Over infected tissues or Tuberculosis 4) Over actively bleeding tissues 5) DVT or thrombophlebitis 6) Over radiated tissue 7) Over eyes or reproductive organs |
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Cryotherapy Indications |
1) Reduce spasticity 2) Inflammation control 3) Pain control 4) Reduce tremor in MS patients 5)Cryostretch 6) Cryokinetics |
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Thermotherapy Indications |
1) Pain control 2) Reduce muscle spasms 3) Accelerate tissue healing 4) Increase joint ROM and stiffness |
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Ultrasound Indications |
1) Pain control (Thermal) 2) Increase Joint ROM and stiffness (Thermal) 3) Reduce muscle spasms (Thermal) 3) Biostimulation (Non-Thermal) or Accelerate tissue healing (Thermal) |
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TENS / IFC Indications |
1) Pain Control 2) Reduce Muscle spasm 3) Reduce edema (low frequency) |
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NMES Indications |
1) Reduce edema 2) Reduce Muscle spasm 3) Muscular contractions Innervated muscles for muscle strengthening 4) Muscle re-education |
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Cryotherapy Adverse Reactions |
1) Tissue death due to frostbite 2) Tissue death due to vasoconstriction 3) Thrombosis due to prolonged vasoconstriction 4) Temporary or permanent nerve damage due to prolonged cooling |
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Thermotherapy Adverse Reactions |
1) Burns from excessive heating 2) Fainting due to inadequate blood flow to brain 3) Bleeding due to thermotherapy in areas with recent vascular lesions 4) Skin and eye damage from excessive or unprotected infrared radiation |
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Ultrasound Adverse Reactions |
1) Burns from excessive heating 2) Blood stasis and blood vessel damage because of standing waves 3) Cross contamination if Ultrasound head isn't cleaned |
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TENS / IFC / NMES Adverse Reactions |
1) Electrical burns from AC or DC 2) Skin irritation or inflammation 3) Pain experienced |
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Cryotherapy Application |
1. Remove jewelry or metal 2. Dampen towel and wrap around cold pack 3. Apply for 15 minutes |
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Thermotherapy Application |
1. Remove jewelry or metal 2. Cover thermotherapy agent with 6-8 towels (hot pack covers count as 2 layers) 3. Apply for 20 minutes |
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Ultrasound Application |
ACUTE (or inflammation) - 20% Duty cycle - 1-2 cm --> 3 MHz --> 0.5 W/cm2 - <5 cm --> 1 MHz --> 1.5 W/cm2 - Duration = 5 - 10 min/ 2xERA CHRONIC - Continous - 1-2 cm --> 3MHz --> 0.5 W/cm2 - <5cm --> 3MHz --> 0.5 W/cm2 - Duration = 5 - 10 min/ 2xERA |
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TENS / IFC Application |
High Frequency (ACUTE) - Pulse duration = 100 - 150 Hz - Pulse width = 50 - 80 us - Amplitude = To strong tingling - 15 minute duration Low Frequency (Chronic) - Pulse duration = 2 - 10 Hz - Pulse width = 200 - 300 us - Amplitude = To visible muscle twitches - 15 minute duration |
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NMES Application |
Muscle Strengthening - 35-50 pps - 150 - 200 us --> small muscles ; 200 - 350 us --> large muscles - To > 10% of MVC in injured ; To > 50% of MVC in uninjured - Ratio of 1:5 between time on and off - >2 second ramp time - 15 minute treatment
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Cryotherapy Questions (5) |
1) Do you have any unusual responses to cold (yes) - Do you develop a rash when cold - Do you have severe pain, numbness or colour change in your fingers when exposed to cold? - Do you see blood in your urine after being exposed to cold? 2) Do you have poor circulation in this limb? 3) Do you have any nerve damage in this area? 4) Do you have numbness or tingling in this area? If so where? 5) Do you have normal sensation in this area? |
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Thermotherapy Questions (6) |
1) When did this injury occur? 2) Did you have any bruising or bleeding? 3) Do you have a blood clot in this area? 4) Are you under the care of a physician for any major medical problem or skin conditions? 5) Have you ever had cancer? - Do you have cancer now? Do you have fevers, sweats or night pain? - Do you have any unexplained weight gain or loss? - Do you have constant pain that doesn't change? 6) Do you have normal sensation in this area? |
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Ultrasound Questions (9) |
1) When did this injury occur? 2) Did you have any bruising or bleeding? 3) Do you have a blood clot in this area? 4) Are you under the care of a physician for any major medical problem or skin conditions? 5) Have you ever had cancer? - Do you have cancer now? Do you have fevers, sweats or night pain? - Do you have any unexplained weight loss or weight gain? - Do you have constant pain that doesn't change? 6) Have you ever had surgery or a joint replacement in this area? Does it have cement or plastic components? 7) Do you have a pacemaker (rib cage)? 8) Are you pregnant or is there a chance you may be pregnant? (low back, abdomen, pelvis of female) 9) Do you have normal sensation in this area? |
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TENS / IFC / NMES Questions (7) |
1) Do you have a blood clot in this area? 2) Are you under the care of a physician for any major medical problem or skin conditions? 3) Have you ever had cancer? - Do you have cancer now? Do you have fevers, sweats or night pain? - Do you have any unexplained weight loss or weight gain? - Do you have constant pain that doesn't change? 4) Do you have a history of heart problems or vascular problems, whether treated or untreated? - have you ever had a heart attack or arrhythmia? - Do you have a cardiac pacemaker? 5) Have you ever had any seizures before? 6) Is there a chance you may be pregnant (if female) 7) Do you have normal sensation in this area? |
