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Introduction to Modalities
Sports Medicine Mr. Jones
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Objectives Define therapeutic modalities
List the basic types of modalities Explain the purposes of modalities Explain general indications and contraindications
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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
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General Purposes of Modalities
Alter blood flow (vasoconstriction or vasodilation) ______________________________________ Alter metabolism
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Indications for Using Modalities
Acute injuries Acute or chronic pain ____________________________________ Chronic inflammation Joint tightness
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Contraindications for Using Modalities
____________________________________ Cold-related allergies Areas of ________________________________ or circulatory deficits Open growth plates Over organs (heart, eyes, etc.) Possible _______________________________
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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
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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
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Electrotherapy Various types Examples:
Decrease ___________________________ Decrease ____________________________________________ Increase blood flow Neuromuscular re-education Examples: Premod Interferential Russian TENS H-wave Combo
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Manual Therapies ____________________________________________
Myofascial release Joint mobilization Traction Dry needling
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Medications Prescription vs. OTC ____________________________
Ibuprofen (Advil), naproxen sodium (Aleve), aspirin (Bayer) Celebrex, Voltaren, Mobic, Indocin Acetaminophen (Tylenol) Vicodin, Oxycotin, Xanax, etc. Muscle Relaxers
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