SCOREBUILDERS CH 6

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Author:
lilefty033
ID:
89482
Filename:
SCOREBUILDERS CH 6
Updated:
2011-06-12 16:12:21
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SCOREBUILDERS
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SCOREBUILDERS CH 6
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  1. Contraindications to cold
    • Compremised circulation
    • Peripheral vascular disease
    • Ishemic tissue
    • Cold Hypersensitivity
    • Raynauds Syndrome
    • Cold Uticaria
    • HTN
    • Infection
    • Cryoglobinemia
  2. Stages of cold
    • Intense cold
    • Aching/Burning
    • Anesthesia>Analgesia
    • Numbness
  3. Cold Bath
    Water temp 55-64 degrees
  4. Superficial Heat Contraindications
    • Circulatory impairment
    • Area of malignancy
    • Acute musculoskeletal trauma
    • Bleeding or hemorhage
    • Sensory impairment
    • Thrombophlebitis
    • Arterial disease
  5. Diathermy Contraindications
    • LB, Abdomen, Pelvis of a pregnant woman
    • Internal and external metal objects
    • Eyes
    • Malignant area
    • Intrauterine device
    • Cardiac pacemaker
    • Pain and Temp Deficits
    • Moist wound dressing
    • Over hemorrhagic region
    • Tests
    • Acute inflammation
    • Ishemic Tissue
  6. Ultrasound Contraindications
    • Over eyes
    • Over pregnant uterus
    • Over cemented prosthetic joint
    • Impaired circulation
    • Thrombophlebitis
    • Impaired pain or sensory deficits
    • Over heart
    • Over testes
    • Over epiphyseal areas in childeren
    • Infection
    • Over malignancy
  7. Hydrotherapy contraindications
    • Peripheral vascular disease
    • Gangrene
    • Severe infection
    • Urinary/fecal incontinence
    • Advanced cardiovascular or pulmonary disease
    • Buerger's Disease with contrast bath
    • Impaired circulation
    • Renal infection
    • Bleeding surface area
    • Diminished sensation
  8. Contrast bath parameters
    • Hot WP 100-110
    • Cold WP 55-67
    • 3min hot to 1 min cold
  9. Traction Contraindications
    • When motion is contraindicated
    • Joint instability
    • Tumor
    • Preganancy-Lumbar
    • Acute inflammatory response
    • Acute sprain
    • Osteoperosis
    • Fracture
  10. Cervical Traction
    • Supine with 20-30 degrees neck flexion
    • Disc Protrusion, Elongation of soft tissue, Muscle Spasm: 10-15 lbs 7-10% BW
    • Joint Distraction: 20-30 lbs
  11. Lumbar Traction: Supine Position
    • Goal open up IV foramen, separate facet joints, elongate muscles.
    • 45-60 deg hip flexion: Increase space at L5-S1
    • 75-90 deg hip flexion: Increase space at L3-L4
  12. Lumbar Traction Prone Posistion
    Posterior Herniated Disc
  13. Lumbar Traction Parameters
    • Acute phase 30-40 lbs
    • Disc protrusion, spasm, elongation or soft tissue- 25% body weight
    • Joint distraction: 50 lbs or 50% body weight
  14. Compression-Contraindications
    • Malignancy
    • DVT
    • Unstable or Acute Fx
    • Heart Failure
    • Infection of treated area
    • Pulmonary edema
    • Circulatory Obstruction
    • Diminished sensation
  15. Compression Procedure
    • Place limb in 45 deg elevation
    • Edema:Set inflation/deflation ratio 3:1, 45-90 sec on: 15-30 off
    • Residual limb shaping 4:1
  16. Massage Contraindications
    • Infection
    • Arteriosclerosis
    • Thrombus
    • Cellulitis
    • Acute Injury
    • Embolus
    • Cancer
  17. Contraindications to Electrical Stim
    • Anywhere in the body for patients with demand type pacemakers, Unstable arrthmias, epilepsy, or seizure
    • Over the heart, eyes, thoracic region, phrenic nerve, urinary bladder stimulators, abdomen or lowback during pregnancy.
    • Transcerebrally ot transthroracicly
    • Active bleeding or infection
    • Superficial metal implants
    • Pharyngeal muscles or largyngeal muscles
    • Conditions that prohibit motion
  18. Contraindications to Ionto
    • General Contraindications to ES
    • Impaired sensation
    • Allergy or sensitivity to physical agent
    • Denuded or recent scars
    • Cuts, Bruises or broken skin
    • Metal in or near treatment area
  19. Ion Polarities
    • Negative: ISAD
    • Iodine
    • Salicylate
    • Acetate
    • Dexamethasone
    • All the rest are positive
  20. Cathode vs Anode
    • Cathode is black, negative
    • Anode is red, positive
  21. High Volt Galvanic Stim
    • High Voltage Pulsed Current
    • Inflammatory phase: Free from necrosis and exudates, promote granulation.
    • Proliferation Phase: Reduce wound size including depth diameter, tunneling
    • Epithelialization Phase: Stimulate epidermal proliferation and capillary growth.
  22. For a bactericidal effect/antibacterial
    NEGATIVE POLE
  23. For a culture free wound
    POSITIVE POLE
  24. Low Volt has
    Antibacterial Effects
  25. Pulsed current
    • Creates muscle pump
    • Improved tissue nutrition

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