1
Q
Procedural Interventions
A
- Therapeutic exercise
- Functional Training-home & work
- Manual therapy techniques
- prescription, application, fabrication of assistive devices
- Airway clearance techniques
- integumentary repair/protection
- electrotherapeutic modalities
- Physical agents and mechanical modalities
2
Q
Electrotherapeutic modalities
A
Broad group of agents that use electricity
-biofeedback
3
Q
Electrotherapeutic modalities intend to:
A
- assist functional training
- assist muscle force generation & contraction
- Decrease unwanted muscular activity
- Increase the rate of healing of open wounds/soft tissue
- maintain strength after injury or surgery
- modulate of decrease pain
- reduce or eliminate soft tissue swelling, inflammation, or restriction
4
Q
Electrotherapeutic delivery of medication
A
iontophoresis
5
Q
Electrical Stimulation
A
- Electrical muscular stimulation ( EMS)
- electrical stimulation for tissue repair (ESTR)
- Functional electrical Stimulation (FES)
- High voltage pulsed current ( HVPC)
- Neuromuscular electrical stimulation (NMES)
- Transcutaneous electrical nerve stimulation (TENS)
6
Q
Physical Agents
A
A broad group of procedures using various forms of energy that are applied to tissues in a systemic manner
7
Q
Physical agents are intended to:
A
- Increase CT extensibility
- increase healing rate of open wounds and soft tissue
- Modulate pain
- reduce/eliminate soft tissue swelling or restriction associated with musculoskeletal injury or circulation dysfunction
- Remodel scar tissue
- Treat skin conditions
8
Q
Athermal agents
A
Pulsed electromagnetic fields
9
Q
Cyrotherapy
A
- Cold packs or ice packs
- ice massage
- ice immersion
- Vapocoolant spray
10
Q
hydrotherapy
A
- Contrast baths
- Pools
- Pulsatile lavage (H20 to debride wounds)
- whirlpool tanks
11
Q
light agents
A
- Infrared
- Laser
- Ultraviolet
12
Q
Sound agents
A
- Phonophoresis
- Ultrasound
13
Q
Thermotherapy
A
- Diathermy
- Dry heat
- Moist hot packs
- Paraffin baths
14
Q
Mechanical modalities
A
A group of devices that use forces such as approximation, compression, and distraction
15
Q
mechanical modalities intend to :
A
- improve circulation
- Increase ROM
- Modulate pain
- Stabilize an area that requires temporary support
16
Q
Types of mechanical modalities
A
- compression therapy
- gravity assisted compression devices
- mechanical motion devices
- Traction devices
17
Q
Compression therapies
A
- Compression bandaging
- Compression garment
- Taping
- Total contact casting
- Vasopneumatic compression devices
18
Q
Gravity assisted compression devices
A
- Tilt table
- Standing frame
19
Q
mechanical motion devices
A
-Continuous passive motion (CPM)
20
Q
Traction devices
A
- Intermittent
- Positional
- Sustained
21
Q
Physical agents primarily effective in what part of disablement model?
A
Impairment
- abnormality of structure (Tissue level)
22
Q
Physical agents secondarily effective in what part of disablement model?
A
Pathology/ pathophysiology
- disease or injury (cellular level)
23
Q
Reasons for interventions
A
- must understand why we are applying a physical agent
- Need to document clearly what & why we are doing something
24
Q
Documentation
A
What we are doing and why
- type of modality
- location (body part)
- patient position
- dosage/time
- reason for intervention
25
Physiological properties that will be effected & can be manipulated by physical agents:
- Inflammatory process & tissue repair
- Pain
- Tone abnormalities
- motion restrictions
26
Steps to application of an electrophysical agent
- Communication
- Preparation
- Application
- Post application
27
Application of electrophysical agent: communication with yourself
- Is the PA appropriate for this patient's impairment?
- is PA appropriate for the stage of healing?
- Does PA fit your therapy objective
28
Application of an electrophysical agent: communication with your patient
- Explain the procedure to the patient ( effects, feeling, how long, should be comfortable)
- tell your pt why you intend to use this PA to treat their impairment
- Explain the benefits
- Explain the precautions/risks
- Ask their permission
29
Application of Electrophysical agent: Prepare the patient
- Have pt expose part to be treated & remove jewelry
- inspect the area for lesions
- Perform and document pre-intervention test
- Position & drape pt appropriately being sensitive to cultural & individual differences
30
Application of Electrophysical agent: Prepare the physical agent
Select appropriate parameters
31
Application of Physical agent: Application
1. Specific for each PA
2. Reassess the treatment area frequently within first 5 minutes
3. Set a timer and provide a call system for your patient
32
Application of electrophysical agent: Post application
1. Remove PA
2. Turn off PA
3. Reassess treatment area and document properly
4. continue with other treatment as indicated
perform post intervention test and document appropriately
33
Post application documentation
- Type of modality
- location (body part)
- patient position
- dosage/time
- reason for intervention
34
Risk management
- Process of analyzing exposure to risk and determining how to handle such exposure
- Provide safe environment for our patients
35
Risk management categories
- Near miss
- Incident
- Adverse event
- Sentinel Event
36
Near miss
potential to due harm that is identified before the event resulting in no harm to the patient
37
Incident
an event that has caused harm or has potential to cause harm to patinet
38
Adverse Event
Unintended injury or harm which results in disability or death and is caused by the management of the patients condition and not the disease process
39
sentinel event
A serious event that must be reported immediately to DHS
40
Risk management checklist
- Inspect skin before
- correctly apply PA
- Monitor pt
- reexamine post intervention
- Document
41
The Law
Education law
- Article 136, PT and PTAs
- NYS PT law article 136
- November 23, 2006
42
Duties of PTA do not include:
- Evaluation
- Testing
- Interpretation
- Planning or modification of pt programs
Physical Agents
flashcards
Decks in class (21)
# Cards
-
Intro42
-
Inflammation & the Healing Process145
-
Motion Restriction & Muscle tone abnormalities92
-
Pain modulation100
-
Energy24
-
Principles of thermal energy: Thermotherapy52
-
Principles of thermal energy: Cryotherapy27
-
Diathermy34
-
Therapeutic Ultrasound40
-
Therapeutic Ultrasound #240
-
Traction45
-
Soft tissue mobilization60
-
Hydrotherapy and contrast baths41
-
EMG biofeedback11
-
Massage24
-
Electrotherapeutic Basics105
-
Acupuncture32
-
E-Stim for pain modulation53
-
E-Stim for Treating Muscle54
-
E-stim for tissue healing37
-
Physiological effects of electrotherapy for iontophoresis21
