PSE prep Flashcards

(28 cards)

1
Q

Ultrasound: explain modality

A

Treatment that uses high frequency sound waves (mechanical energy) to help tissues heal. The ultrasound head sends waves into the body to create tiny vibrations in cells

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2
Q

Ultrasound: explain modality–> Continuous

A
  • Warms deeper tissues such as muscle, tendons and ligaments
  • Increase blood flow
  • Improve tissue extensibility
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3
Q

Ultrasound: explain modality–> Pulsed

A
  • Creates mechanical effects such as cavitation and acoustic streaming
  • Cell repair
  • Tissue healing
  • Reduce the formation of inflammation
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4
Q

Ultrasound: expected sensation

A
  • With thermal US patients may feel slight warmth like a warm breath on the skin.
  • Patients should feel nothing with a pulsed US.
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5
Q

Ultrasound: risks of treatment

A

Overheating, periosteal pain, burns from poor coupling, damage to sensitive tissues, worsening acute inflammation, electrical issues.

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6
Q

Ultrasound: mitigation of risks

A

Keep head moving, use correct settings (continuous vs pulsed), ensure good gel contact, avoid contraindicated areas, monitor patient, inspect device

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7
Q

TENS: explain modality

A

Electrical stimulation applied to the skin to block pain signals going to the brain and stimulate the release of pain relievers coming from the brain

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8
Q

TENS: expected sensation of C-TENS

A
  • Buzzing, tingling, pins and needles but no muscle twitch
  • Not painful but maybe slightly uncomfortable, enough to mask the pain
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9
Q

TENS: expected sensation of A-TENS

A
  • Prickling, burning, non-painful muscle twitch, dull achy around acupuncture points
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10
Q

TENS: Goal/benefits

A
  • Pain relief
  • Improves function by reducing pain
  • Non-invasive and low risk, few contraindications
  • Adjustable settings for individual comfort
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11
Q

TENS: risks

A
  • Skin irritation
  • Burns
  • Muscle twitching
  • Increased pain
  • Electrical interference
  • Misuse over unsafe regions
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12
Q

IFC: explain modality

A
  • electrical stimulation to the skin which works by sending two medium-frequency electrical currents into the tissues.
  • where these two currents cross inside the body, they create a third current at a lower frequency and this is what stimulates the nerves to help with pain relief
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13
Q

IFC: expected sensation of High AMF

A
  • Provides immediate pain relief
  • Buzzing or tingling sensation with no muscle twitch
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14
Q

IFC: expected sensation of Low AMF

A
  • Longer term pain relief
  • Beating or tapping sensation with a muscle twitch
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15
Q

IFC: goals/benefits

A
  • Medium-frequency currents travel through the skin more comfortably than low-frequency current so IFC can reach deeper tissues with less discomfort
  • stimulates sensory nerves to block pain signals going to the brain
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16
Q

IFC: risks

A
  • skin irritation
  • discomfort
  • interference with implants
  • inappropriate muscle activation
  • stimulation over unsafe areas
17
Q

IFC: how to mitigate risks

A
  • proper screening
  • electrode placement
  • patient monitoring
  • using safe, comfortable intensities based on the patient
18
Q

Ultrasound: contraindications

A

Over eyes
Over testes
Over abdomen of pregnant women
Over acute infection/areas of sepsis
Over areas of malignancy
Over area of impaired sensation
Over areas of vascular insufficiency
Patients deemed unreliable
Over bleeding tissues
Over heart

19
Q

Ultrasound: precautions

A

Keep transducer moving
Use the lowest intensity that elicits a therapeutic effect
Avoid use over implanted electronic devices
Avoid use over superficial metal implants (continuous is ok)
Avoid use over plastic joint implants

20
Q

TENS: contraindications

A

Heart problems, pace maker
Bleeding disorder, blood clots
Skin damage, irritation, allergies
Impaired sensation of skin
History of cancer
Seeing doctor for any ongoing conditions

21
Q

TENS precautions

A

Loss of normal skin sensation
Obesity
Skin allergies
Skin damage
Skin irritation
Elderly or children may be afraid

22
Q

IFC contraindications

A

Heart problems, pace maker
Bleeding disorder, blood clots
Skin damage, irritation, allergies
Impaired sensation of skin
History of cancer
Seeing doctor for any ongoing conditions

23
Q

Possible baseline measures

A
  • AROM
  • swelling
  • pain
24
Q

Follow-up instructions

A
  • all modalities used as an adjunct to treatment
  • perform mobilization, stretching, strengthening exercises while analgesic effect is still present
25
Duration of treatment: pulsed ultrasound
15 min per 10-15cm2
26
Duration of treatment: continuous ultrasound
10-15 min per 10-15cm2
27
How often should a patient receive pulsed ultrasound?
5x/week for 2-3 weeks, 3x/week for 2-3 weeks
28
How often should a patient receive continuous ultrasound?
3x/week