1. Therapeutic Exercise Equipment & Techniques RC- STD. 18

2. Bell Work
1. What is a pain treatment that uses a method of localized freezing temperatures to deaden an irritated nerve?
2. What generates electric impulses that stimulate your skeletal muscles to contract?
3. The use of hot and cold water to help decrease pain and increase circulation in area of injury and restricted blood flow is called?

3. Standard 18
Describe the indications, contraindications, theory, and principles for the incorporation and application of therapeutic exercise equipment and techniques, including but not limited to: continuous passive motion machine, aquatic therapy, manual therapy, adaptive therapeutic techniques, and/or assistive devices and mobilization.

4. Gate Control Theory A principle of pain control
There is a “gate” within the spinal cord that organizes and interpret sensations
Larger fast nerve fibers carry sensations such as temperature and pressure
Smaller, slower nerve fibers carry the pain sensation
Stimulating the larger, faster nerves can “close the gate” on the smaller slow pain nerves
Translation: Cold, heat, acupuncture, rubbing an injury and chemical irritants can provide relief against pain

5. Principles of Exercise Equipment & Techniques
Always start light and work your way up (heavier weights, more resistance, higher intensity, etc.)
There is no “cookie cutter” approach to therapy. It has to be individualized to be truly effective.

6. Therapeutic Equipment
Choosing the right piece of exercise equipment for rehabilitation programs differs from choosing exercise equipment for fitness. Rehab programs often need to take into consideration factors such as:
low starting speed
accessibility and needs for disabled people
handles and grab bars strategically positioned to increase safety
larger/brighter screens for the visually impaired
range limiting devices to accommodate people with limited range of motion
wheelchair accessibility

7. Continuous Passive Motion (CPM) Machine
Indications
Knee replacement
Fracture
Arthritis
Hip Surgery
Ligament Surgery
Contraindications
Unstable fracture
Muscle rigidity
Manic phase
Epileptic seizures
Unstable vital signs
Fever/Sweating

8. CPM Machine
Designed to overcome joint adhesions, joint stiffness, muscle atrophy, degenerative & traumatic arthritis after a patient has had joint surgery

9. Aquatic Therapy Indications Contraindications Sensory disorders
Limited ROM
Weakness
Poor motor coordination
Pain
Spasticity
Balance Deficits
Contraindications
Open wound/rash
Seizures/Heart Disease
Urinary Infections
High/Low BP
Fever
Incontinence
Menstrual Cycle

10. Aquatic Therapy
Aquatic therapy is physical therapy that takes place in a pool or other aquatic environment under the supervision of a trained healthcare professional. It is different from aquatic exercise/fitness because it is a physical medicine and rehabilitation specialty that requires the involvement of a trained professional and is covered by many insurance providers.

11. Manual Therapy
Defined as a clinical approach utilizing hands-on techniques, including but not limited to manipulation/mobilization,
Used by the therapist to treat soft tissue and joints to reduce pain, increase ROM, decrease myofascial restrictions, improve muscle length, decrease swelling/inflammation, assist the body in muscle/soft tissue repair, and facilitate movement to improve function.

12. Manual Therapy Indications Contraindications Mild pain
Non-irritable condition
Intermittent musculoskeletal pain
Pain that is relieved by rest, or by particular motions/positions
Contraindications
Joint effusion/inflammation
Rheumatoid arthritis
Neurological issues
Osteoporosis
Hypermobility
Pregnancy
Dizziness
Sutures over the area

13. Adaptive Therapy
Any of the services, techniques, and technologies used in rehab to help patients with functional disabilities overcome environmental barriers.

14. Assistive Devices
An Assistive Device is any device that helps someone do something that they might not otherwise be able to do well or at all. Generally the term is used for devices that help people overcome a handicap such as a mobility, vision, mental, dexterity or hearing loss.

15. Assignment: Complete Assignment questions online
Complete Modalities and Techniques Chart