The Contemporary Use of Therapeutic Modalities

1
chapter 1

• The Contemporary Use of Therapeutic Modalities

2
A Progressive Model for Rehabilitationof
Physically Active Individuals

• Adapted, by permission, from J. Hertel and C.R.
  Denegar, 1998, A rehabilitation paradigm for
  restoring neuromuscular control following
  athletic injury, Athletic Therapy Today 3 (5)
  13-14.

3
Short- and Long-Term Goals
4
Phases of the Inflammatory Response
5
Common Referred Pain Patterns
Table 4.1
Problem Location of pain
Myocardialinfarction Neck, jaw, and left shoulder
Spleen injury Left shoulder
Appendicitis Lower abdomen and right groin
Pancreatic injury or pancreatitis Left shoulder, low back, and middle left abdomen
Cholecystitis (gallbladder) Right shoulder and midscapular region
Renal (kidney) disorder Low back and left shoulder
Stomach and upper small intestine (duodenum) disorder Left shoulder
(continued)
6
Common Referred Pain Patterns (continued)
Problem Location of pain
Cholecystitis (gallbladder) Right shoulder and midscapular region
Renal (kidney) disorder Low back and left shoulder
Stomach and upper small intestine (duodenum) disorder Left shoulder
7
Visual Analog Scale

• Reprinted, by permission, from C.R. Denegar and
  O.H. Perrin, 1992, Effect of transcutaneous
  electrical nerve stimulation, cold and a combined
  treatment on pain, decreased range of motor and
  strength loss associated with delayed onset of
  muscle soreness, Journal of Athletic Training 27
  (3) 202.

8
Causes of Persistent Pain

• Adapted, by permission, from C.R. Denegar and A.
  Peppard, 1997, Evaluation and treatment of
  persistent pain and myofascial pain syndrome,
  Athletic Therapy Today 2 (4) 40.

9
Common Trigger Points Anterior

• Reprinted, by permission, from C.R. Denegar and
  A. Peppard, 1997, Evaluation and treatment of
  persistent pain and myofascial pain syndrome,
  Athletic Therapy Today 2 (4) 42.

10
Common Trigger Points Posterior

• Reprinted, by permission, from C.R. Denegar and
  A. Peppard, 1997, Evaluation and treatment of
  persistent pain and myofascial pain syndrome,
  Athletic Therapy Today 2 (4) 42.

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chapter 6

• Impact of Injury and Painon Neuromuscular
  Control

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Straight Leg Raise With Extensor Lag
13
Hierarchy of Rehabilitation Goals

• Adapted, by permission, from J. Hertel and C.R.
  Denegar, 1998, A rehabilitation paradigm for
  restoring neuromuscular control following
  athletic injury, Athletic Therapy Today 3 (5)
  1314.

14
Swelling Within the Capsule
15
Rehabilitation Paradigm

• Reprinted, by permission, from J. Hertel and C.R.
  Denegar, 1998, A rehabilitation paradigm for
  restoring neuromuscular control following
  athletic injury, Athletic Therapy Today 3 (5)
  1314.

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Single Leg Balance
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Single Leg Balance on Foam Roller
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Shoulder Hiking
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chapter 8

• Cold and Superficial Heat

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Polar Care Unit
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Ice Massage
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Cold Water Immersion
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Vapocoolant Spray
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Maximum Whirlpool Temperatureby Body Part

• Table 8.2

Body part Degrees F Degrees C
Wrist and hand 112 44.4
Foot and ankle 110 43.3
Elbow 108 42.2
(continued)
25
Maximum Whirlpool Temperatureby Body Part
(continued)
Body part Degrees F Degrees C
Knee 106 41.1
Thigh 104 40.0
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A Paraffin Bath
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Fluidotherapy