Electrotherapy and Related Modalities Quiz
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Questions and Answers

What are the primary indications for Functional Electrical Stimulation (FES)?

  • Only to improve muscle strength
  • Spinal cord injuries, cerebral palsy, hemiplegia, CNS disorders (correct)
  • To treat osteoporosis
  • Obesity and hypertension
  • Cognitive skills are not considered important for the effectiveness of FES.

    False

    What is the frequency range for medium intensity electrotherapy?

  • More than 500,000 Hz
  • Non-specific range
  • 1000 until 500,000 Hz (correct)
  • Less than 1000 Hz
  • Phototherapy includes methods such as infrared and ultraviolet.

    <p>True</p> Signup and view all the answers

    What is the wavelength of shortwave therapy?

    <p>11m</p> Signup and view all the answers

    The frequency of microwave therapy is __________ MHz.

    <p>2450</p> Signup and view all the answers

    What type of reinforcement occurs when a desirable stimulus is presented following a behavior?

    <p>Positive reinforcement</p> Signup and view all the answers

    Intermittent reinforcement occurs every time a correct response is given.

    <p>False</p> Signup and view all the answers

    What is the primary aim of functional electrical stimulation (FES)?

    <p>To improve or produce functional movement.</p> Signup and view all the answers

    What is the normal range for ideal pulse duration for muscle strengthening?

    <p>0.1 - 0.7 ms</p> Signup and view all the answers

    Completely denervated muscles have a chronaxie of less than 30 ms.

    <p>False</p> Signup and view all the answers

    What term describes the minimum intensity needed to produce a minimum contraction with a triangular pulse of 1 ms?

    <p>faradic threshold</p> Signup and view all the answers

    In a state of denervation, a muscle requires more __________ and increased pulse width for effective stimulation.

    <p>intensity</p> Signup and view all the answers

    What are the key conditions necessary for the effective use of FES?

    <p>Key conditions include preserving functional proximal muscles, maintaining good skin condition for electrodes, and avoiding severe spasticity or muscle retractions.</p> Signup and view all the answers

    Why is the focus on endurance training significant for patients with neurological injuries using FES?

    <p>Endurance training is emphasized because slow fibers are the first to be damaged in neurological injuries, necessitating their preservation and enhancement.</p> Signup and view all the answers

    How does ramping up and down the intensity of electrical stimulation help in muscle contraction?

    <p>Ramping up and down allows for progressive contraction and relaxation, which helps prevent antagonistic muscle spasms caused by sudden stretches.</p> Signup and view all the answers

    What are the disadvantages of using FES with implanted electrodes compared to surface electrodes?

    <p>Implanted electrodes are more invasive and may require surgery, presenting risks if the surgery fails, while surface electrodes offer ease of use and are non-invasive.</p> Signup and view all the answers

    In the context of FES, what does the term 'hybrid system' refer to?

    <p>'Hybrid system' refers to the combination of FES with orthoses, allowing for enhanced mobility solutions such as standing and gait devices.</p> Signup and view all the answers

    How does high voltage applied to a piezoelectric crystal generate shock waves in ESWT?

    <p>The high voltage causes the crystal to expand and collapse, generating shock waves in the surrounding water medium.</p> Signup and view all the answers

    What is the main difference in energy flux density (EFD) between focused and radial ESWT?

    <p>Focused ESWT has maximum EFD at the target point, while radial ESWT has maximum EFD at the source and does not reach the target specifically.</p> Signup and view all the answers

    Describe the penetration depth of focused and radial ESWT.

    <p>Focused ESWT penetrates deeply at the focal point (over 5 cm), while radial ESWT is superficial and primarily affects the skin surface.</p> Signup and view all the answers

    What types of applicators are used in ESWT and what are their specific applications?

    <p>Types of applicators include direct beam for muscles and connective tissues, acupuncture points, planar waves, and radial waves.</p> Signup and view all the answers

    What factors differentiate RSWT from ESWT in terms of pressure phases and pulse duration?

    <p>RSWT has much lower compressive (P+) and tensile (P-) phases and a longer pulse duration compared to ESWT.</p> Signup and view all the answers

    What are the primary characteristics of low intensity electrotherapy?

    <p>It is defined as less than 1000 Hz and involves pulsed or uninterrupted stimulation.</p> Signup and view all the answers

    Define the term 'chronaxie' in the context of electrotherapy.

    <p>Chronaxie is the best pulse duration needed to stimulate muscle, requiring higher intensities in cases of denervation.</p> Signup and view all the answers

    What are SD curves used for in electrotherapy?

    <p>SD curves illustrate the relationship between current amplitude and pulse durations necessary to create action potentials in nerve fibers.</p> Signup and view all the answers

    What happens to muscle activation threshold as pulse duration decreases?

    <p>An external electrical stimulus requires increased intensity to achieve the same muscle activation threshold.</p> Signup and view all the answers

    Describe the mechanism of UHF therapy.

    <p>UHF therapy operates at a frequency of 434 MHz and is a non-contact therapy effective at increasing skin temperature up to 6 cm deep.</p> Signup and view all the answers

    What is the normal value range for rehobase when using rectangular pulses?

    <p>The normal value for rehobase is between 1 to 10 mA.</p> Signup and view all the answers

    What differentiates shockwave therapy from traditional ultrasound therapy?

    <p>Shockwave therapy has a maximum duration of 10 ns and operates at a frequency of 16-20 MHz, unlike conventional ultrasound.</p> Signup and view all the answers

    What is the chronaxie range for weakly denervated muscles?

    <p>1-3 ms</p> Signup and view all the answers

    How does accommodation in denervated muscles relate to ion channel activity?

    <p>Accommodation capacity is affected by the state of Na+ channels and the Na+/K+ pump.</p> Signup and view all the answers

    Define neurapraxia and give its typical duration.

    <p>Neurapraxia is a temporary loss of sensory functions due to signaling damage, lasting about 6-8 weeks.</p> Signup and view all the answers

    What is the ideal pulse duration range for muscle strengthening?

    <p>100-700 µs</p> Signup and view all the answers

    What does an angle tending to 45° in the accommodation part indicate?

    <p>It indicates normal accommodation.</p> Signup and view all the answers

    What are the implications of axonotmesis on nerve recovery?

    <p>In axonotmesis, the axon is damaged but connective tissue remains intact, allowing for a regeneration rate of 1-2 mm per day.</p> Signup and view all the answers

    What is the relationship between pulse duration and muscle excitability?

    <p>High and short pulse durations lead to hypoexcitability, while low and long pulse durations cause hyperexcitability.</p> Signup and view all the answers

    What characterizes neurotmesis in terms of nerve damage?

    <p>Neurotmesis involves damage to both the axon and connective tissues, leading to an inability to recover completely.</p> Signup and view all the answers

    What type of ultrasound application is utilized for therapeutic purposes and its intensity level?

    <p>Therapeutic ultrasound uses a power of $0.5 ext{ W/cm}^2$.</p> Signup and view all the answers

    What are the primary indications for using electrotherapy in patient care?

    <p>Electrotherapy is indicated for painful areas, contractures, acute inflamed areas, and myofascial trigger points.</p> Signup and view all the answers

    What mechanical effect occurs in bone tissue when low-intensity pulsed ultrasound is applied?

    <p>Low-intensity pulsed ultrasound generates a piezoelectric effect in bone, converting mechanical energy into electrical current.</p> Signup and view all the answers

    What are the two main classifications of extra-corporeal shockwave therapy (ESWT)?

    <p>The two main classifications of ESWT are focused and radial.</p> Signup and view all the answers

    What is the maximum duration time for a pressure wave in extra-corporeal shockwave therapy?

    <p>The maximum duration time for a pressure wave in ESWT is $10 ext{ ns}$.</p> Signup and view all the answers

    In the context of ultrasound therapy, what are the contraindications to keep in mind?

    <p>Contraindications for ultrasound therapy include conditions like infections, tumors, or areas with impaired sensation.</p> Signup and view all the answers

    What role does a coupling medium play in the application of focused ESWT?

    <p>A coupling medium is essential for mechanical energy transmission and absorption during focused ESWT.</p> Signup and view all the answers

    What type of gel is typically used with radial type applicators in shockwave therapy?

    <p>Standard aqua sonic gel is used with radial type applicators.</p> Signup and view all the answers

    What type of ultrasound is recommended for chronic conditions?

    <p>Continuous ultrasound is recommended for chronic conditions.</p> Signup and view all the answers

    What is the maximum depth of penetration for 1 MHz ultrasound?

    <p>The maximum depth of penetration for 1 MHz ultrasound is 4 cm.</p> Signup and view all the answers

    What pulse ratio corresponds to a 50% duty cycle in pulsed ultrasound?

    <p>A pulse ratio of 1:1 corresponds to a 50% duty cycle.</p> Signup and view all the answers

    Name one precaution to consider when applying ultrasound therapy.

    <p>One precaution is to avoid using ultrasound on recent fractures.</p> Signup and view all the answers

    What is a contraindication for using ultrasound therapy?

    <p>A contraindication is the presence of a malignant area.</p> Signup and view all the answers

    How should the soundhead be positioned during stationary ultrasound treatment?

    <p>The soundhead should be kept stationary over the targeted tissue.</p> Signup and view all the answers

    What technique involves slow, overlapping movements of the soundhead?

    <p>The dynamic technique involves slow, overlapping movements of the soundhead.</p> Signup and view all the answers

    What should be done to water before using it for ultrasound immersion?

    <p>The water should be boiled and brought to body temperature.</p> Signup and view all the answers

    Study Notes

    Electrotherapy Ordinary

    • Low intensity: less than 1000 Hz, pulsed, uninterrupted
    • Medium intensity: 1000 Hz to 500,000 Hz
    • High intensity: more than 500,000 Hz
    • Capacitive electrical transfer: 0.448 MHz, direct contact, active (hand of therapist), neutral (lumbar or limb)
    • UHF: 434 MHz, 69 cm wavelength, non-contact, deeper than microwave and shortwave (6 cm increased skin temperature)
    • Shortwave: 11 m wavelength, 27 MHz frequency
    • Microwave: 12.5 cm, 2450 MHz frequency, 5-10 cm from patient
    • Shockwave: 10ns duration time, 100MPa or 500 bar pressure, 16-20 MHz frequency
    • Ultrasound: Various frequencies used for various therapeutic purposes

    Phototherapy

    • Laser therapy: uses laser light
    • UV: ultraviolet radiation
    • IR: infrared radiation

    Vibrotherapy

    • Shockwaves: Used to treat various conditions

    Ultrasound

    • Frequency: various, used in various therapeutic applications

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    Related Documents

    Electro Therapy Ordinary PDF

    Description

    Test your knowledge on various electrotherapy modalities, including low, medium, and high intensity treatments. Explore concepts related to phototherapy, vibrotherapy, and ultrasound applications in therapy. This quiz will help reinforce key terms and their therapeutic uses in a medical context.

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