Intro Flashcards
Procedural Interventions
- Therapeutic exercise
- Functional Training-home & work
- Manual therapy techniques
- prescription, application, fabrication of assistive devices
- Airway clearance techniques
- integumentary repair/protection
- electrotherapeutic modalities
- Physical agents and mechanical modalities
Electrotherapeutic modalities
Broad group of agents that use electricity
-biofeedback
Electrotherapeutic modalities intend to:
- assist functional training
- assist muscle force generation & contraction
- Decrease unwanted muscular activity
- Increase the rate of healing of open wounds/soft tissue
- maintain strength after injury or surgery
- modulate of decrease pain
- reduce or eliminate soft tissue swelling, inflammation, or restriction
Electrotherapeutic delivery of medication
iontophoresis
Electrical Stimulation
- Electrical muscular stimulation ( EMS)
- electrical stimulation for tissue repair (ESTR)
- Functional electrical Stimulation (FES)
- High voltage pulsed current ( HVPC)
- Neuromuscular electrical stimulation (NMES)
- Transcutaneous electrical nerve stimulation (TENS)
Physical Agents
A broad group of procedures using various forms of energy that are applied to tissues in a systemic manner
Physical agents are intended to:
- Increase CT extensibility
- increase healing rate of open wounds and soft tissue
- Modulate pain
- reduce/eliminate soft tissue swelling or restriction associated with musculoskeletal injury or circulation dysfunction
- Remodel scar tissue
- Treat skin conditions
Athermal agents
Pulsed electromagnetic fields
Cyrotherapy
- Cold packs or ice packs
- ice massage
- ice immersion
- Vapocoolant spray
hydrotherapy
- Contrast baths
- Pools
- Pulsatile lavage (H20 to debride wounds)
- whirlpool tanks
light agents
- Infrared
- Laser
- Ultraviolet
Sound agents
- Phonophoresis
- Ultrasound
Thermotherapy
- Diathermy
- Dry heat
- Moist hot packs
- Paraffin baths
Mechanical modalities
A group of devices that use forces such as approximation, compression, and distraction
mechanical modalities intend to :
- improve circulation
- Increase ROM
- Modulate pain
- Stabilize an area that requires temporary support
Types of mechanical modalities
- compression therapy
- gravity assisted compression devices
- mechanical motion devices
- Traction devices
Compression therapies
- Compression bandaging
- Compression garment
- Taping
- Total contact casting
- Vasopneumatic compression devices
Gravity assisted compression devices
- Tilt table
- Standing frame
mechanical motion devices
-Continuous passive motion (CPM)
Traction devices
- Intermittent
- Positional
- Sustained
Physical agents primarily effective in what part of disablement model?
Impairment
- abnormality of structure (Tissue level)
Physical agents secondarily effective in what part of disablement model?
Pathology/ pathophysiology
- disease or injury (cellular level)
Reasons for interventions
- must understand why we are applying a physical agent
- Need to document clearly what & why we are doing something
Documentation
What we are doing and why
- type of modality
- location (body part)
- patient position
- dosage/time
- reason for intervention