Transcript Therapeutic Modalities - Santa Ynez Valley Union High

Therapeutic Modalities
Modalities-treatment of injuries,
including heating, cooling, and
mechanical/electrical methods.
What modalities do we use in our
Training Room?
Therapeutic Modalities
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Modalities are used to relive pain,
reduce or retard swelling, decrease
spasm, and promote healing.
When used properly they can
minimize time lost, and shorten
recovery time.
Therapeutic Modalities
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Important to remember, all
modalities have indications (why you
should use) and condraindications
(why you should not use). Know
these before you use any modality.
Thermal Modalities
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Thermal Modalities use
thermal agents-heat and
cold.
Thermal Modalities
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Cryotherapytherapeutic use of
cooling agents.
Most often used
modality in sports
medicine.
Includes- cold
pack, cold bucket
bath, ice massage
Cryotherapy (COLD)
Helps to manage pain and swelling.
 vasoconstriction of blood vessels
 Decrease in nerve conduction to brain
 Reduce muscle spasm
Then:
 Vasodialation occurs
 Increase in muscle strength after
treatment
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Cryotherapy
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Best choice of
acute injuries
Soon after an
injury the better
Application no
longer than 20
minutes at one
time
3-4x a day
following injury
Cryotherapy
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Ice Packs-effective for local area
injury.
Cubes in a plastic bag.
Commercial Gel Packs
Chemical-activated cold pack
Bag of vegetables/frozen rice
Cryotherapy
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Ice Massage-technique of rubbing ice
over injured area.
• Local area icing
• Need to make sure area is draped for
collection of water
• Treatment time only 5 minutes
Cryotherapy
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Cold Water Compression-systems
designed to combine compression
with cold simultaneously.
• Several shapes to accommodate
different body parts.
• Some use gravity, some use a pump.
Cryotherapy
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Ice Baths-immersion of a part in ice
water. It provides uniform coverage.
The part can be moved around
during treatment.
• 55 degrees F
• 10 minute treatment
• Cold-burning-aching-numb
Cryotherapy
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Contraindications• Sensory deficits (the elderly)
• Hyersensitive to cold
• Impaired circulation
• Heart disease
• Malignant tissue
Heating Agents (HOT)
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Can be skin deep
of up to a few
inches deep,
depending upon
modality
Reduce pain
Promote healing
Increase ROM
Muscle relaxation
Heating Agents (HOT)
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Increase vasodialation-blood flow
Increase metabolic rate
Increase oxygenation of tissue
Use for chronic or subacute injuries,
not acute.
Heating Agents
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Hydrocollator Packs- moist heat packs
used for superficial heat.
• Water is at 60-90 degrees C
• Used for 10-20 minutes
• Put in covers for insulation and safety
Heating Agents
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Heating Pads- Electrical pad or
microwaveable pad used to get
physiological response of heat. Be
aware of time and temperature.
• Make sure there is enough insulation of
pad.
Heating Agents
Contraindications
 Not used in first 24-48 hours of
injury-heat dialates vessels and
could cause increase bleeding of
injury
 If it burns take it off
 Do not use with impaired circulation
 do not use with diminished sensation
Hydrotherapy
A form of superficial heating using agitated, heated water in a whirlpool.
Advantages
• It can allow the
patient to work
ROM
• A larger area of the
body can be treated
• 10-20 min is
treatment time.
Disadvantages
• Extra time and
effort to prepare
and clean
• Space
• Expensive
• No elevation
Contrast Therapy
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Alternating hot and cold baths used
during the subacute phase (48-72
hours) to help reduce swelling, pain
and increase ROM.
• 50-66 degrees F cold bath
• 102-110 degrees F hot bath
• Always end with COLD
• 3H-1C-3H-1C-3H-1C about 20 minutes
That’s it Folks
Well not really we are only half way there
just be happy this is the end of the first
power point.