208 Final Notes

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Author:
amills1
ID:
268479
Filename:
208 Final Notes
Updated:
2014-03-30 18:07:32
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208 Final Notes
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Needs TENS still
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  1. whats the wavelength of visible light
    ~400-650nm
  2. longer wavelength is more superficial T/F
    • false
    • they target deeper
  3. lasers affect on ATP/mitochondria
    promotes production of
  4. laser promotes collagen by increasing what
    fibroblasts
  5. indications of laser tx
    • soft tissue and bone healing
    • arthritis
    • lymphedema
    • pain management
    • some neuro conditions
  6. laser contras
    • eyes
    • malignancy
    • hemorrhage
    • thyroid or other endocrine conditions
  7. positive effects of UV
    • erythema production
    • vitamin D synthesis
  8. 2 more common clinical applications of UV
    • psoriasis
    • granulation
  9. contras for UV
    • eyes
    • skin cancer
    • pulmonary disease
    • cardiac, kidney, and liver disease
    • fever
    • system lupis erythematosis
  10. how to determine pt's MED (minimal erythematosis dose)
    • UV protection sheet with 4 holes placed over stomach or other UV vulnerable skin location
    • increments of 30 seconds between each location
  11. external compression improves these two types of circulation
    • lymph
    • venous
  12. 4 major benefits to compression/edema control
    • prevent DVT
    • venous stasisĀ ulcers
    • residual limb shaping
    • control of hypertrophic scarring
  13. don't treat this category of edema with compression
    systemic
  14. compression contras
    • HF
    • pulm edema
    • acute/recent DVT
    • obstructed venous or lymph return
    • severe PAD
    • acute local infection
    • hypoproteinemia
    • acute trauma or fx
    • arterial revascularization
  15. how do you use monopolar e-stim for edema
    serous edema is - so place a - current to repel edema
  16. t/f systole pressure is max pressure for compression
    • false
    • diastole is
  17. how do you discriminate against venous or lymphatic edema
    • venous is brown/flaky
    • lymph is pitting
  18. delta fiber size and stimulus
    • sharp pain
    • larger than C fiber but smaller than alpha and beta
  19. C fiber stimulus and size
    • dull pain
    • smaller diameter than C, beta, and alpha
  20. beta fiber stimulus and size
    • wider than C and D
    • thinner than alpha but is more superficial
    • "touch" stimulus ie paresthesias
  21. alpha fiber size and stimulus
    • motor
    • thickest of beta, delta, and C
    • however more deep than beta fibers
  22. general parameters for conventional TENs
    • high rate
    • short duration pulse
    • 100-150 PPS
  23. which TENS is only effective while applied
    conventional
  24. frequency range of low rate/acupuncture likeĀ 
    2-10pps
  25. which TENS goes till comfortable sensation
    conventional tens
  26. which TENS goes until small muscle contraction is seen
    low rate
  27. this TEN's mechanism uses endogenous opiods to oppose pain
    low rate
  28. this TENS practices the gate theory
    conventional
  29. explain the idea of using TENS with the gate theory
    TENS produces Abeta fiber stimulus which tries to mix into C fiber stimulus to reduce the pain sensation of C fibers

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