PAM parameters

Thermal US shallow

Continuous, 3MHz, .5W/cm2 for 5-10min

Thermal US deep

Continuous 1MHz 1.5-2W/cm2 for 5-10min

Non thermal shallow

20%, 3MHz, .5-1W/cm2 5-10min

NonThermal deep

20%, 1MHz, .5-1W/cm2 for 5-10min

Láser for soft tissue healing

4-8J, 1-3points, daily for 2wks or 3x/wk for 3-4wks

Laser for arthritis

4-16J, 2-12points, daily for 2wks or 3x/wk for 3-4wks

Laser for neuro

8J, 2-3points, daily for 2wks or 3x/wk for 3-4wks

Laser for lymphedema

1-2J/cm2, 1-3points, 3x/wk for 3 wks

Russian Estim for muscular strengthening

2500Hz AC for therapeutic range of 50Hz, 400us, 50bps, 10:50, 50%MVIC for 10-20mins

IFC/Premod for gating pain control

Mimics high rate tens, 100-150pps, comfort, PRN

IFC/premod for opiod pain relief

Mimics low rate tens, 2-10pps, visable contraction, 20-30min every 2-4hrs

Chronic Edema estim small muscle

NMES, 125-200, 20-30pps, 1:1, contraction, 30mins 2x/day

Chronic edema large muscle

NMES, 200-300, 50-80pps, 1:1, contraction, 30mins 2x/day

Acute edema

HVPC, 40-100, 100-200pps, use negative, to sensory, 20-30mins, 1x/day

Wound dirty/inflammed

HVPC, about 100, 100-105pps use negative, to sensory, 45-60min in 3-7x/wk

Wound clean

HVPC, about 100us, 100-105pps, positive, sensory, 45-60min, 3-7x/wk

Cervical traction starting point

7-9lbs, static, 5-10min

Lumbar traction starting point

29-44lbs, static, 5-10min

Cervical joint distraction

20-30lbs or 7%body weight 15/15 hold/relax for 20-30mins

Cervical traction for muscle spasm

10-15lbs, 5s/5s hold/relax, 20-30min total

Cervical traction for disc/soft tissue

10-15lbs for 60s/20s hold/relax for 20-30mins

Lumbar traction for joint distraction

50lbs to 50% body weight, 15s/15s hold/relax for 20-30mins

Lumbar traction to decrease muscle spasm

25% body weight for 5s/5s hold/relax for 20-30mins

Lumbar traction for disc/soft tissue

25% body weight for 60s/20s hold/relax for 20-30min

Intermittent compression for edema UE

3:1, 30-60 pressure, 2-3hrs, 1-2x/day

Intermittent compression Edema LE

3:1, 40-80 pressure, 2-3hrs, 1-2x/day

Intermittent compression for residual limb UE

4:1, 30-60pressure, 2-3hrs, 1-2x/day

Intermittent compression residual limb LE

4:1, 40-80 pressure, 2-3hrs, 1-2x/day

Intermittent compression with Cold

50 degrees F, 10-15 (up to 20)mins, 1hr between uses

Paraffin

6:1-7:1 wax to mineral oil, 113-122 degrees F, dip 6-10x, 10-15min then remove

Fluidotherapy

Convection heat 113-122F for 20min w exercise/manual during

Secondary Static Compression

Figure 8 pattern, 20-40mmHg for edema worn during the day time, 20-30mmHg for scar tissue worn 24hrs

Secondary cold pack

Cover w a towel, 32-41F for 20min w 1hr between uses and 30min to chill pack

Secondary Ice massage

Cold burning aching numbness should take about 5-20mins

Secondary hot pack

Hydrocollator is 160F, 6-8layers of towels, 15-20mins check at 5mins