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modalities
modalities
19
Other
Graduate
07/15/2014

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Cards

Term
suferficial heat general contraindications
Definition
acute/subactue inflammatory condition
decrease circulation/sensation
DVT
impaired cognition
malignant tumor
tendency toward hemmorhage/edema
very young/old
Term
MHP
Definition
water 165-170
20-30 minutes
observe skin reaction
Term
paraffin
Definition
125-127 degrees
15-20 minutes
contraindications allergic rash, open wounds, recent scar/suture, skin infections
Term
contrast baths
Definition
alternate hot bold water decrease pain/swelling, increase circulation
water temp hot 104, cold 59
subacute, start hot 3-4 minutes cold 1 minute
Tx lasts 20-30 minutes ends hot
Term
hydrotherapy
Definition
can be used for wound debridement
hubbard tank= full body immerision
hubbard tank=water temp <100
chronic condition whirlpool 99-104
PVD, cardiac , open wounds temp should be below body temp no greater than 100
Term
cyrotherapy general condraindicatins
Definition
impaired circulation/sensation
PVD
raynauds or cold sensitivty
Term
cold packs
Definition
0-10 degrees
10-20 minutes
Term
ice massage
Definition
5-10 minutes
Term
vapocoolant spray
Definition
desensitizes trigger points
5-10 minutes
Term
deep heat general contraindicaitions
Definition
acute infections
impaired circulations/cognition/sensation
malignancy
over pacemaker
cery young/old
Term
ultrasound
Definition
3mhz superficial 1mhz deep
intensity .3-1.5 w/cm^2
low intensity/pulsed= acute
high intensity/continuous= chronic/heat
fat/water=deep penetration/less absorbption
protein= more absorption less penetration
contraindications acute inlammatory joints, healing Fx, thrombophlebitis, radioactive isotopes, over brain/ear/ growth plates/ eye/ heart/ carotid sinus/ cervical ganglia/ reproductive organs/ spine/ pace maker/ prego uterus
precautions metal/plastic implants osteoporosis tendon/ligament repair
Term
traction
Definition
cervical 20-30 pounds
lumbar 25-65 pounds
C1-C4 stenosis 0-5 degrees
C5-C7 stenosis 20-30 degrees
0 degrees for disc
lumbar stenosis hip/ knee 90/90
lumbar disc lay prone
contraindication impaired cognition, spinal tumor/infection, spondylolesthesis, RA, osteoporosis, very young/old, vascular issues vertebral artery
precautions acute inflammation, acute sprain/strain, claustrophobia, hiatus hernia, instability, prego, TMJ
Term
intermittent compressoin
Definition
edema control
between SBP/DBP or below DBP
minimum 2 out of 24 hours
contraindications
acute inflammation/infection, acute DVT, pulmonary edema, arterial insufficiency, cancer, impaired sensation, kidney/cardiac insufficieny, HTN, impaired cognition,lymph obstruction, very young/frail/old
Term
continuous passive motion
Definition
inhibits adhesions, provides fluid movement
contraindications DVT, thrombophlebitis, increase in pain,edema, or inflammaiton,
Term
tilt table
Definition
orthostatic hypotension
return in supine if drop in SBP, sweating, agitation occur
monitor skin/nailbed color
contraindication unstable fractures, confused anxious patient
Term
massage
Definition
contraindications acute inflammaiton, febrile condition, atherosclerosis, varicose veins, phlebitis, recent surgery, arrhythmia heart failure, malignancy, hypersensitivity, RA, hemmorhage, edema due to kidney disease, venous insuffiency
Term
electrotherapy genral contraindication
Definition
healing Fx, active bleeding, malignancies, phlebiitis, superficial metal implants, pharyngeal or laryngeal implants, pacemaker, myocardial disease,
precautions, edema sensation loss
Term
iontophoresis
Definition
cathode negative=salicyclate/pain, acetate/calcium deposits, dexamethasone/anti-inflammatory, iodine/softens scars
anode=positive hydrocortisone/anti-inflammatory, lidocaine/pain relief, magnesium or calcium/spasms lithium/gout, zinc/dermal ulcers, copper/fungal infections
contraindications impaired skin sensation, allergy to drug or direct current, recent scars cuts bruises, broken skin, metal around tx area
Term
TENS
Definition
A-fiber pain gate theory
contraindications pacemakers, over chest of cardiac patient, over mucosal membranes
high rate 75-100pps 50-100ms acute
low rate 1-4pps 150-300 ms chronic
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