1. Indications and Contraindications of Therapuetic Modalities

2. What are examples of Thermotherapy?

3. Thermotherapy Indications O Indications O Increases circulation/vasodilation=increase in flexibility O Cell metabolism O Decreases muscle pain and spasm

4. Thermotherapy Contraindications O Circulatory impairments O Acute injury or inflammation O Thrombophlebitis O Impaired sensation O Malignancy

5. Thermotherapy Precautions O Pregnancy O Impaired circulation O Poor thermal regulation O Edema O Cardiac insufficiency O Over an open wound O Over areas where topical counterirritants have been applied

6. What are examples of Cryotherapy?

7. Cryotherapy Indications O Inflammation control O Edema control O Pain control O Modify spasticity

8. Cryotherapy Contraindications. O Impaired sensation. O Impaired circulation O Open wounds after 48 hours. O Hypersensitivity to cold/cold intolerance O Severe cardiac disease. O Regenerating peripheral nerves O Arteriosclerosis O Varicose veins

9. Cryotherapy Contraindications O Diabetes O Anemia O Heart disease O Cold allergies O Skin conditions (rashes, open wounds) O Cancer

10. Cryotherapy Precautions O Over open wounds O Cold to a large area can increase arterial pressure O Poor sensation O Very young or very old patients O Raynaud’s Phenomenon

11. What are examples of Electrical Therapy?

12. Electrical Therapy Indications O Reduce pain O Control acute pain O Reduce inflammation and edema O Decrease muscle spasm

13. Electrical Therapy Contraindications O Thoracic area O Over a pacemaker or defibrillator O Cancerous Tumor O Over metal, such as staples O On patients who can not communicate pain or who do not like the sensation

14. Ultrasound Indications O Two Effects from US. O Pulsed O Lower intensity O Non Thermal O Facilitate Repair and healing O Thermal O Elevate Tissue Temperature O Increase Blood Flow O Reduce Muscle Spasm

15. Ultrasound Contraindications O Pregnancy O Reproductive Organs O Diminished pain sensitivity O Heat Sensitivity O Epiphyseal Plates in children O Wounds O Do not use on the brain, spinal cord, or eye

16. Laser Indications O Pain modulation (trigger points) O Facilitate wound healing

17. Trigger Points

18. Laser Contraindications O Pregnancy O Eyes

19. General Reminder O Always remember patient comfort