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Physical Therapy Assistant · NPTAE

PTA: Therapeutic Modalities

Electrical stimulation, ultrasound, and heat and cold therapy modality parameters, indications, and contraindications tested on the NPTAE.

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What is the primary therapeutic effect of continuous ultrasound?
A thermal (heating) effect on deep tissue.
Between 1 MHz and 3 MHz, which ultrasound frequency penetrates deeper into tissue?
1 MHz.
Which ultrasound frequency, 1 MHz or 3 MHz, is best for treating more superficial tissue?
3 MHz.
What is the approximate treatment depth range of 1 MHz ultrasound?
About 3 to 5 cm.
What is the approximate treatment depth range of 3 MHz ultrasound?
About 1 to 2 cm.
In therapeutic ultrasound, what does the duty cycle describe?
The percentage of time the sound wave is actively on during one treatment cycle.
What duty cycle is typically used to produce nonthermal (mechanical) ultrasound effects?
20 percent or less.
What does ERA stand for on an ultrasound transducer?
Effective radiating area.
What does BNR stand for in ultrasound equipment specifications?
Beam nonuniformity ratio.
What does a lower BNR value indicate about an ultrasound transducer?
More uniform energy output and less risk of hot spots or discomfort.
Therapeutic ultrasound should never be applied directly over the ____.
eyes
Is therapeutic ultrasound contraindicated over a pregnant uterus?
Yes, it is an absolute contraindication.
Why is ultrasound contraindicated over open epiphyseal (growth) plates in children?
It may damage the growth plate and disrupt bone growth.
Is therapeutic ultrasound contraindicated directly over a known malignant tumor?
Yes.
Why is ultrasound contraindicated over an implanted cardiac pacemaker?
It may interfere with the electronic device.

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