Modalities part 2

A patient is scheduled for a wound debridement procedure for a chronic ulcer. To manage pain, the clinician decides to apply TENS prior to the procedure. Which is the MOST APPROPRIATE type TENS to be used?

A. Acupuncture-like (low-rate) TENS B. Brief intense TENS C. Noxious TENS D. Conventional (high-rate) TENS

B

US - Characteristics:

Amount of what?

Dependent on what?

US - Characteristics:

What’s the cycles/frequency for depth?

US - Characteristics:

What are the 2 types and its percentages? Which ones thermal/nonthermal ?

Duty cycle for both modes?

On/off times? Give an example ?

Examples of superficial? 7 examples

Ul trasound Decision Making

To improve flexibility, soft tissue shortening, and pain?

Which type? Duty cycle?

Depth/frequency/intensity for both types?

Treatment time?

Ul trasound Decision Making

How about for active inflammation, delayed tissue healing, and prolonged inflammation?

Which 2 options for percentages? Which one is the most common?

US decision making: TIP

Ul trasound: Contraindications

If they complain its hot, what are 6 things they can modify or do

During examination, the physical therapist performs a test by stabilizing the lower leg with one hand and pulling the heel forward with the other hand to assess ligament integrity. Which ligament is being tested with this procedure?

A. Deltoid ligament B. Anterior talofibular ligament (ATFL) C. Posterior tibiotalar ligament D. Calcaneofibular ligament (CFL)

B

Which of the following parameters is the MOST APPROPRIATE for use of ultrasound at the lateral ankle?

A. 20% duty cycle, 3 MHz, 0.7 w/cm² B. 50% duty cycle, 1 MHz, 1.2 w/cm² C. 100% duty cycle, 1 MHz, 1.5 w/cm² D. 100% duty cycle, 3 MHz, 0.5 w/cm²

A

The clinician notes that the patient has poor activation of the calf muscles while performing heel raises. Which of the following EMG biofeedback parameters is MOST APPROPRIATE for initial treatment?

A. Low sensitivity and closely placed electrodes

B. Low sensitivity and widely placed electrodes

C. High sensitivity and closely placed electrodes

D. High sensitivity and widely placed electrodes

D

EMG Biofeedback- Initial Parameters:

What are the 2 indications of treatment and whats the sensitivity ?

EMG Biofeedback- Initial Parameters:

What are the electrode placement for both?

EMG Biofeedback- Initial Parameters: TIP

Lumbar Traction:

What are the 3 indications for supine position?

How about for posterior disc herniation?

Traction: how many degrees of hip flexion:

For L5-s1?

L3-L4?

Cervical and Lumbar Traction Parameters

What are the 4 indications for both cervical and lumbar?

How much weight ?

A patient presents to clinic with a posterior herniated nucleus pulposus at L2-3. During lumbar traction in supine, the patient reports increased pain radiating into the leg. Which of the following actions is MOST APPROPRIATE to take?

A. Change the position of the patient to side lying B. Refer the patient back to the physician C. Change the position of the patient to prone D. Reduce the traction force to 15% of bodyweight

C

Mechanical Traction- Contraindications: 5 things stand

Think of the princess bride scene LOL