WEEK-3-THERAREUTIC-MODALITIES.pdf

THERAPEUTIC MODALITIES Prepared by: JVP, RPh.  THERAPEUTIC MODALITIES: Therapeutic modalities are used to create an ideal e n v i r on m e n t f or r e pa i r of i n j u r y by l i m i t i n g t h e inflammatory process and breaking the pain spasm cycle. Therapeutic modalities...

THERAPEUTIC MODALITIES Prepared by: JVP, RPh.  THERAPEUTIC MODALITIES: Therapeutic modalities are used to create an ideal e n v i r on m e n t f or r e pa i r of i n j u r y by l i m i t i n g t h e inflammatory process and breaking the pain spasm cycle. Therapeutic modalities can be an effective adjunct to various techniques of therapeutic exercise. 2  WHAT ROLE SHOULD A MODALITY PLAY IN INJURY REHABILITATION? ▪ An effective treatment program includes three primary objectives: 1. Management or reduction of pain reduction of pain associated with an injury. 2. Return of full nonrestricted range of movement to an injured part 3. Maintenance or perhaps improvements of strength through the full range. 3 EXAMPLES OF THERAPEUTIC MODALITIES: CRYOTHERAPY is the use of cold to achieve therapeutic results. INDICATION: Used for pain management Anti inflammation Edema control Decrease of muscle guarding/ spasm Spasticity management 4 EXAMPLES OF THERAPEUTIC MODALITIES: ADMINISTRATION: Ice massage Cold packs Cool + compression devices PRECAUTIONS AND CONTRAINDICATION: Cryotherapy should be cautiously used on patients with sensory deficits, circulatory impairment, cold hypersensitivity hypertension 5 EXAMPLES OF THERAPEUTIC MODALITIES: FLUIDOTHERAPY is a superficial heating modality that transfers heat by convection. Dried corn husk or other cellulose material are suspended by warmed circulating air. The specific heat of the suspended material and the air allow for higher therapeutic temperature to be achieved. INDICATION: Used when moderate to vigorous heating of the wrist and hand is indicated. Can also be used for the ankle and foot Arthritis Chronic tendonitis Post operative conditions Post fracture management 6 Raynaud’s syndrome EXAMPLES OF THERAPEUTIC MODALITIES: 7 EXAMPLES OF THERAPEUTIC MODALITIES: AQUATIC THERAPY Method to deliver heat or cold Manage open wounds Manage pain The Agitation plays a role in cleansing wounds as well as in activating mechanoreceptors to facilitate pain in relief. INDICATION: Indicated for debridement of distal open wounds secondary to vascular, surgical, and traumatic conditions. Arthritis Multiple sclerosis Muscular dystrophy Spinal cord injuries 8 EXAMPLES OF THERAPEUTIC MODALITIES: 9 EXAMPLES OF THERAPEUTIC MODALITIES: INTERFERENTIAL CURRENT IFC uses two wave kilohertz frequencies and creates interference between them, resulting in a unique current. INDICATION: Pain management Edema Muscle spasm 10 EXAMPLES OF THERAPEUTIC MODALITIES: 11 EXAMPLES OF THERAPEUTIC MODALITIES: IONTOPHORESIS A continuous direct current is used to transmit ions through the skin. INDICATION: Pain Anti inflammation Scar lysis Enhanced healing 12 EXAMPLES OF THERAPEUTIC MODALITIES: 13 EXAMPLES OF THERAPEUTIC MODALITIES: LOW LASER LEVEL THERAPY Facilitates therapeutic effects at low level INDICATION: Carpal tunnel syndrome Tendon and ligament injuries Scar tissue inhibition 14 EXAMPLES OF THERAPEUTIC MODALITIES: 15 EXAMPLES OF THERAPEUTIC MODALITIES: MECHANICAL INTERMITTENT COMPRESSION Use gravity and compresses air to facilitate lymphatic and general venous flow in treatment of joint swelling and lymphedema INDICATION: Lymphedema Traumatic or chronic edema Statis ulcer 16 EXAMPLES OF THERAPEUTIC MODALITIES: Traumatic edema : 17 EXAMPLES OF THERAPEUTIC MODALITIES: MECHANICAL SPINAL TRACTION Intervention that uses pulleys, ropes and harnesses appropriately attached to machinery that, when externally integrated with patient’s spinal column, causes changes in the spinal column length and the amount of space. INDICATION: Spinal pain when decompression of nervous 18 EXAMPLES OF THERAPEUTIC MODALITIES: 19 EXAMPLES OF THERAPEUTIC MODALITIES: MICROELECTRICAL NEUROMUSCULAR STIMULATION Aka: Low volt pulsed current, uses micro current wave form stimulator INDICATION: Used in wound healing 20 EXAMPLES OF THERAPEUTIC MODALITIES: 21 EXAMPLES OF THERAPEUTIC MODALITIES: PARAFFIN BATH Provide superficial heat by coating the target area with solution of melted paraffin wax and mineral oil. INDICATION: Used in chronic arthritis of hand and foot Manage pain 22 EXAMPLES OF THERAPEUTIC MODALITIES: 23 EXAMPLES OF THERAPEUTIC MODALITIES: ULTRASOUND is a deep heating modality. Sound waves are extremely low intensity and very high frequency are introduced to tissue, producing thermal and nonthermal effects. INDICATION: Used to increase the extensibility of collagen fibers in tendons and joints capsules, reduce muscle spasm, and modulate pain 24