Quiz PHT 222 Unit – 3 – GALVANIC CURRENT / IDC Therapeutic modality – True / False • 1. Interruption is the most usual modification of direct current. • 2. The flow of current commencing (starting) & ceasing (ending) at irregular intervals. • 3. The rise & fall in intensity / amplitude may be sudden (rectangular impulse), gradual (Trapezoidal, Triangular, saw tooth impulse). • 4. If the duration need to be increased, the frequency must be reduced. Therapeutic modality – True / False • 5. The interval between the impulses should never be of shorter duration & is appreciably longer. • 6. A muscle that is denervated is one that lost its peripheral nerve supply. • 7. The primary purpose for E.S. over denervated muscle is to help minimize the extent of ATROPHY. • 8. Following denervation, the muscle fibers experience a number of progressive – anatomic, biochemical & physiological changes. Therapeutic modality – True / False • 9. These degenerative changes progress until the muscle is reinnervated by axons. • 10. If reinnervation does not occur within 2 years, it is generally accepted that fibrous C.T. have replaced the contractile element of the muscle & the recovery of the muscle function is not possible. • 11. Most of the research studies indicate that muscle atrophy can be retarded. • 12. Loss of muscle mass & contractile strength can be minimized & muscle fiber size can be maintained by appropriate use of E.S. Therapeutic modality – True / False • 13. Electrically stimulated contractions of denervated muscles may limit edema & venous stasis. • 14. E.S. has little or no effect on the rate of nerve regeneration or muscle reinnervation. • 15. The current which rises gradually are often called selective. • 16. Muscle tissues may be stimulated by these slow rising pulses (Triangular or accommodation pulses). Therapeutic modality – True / False • 17. To stimulate the Denervated muscle fibers, a rise time of 100ms is best. • 18. Stimulation of sensory nerve will produce a feeling of tingling sensation. • 19. Stimulation of motor nerve will produce a sluggish muscle contraction followed by slow relaxation. • 20. Fibrillations means spontaneous contractions of muscle fibers. Therapeutic modality – True / False • 21. Galvanic stimulation can slow muscle atrophy & degeneration but not completely prevent it. • 22. Any broken skin should be protected by petroleum jelly. • 23. You should tell the patient to report the PT immediately if any abnormal feeling experienced below the electrodes. • 24. The Galvanic current may be applied with the muscle in a partially lengthened position. Therapeutic modality – True / False • 25. A minimum of 90 – 150 & maximum up to– 300 contractions of each muscle is desirable in a session as a general rule for effective treatment. • 24. Fatigue is identified by the weakening of contractions of the muscles. • 25. The Galvanic current may be applied with the muscle in a partially lengthened position. Complete the sentence • 1. This current is called as ______________, having more than 1ms duration which may be up to ___________ms. • 2. The galvanic current is defined as • ____________________________________________________ • 3. List the various types of electrodes used for E.S? • A._____________ B. _____________ c. _________ d. _______ • 4. Explain ionic flow in the biological tissues on E.S. ? _____________________________________________________ Complete the sentence • 5. What do mean by salutatory conduction? _________________________________________________ • 6. Physiological effects of Galvanic current? • a._____________ b. ______________ c._____________ • 7. Contraindications of Galvanic current? • a._____________ b. ______________ c._____________ • D. _____________ e. _______________ • 8. Indications of Galvanic current? • a._____________ b. ______________ Complete the sentence • 9. Why the Faradic current stimulation is given for re-education of the muscle action? _________________________________________________ • 10. Methods of application available for the galvanic stimulation? • A. ____________ B. _______________ • 11. Advantage of Labile method? • a._____________ b. ______________ Multiple Choice Question • 1. What duration is commonly used for stimulation of the denervated muscles? • A. 1ms • B. 50ms • C. 100ms • D. 150ms. • 2. Following are the changes seen in a denervated muscle EXCEPT? • A. ↓ in size of the individual muscle fibers • B. ↓ in diameter of the muscle fibers • C. ↑ in time the time required for the muscle to contract Multiple Choice Question • 3. Which type of impulse is appropriate for stimulating directly the muscle fiber? • A. Rectangular • B. Triangular • C. Saw tooth • D. Trapezoidal. • 4. What type of contraction is produced by stimulating a denervated muscle? • A. A sluggish worm like contraction • B. A tetanic like contraction • C. A slow muscle twitch • D. A brisk muscle twitch with slow relaxation