1
Q
TENS Precaution
A
- over chest/heart
- infection
2
Q
TENS Contraindications
A
- impaired sensation
- electronic device
- impaired cognition/communication
3
Q
TENS Parameters Acute
A
- pulse duration: 50-80 uSec
- pulse frequency: 100-150 Hz
- duration: all day
4
Q
TENS Parameters Chronic
A
- pulse duration: 150-300 uSec
- pulse frequency: 2-10 Hz
- duration: 30-60 min on/off
5
Q
TENS Goals
A
- decrease pain
- decrease spasm
- longer pain relief
6
Q
NMES Precautions
A
- pt experience
- infection
7
Q
NMES Contraindications
A
- active implant
- anterior neck
- active DVT
8
Q
NMES Parameters
A
- pulse frequency: 50-80 Hz
- pulse duration: 300-400 uSec
- amplitude: muscle contraction
- duration: 10-20 minutes (1:5)
- 5 seconds on, 25 off - dosage: 5-20 minutes, 2-5x’s/wk
9
Q
NMES Goals
A
- muscle contraction
- increase strength
10
Q
Ultrasound Precautions
A
- fractures
- acute inflammation
11
Q
Ultrasound Contraindications
A
- lack of sensation
- malignancy/metastasis
- pacemaker
12
Q
Ultrasound parameters Thermal (Superficial)
A
- frequency: 3 MHz
- duty cycle: continuous
- intensity: 0.5 W/cm2
- duration: 1 min/ERA
13
Q
Ultrasound parameters Thermal (Deep)
A
- frequency: 1 MHz
- duty cycle: continuous
- intensity: 1.5-2.0 W/cm2
- duration: 1 min/ERA
14
Q
Ultrasound Parameters Non-Thermal
A
- frequency: 1 (deep), 3 (superficial) MHz
- duty cycle: 20%
- intensity: 0.5-1.0 W/cm2
- duration: 1 min/ERA
15
Q
Ultrasound Goals Thermal
A
- increase BF
- increase tissue extensibility
16
Q
Ultrasound Goals Non-thermal
A
- increase cell membrane permeability
- increase intracellular Ca2+ levels
- increase mast cell degranulation
17
Q
ICE Contraindicationz
A
- impaired circulation
- impaired sensation
- cold hypersensitivity
18
Q
ICE Precautions
A
- damaged/at risk skin
- cardiac failure
19
Q
ICE goals
A
- decrease pain
- decrease spasticity
- decrease DOMs
20
Q
HEAT Contraindications
A
- impaired circulation
- impaired sensation
- impaired cognition/communication
21
Q
HEAT Precautions
A
- cardiac failure
- damaged/at risk skin
22
Q
HEAT Goals
A
- decreased pain
- decreased muscle guarding
- increased tissue extensibility
23
Q
TRACTION Precautions
A
- osteoporosis
- claustrophobia
24
Q
TRACTION Contraindications
A
- fractures
- acute strain, sprain
- SC compression
25
TRACTION Parameters Disc
- 10-15 lb of pressure
- 5-10 min (acute)
- 20-30 min (chronic)
- 60 sec on: 20 sec off
26
TRACTION Goals Disc
- increase lateral foreminal space for neurovascular flow
27
TRACTION Goals Joint
- increase space for facet joint, intervertebral joint
28
TRACTION Parameters Joint
- 20-30 lb pressure (7% BW)
- 5-10 min (acute)
- 15-30 min (chronic)
- 15 sec on: 15 sec off
29
TRACTION Parameters Lumbar Disc
- 30-40lb or 25% BW
- 5-10 min
- 60 sec on/20 sec off
30
TRACTION Parameters Lumbar Joint
- 50lb or 50% BW
- 10-30 min
- 15 sec on/off
BPA
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