1. Chapter 2. General Application Procedures

2. What Is the Shotgun Approach?

3. What Is the Rifle Approach?

4. Use modalities that target the specific needs of the patients.

5. Be a Critical Thinker

6. Modality Application

7. Why a General Approach? Easier to learn multiple modalities
One system fits all
Not as likely to forget something during
application

8. Five Components Background information Preapplication parameters
Application procedures
Postapplication parameters
Maintenance

9. Background
Information

10. Define the Modality Explain briefly: What the modality is
How it operates

11. Know the modality’s Effects Advantages Disadvantages Indications
Contraindications
Precautions

12. Effects What physiological and/or pathological changes does it evoke in the body (both locally and systemically) as it its applied
(Reprinted with permission from Castel D. International Academy of Physio Therapeutics. Clip art.)

13. Advantages
What does this modality do that makes it effective in treating injuries?

14. Disadvantages
What are possible negative effects of using this modality to treat sports injuries?

15. Situations in which this modality should be used
Indications
Situations in which this modality should be used

16. Contraindications Situations in which this modality should not be used
Situations in which it may do more harm than good

17. Situations that could cause harm if you are not careful
Precautions
Situations that could cause harm if you are not careful

18. NOTE: Alternative terminology
Absolute contraindications = contraindications
Relative contraindications = precautions

19. However
If contraindication means “don’t use,” how can you relatively not use something?

20. Preapplication
Parameters

21. Four Aspects Select the proper modality Prepare the patient physically
Prepare the patient mentally
Prepare the equipment

22. Select the Proper Modality
Determine the anatomical, pathological and physiological changes associated with the injury by
(Re)evaluating the injury or problem
Reviewing the response to previous treatment
Establish objectives (goals) of therapy

23. Select the Proper Modality (cont.)
Match your therapeutic goal with a modality that will help you achieve that goal.
Consider
Effects, advantages, disadvantages, indications, and contraindications of possible modalities
Check for contraindications.

24. Prepare the Patient Physically
Remove clothing as necessary.
Remove bandages, braces, etc., as necessary.
Position the patient in a manner that will be comfortable, yet allow accessibility to the modality.
(Used with permission from Castel D. International Academy of Physio Therapeutics. Clip art.)

25. Prepare the Patient Psychologically
Explain the procedure.
Briefly review the physiology, if interested.
Tell the patient what to expect, what to feel.
Demonstrate the procedure on self, if the patient is apprehensive.
Warn about precautions.

26. Prepare the Equipment
Setup
Check equipment operation
Safety check

27. Application
Procedures

28. Procedures Turn on Dosage Duration Frequency of application
Adjustment sequence
Check the patient response
Dosage
Duration
Frequency of application

29. Postapplication
Parameters

30. Postapplication Remove the equipment/clean up the patient
Replace the equipment/clean up the area
Instructions to the patient
Arrange next treatment

31. Instructions to the Patient
Instruct the athlete concerning what he or
she should feel after treatment.
Record the treatment and any unique patient responses to the treatment.
Instruct the athlete concerning the level of activity and/or self-treatment before the next formal treatment.

32. Maintenance

33. Maintenance Clean equipment regularly Routine maintenance
Simple repairs