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Therapeutic
having medical or healing properties
Modality
A method of application or employment of any therapeutic agent, limited usually to
physical agents and devices
Therapeutic Modality
a device or application that delivers a physical agent to the body for therapeutic
purposes
cryotherapy
therapeutic use of cold
Thermotherapy
Treatment by use of heat
light therapy
laser
electrotherapy
IFC, NMES, TENS, HVPC, iontophoresis
mechanical
massage, traction
,Purpose and Goals of Therapeutic Modalities
1. wound heeling
2. pain relief
3. flexibility/ROM
4. muscular strength
5. muscular endurance
6. muscular speed
7. muscular coordination or skill
8. power
9. agility
10. cardiorespiratory endurance
knobology
applying modalities without theory
Clinical Decision Making
- tradition
- experience
- research
- theory
pre-requisites to selecting a modality
1. have the correct diagnosis
2. know that anatomy and physiology of injury
3. establish a therapeutic goal
4. understand the modality's effects, in/contraindications
,5. match modality with therapeutic goal
6. know the evidence on effectiveness
Systems Approach to Total Rehabilitation
- tool selected based on signs, symptoms, and needs of the patient
- identify each phase of rehab
- establish criteria for developing each phase
- carefully analyze the limitations imposed by the injury
- determine which phases of rehab to begin with
12 Principles of Orthopedic Injury Rehabilitation
1. SAID principle
2. therapeutic goals
3. continual evaluation
4. overload and progression
5. functional progression
6. absence of pain
7. biofeedback
8. early exercise essential
9. rate of reconditioning
10. timelines
11. prioritizing
12. maintain conditioning
DAPRE
, -daily
- adjustable
- progressive
- resistance
- exercise
Psychology of Rehabilitation
- 75% psychological, 25% physiological
Rifle Approach
more focused, patient is treated with one or two modalities to achieve a specific goal.
5 Step Application Procedure
1) Foundation
2) Pre-Application Tasks
3) Application Parameters
4) Post Application Tasks
5) Maintenance
Foundation
- how the modality works
- effects
- advantages
- disadvantages
- indications
- contraindications
- precautions