Introduction to physical agents (Ch.1)
what are the general contra indications and precautions of physical agents?
1. Pregnancy (only if it affects the fetus) 2. Malignancy 3. Pacemaker 4. impaired sensation and mentation
** use those modalities that increase temperature to: **
1. increase circulation, metabolic rate and soft tissue extensibility 2. decrease pain
what are the effects of physical agents?
1. modify inflammation and healing 2. relieve pain 3. alter collagen extensibility 4. modify muscle tone
physical agents control pain by:
1. modifying pain transmission or perception 2. changing the underlying process causing the sensation
water is a type of mechanical agent that is used to do what?
1. provide resistance to increase local pressure and buoyancy 2. decrease pressure on weight-bearing structures
collagen extensibility is a main supportive protein of?
1. skin 2. tendon 3. bone cartilage 4. connective tissue
T or F: physical agents can alter muscle tone ONLY directly
F: can alter directly or indirectly
T or F: compression can normalize sensation and prevent or decrease damage or inflammation?
F: the correct answer is traction
Name the different types of mechanical physical agents and give an example of each?
Traction (mech. traction), compression (elastic bandage), water (whirlpool) and sound (ultrasound)
with ______: can attract or repel charges particles and alter cell membrane permeability to control formation of edema and promote tissue healing
appropriate direction
with __________: can depolarize nerves to increase muscle strength and control
appropriate intensity and duration
CNS injury can increase or decrease muscle tone in an affected area?
both
what increase pressure between structures?
compression
PNS injury can increase or decrease muscle tone in an affected area?
decrease
** use those modalities that decrease temperature to: **
decrease circulation, metabolic rate and pain
Name the different types of thermal physical agents and give an example of each?
deep- heating (diathermy), superficial heating (hot pack) and cooling agents (ice pack)
in inflammation and healing what agent can alter cell function and transport?
electromagnetic
Name the different types of electromagnetic physical agents and give an example of each?
electromagnetic fields (ultraviolet) and electric currents (TENS)
compression is use to counteract what and control/reserve what?
fluid pressure; edema
what produces greatest temperature increase in superficial tissues in area directly below it?
hot packs
in inflammation and healing what agent can control motion and alter fluid flow?
mechanical
traction is used to alleviate pressure on what?
nerves and joints
you want to apply mechanical force to increase and decrease what on or in the body?
pressure
What kind of physical agent transfer energy to a patient to produce an increase of decrease in tissue temperature
thermal
in inflammation and healing what agent can change the rate of circulation and the rate of chemical reactions?
thermal
What are the 3 categories of physical agents?
thermal, mechanical and electromagnetic
what decreases pressure between structures?
traction
what produces most heat in tissues with high US absorption coefficients (tendon and bone)?
ultrasound