Introduction to Modalities Sports Medicine Mr. Jones

Objectives Define therapeutic modalities List the basic types of modalities Explain the purposes of modalities Explain general indications and contraindications

Terminology Modalities – methods of treating injuries, using heat, cold, ultrasound or electric stimulation Therapeutic – referring to treatment Indications – appropriate for patient use Contraindications – something dangerous or ill-advised for a patient

General Purposes of Modalities Alter blood flow (vasoconstriction or vasodilation) ______________________________________ Alter metabolism

Indications for Using Modalities Acute injuries Acute or chronic pain ____________________________________ Chronic inflammation Joint tightness

Contraindications for Using Modalities ____________________________________ Cold-related allergies Areas of ________________________________ or circulatory deficits Open growth plates Over organs (heart, eyes, etc.) Possible _______________________________

Cryotherapy Cold application causes _________________________________ and decreased vascular permeability. Decreases inflammation, pain, circulation, muscle spasms, etc. Examples: Ice bags and cold packs Controlled compression therapy units (Game Ready) Ice massage Cold immersion

Thermotherapy Heat application causes _________________________________ and increased blood flow to promote healing. Removes waste products and increases cellular metabolism Increases the extensibility of connective tissue Examples: Moist heat pack Warm whirlpool Paraffin bath Therapeutic ultrasound Shortwave diathermy

Electrotherapy Various types Examples: Decrease ___________________________ Decrease ____________________________________________ Increase blood flow Neuromuscular re-education Examples: Premod Interferential Russian TENS H-wave Combo

Manual Therapies ____________________________________________ Myofascial release Joint mobilization Traction Dry needling http://www.cbsnews.com/videos/a-look-at-olympic-cupping-and-athletes-pain/

Medications Prescription vs. OTC ____________________________ Ibuprofen (Advil), naproxen sodium (Aleve), aspirin (Bayer) Celebrex, Voltaren, Mobic, Indocin Acetaminophen (Tylenol) Vicodin, Oxycotin, Xanax, etc. Muscle Relaxers