B3 PT Revew 1
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| UV Action | Photochemical
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| UV Physioeffect | Erythema;Tanning (phototaxia); Metabolic (Vit. D)
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| UV Indicators | Acne; fungal; Herp Zoster; Skin Ulcer; slow healing wounds
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| UV Penetration | 1-2mm Superficial
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| UV Dose | At MED w/time then +15sec daily till 3 min then reduce distance to min of 18" MAX 3 min @ 18"
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| UV Types | Cold Quartz (m/c) Neon and Hg; Orificial (goggles both)(no tanning effect); Wood's lamp -- UV filtered by Ni Oxide glass for flourescence "never take wood nickel"
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| UV Test | Erythema Patch test AKA sleeve test
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| UV Freq/Wave | High; short/near 180-270, long/far 270-390
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| IR Action | Thermal
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| IR Physio Effect | Vascular system greatest effect; INCR vasodilation, perspiration, circulation HR, BR, lymph flow; DECR Myospasm, BP
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| IR Indicator | Arthritis; rheumatoid condition; stiff jts, chronic BA; contusion; Bell's, Beurgers, Raynauds; myospasm; subacute/chronic inflamm cond's MSK: synovitis, tenosynovitis, sprain, strain, bursitis
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| IR Penetration | Superficial (vascular) 2types Long-heated bodies Short-Incandescent
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| IR Types | Hydrocolator pack 150 to 170 F w/6 towel layers;
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| IR Dose | 18-20min
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| IR Tests | Erythema Ab Igne - red blotchy/mottled splotchy d/t continual exp to heat radiation
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| Heat Therapy bath - Indicators | Arthritis, chilblains, contusions, fx's, peripheral vascular dz
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| Heat Therapy bath - Type | Parafin - mineral oil to lower melt pt and for ease remove; Hot bath 98-105F
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| UV 0 degree Erythema | SED no red
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| UV 1 degree Erythema | MED
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| UV 2 degree Erythema | 1st deg sunburn - peeling redness
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| UV 3 degree Erythema | 2nd degree w/ blistering
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| UV 4 degree Erythema | 3rd degree Sunburn w/ swelling Severe
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| UV Cosine Law | optimum effect of ratiation occurs when the part to be treated is at right angles to the source AKA Angulation of the rays
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| UV Inverse square law | Intensity of radiation from source varies inversely wth the square of the distance from the source
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| Shortwave Diathermy Action | Thermal
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| Microwave Diathermy action | Thermal
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| Diathermy Physio effects | INCR temp, HR, BMR, Lymph flow, elimination, vasodilation, glandular secretions DECR BP, nerve pn, myocramps, myospasm
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| SW Diathermy Indicators | Arthritis, sprain, Draining Bronchitis/Sinusitis(w/ butterfly electrodes)/PID
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| MW Diathermy Indicators | MYO Hip, strain, Myalgia, Myositis
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| MW Diathermy Dose | WEAR GOGGLES; from inside out; Distance 1" to 5" for 10-20 min
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| SW Diathermy Dose | Direct application for 20 to 30 minutes; from outside in
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| US Action | Mechanical - micromassage (thermal,chemical,neural)
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| US Physiological effects | MECHANICAL- disperse fluid, INCR molecular and membrane permeability THERMAL- hyperemia, INCR leuko, alkylosis, glandular activity, DECR myospasm; Deep heating; CHEMICAL - INCR gas exchange, oxidation to speed healing; NEURAL - mild anesthesia
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| US Contras to include | Spinal cord, plexuses, over skeletal immaturity, over bony prominence (UNLESS under water - e.g. hand, wrist, elbow, foot, ankle), Fractures
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| US penetration | 4-8cm deepest heat modality
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| US Freq | HIGH 0.7-1.1 MHz deep 3MHz more superficial
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| US Dose | Intensity setting w/coupling ACUTE 0.5-1.5watts/sq cm for +/- 4min; Subacute +/- 6 min CHRONIC 1.0 to 2.0 watts/sq.cm for MAX of 10min; Under Water ACUTE 1.0-2.0 watts/sq.cm CHRONIC 1.5-2.5 watts/sq cm
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| US Therapeutic range | 0.5 to 2.5 watts/sq.cm
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| US extras | pseudo piezoelectric effect - electric to mechanical; phonophoresis - into skin from coupling agent
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| SW Diathermy addl contraind's | metallic implants, epiphyseal center, moist dressings, phlebitis, varicosities, advanced osteoporosis, edema, brain
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| MW Diathermy add'l contra's | sinusitis and otitis media
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| Cryotherapy Action | Hypothermal
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| Cryotherapy Physio effects | Vasoconstrict, (followed by vasodilation = Hunting-Lewis rxn), DECR edema, cap press, metab; nerve anesthesia, blood flow; INCR BP, local viscosity,
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| Cryotherapy Indicators | Acute - P R I C E S 2 ; Sprains/strains, contusions or edema, acute "itis's"
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| Cryotherapy types/dose | Ice pack and blue ice/1 towel layer 20 min; Ice immersion/10-15 min; Ice massage/5 min with constant movement; Fluoromethane coolant spray (spray from TP to referred pn)
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| Cryotherapy tests | CBAN
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