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Sound energy from an US machine is produced by
Indirect (reverse) piezoelectric effect
US waves are ____ to the human ear
inaudible
What BNR is acceptable
5:1
What will cause a greater depth of penetration
decreased frequency
What is an acceptable US coupling medium
water in a plastic bucket
What is responsible for the non-thermal effect of US
acoustical streaming
What is the term for using US to drive drugs or compounds across the pt’s skin and surrounding tissues
Sonophoresis/Phonophoresis
What is the best protocol for a pt with chronic lumbar muscle spasm using US
Continuous US, 1 MHz, 8 min
What is the best protocol for a pt with 6wks of epicondylitis pain
Combo = pre-med, 0-15Hz + US continuous, 3.3MHz
What is the MC type of diathermy generator
short wave
What are the two types of electrodes used in short wave diathermy
inductance (magnetic field)
capacitance (electrical field)
Which law states that intensity diminished w/distance
inverse square law
When an excited electron gives up energy it moves to a lower orbit, this is called
spontaneous emission
What is the term for the structure light energy in cells
chromophore
What is the exact structure in human tissue that can absorb light photons to trigger biochemical reactions
cytochromes
What is the most appropriate safety protocol for laser therapy
pt and therapist should wear safety glasses
What is a contraindicated area for laser therapy
thyroid gland
Which type of UV light may have an antimicrobial effect
UVC
How is UV dose determined
Fitzpatrick’s skin phototype or Minimum skin erythema dose
What method of heat transfer is used is paraffin
conduction
What is an example of heat transfer by convection
whirlpool
How many layers of towels are btw a hydrocollator pack and the pt
6-8
What is the appropriate temp for a paraffin bath
124-133 deg F
Regarding whirlpools, what is the correct relationship
the GREATER the surface area, the LOWER the water temperature (colder)
What pt is safe to treat with ice packs
neck of pt with diabetes
What is the correct treatment time for an ice massage
5 minutes
What is the desired physiological effect of cryotherapy
vasoconstriction
What modalities could be used for acute pain
IF (true, premod) = 80-150
Sensory TENS = 80-150
Low level Laser = high dose to inhibit
Cryotherapy = ice pack, whirlpool, etc.
What modalities could be used for chronic pain
IF (true, premod) = 1-15
Motor TENS = 1-15
Low level Laser = high dose to inhibit
Cryotherapy = ice pack, whirlpool, etc.
Thermotherapy = US, diathermy, paraffin
What modalities could be used for muscle spasm
NMES (russian, biphasic) = 10:10
Thermotherapy = US, diathermy, paraffin
Cryotherapy = ice pack, whirlpool, etc.
What modalities could be used for edema
Cryotherapy = ice pack, whirlpool, etc.
Hi-volt = negative polarity
Cold laser = high dose to inhibit
What modalities could be used for acute healing
Cold laser = low dose to stimulate
Hi-volt or microcurrent = positive polarity
Ultrasound = pulsed (50%)
What modalities could be used for chronic healing
Cold laser = low dose to stimulate
Hi-volt or microcurrent = negative polarity
Thermotherapy = US, diathermy, paraffin