1. Therapeutic Modalities
Modalities-treatment of injuries, including heating, cooling, and mechanical/electrical methods.
What modalities do we use in our Training Room?

2. Therapeutic Modalities
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.

3. Therapeutic Modalities
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.

4. Thermal Modalities
Thermal Modalities use thermal agents-heat and cold.

5. Thermal Modalities
Cryotherapy-therapeutic use of cooling agents. Most often used modality in sports medicine.
Includes- cold pack, cold bucket bath, ice massage

6. 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

7. Cryotherapy 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

8. Cryotherapy Ice Packs-effective for local area injury.
Cubes in a plastic bag.
Commercial Gel Packs
Chemical-activated cold pack
Bag of vegetables/frozen rice

9. Cryotherapy 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

10. Cryotherapy
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.

11. Cryotherapy
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

12. Cryotherapy Contraindications- Sensory deficits (the elderly)
Hyersensitive to cold
Impaired circulation
Heart disease
Malignant tissue

13. Heating Agents (HOT)
Can be skin deep of up to a few inches deep, depending upon modality
Reduce pain
Promote healing
Increase ROM
Muscle relaxation

14. Heating Agents (HOT) Increase vasodialation-blood flow
Increase metabolic rate
Increase oxygenation of tissue
Use for chronic or subacute injuries, not acute.

15. Heating Agents
Hydrocollator Packs- moist heat packs used for superficial heat.
Water is at degrees C
Used for minutes
Put in covers for insulation and safety

16. Heating Agents
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.

17. Heating Agents Contraindications
Not used in first 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

18. Hydrotherapy Disadvantages Advantages
A form of superficial heating using agitated, heated water in a whirlpool.
Disadvantages
Extra time and effort to prepare and clean
Space
Expensive
No elevation
Advantages
It can allow the patient to work ROM
A larger area of the body can be treated
10-20 min is treatment time.

19. Contrast Therapy
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
degrees F hot bath
Always end with COLD
3H-1C-3H-1C-3H-1C about 20 minutes

20. 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.