1. Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Chapter 33 Rehabilitation and Therapeutic Modalities

2. Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Principles of Body Mechanics Use of certain key muscle groups together with good body alignment and proper body positioning to reduce risk of injury to patient and caregiver

3. Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Principles of Body Mechanics Click Here to play the video

4. Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Principles of Body Mechanics Good posture –Protects entire body –Enables you to lift, push, and pull easily and safely –Check posture frequently

5. Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Principles of Body Mechanics Lifting techniques

6. Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Transferring Patients Use good body mechanics From wheelchair to examination table From examination table to wheelchair

7. Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Assisting Patients to Ambulate Walking provides ultimate level of independence and freedom Safety issues Assisting the patient to stand and walk Care of the falling patient

8. Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Assistive Devices Walkers Crutches –Measuring a patient for axillary crutches –Triangle stance –Teaching patient to ambulate with axillary crutches –Crutch walking gaits

9. Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Assistive Devices Click Here to play the video

10. Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Assistive Devices Canes –Standard –Quad –Walkcane Wheelchairs –Safety rules for transporting patient in wheelchair

11. Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Therapeutic Exercises Goniometry and range of motion Muscle testing Types of therapeutic exercise –Without constant exercise, musculoskeletal system would deteriorate –Effects of exercise on body

12. Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Therapeutic Exercises Types of therapeutic exercise –Active –Passive –Assisted –Active resistance

13. Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Therapeutic Exercises Electromyography –Test electrical activity of muscle Electrostimulation of muscle –Stimulates to exercise muscle –Helpful to nerve-damaged muscle

14. Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Therapeutic Exercises Range of motion exercises –Designed to maintain joint mobility –Passive or active –Terminology of joint movement –General precautions

15. Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Therapeutic Modalities Heat and cold –Precautions for heat and cold applications –Types Thermotherapy: causes vasodilation Cryotherapy: causes vasoconstriction

16. Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Therapeutic Modalities Moist and dry heat modalities –Moist heat therapies –Dry heat therapies

17. Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Therapeutic Modalities Moist and dry cold modalities –Moist cold therapies –Sitz bath –Dry cold therapies

18. Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Therapeutic Modalities Ultrasound –High-frequency acoustic vibration injuries –How it works –Potential dangers Massage therapy –Purpose –Benefits