Modalities Ch. 1 + 2

Question 1

pathophysiology

Answer 1

the disordered physiological processes associated with disease or injury

Question 2

therapeutic

Answer 2

pertains to results obtained from treatment
having medical or healing properties
a healing agent

Question 3

modality

Answer 3

the application of a healing agent

Question 4

therapeutic modality

Answer 4

a device or technique that administers a healing agent

Question 5

physical agents

Answer 5

heat
cold
light
electricity
exercise

Question 6

classifications of modalities

Answer 6

mechanical
cryotherapy
thermotherapy
hydrotherapy
electrotherapy
active exercise

Question 7

mechanical

Answer 7

use of force or pressure

• compression
• massage

Question 8

hydrotherapy

Answer 8

can fall into one of the first three categories

-cold immersion

Question 9

modality selection

-who chooses

Answer 9

who chooses

• physician or treating clinician
• if physician, it is most likely a physiatrist

Question 10

modality selection

-must have…

Answer 10

• correct diagnosis
• definite conception of the pathological and physiological changes associated with the injury
• determine treatment goals
• understand the effects of the modality
• understand indications and contraindications

Question 11

knobology

Answer 11

the study of application without theory

Question 12

10 core goals of rehab

Answer 12

structural integrity
pain-free joints and muscles
joint flexibility
muscular strength
muscular endurance
muscular speed
muscular power (strength + speed)
skill patterns (integrated and coordinated movement)
agility (speed and skill)
cardiovascular endurance

Question 13

structural integrity

Answer 13

healing the damaged body part

Question 14

administrative issues

Answer 14

professionalism
standard of care
documentation
confidentiality

Question 15

professionalism

Answer 15

makes patient more confident in and comfortable with you

Question 16

what does professionalism look like

Answer 16

attire
correct words
-not slang, but understandable
-not talking down to a patient

Question 17

what does unprofessionalism look like?

Answer 17

using a phone

Question 18

why is professionalism important when using modalities

Answer 18

safety

Question 19

standard of care

Answer 19

determined by what another medical professional would find reasonable and prudent to do in the same situation
helps to protect us legally

Question 20

state regulation for ATs

Answer 20

Licensure
certification
registration
exemption

Question 21

electric modality safety

Answer 21

all modalities must be plugged into a ground fault interrupters
-if something goes wrong it automatically stops
should be calibrated annually

Question 22

documentation

-why

Answer 22

Standards of Professional Practice
-BOC requirement that we document everything
legal protection
referral for treatment
communication and quality control
research
traffic patterns

Question 23

documentation as communication

Answer 23

yourself
-help remember a patient’s treatment
other healthcare providers
patient

Question 24

documentation as legal protection

Answer 24

injury records are legal documents
1986 court case
-ice pack

Question 25

documentation for research

Answer 25

what has worked?
what hasn’t worked?
what traffic patterns are observable?

Question 26

types of documentation

Answer 26

HIPS/HOPS
-history, inspection/observation, palpation, special tests
SOAP
-initial note
-progress note
-discharge note
treatment log

Question 27

confidentiality

Answer 27

HIPAA

• Health Insurance Portability and Accountability Act
• 1996
• protects medical files
• gives patients access to their health information

Question 28

application of modalities

Answer 28

shotgun approach vs. rifle approach

cookbook approach vs. critical thinker approach

Question 29

standard operating procedures (SOPs)

Answer 29

specific guidelines and protocols
quality control
promotes consistency

Question 30

modality application framework

Answer 30

foundation
preapplication tasks
application parameters
postapplication tasks
maintenance

Question 31

foundation

Answer 31

description of the modality and the basics of how it operates
need knowledge about
-effects
-advantages
-disadvantages
-indications
-contraindications
-precautions

Question 32

pre-application tasks

Answer 32

select proper modality
establish goals of therapy
pair goals w/ modality
make sure there aren't contraindications
prepare patient psychologically
prepare patient physically
prepare equipment

Question 33

application parameters

Answer 33

procedures
-adjusting output
-checking patient response
dosage
length of application
frequency of application
duration of therapy

Question 34

post-application tasks

Answer 34

equipment removal, patient clean-up
equipment replacement, area clean-up
instruction to patient
-schedule next Tx
-instruct about level of activity/self-Tx
-what they should feel following
record of Tx

Question 35

foundation

Answer 35

description of the modality and the basics of how it operates
need knowledge about
-effects
-advantages
-disadvantages
-indications
-contraindications
-precautions

Question 36

pre-application tasks

Answer 36

select proper modality
establish goals of therapy
pair goals w/ modality
make sure there aren't contraindications
prepare patient psychologically
prepare patient physically
prepare equipment

Question 37

application parameters

Answer 37

procedures
-adjusting output
-checking patient response
dosage
length of application
frequency of application
duration of therapy

Question 38

post-application tasks

Answer 38

equipment removal, patient clean-up
equipment replacement, area clean-up
instruction to patient
-schedule next Tx
-instruct about level of activity/self-Tx
-what they should feel following
record of Tx