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Modalities
Parameters
| Modality | Parameters |
|---|---|
| Cryotherapy - indications | Acute/chronic pain, myofacial pain syndrome, muscle spasms, bursitis, acute/subacute inflammation, reduction of spasticity, tendonitis |
| Cryotherapy - contraindications | Compromised circulation, PVD, ischemic tissue, cold hypersensitity, Raynaud's phenomenon, cold urticaria, hypertension infection, cryoglobinemia |
| Cryotherapy - Ice massage | Direct contact to skin for 5 - 10 minutes |
| Cryotherapy - Cold Pack | 23 degrees F or 18 degrees C. |
| Cryotherapy - Cold Bath | 55-64 degrees F or 13-18 degrees C. for 5-10min. |
| Cryotherapy - Vapocoolant spray | Find trigger point then 2 to 5 sweeps with the spray in direction of muscle fibers. Keep spray 12-18 inches away from skin. Stretch during application w/cont. steady tension. |
| Superficial heating - Fluidotherapy | 111-125 degrees F & 44-52 degrees C. for 20 min. |
| Superficial heating - Hot Packs | 158-167 degrees F & 70-75 degrees C. for 20min. 6 to 8 towels over hot pack and if pt lays on hot pack add addition towels |
| Superficial heating - Infrared Lamp | Moist towel over treatment area of skin. 20 inches of distance = 20 min of treatment time. start with 20 inch away from skin for 20 min. As the distance decreases the intensity increase and total time decreases. |
| Superficial heating - Paraffin | 113-126 degrees F & 45-52 degrees C. 15 to 20 minutes. Dip-wrap = Dip 6 to 10 times wrap in plastic then a towel. Reimmersion dip again after initial 6 to 10 dips and allow to remain for 20 min. Paint method using a brush then 6-10 additional layers |
| Deep heating - Ultrasound | Heats tissue debths to 5 centimeters. 1MHz = deep (5 cent.) 3MHz = superficial(<2 cent.) |
| Hydrotherapy - therapeutic pool | Temperature range b/w 79-98 degrees F & 26-37 degrees C. |
| Hydrotherapy - Contrast Bath | Alternating heat and cold in order to decrease edema in a distal extremity. Hot first for 3 to 4 minutes 100-110 degrees F & 27 to 40 degrees C then cold for 1 min. 55-67 degrees F & 13-20 degrees C. Repeat sequence for 20-30 min and end hot bath. |
| Cervical Traction | 25-35 degrees of neck flexion start b/w 10-15 lbs. and progress to 7% of patient's body wt. |
| Lumbar Traction | Start with force less than half body wt. Traction force of 25-50 lbs. - force of 50% of body wt is required for separation of the vertebrae. |
| Compression | 3:1 ration of on/off time with inflation b/w 40-100 seconds and deflation b/w 10-35 seconds. UE = 30-60mm Hg & LE = 40-80 mm Hg. 2-4 hours 3x per week to 3x per day |
Created by:
irongirl
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