Dr. Grant’s PT review 1. Use of Cryotherapy. •between 24 - 72 hours 2. Ultrasound •most common modality used 3. 7 parts paraffin, 1part mineral oil ( ~7:1 or 4:1) 4. Contraindications for the use of moist heat (Multiple answers) A. Pt. on anti-coagulants B. Dermatological conditions C. Severe vascular occlusions D. Psychological hysteria 5. What following effects is associated with the use of hot moist heat A. Relaxation B. Decreased pn. C. Increased muscle spasm D. Reduction of Edema 6. Hot moist heat packs should be totally submerged in hot water to regain heat between usage for how long? A. 10 - 15 min B. 20 - 30 min (30-40 is the correct range) C. 40 - 50 min. D. Over an hour 7. (T/F) Paraffin offers the same effects & advantages as any other form of superficial heat that is transferred by convection? False, Paraffin is transferred by conduction 8. (T/F) Paraffin therapy is primarily indicated for acute arthritic joints, especially where there is limited mobility? False, Used for non-acute pt. 9. Ultrasound has replaced diathermy for many types of conditions, because? A. It is less time consuming B. It doesn’t cost as much C. Less danger of burning D. Capable of penetrating 20 cm into tissues (should be 5 cm) 10. Ultrasound for acute low back pt./ what should your settings be? A. Continuous, 1. 52 20% for 10 min. B. Pulsed, 1.5, 50% for 8 min. C. Cont., 2. 50% for 3 min. D. Pulsed, 1.5, 20% for 10 min. 11. Effects of Ultrasound are which of the following A. Increased Circulation B. Decreased pn. C. Decreased tendon extensibility D. Reduced adhesion formation 12. Indications for the use of US A. Neuromas B. Arthritic conditions C. Adhesive Capsulitis D. Bursitis 13. Overheating the cutaneous tissues with the use of US occurs if A. Intensity is set too high B. Transducer is moved to fast C. Transducer surface not parallel to the skin surface 14. Overheating of the periosteum with US may occur if A. Transducer is held too close to the bone B. Intensity is set too high C. Transducer is moved too slowly D. Inadequate coupling gel (no sound produced - but will damage the equipment) 15. Some major effects of Short Wave diathermy? A. Thermal B. Hypotonicity C. Increase in Visceral circulation D. Detoxification E. Endocrine changes 16. For patients who have no appreciable specific pn. in the treatment of visceral conditions you gradually increase the temp. to where the pt. just perceives a comfortable sensation of warmth or A. Dosage level I B. Dosage level ( C. Dosage level III 17. Three common electrode positions in the use of short-wave diathermy? A. Transverse B. Longitudinal C. Horizontal D. Co-planar E. Vertical 18. (T/F) The thicker the body part to be treated, the lesser should be the electrode skin distance in the short wave diathermy False, should be greater 19. Contra-indication for the use of short wave diathermy A. Pt. w. pacemaker B. Rheumatoid Arthritis C. Upper respiratory infections D. Peptic ulcers 20. (T/F) IF therapy stems from the concept of 2 currents canceling each other out False, They interfere w/each other, but do not canceling each other out. 21. Physiological objectives of IF A. General facilitation of healing B. Reduction of edema C. Pn relief D. improvement in circulation 22. Russian stimulators deliver a medium frequency of? A. 2, 000 - 10, 000 Hz B. 11,000 - 20,000 Hz C. 21,000 - 30,000 Hz D. 31,000 - 40,000 Hz 23. Some physiological effects of Russian stimulation A. A decrease in edema B. Decrease blood flow C. Muscle re-education E. Muscle strengthening 24. (T/F) When using Russian stimulation a 10:50 preset is selected for breaking muscle spasm. False, Should be 10:10 25. (T/F) In using Russian Stim, the pad placement is best over the sight of pn. False, used over origin and insertion 26. (T/F) IF can be applied to the pt. by the use of 2 electrodes only. True 27. Methods of paraffin therapy applications are A. Dripping, immersion & brush on B. Dripping, inversion & brush on C. Dipping, immersion & brush on D. Dipping 27. (T/F) The duration of the paraffin therapy is 20-30 min 28. US immersion method in acute cases should be A. 8-10 minutes B. 5-7 minutes C. 3-4 minutes D. Patients choice 30. Heating by convection -whirlpool -fluid therapy k -R