This is a PDF file that discusses therapeutic modalities, such as their descriptions, indications, administration techniques, treatment considerations, effective documentation practices, critical assessment parameters, and precautions/contraindications for each. Although this PDF goes into detail about many different modalities, only a few are going to be summarized with their indications/contraindications in order to give an idea of what it discusses. This is a very good resource to have and possible even print off.
Cryotherapy is described as using 'cold' to achieve results therapeutically and typically used for pain management, anti-inflammation, edema control, decrease of muscle guarding/spams and spasticity management. It should not be used on individuals with sensory deficits, circulatory issues, cold hypersensitivity or HTN.
Fluidotherapy uses dry circulating corn husks as a superficial heat on the affected area. This type of therapy is typically used on hands and/or wrists but can also be used for ankles/foot. The conditions it targets include arthritis, chronic tendonitis, postoperative conditions, post fracture management and Raynaud's syndrome. It should not be used with open wounds. If there is an open wound and fluidotherapy is to be utilized, it should be covered by a plastic barrier to prevent the particles from entering the area.
Hydroptherapy/Aquatic therapy is used as heat or cold therapy in order to manage wounds, such as cleansing/healing or pain by using tanks or whirlpool. Specific conditions that utilized this therapy include arthritis MS, muscular dystrophy or other neuro-myopathies, spinal cord injuries or other orthopedic injuries. When being used, health professional should always watch for excessive loss of body heat of overexertion.
Iontophoresis is a continuous and direct current used to transmit ions through the affected skin that is typically used for pain management, anti-inflammation, scar management and enhanced healing. It should not be used within bruised areas, cuts, broken skin, acute injuries, and active hemorrhages. Basic E-stim contraindications apply and should also be cautiously applied to those who have impaired sensation.
Paraffin is a superficial heat that uses wax and mineral oil for conditions such as chronic arthritis of the hand and foot, as well as various distal extremity conditions to increase ROM or manage pain. Open wounds should be covered when using paraffin and all heat precautions should be followed as well.
Ultrasound is used as a deep healing technique where sound waves are low intensity and high frequency provide thermal or nonthermal effects to the area. Typically it is used in order to increase the extensibility of collagen fibers in tendons and joint capsules, reduce muscle spasm and modulate pain. It should not be used in areas of poor circulation or impaired sensation, over reproductive organs or eyes, pregnant individuals should avoid using it, as well as those with pacemakers or individuals with cancer, as well as total joint replacements or active epiphyseal growth plates.
There are many other therapeutic modalities noted in this pdf, such as ICF, low-level laser therapy, mechanical intermittent compression, mechanical spinal traction, MENS, NMES, and TENS.
Cryotherapy is described as using 'cold' to achieve results therapeutically and typically used for pain management, anti-inflammation, edema control, decrease of muscle guarding/spams and spasticity management. It should not be used on individuals with sensory deficits, circulatory issues, cold hypersensitivity or HTN.
Fluidotherapy uses dry circulating corn husks as a superficial heat on the affected area. This type of therapy is typically used on hands and/or wrists but can also be used for ankles/foot. The conditions it targets include arthritis, chronic tendonitis, postoperative conditions, post fracture management and Raynaud's syndrome. It should not be used with open wounds. If there is an open wound and fluidotherapy is to be utilized, it should be covered by a plastic barrier to prevent the particles from entering the area.
Hydroptherapy/Aquatic therapy is used as heat or cold therapy in order to manage wounds, such as cleansing/healing or pain by using tanks or whirlpool. Specific conditions that utilized this therapy include arthritis MS, muscular dystrophy or other neuro-myopathies, spinal cord injuries or other orthopedic injuries. When being used, health professional should always watch for excessive loss of body heat of overexertion.
Iontophoresis is a continuous and direct current used to transmit ions through the affected skin that is typically used for pain management, anti-inflammation, scar management and enhanced healing. It should not be used within bruised areas, cuts, broken skin, acute injuries, and active hemorrhages. Basic E-stim contraindications apply and should also be cautiously applied to those who have impaired sensation.
Paraffin is a superficial heat that uses wax and mineral oil for conditions such as chronic arthritis of the hand and foot, as well as various distal extremity conditions to increase ROM or manage pain. Open wounds should be covered when using paraffin and all heat precautions should be followed as well.
Ultrasound is used as a deep healing technique where sound waves are low intensity and high frequency provide thermal or nonthermal effects to the area. Typically it is used in order to increase the extensibility of collagen fibers in tendons and joint capsules, reduce muscle spasm and modulate pain. It should not be used in areas of poor circulation or impaired sensation, over reproductive organs or eyes, pregnant individuals should avoid using it, as well as those with pacemakers or individuals with cancer, as well as total joint replacements or active epiphyseal growth plates.
There are many other therapeutic modalities noted in this pdf, such as ICF, low-level laser therapy, mechanical intermittent compression, mechanical spinal traction, MENS, NMES, and TENS.
Chapter 2. Therapeutic Modalities. (2012) Retrieved from [PDF] https://www.google.com/?gws_rd=ssl#q=contraindications+of+modalities.