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Therapeutic Modalities PE 236 Juan Cuevas, ATC

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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Therapeutic Modalities PE 236 Juan Cuevas, ATC

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  1. Therapeutic ModalitiesPE 236Juan Cuevas, ATC

  2. 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

  3. 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 ________________

  4. 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.

  5. 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 • ___________

  6. 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 __________

  7. Thermotherapy • Moist heat packs • Hot ___________ • Continuous ultrasound

  8. 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

  9. Electrical Stimulation • __________ • Interferential current • Pain control • Over stimulation of ____________ • Gate Mechanism of Pain Control

  10. Electrical Stimulation • ___________ • Muscle re-education • Contract / relax • Post __________

  11. Massage • Systematic manipulation of ____________ of the body • Involves __________, compressing, stretching, percussing, and vibrating • Produce specific responses in athlete • Causes mechanical, physiological, and psychological _________________

  12. 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 • ________________

  13. 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 ___________

  14. ____________________ 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

  15. _________________ 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 _____________

  16. __________________-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

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