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The Contemporary Use of Therapeutic Modalities

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1 The Contemporary Use of Therapeutic Modalities
chapter 1 The Contemporary Use of Therapeutic Modalities

2 A Progressive Model for Rehabilitation of Physically Active Individuals
Adapted, by permission, from J. Hertel and C.R. Denegar, 1998, “A rehabilitation paradigm for restoring neuromuscular control following athletic injury,” Athletic Therapy Today 3 (5):

3 Short- and Long-Term Goals

4 Phases of the Inflammatory Response

5 Common Referred Pain Patterns
Table 4.1 Problem Location of pain Myocardial infarction Neck, jaw, and left shoulder Spleen injury Left shoulder Appendicitis Lower abdomen and right groin Pancreatic injury or pancreatitis Left shoulder, low back, and middle left abdomen Cholecystitis (gallbladder) Right shoulder and midscapular region Renal (kidney) disorder Low back and left shoulder Stomach and upper small intestine (duodenum) disorder (continued) (continued)

6 Common Referred Pain Patterns (continued)
Problem Location of pain Cholecystitis (gallbladder) Right shoulder and midscapular region Renal (kidney) disorder Low back and left shoulder Stomach and upper small intestine (duodenum) disorder Left shoulder

7 Visual Analog Scale Reprinted, by permission, from C.R. Denegar and O.H. Perrin, 1992, “Effect of transcutaneous electrical nerve stimulation, cold and a combined treatment on pain, decreased range of motor and strength loss associated with delayed onset of muscle soreness,” Journal of Athletic Training 27 (3): 202.

8 Causes of Persistent Pain
Adapted, by permission, from C.R. Denegar and A. Peppard, 1997, “Evaluation and treatment of persistent pain and myofascial pain syndrome,” Athletic Therapy Today 2 (4): 40.

9 Common Trigger Points: Anterior
Reprinted, by permission, from C.R. Denegar and A. Peppard, 1997, “Evaluation and treatment of persistent pain and myofascial pain syndrome,” Athletic Therapy Today 2 (4): 42.

10 Common Trigger Points: Posterior
Reprinted, by permission, from C.R. Denegar and A. Peppard, 1997, “Evaluation and treatment of persistent pain and myofascial pain syndrome,” Athletic Therapy Today 2 (4): 42.

11 Impact of Injury and Pain on Neuromuscular Control
chapter 6 Impact of Injury and Pain on Neuromuscular Control

12 Straight Leg Raise With Extensor Lag

13 Hierarchy of Rehabilitation Goals
Adapted, by permission, from J. Hertel and C.R. Denegar, 1998, “A rehabilitation paradigm for restoring neuromuscular control following athletic injury,” Athletic Therapy Today 3 (5): 13–14.

14 Swelling Within the Capsule

15 Rehabilitation Paradigm
Reprinted, by permission, from J. Hertel and C.R. Denegar, 1998, “A rehabilitation paradigm for restoring neuromuscular control following athletic injury,” Athletic Therapy Today 3 (5): 13–14.

16 Single Leg Balance

17 Single Leg Balance on Foam Roller

18 Shoulder Hiking

19 Cold and Superficial Heat
chapter 8 Cold and Superficial Heat

20 Polar Care Unit

21 Ice Massage

22 Cold Water Immersion

23 Vapocoolant Spray

24 Maximum Whirlpool Temperature by Body Part
Table 8.2 Body part Degrees F Degrees C Wrist and hand 112 44.4 Foot and ankle 110 43.3 Elbow 108 42.2 (continued)

25 Maximum Whirlpool Temperature by Body Part (continued)
Degrees F Degrees C Knee 106 41.1 Thigh 104 40.0

26 A Paraffin Bath

27 Fluidotherapy


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