Natsumi PhysMed Modalities

Question 1

Hydrotherapy: Hot application indication & C/I?

Answer 1

CHRONIC inflammation & muscle tension

C/I: ischemia, bleeding disorder, impaired sensation, malignant, scar tissue, edema, atrophic skin, ACUTE TRAUMA, poor thermal regulation

Question 2

Hydrotherapy: Cold application indication & C/I?

Answer 2

• ACUTE inflammation & ACUTE traumatic condition (24-48 hours)
• Arthritis, bursitis
• Trigger points
• Minor burns

C/I: arterial insufficiency, cold intolerance (Raynaud’s), Cardio/Resp issues, open wound after 48 hours, cutaneous infection

Question 3

Hydrotherapy: Contrast application indication & C/I?

Answer 3

• CHRONIC inflammation & INFECTIONS
• Arthritis, pain, sore music.

C/I: cardiac dz, Raynaud’s Hypoesthesia

Question 4

Castor oil application indication & C/I?

Answer 4

• Liver detox, constipation, Uterine fibroids, PMS cramps, Non-malignant ovarian cysts

C/I: Malignancy, bleeding, preg

Mech: anti-inflammatory, stimulates uterine contraction and intestinal peristalsis

Question 5

Massage indication & C/I?

Answer 5

• Edema, musc stiffness and soreness, pain, relaxation, prevention/elimination of adhesions

C/I:

• ABSOLUTELY NOT TO DVT → THROMBUS/EMOBLISM
• Acute infection, bleeding, open wound

Question 6

Muscle energy technique

• C/I
• How’s it done?

Answer 6

C/I:

• ABSOLUTELY NOT TO DVT → THROMBUS/EMOBLISM
• Acute infection, bleeding, open wound

5-10 seconds of resistance + relax x2-3 times for increased ROM and hypertonicity

Question 7

Trigger point release

- How’s it done?

Answer 7

Find trigger point, then either:

1. apply pressure for 8-10 seconds, release for 3-5 sec, then reveal several times (better)
2. Direct inhibitory pressure with thumb for 30-60 seconds. DON’T REPEAT in the same spot