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OCPM PhysMed Deep Heat
Questions
26
Medical
Professional
06/01/2009

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Term
What is Diathermy Heat?
Definition
Heating by application of high frequency electric current.
Term
Why do we use Deep Heat?
Definition
Heat the Penetrated to muscular layers.
Term
What forms Diathermy are there?
Definition
"Long wave (Obsolete), Short wave and Microwave"
Term
What are the Physiologic Effects of Diathermy?
Definition
"Local vasodilitation, Increased capillary blood flow, Increased rate of fluid transfer across capillary membrane, Increased exchange O2 and CO2, Increased Distant vasodilitation by effect on SNS, Increased tissue metabolism, Increased PHAGOCYTOSIS and number of LEUKOCYTES and Relaxation of tissues/muscles from vasodlitation."
Term
How does Microwave Diathermy create Deep Heat?
Definition
Heigh frequency electromagnetic radiation that produces molecular stimulation.
Term
T/F Microwave Diathermy should be used over Skeletal Muscle and other tissues with higher water content?
Definition
TRUE
Term
"T/F Microwave Diathermy should be used over CSF, Synovial Fluid or other fluids with increased polarity."
Definition
FALSE
Term
What is a safe temperature increase to induce using Microwave Diathermy?
Definition
3-6'
Term
T/F The increase in temperature difference between SQ & muscle is greater in microwaves compared to short waves?
Definition
TRUE
Term
What are 5 Therapeutic uses for Diathermy?
Definition
"Mature Contusion or Hematoma (Prevents Ossification), Myositis or Myofasculitis, Tenosynovitis, Chronic Bursitis.....many others"
Term
What are 5 Contraindications of Diathermy?
Definition
"Pacemaker, Acute Hemorrhagic Conditions or Acute Trauma, Pregnancy, Metallic Implants, Synovial Joints, Phlebitis, PVD, TB and Hyperthyroidism."
Term
T/F Some warmth is normal with using Diathermy or Ultrasound?
Definition
"TRUE, but not sever or pain"
Term
T/F Heating is the greatest in the first few mintes and decreases as heat becomes dissipated?
Definition
TRUE
Term
How long is Microwave Diathermy administered?
Definition
15-20 minutes x 3x/week up to 2x/day
Term
What are 5 Percautions of Diathermy?
Definition
"Pacemaker, Metallic implants or metal in body, Insensitivity to Heat, Jewlery (magnetizes watches and heats), Wooden Tables and Pad bony areas."
Term
What is the frequency of Ultrasound in Deep Heating?
Definition
.8-1.2 mHz
Term
What will happen if the hand piece of the Ultrasound is help away form the coupling medium for an extended period of time?
Definition
Could burn out the crystal
Term
T/F the Lower the frequence the more energy absorbed and more converted to heat?
Definition
FALSE
Term
What is Cavitation?
Definition
"Splitting of intermolecular bonds between molecules (Breaksdown scars/adhesion, dec. joint fluid viscosity and inc. joint capsule permiability)."
Term
What are the 5 Chemical or Cellular Effects of Ultrasound?
Definition
"Increased enzyme activity, Increased cell membrane permiability, Increased local blood flow, decreased metabolite build up, decreased muscular spasm."
Term
Therapeutic Indications of Ultrasound?
Definition
"Break up scar or adhesion, Subacute or Chronic inflammatory condistions, Break up mature hematoma, Muscle relaxation, Analgesia by vasodilitation, and Phonophoresis."
Term
What is Phonophoresis?
Definition
Absorption of medicines in the coupling medium
Term
What are the Contraindications of Ultrasound?
Definition
"Over spinal cord, epiphyseal plates, Hemorrhagic conditions/disorders, malignacies/tumors, pacemakers, pregnant uterus or repro. organs, Vascular Insufficientcy, anesthetic areas, metallic implants."
Term
What is the normal range for Ultrasound?
Definition
1-1.5 w/cm2 or 5-9 watts (Range .5-2.5 w/cm2)
Term
T/F Patient should feel little or no sensation?
Definition
TRUE
Term
What are some precautions of Ultrasound?
Definition
"If feel excess heat or pain=Intensity too high, Keep moving, Keep good contact, check transducer (Underwater ripples or bubble with gel)"
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