Unit 9 MODALITIES AND REHABILITATION Mobility Worksheet

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Unit 9 MODALITIES AND REHABILITATION Mobility Worksheet Name Period The selection of specific treatments is based on a variety of factors list four: What is the protocol for RICE? What are the purposes of using RICE? List six physiological effects of cold: 5. 6. Describe three contraindications for the use of cryotherapy: 5. Explain Raynaud s phenomenon: Unit NINE - Modalities and Rehabilitation 1 Utah State Office of Education

Cold should never be applied longer than minutes at any one time. Explain what physiological effects occur if cold is applied for a period longer than this: 7. List the stages of cryotherapy: 8. Heat has the opposite effect of cryotherapy in that it produces an immediate increase in circulation this is termed. 9. Explain the guidelines for moving from the use of cold to the use of heat on an injury: 10. List five physiological effects of heat: 5. 1 Describe four contraindications of the use of thermotherapy: 1 Explain the purpose of using contrast baths: Unit NINE - Modalities and Rehabilitation 2 Utah State Office of Education

Briefly describe how ultrasound therapy works as a modality: 1 List four purposes of electrical stimulation in athletic injury care: 15 List three contraindications for electrical stimulation: 16. List four therapeutic effects of massage: Unit NINE - Modalities and Rehabilitation 3 Utah State Office of Education

Unit 9 MODALITIES AND REHABILITATION Mobility Worksheet KEY The selection of specific treatments is based on a variety of factors list four: Injury site, type, and severity Modality indications and contraindications The physician s prescription The athlete s willingness to accept treatment What is the protocol for RICE? What are the purposes of using RICE? Apply cold intermittently for 15-20 minutes every 1½ waking hours, along with compression, elevation, and rest. To reduce many of the adverse conditions related to the inflammatory phase of an acute injury. List six physiological effects of cold: Decrease in tissue temperature Decrease in metabolism Decrease in blood flow (vasoconstriction) Decrease in muscle spasms Increase in collagen inelasticity Decrease pain Increase in joint stiffness Decrease muscle fatigue Increase capillary permeability Describe three contraindications for the use of cryotherapy: Circulatory disturbances Hypersensitivity to cold Prolonged application over superficial nerves 5. Explain Raynaud s phenomenon: A condition that causes vasospasm of digital arteries lasting for minutes to hours, which could lead to tissue death. Signs and symptoms include intermittent skin blanching or cyanosis of the fingers or toes; numbness, tingling, or burning 6. Cold should never be applied longer than 20-30 minutes at any one time. Explain what physiological effects occur if cold is applied for a period longer than this: Hunting Response intermittent vasodilation occurs to prevent tissue damage from too much cold exposure. This vasodilation is contrary to the desired physiologic effect of vasoconstriction. 7. List the stages of cryotherapy: Cold sensation Mild burning, aching Numbness Unit NINE - Modalities and Rehabilitation 4 Utah State Office of Education

Heat has the opposite effect of cryotherapy in that it produces an immediate increase in circulation this is termed Vasodilation. 9. Explain the guidelines for moving from the use of cold to the use of heat on an injury: Avoid heat until the active inflammatory process has ceased. The injured area should have pain-free range of motion, not be acutely painful, and show no increased signs of heat or swelling. 10. List six physiological effects of heat: Decreased muscle spasms Decrease pain Increase blood flow (vasodilation) Increased metabolism Decreased joint stiffness Increased range of motion Increased relaxation 1 Describe four contraindications of the use of thermotherapy: Loss of sensation Eyes, genitals Acute injury Abdomen when pregnant Decreased circulation Malignancy 1 Explain the purpose of using contrast baths: Primarily used in the treatment of extremities. Alternatively produces vasodilation from the hot water and vasoconstriction from the cold water. The goal is to increase local circulation in the treated limb. 1 Briefly describe how ultrasound therapy works as a modality: Ultrasound uses high frequency sound waves which cause molecules in the tissues to vibrate, thus producing both heat and mechanical energy. 1 List five purposes of electrical stimulation in athletic injury care: Control pain Decrease atrophy Increase circulation Increase tissue temperature Break down adhesions Reeducate muscles 15. List three contraindications for electrical stimulation: Pacemakers Pregnancy When muscular contractions are not wanted (fractures, active bleeding, malignancies) Unit NINE - Modalities and Rehabilitation 5 Utah State Office of Education

16. List four therapeutic effects of massage: Increasing cell metabolism Increasing venous flow and lymphatic drainage Increasing circulation and nutrition Stretching superficial scar tissue Relaxing muscle tissues Unit NINE - Modalities and Rehabilitation 6 Utah State Office of Education