Chapter 2 General Application Procedures 2008 LWW What

Chapter 2. General Application Procedures © 2008 LWW

What Is the Shotgun Approach? © 2008 LWW

What Is the Rifle Approach? © 2008 LWW

♦ Use modalities that target the specific needs of the patients. © 2008 LWW

Be a Critical Thinker © 2008 LWW

Modality Application © 2008 LWW

Why a General Approach? u Easier to learn multiple modalities è u One system fits all Not as likely to forget something during application © 2008 LWW

Five Components Background information u Preapplication parameters u Application procedures u Postapplication parameters u Maintenance u © 2008 LWW

Background Information © 2008 LWW

Define the Modality Explain briefly: t What the modality is t How it operates © 2008 LWW

Know the modality’s t Effects t Advantages t Disadvantages t Indications t Contraindications t Precautions © 2008 LWW

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. ) © 2008 LWW

Advantages What does this modality do that makes it effective in treating injuries? © 2008 LWW

Disadvantages What are possible negative effects of using this modality to treat sports injuries? © 2008 LWW

Indications Situations in which this modality should be used © 2008 LWW

Contraindications Situations in which this modality should not be used Situations in which it may do more harm than good © 2008 LWW

Precautions Situations that could cause harm if you are not careful © 2008 LWW

NOTE: Alternative terminology Absolute contraindications = contraindications Relative contraindications = precautions © 2008 LWW

However If contraindication means “don’t use, ” how can you relatively not use something? © 2008 LWW

Preapplication Parameters © 2008 LWW

Four Aspects Select the proper modality t Prepare the patient physically t Prepare the patient mentally t Prepare the equipment t © 2008 LWW

Select the Proper Modality t Determine the anatomical, pathological and physiological changes associated with the injury by – (Re)evaluating the injury or problem – Reviewing the response to previous treatment t Establish objectives (goals) of therapy © 2008 LWW

Select the Proper Modality (cont. ) t Match your therapeutic goal with a modality that will help you achieve that goal. t Consider s Effects, advantages, disadvantages, indications, and contraindications of possible modalities t Check for contraindications. © 2008 LWW

Prepare the Patient Physically Remove clothing as necessary. t Remove bandages, braces, etc. , as necessary. t Position the patient in a manner that will be comfortable, yet allow accessibility to the modality. t (Used with permission from Castel D. International Academy of Physio Therapeutics. Clip art. ) © 2008 LWW

Prepare the Patient Psychologically t Explain the procedure. t Briefly review the physiology, if interested. t Tell the patient what to expect, what to feel. t Demonstrate the procedure on self, if the patient is apprehensive. t Warn about precautions. © 2008 LWW

Prepare the Equipment t Setup t Check equipment operation t Safety check © 2008 LWW

Application Procedures © 2008 LWW

Procedures w Turn on s Adjustment sequence s Check the patient response w Dosage w Duration w Frequency of application © 2008 LWW

Postapplication Parameters © 2008 LWW

Postapplication t Remove the equipment/clean up the patient t Replace the equipment/clean up the area t Instructions to the patient t Arrange next treatment © 2008 LWW

Instructions to the Patient t Instruct the athlete concerning what he or she should feel after treatment. t Record the treatment and any unique patient responses to the treatment. t Instruct the athlete concerning the level of activity and/or self-treatment before the next formal treatment. © 2008 LWW

Maintenance © 2008 LWW

Maintenance t Clean equipment regularly t Routine maintenance t Simple repairs © 2008 LWW