Use Of Modalities In Treatment Of Acute Injury

Question 1

Inflammatory response (days 2 - 6)

Answer 1

Sx: swelling subsides, warm to touch, discoloration, pain to touch, pain on motion
Modalities:
CRYO --> decrease swelling and pain
ESC --> decrease pain
IC --> decrease swelling
LPL --> decrease pain
US --> nonthermal effects to increase healing
ROM

Question 2

Fibroblastic-repair (days 4 - 10)

Answer 2

Sx: pain to touch, pain on motion, swollen
Modalities:
THERMO --> mildly increase circulation
ESC --> decrees pain - muscle pumping
LPL --> decrease pain
IC --> facilitate lymphatic flow
US --> nonthermal effects to increase healing
ROM
Strengthening

Question 3

Maturation-remodeling (day 7 - recovery)

Answer 3

Sx: swollen, no more pain to touch, decreasing pain on motion
Modalities:
US –> deep heating to increase circulation
ESC –> increase ROM and strength
LPL –> decrease pain
SWD –> decrease pain
MWD –> deep heating to increase circulation
ROM –> deep heating to increase circulation
Strengthening
Functional activities

Question 4

Initial acute phase (injury - day 3)

Answer 4

Sx: swelling, pain to touch, pain on motion 
Modalities:
CRYO --> decrease swelling and pain
ESC --> decrease pain
IC --> decrease swelling
LPL --> decrease pain
US --> nonthermal effects to increase healing 
Rest