1. Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Chapter 3 General Application Procedures

2. Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins What Is the Shotgun Approach?

3. Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins What Is the Rifle Approach?

4. Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Use modalities that target the specific needs of the patients.

5. Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Be a Critical Thinker

6. Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Modality Application

7. Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Why a General Approach? Easier to learn multiple modalities è One system fits all Not as likely to forget something during application

8. Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Five Components Background information Preapplication parameters Application procedures Postapplication parameters Maintenance

9. Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Background Information

10. Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Define the Modality What the modality is? How it operates? Explain briefly:

11. Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Effects Advantages Disadvantages Indications Contraindications Precautions Know the Modalities

12. Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins What physiological and/or pathological changes does it evoke in the body (both locally and systemically) as it its applied? (Reprinted with permission from Castel D. International Academy of Physio Therapeutics. Clip art.) Effects

13. Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Advantages What does this modality do that makes it effective in treating injuries?

14. Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Disadvantages What are possible negative effects of using this modality to treat sports injuries?

15. Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Indications Situations in which this modality should be used

16. Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Contraindications Situations in which this modality should not be used Situations in which it may do more harm than good

17. Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Precautions Situations that could cause harm if you are not careful

18. Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins NOTE: Alternative Terminology contraindications = contraindications Absolute contraindications = contraindications contraindications = precautions Relative contraindications = precautions

19. Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins However If contraindication means “don’t use,” how can you relatively not use something?

20. Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Preapplication Parameters

21. Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Four Aspects Select the proper modality. Prepare the patient physically. Prepare the patient mentally. Prepare the equipment.

22. Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Select the Proper Modality Determine the anatomical, pathological, and physiological changes associated with the injury by: – (Re)evaluating the injury or problem – Reviewing the response to previous treatment Establish objectives (goals) of therapy.

23. Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Select the Proper Modality (cont.) Match your therapeutic goal with a modality that will help you achieve that goal. Consider – Effects, advantages, disadvantages, indications, and contraindications of possible modalities Check for contraindications.

24. Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Prepare the Patient Physically Remove clothing as necessary. Remove bandages, braces, etc., as necessary. Position the patient in a manner that will be comfortable, yet allow accessibility to the modality. (Used with permission from Castel D. International Academy of Physio Therapeutics. Clip art.)

25. Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Prepare the Patient Psychologically Explain the procedure. Briefly review the physiology, if interested. Tell the patient what to expect, what to feel. Demonstrate the procedure on self, if the patient is apprehensive. Warn about precautions.

26. Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Prepare the Equipment Set up Check equipment operation Safety check

27. Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Application Procedures

28. Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Procedures Turn on –Adjustment sequence –Check the patient response. Dosage Duration Frequency of application

29. Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Postapplication Parameters

30. Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Postapplication Remove the equipment/clean up the patient. Replace the equipment/clean up the area. Instructions to the patient – Arrange next treatment.

31. Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Instruct the athlete concerning what he or she should feel after treatment. Record the treatment and any unique patient responses to the treatment. Instruct the athlete concerning the level of activity and/or self-treatment before the next formal treatment. Instructions to the Patient

32. Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Maintenance

33. Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Maintenance Clean the equipment regularly. Routine maintenance Simple repairs