18 Questions
What is the recommended frequency for Low Level Laser Therapy (LLLT) for pain relief?
Frequency > 1000 Hz
What is the recommended duration for Ultrasound (US) application?
3-5 minute
What is the primary use of Infrared (IR) therapy?
Surface wound healing
What is the mechanism of action of PEME therapy?
↓ swelling & inflammation
What is a common postnatal complaint?
Back pain
What is the recommended pulse width for PEME therapy?
40-65 ms
What is the purpose of daily time rest in postpartum care?
All of the above
What is the frequency used in TENS application for relief of after-pain?
80-120 Hz
What is an effective method for relieving perineal pain in women after vaginal birth with episiotomy?
Cryotherapy
What is a common cause of perineal pain in the immediate postpartum period?
Combination of episiotomy and spontaneous tear
What is the purpose of teaching the mother correct defecation techniques in postpartum care?
To support the wound
What type of energy is used in PEME therapy for inflammation reduction?
Electromagnetic energy
What is the primary mechanism of the circular motion technique over the lumbo-sacral area?
Deep heating effect, improvement of circulation and pain relief
What is the primary purpose of the pelvic rocking exercises?
To strength both the abdominal and back muscles
What is the primary cause of symphysis pubis pain during pregnancy and after delivery?
Separation between both recti by growing baby
What is the primary purpose of the trochanteric belt in managing symphysis pubis pain?
To stabilize the pelvic joints that are hypermobile or inflamed
What is the recommended frequency of cryotherapy application for managing symphysis pubis pain in the first 24 hours?
Every 1-2 hours
What is the primary purpose of pulsed US in managing symphysis pubis pain?
To reduce inflammation and pain
Study Notes
Pain Management
- Ultrasound (US) therapy: 0.5-1 W/cm² intensity, 3-5 minute duration, using a water-filled condom or underwater technique to increase circulation and relieve pain.
Low-Level Laser Therapy (LLLT)
- Pain relief: 0.5-4 J/cm², frequency > 1000 Hz
- Wound healing: 0.5-4 J/cm², frequency < 1000 Hz
- Scar tissue: 4-6 J/cm², frequency > 1000 Hz
- Mechanism of action: increases serotonin metabolism, beta-endorphin, and distal latency, while decreasing prostaglandin and nerve conduction velocity.
Pulsed Electromagnetic Energy (PEME)
- Frequency: 27 MHz, pulse rate 100 p/s, pulse width 40-65 ms, 10-15 minute duration
- Mechanism: reduces swelling and inflammation, increases fibrin and collagen deposition
Infrared (IR)
- Exposure: 10-20 minutes, twice a day, for surface healing
- Contraindication: haemorrhoids
Back Pain Management
- Relaxation techniques: daily rest, relaxation on face, and proper posture
- TENS application: V-shape on lower abdomen, frequency 80-120 Hz, pulse width 150 ms, 1 hour/day
Perineal Pain Management
- Causes: trauma during childbirth, episiotomy, or a combination of both
- Types: acute and chronic perineal pain
- Management: analgesics, cryotherapy, electrotherapy, pelvic floor exercises, and proper defecation techniques
Electrotherapy
- Techniques: ultrasound (US), low-level laser therapy (LLLT), pulsed electromagnetic energy (PEME), and infrared (IR)
- Cryotherapy: ice pack for 4-5 minutes, relieves edema and reduces nerve conduction velocity
Symphysis Pubis Pain Management
- Causes: separation between both recti during pregnancy
- Symptoms: burning or shooting pain radiating to the abdomen, perineum, or upper thigh
- Management: stabilization of pelvic joint, exercises, pillow between knees, cryotherapy, and pulsed US
This quiz covers the application of ultrasound and low-level laser therapy in physiotherapy, including their mechanisms and parameters for pain relief, wound healing, and scar tissue treatment.
Make Your Own Quizzes and Flashcards
Convert your notes into interactive study material.
Get started for free
