ChiroBoards Physical Therapy (nearly complete, except for simple muscle stuff)
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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Contraindications to ALL modalities (3) | show 🗑
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Contraindications to ALL HEATING modalities (5) | show 🗑
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show | pacemaker; low back and abdomen during pregnancy; decreased sensation (LVG); Brain=transcerebral; Eyes; Heart=transthoracic; carotid sinuses
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High freq. modalities (100,000Hz or greater) = (5) | show 🗑
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Medium freq. modalities (2,000-10,000) = (2) | show 🗑
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show | LVG; HV; SW; Faradic; Tens; IF
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Ultra low freq. modalities (below 1Hz) = | show 🗑
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What does micro-current do? | show 🗑
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show | vascular system
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show | blood and lymph flow; HR; BP; breaks adhesions; removes lactic acid
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Physiologic effects of massage: decreases what? | show 🗑
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show | strains; sprains; bruises; tendonitis; bursitis
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show | Key is vascular problems =
-phlebiliths -thrombosis -variscosities - ulcerations -local acute conditions
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Types of massage = stroking (begin and end every stroke towards the heart -centripital force = ? | show 🗑
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Types of massage = deep kneading for muscle tissue = | show 🗑
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Types of massage = percussion (hacking, cupping) = | show 🗑
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cupping massage is good for what dx? | show 🗑
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show | Friction massage
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show | Vibration massage
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show | Nimmo acupressure
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show | when it has calcified
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show | Decrease intradiscal pressure; increase IVF space; Breaks adhesions (intermittent); Breaks muscle spasms (intermittent) and straightens curves (continuous); gliding of facet joints.
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Traction indications = (5) | show 🗑
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Traction contraindications | show 🗑
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show | Begin at 5% of body weight and increase 2 pounds max each treatment to a max of 50 pounds. Never exceed this, or pt. tolerance
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It takes how many pounds to overcome the weight of the skull = | show 🗑
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Cervical traction position = | show 🗑
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show | Begin at 25% of body weight, and increase 5 pounds max with each treatment to a maximum of 150 pounds. (50%)
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Lumbar traction position = | show 🗑
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2 names for lumbar traction position = | show 🗑
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Cryotherapy: physiologic effects = LOCAL effects (5) | show 🗑
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Cryotherapy: physiologic effects = SYSTEMIC effects (2) | show 🗑
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show | Circulatory compromise (raynauds and buergers) , pt. hypersensitivity to cold, frostbite, chilblains, HIGH BLOOD PRESSURE
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Ice pack time | show 🗑
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show | 1 towel layer for 20 min
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ice immersion time | show 🗑
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show | 5 min and keep moving
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Vapocoolant sprays fluromethne = time | show 🗑
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show | ice massage for 5 min. and ROm on movements
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Cryotherapy Sensort rxns = CBAN acronym stands for = | show 🗑
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Transmission of heat by a liquid or a gas by curculation of the heated particles. Ex. whirlpool, sauna, = | show 🗑
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Transfer of heat by a solid substance = | show 🗑
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The transfer of electrical energy into heat (ex. shortwave, microwave, ultrasound) = | show 🗑
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Transmission of heat without the intervening medium getting heated (IR and UV) "from sun"= | show 🗑
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Physiological effects of IR = increases | show 🗑
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Physiological effects of IR = decreases | show 🗑
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IR indications | show 🗑
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IR long wave = | show 🗑
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show | Incandescent
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Long wave IR intensity = | show 🗑
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show | 14 - *18* inch
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show | direct contact with towel layers
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show | SW = high (700-1500) ; LW = low (2)
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Hydrocolator packs = temp | show 🗑
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show | canvas filled with silica gel
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show | 6
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show | 55-65 F
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Hot bath temp = | show 🗑
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whirl pool time and dosage = | show 🗑
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Contrast- start with : hot/cold? | show 🗑
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Effects of whirlpool (2) | show 🗑
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show | 3:1
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show | 125-130 F
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show | mineral oil
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Effects of paraffin bath | show 🗑
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UV actions : | show 🗑
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UV physiological effects: | show 🗑
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show | Skin conditions (acne, herpes zoster, fungal, chronic ulcers, healing wounds) Bone conditions (rickets and osteomalacia)
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UV Contraindicaions | show 🗑
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Penetration of UV = Superficial | show 🗑
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UV treatment progression = | show 🗑
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show | high
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shortwave wavelength number = | show 🗑
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show | 270-390mm
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M/c UV device = | show 🗑
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show | Cosine law
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show | SED, suberythermal dose - no red
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show | MED, min. erythermal dose
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show | 1st degree = sunburn
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5 stages of Burns (UV) = 3+ | show 🗑
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show | 3rd degree = swelling
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show | action
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Diathermy physiological effects = Increases | show 🗑
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show | BP, nerve pain, muscle cramps, muscle spasms
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Shortwave indications: | show 🗑
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show | TO HEAT + = Metalic implants, epiphydeal centers, moist dressings, phlbitis, varicosities, advanced osteoporosis edema,
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Extra contraindications for microwave diathermy = (2) | show 🗑
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show | direct vs. 1-5 inches
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show | 20-30 min ; 10-20 min
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show | outside-in vs. inside-out
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show | sinusitis
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patient must where wire mesh goggles for this modality = | show 🗑
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show | Thermal (increases heat); Mechanical (micromassage); chemical (increases oxidation); Neural (mild anesthesia)
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show | hyperemia, increase alkalosis, increase leukocytes, increase gland activity, reduce muscle spasm and deep heating
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Ultrasound physiological effects: mechanical | show 🗑
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Ultrasound physiological effects: Chemical | show 🗑
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Ultrasound physiological effects: Neural | show 🗑
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US indications | show 🗑
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US contraindications | show 🗑
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US max penetration amount | show 🗑
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US frequency setting | show 🗑
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US therapeutic intensity range | show 🗑
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show | acute = 4 min (flexbile); subacute = 6 min (flexible); chronic = 10 minute max
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Ultrasound pulsed vs. continous = when to use either? | show 🗑
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Piezoelectric effect: | show 🗑
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show | deeper
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show | phonophoresis
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which cream is typically used as a coupling medium with US = | show 🗑
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direct currents ALL have polarity = T/F? | show 🗑
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show | Low volt galvanic, high volt, tens
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show | unidirectonal/monophasic/continuous wave; Has strong polarity
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High Volt def = | show 🗑
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show | False (Do NOT have polarity)
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show | Sine wave; Faradic; Interferential
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show | Bidirectional/biphasic/asymmetrical wave = for muscle contraction
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Faradic def= | show 🗑
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Interferential def = | show 🗑
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soluble ionic salts are introduced into the body tissues by an electrical means = | show 🗑
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show | electropositive
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In iontophoresis, aids, radicals, are all - | show 🗑
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Anode (+) attracts = | show 🗑
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show | positive ions
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power measured in = | show 🗑
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show | amps
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resistance measured in = | show 🗑
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show | volts
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laser power measured in = | show 🗑
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Minimum stim. to cause contraction - | show 🗑
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show | Chronaxie
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show | ice
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show | heat
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LVG positive pole physiological effects = | show 🗑
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show | *vasodilation, chronic pain relief, softens tissues, attracts hydrogen and repels O2. attracts bases
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show | Contusions, sprains, myositis, fibrositis
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LVG contraindications = | show 🗑
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LVG = penetration is _______; freq. is ___________ | show 🗑
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LVG intensity = | show 🗑
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LVG duration = | show 🗑
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Galvanic pad size difference = | show 🗑
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show | -Electrokinetic
-Pain control via the opiate system
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High Volt = enkephilin production vs. endorphin production = | show 🗑
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show | -pain control = endorphins =chronic, 0-20 freq ; enkephilin = acute, 80-150 freq
-reduction of edema
-muscle spasm redution
-muscle exercise
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High Volt Indications | show 🗑
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show | ALL those for electrical = over heart, pacemakers, low back/abdomen during pregnancy
-Note = Decreased sensation is NOT a contrindication*
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TENS, action = | show 🗑
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Tens indications = | show 🗑
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show | All electrical modalities, AND not to be used during pregnancy, but ok at delivery
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TENS: penetration and dosage = | show 🗑
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show | painful site
dermatomal
peripheral nerve
trigger point
motor point
acupunture point
contralateral for phantom limb pain
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Interferential, action - (2) | show 🗑
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show | -muscle contraction
-edema reduction
-pain control
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show | -acute injuries
-swelling
-muscle spasm
-muscle atrophy
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show | same as ALL electrical modalities
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Interferential penetration = | show 🗑
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IF Types/Freq. | show 🗑
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Microcurrent action = (2) | show 🗑
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show | modulation
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show | -Increase ATP
-Increase AA
-Decrease pain
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show | musculoskeletal injuries
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Microcurrent contraindications | show 🗑
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Microcurrent = intensity level | show 🗑
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show | 200-800 micro amps
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show | decrease inflammation and decrease pain, and increase ATP
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show | vascular problems
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Type of massage used to break adhesions | show 🗑
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Trigger point indications = | show 🗑
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Trigger point therapy = performed no longer than ___________ | show 🗑
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Traction contraindications | show 🗑
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show | circulatory compromise; hypersensitivity to cold, frostbite, and raynaud's
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show | acute conditions, inflammation, abnormal thermal sensation
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show | Chronic muscleskeletal conditions, arthritic conditions; stiff joints
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show | skin and bone conditions
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show | HIM
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show | Pulsed=acute ; continuous=chronic
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US acute vs. chronic settings: Thin tissue | show 🗑
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US acute vs. chronic settings: Thick tissue | show 🗑
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US settings change when performed under water | show 🗑
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Faradic/Sine Wave used for : | show 🗑
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show | sacroiliac girdle
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SI girdle is used for | show 🗑
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Buerger-Allen exercises for = | show 🗑
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show | reduce a hyperlordosis (hamstring stretches, pelvic tilts, abdomina crunches)
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McKenzie's exercises were designed to | show 🗑
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show | restore normal shoulder movements (finger tip wall walking and pendular exercises)
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Kegel's are used to = | show 🗑
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Jacobson's exercises are what? | show 🗑
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show | rehab the knee
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show | Clayton's exercises
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Frenkel's exercises used to = | show 🗑
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show | 23 hrs/day
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Milwaukee brace = for what degree of scoliosis = | show 🗑
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show | Louisiana Strap
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Extremity braces: figure 8 is for = | show 🗑
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Extremity braces: Lennox-Hill aka = | show 🗑
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Extremity braces: Lennox-Hill is for | show 🗑
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show | wrist = carpal tunnel syndrome
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show | place cane in opposite hand
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show | place crutch in opposite hand
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show | 2-10-30 (measure 2 inch from axilla; tip of crutch 10 inch from malleolus; crutches should be at 30 degrees.
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Used for patient with cerebral palsy, "patterning" | show 🗑
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show | ballistic exercises
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Upper cross syndrome = weak mm. | show 🗑
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Upper cross syndrome = tight/facilitated muscles | show 🗑
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Lower Cross syndrome = weak mm. | show 🗑
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show | iliopsoas, quadriceps, erector spinae
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