Traction is indicated in a poc for max elongation of posterior soft tissues and jt structures of the cervical spine. what is the angle of the cervical head piece?
25-35 degrees flexion
traction is indicated in a poc for discal issue the most appropriate angle of the cervical halter?
neutral or extension
you are gait training someone using a heel switch with functional electrical stimuation (FES) unit. as the pt. is in the heel strike part of gait the heel switch will?
decrease the muscular contraction of the ant. tib
HVPC is being used to help progress the healing of a wound. the electrode is placed either in the bandage or on either side of wound dressing
the poc indicates FES for pt.'s right ant. tib. pt. reports falling last night while ambulating in the community and presents with multiple scrapes on prox post tib. reports no pain and scrapes are minor- the most common action would be?
continue with FES treatment
you are issuing a TENS unit for home use. what statements are true about electrode use?
place on only clean and dry skin
inspect before every use and ensure enough gel
to achieve jt. distraction during mechanical traction the force must be ________ for lumbar & _____________ for cervical
you treat a pt. 3X with lumbar traction. They arrive today in sustained flexion posture due to picking up small child this morning. Correct action would be?
Estim is indicated in pOC for pain control. what might you use to achieve this?
burst or convential tens
what is the most appropriate position for pt. with lumbar discal issue during traction?
what type of tens is this? 100 pulses per second, 70 microseconds, 20 milliamps for 25 minutes
microcurrent is most commonly used for?
you are using cervical traction on a patinet and they being to report increased RUE numbness within ulnar distribution- most appropriate action is?
take them off traction
the dexa should be placed on ________ electrode
negatively charged pad
PT would like you to issue a pt. a form of positional traction to their lumbar spine HEP- which is indicated?
sidelying with pillow folded near ribcage above iliac crest
traction is indicated for lumbar stenosis. the most appropriate postion for the pt is?
supine with knee flexion
what is the max lbs of pull for pt. weighing 120 lbs?
is it absolute contraindication to apply estim near malignant tumor?
what is not a main indication for HVPC
reduction of spasticity
after 5 minutes the pt. can no longer feel the elctricity from the IFC. what do you do?
check pt's skin and increase intensity b/c pt. has accomidated
who would be more apppropriate for FES?
stroke pt. with foot drop
your pt. has ionto checked on the poc but you also notice they have pacemaker, what do you do?
what type of sensation would a pt. feel from the electrodes using TENS?
the overload princiople is important in strengthening with estim bc the greater the load on a muscle the higher the force of contaction will increase strength
primary reason to decrease intensity when trying to strengthen with estim is?
pt. tolerance and fatigue
convential tens is also known as?
high rate short duration tens
what is acupuncture like tens used for?
stimulates endogenous opiod production thru brief twitches via repetive stimulation of motor nerves
Burst mode TENS is used for?
endorphin release and is more comfy that acupuncture
direct current is?
continuous unidirectional flow of charged particles
Alternating current is a continuous bidirectional flow of charged particles that is used for muscle retraining and spasticity control
Which of the following is NOT true of the reflexive effects of massage?
reflexive effects are included in mechanical effects
which of the following is not an indication for massage?
which of the following is not an example of tapotement or percussion?
massage therapy, specifically vibration is indication on a pOC. the patient you are treating is MOST likely to present with?
when beginning a massage therapy tx session on apt you should begin with?
a poc indication cross friction massage for achilles tendonsis before beginning you the pt they may experience?
quick repetive movement with your fingertips or knuckles
when beginning and ending a full manual lymphatic drainage treatment you should begin treatment at?
site of obstructin
a myofacial release thecnique that is indicated to increase the arom of the right gh jt. would be?
arm pull and cross hand release
when utilizing the myofacial release technique of leg pull, he pta should
act as a facilitator for the patients movements to the soft tissue barrier
when performing manual lymphatic drainage the stroke should be?
towards the heart
you are utilizing russian estim for a pt sp knee reconstruction to increase vmo activity. after 8 reps the patient reports they are very tired and you see their muscle contraction is decreasing. your most appropriate action is?
increase the off time
lymph fluid contains large amounts of
white blood cells
you are ulitzing russian estim for pt. s/p left ACL reconstruction to increase VMO activity with SLR. of the choices below, which one should be performed first to ensure the intergirty of the patients graft?
ensure there is no extensor lag
untreated osteomyelitis is a/an ________ for negative pressure wound
you are treating a hearing impaired pt. and utilizing biofeedback for a lumbar stab program. which of the following would not be the best choice to achieve this?
a pt. comes in to department with c/o increased pain with walking, some increased edema but not significant. just 2 days ago you had massaged his right gastroc. you run a wells DVT test and it comes back likely, do you contiue with massage for his treatment?
no, you contact the pt or doctor to see how to proceed
when utilizing a blood pressure cuff for pt. completeing a lumbar stab program, what type of neuro re-ed is this?
when utilizing biofeedback to enhabce muscle activation of the quadriceps for patients s/p right ACL reconstruction, you would set a goal of?
when utilizing biofeedback to decrease a pt.s right upper trap muscle activation during your ther-ex reconstruction you would set a goal of?
you are seeing a pt after lunch that went to the doctor this morning for an injection. during team conferences at 8 the PT discussed with you giving the pt. a massage today. is the a concern because it is a precaution or contra?
you are working in a rural hospital with limited access to a prosthetist in the next few weeks. the patient is going to be discharged from the hospital tomorrow. what are you going to talk to you pt. about prior to DC? the pt. is modified 1 with transfers, has HEP, has all equipment needs met. And is set up to come in as an outpatient early next week.
residual limb wrapping/compression
impaired sen/men is a contra for estim?
which of the following is not a cause of edema?
increase in physical activity
a pt. presents with right UE and L trunk edema x16 weeks duration and is s/p bilateral mastectomy 6 months prior after dx of breast CA. this patient is exhibiting signs of
which of the following is a risk factor for lymphedema
hx of ca, hx of radiation, hx of traumatic MVA with lymph node damage/obstruction
a pt. presenting with whcih of the below dx would NOT be an optimal canidate for compression therapy?
end stage renal failure
a pt. is 3 weeks s/p a burn injury and needs pt. edu. on wearing their compression garment. the pt. should wear the garment with _________ for control of scar tissue formation?
a pt. is s/p 1 day right TKA need pt. education on wearing their compression garment. the patient should wear a garment with ______ for prevention of DVT
you see a pt. in the outpatient department s/p 8 weeks right TKA needs patient education on wearing their compression garment issued by the PT. the patient should wear a garment with _____ for edema control
full body immersion hydrotherapy is indicated for wound care. which piece of equip. would be most appropriate to achieve this
which of the following is not a cardiovascular effect of hydrotherapy?
increase systolic pressure
when utilizing hydrotherapy for chronic RA, the most correct temperatre range would be?
104-100 degrees f
the optimal water temp. for a pt. s/p TKAx3 day ago to aid in decreasing inflammation is?
you are doing a clinical rotation in a specialized burn unit where hydrotherapy is indicated in the poc. The optimal water temperature for burn patients is?
96-98 degrees f
you are treatoing a preggo referred to pT by her obstrician and the PT has chosen to utilize hydrotherapy to aid in her pain control and ability to exercise with decreased pain. The choice is related to?
a POC indicated immersion hydrotherapy for a patients elbow burn. th most appropriate equip. chice is?
you are in a therapeutic pool with a pt. that is feeling slightly lightheaded during tx session, she admits she didn not eat before taking insulin, your best response is?
end session, monitor pt.
a pt. with OA tell you they "love water" and they feel lighter and can mov more easier and with less pain. this patients statement can be related to waters?
which of the following methods of diathermy would be most appropriate for bone healing?
Laser is indicated physical agent for which of the following conditions?
a POC indicated diathermy for a pt.'s right to increase soft tissue extensibilty. the supervising PT would like you to place a drum form diathermy at the area, but the pt. tells you he had 4 metal pins inserted in his tibia. your most appropriate action is?
not to apply diathermy as it is a conta
which UV penetrates the deepest?
you've completed the dose response assessment in preparation of UV treatment. the correct documentation for a dose that prduced erythema within 8 hours disappears after 24 hrs is?
minimal erythermal dosage
which of the following is NOT a thermal effect of US?
decreased collagen extensibilty
which of the following is NOT an effect of cryotherapy?
increased metabolic rate
a pt. is 5 days s/p R ankle sprain. the pt. may exhibit signs of what stage of healing?
inflammation and proliferation
cryotherapy would not be indicated for which of the following pt.'s?
65 y/o with L LE edema due to PVD
you are treating a pt. for L shoulder pain that does not vary with movement. you begin to think this pain is from his?
your instruction for cryotherapy at home for pt. who presents with clonus that impedes their ability to perfrom therapetic exercise would be?
ice for > 30 minutes before exercising to maximize function
in preparing a pt. for cryo you correctly identify the sequence of likely sensations which are?
intense cold, aching, analgesia and numbness
US is indicated for soft tissue shortening on a POC for a diagnosis of achilles tndonitis. which of the parameters below would be indicated for the pt.?
3MHz@.8/cm2@100% duty cycle for 8 min
a beta fibers transmit sensation related to?
applying an ice cup massage you shold?
make small overlapping cicles
you are treating a stage III wound with granulation tissue that has excessive would exudate. to promote healing this wound would benefit most from??
wound vac (negative pressure therapy)
which of the following are true of a keloid scar?
collagen production exceeds collagen lysis, it may damage healty tissue, it occurs during the maturation phase
a topical agent applied to necrotic tissue on a wound bed to promote healing and help soften necrotic tissue is an example of?
identify the s/s of inflammation
heat, redness, swelling, pain and loss of function
A closed scar that is red or pinkish in color may be exhibiting signs of?
healing, inflammation, infection
a pt. status post R TKA 2 wks ago wants to know of often to apply an ice pack at home after exercising. A general recomendation to decrease edema would be?
ice <15 minutes no more than once an hour with leg elevated if possible
the following tissue is not well vascularized
pain described as dull, heavy and aching is most likely of what origin?
you are treating a pt. with plantar fascitis whose plan of care calls for cryo. you inspect the pt. foot and you find a small open puncture wound the pt. states occurred yesterday. the best response is to:
notify the pt
which of the following in the appropriate level of tissue destruction in a pressure uler that reaches to muscle and bone
pain descibed as sharp, tingling, and well localized is most likly of what orgin?
to achieve full wrist/hand heating by conduction, the most appropriate theraml agent would be?
a pt. descibes his pain as achy and full lasting >3 months. This is likely due to transmission from
your pt. tells you he was admitted over the weekend for thrombophlebitis to RLE, he is stable, you have been applying moist heat pacl to RLE for pain and stretching. would you cinsider heate to his extremitity a precaution or conta?
a PTA prepares to use phonophoresis as a component of a pt. POC but is concerned about the potentioal of the US to exacerbate the pts current inflammation. the MOST effective method to adress the PTA's concern is
incorporate a pulsed 20% duty cycle
which of the following has the lowest speciic heat as measure J/g/C?
you position a pt. prone and apply a hot pack to their low back. this is an example fo what type of heat transfer?
which of the following statements is true?
US with lower freq. has deeper penetration
A pt. you've been applying a lumbar hot pack to tells you she is 20 weeks pregnant. you know that pregnancy is a ?
precaution with thermotherapy
Which of the following is not a metaboic effect of heat?
decreased destruction of articular cartilage in some pt. with RA
to ensure pt. comfort during US Tx, the beam nonuniformitity ration BNR should be?
US is indicated on a POC for bilateral lumbar paraspinals for a pt. with LBP. upon your questioning the pt. reports they are a status post a L4 laminectomy 6 wks. you that us is__________ for this pt.