therapeutic modalities pe 236 juan cuevas atc l.
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Therapeutic Modalities PE 236 Juan Cuevas, ATC. Using Therapeutic Modalities. Incorporated into ______________ program as adjuncts to exercise ________________ and thermotherapy Ultrasound and electrical stimulation ___________ and traction

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using therapeutic modalities
Using Therapeutic Modalities
  • Incorporated into ______________ program as adjuncts to exercise
      • ________________ and thermotherapy
      • Ultrasound and electrical stimulation
      • ___________ and traction
  • Require special instruction and supervised clinical experience
  • In absence of ________ coach may opt for simple modalities within scope of expertise
cryotherapy cold therapy
Cryotherapy / Cold Therapy
  • ________ Relief
    • A decreased nerve transmission in ___________
    • Cold reduces the activity of free ___________
    • Cold raises the pain threshold
    • Cold causes a release of endorphins
    • Cold sensations over-ride the pain sensation - known as the _______________________
  • Stops Bleeding and _____________
    • By cooling the surface of the skin and underlying tissues, ice causes the narrowing of blood vessels, a process known as ________________
cryotherapy cold therapy4
Cryotherapy / Cold Therapy
  • Reduces Muscle ___________
    • Muscle spasm is often a response to ______
  • Decreases Metabolic Rate
    • By reducing the cells metabolic rate, ice reduces the cells ________ requirements. Thus when blood flow has been limited by vasoconstriction then the risk of cell death due to oxygen demands (secondary ________) will be lessened.
cryotherapy cold therapy5
Cryotherapy / Cold Therapy
  • _________-
  • Ice Cups (7-10 minutes)
  • Ice bath (__________ degrees F)
  • GameReady
        • Recommended 20 minutes every 1-2 hours
        • For the first 48-72hrs post injury
  • ___________
thermotherapy
Thermotherapy
  • Used post-_______ (after swelling stops)
    • Increase blood flow (___________________)
    • Facilitate reabsorption of injury by-products
  • Useful as analgesic and for relaxation effects
  • Be careful not to use too soon in healing process
    • Cold should be used for first _____ hours post injury
  • Reduces Muscle __________
thermotherapy7
Thermotherapy
  • Moist heat packs
  • Hot ___________
  • Continuous ultrasound
slide8
Moist heat packs (hydrocollator packs)
    • Silicate gel in cotton pads
    • Maintained in thermostatically controlled hot water (___________)
    • Retain water and relatively constant heat for 20-30 minutes
    • Requires the use of 6 layers of toweling to avoid burning patient
    • Athlete should _______ on top of pack
electrical stimulation
Electrical Stimulation
  • __________
    • Interferential current
    • Pain control
    • Over stimulation of ____________
    • Gate Mechanism of Pain Control
electrical stimulation10
Electrical Stimulation
  • ___________
    • Muscle re-education
      • Contract / relax
    • Post __________
massage
Massage
  • Systematic manipulation of ____________ of the body
  • Involves __________, compressing, stretching, percussing, and vibrating
    • Produce specific responses in athlete
      • Causes mechanical, physiological, and psychological _________________
slide12
Uses:
    • Encourage _____ drainage
    • Stretch superficial ______ tissue
    • Stretch connective tissue (friction massage)
    • Increase ______ – due to increased metabolism
      • Helps to remove lactic acid or edema
      • Assist normal venous blood return to heart
    • ________________
importance of the healing process following injury
Importance of the Healing Process Following Injury
  • There is a sequence and time frame for various _________ of the healing process
  • Interference with healing process will delay return to full activity
  • Work to create optimal healing _________________
    • Little can be done to speed the process, while much can be done to ___________
slide14
____________________ Response Phase
    • Begins immediately following injury – critically important
      • Without the inflammatory phase the other phases will ______________
    • Chemical mediators are released to facilitate ______________
    • Symptomatically presents with the following
      • Redness, ____________, warmth, tenderness and loss/disordered ___________
    • Stage lasts 2-4 days following injury
slide15
_________________ Repair Phase
    • Proliferative and regenerative activity occurs resulting in ________ formation (fibroplasia)
      • Occurs within initial hours of injury and continues up to _____________
    • S&S of inflammatory phase subside
      • Athlete will _______ experience some tenderness and pain with motion
      • With increasing development of the scar, complaints of pain and tenderness will _____________
slide16
__________________-Remodeling Phase
    • _________--term process
    • Re-alignment of scar tissue according to tensile forces acting on tissue
      • Re-align to position of maximum efficiency (parallel to lines of tension)
    • Tissue gradually resumes normal ____________ and function
    • After 3 weeks
      • Firm, strong, contracted, nonvascular scar exists
    • Maturation may take several ________ to be totally complete