1. 1. Rehabilitation _Modalities R
2. 2.
3. 3.
4. 4. Modality Indication or diagnosis ( contraindication!) Modality Location: ? ? Intensity Duration:20~30 10 ? Frequency
5. 5.
6. 6. (94-2-75)
7. 7. Temperature has an effect on: Viscosity Nerve signal conduction: heat increases nerve conduction velocity; cold decreases it. Blood flow:heat increases arterial and capillary blood flow; cold decreases blood flow. Collagen extensibility: heat increases tendon extensibility; collagenase activity is increased; cold decreases enzyme activity.
8. 8. heat therapy (97-1-70) 1. 2. 3. 4.
9. 9. Therapeutic uses for heat are based on: Hyperemia Analgesia Hyperthermia Decreased muscle tone Increase in collagen elasticity
10. 10. Applications for heat therapy: Generally used for chronic processes Reduction of muscle spasms Pain reduction (myofascial, low back, neck, postherpetic neuralgia) Reduction in joint stiffness, contractures Arthritis, collagen vascular diseases Chronic inflammation Superficial thrombophlebitis
11. 11.
12. 12. Type Hot pack conduction Paraffin baths conduction Fluidotherapy convection Whirlpool baths convection Radiant heat radiation Ultrasound conversion Shortwave conversion Microwave conversion Conduction (3%) Convection (15%) conduction Radiation (60%) (-273.15C or -459.67F) Evaporation (22%) cold therapy ( vacocoolant sprey) Conversion
13. 13. (Hot packs) (Paraffin baths) Fluidotherapy (Infrared radiation)
14. 14. (Hot packs) 74.5 30 (Paraffin baths) Paraffin wax mineral oil 6 1 7 1 52.2-54.4 paraffin mixture Fluidotherapy 46.1-48.9
15. 15. 770nm 1mm (800-1,500 nanometer) (1,500-150,000 nanometer) 1000nm 30- 60cm 1-3cm : ,
16. 16. diathermy (101-2-71) 1. 2. 3. 4.
17. 17. (Diathermy) ( ) (1) (Ultrasound Diathermy, USD) (2) (Shortwave diathermy, SWD) (3) (Microwave)
18. 18.
19. 19. Therapeutic US US (Thermal effect) (Non- thermal effect) ( hip)
20. 20. (cavitation) ( acousticstreaming ) (microstreaming) (fibroblast) (growthfactor)
21. 21. ! ( )
22. 22. 30 3 (100-1-70) 1. hot packing 2. infrared 3. interferential current 4. shortwave
23. 23. shortwave (98-1-71) 1. 2. 3. 4.
24. 24. (103-1-57) 1. 2. 3. 4.
25. 25. cryotherapy (100-1-72) 1. 2. 3. 4.
26. 26. ( ) 1) 2) 3) 4) 5) ) )
27. 27. T E N S( Transcutaneous Electrical Nerve Stimulation ) I FC ( Interferentialcurrent therapy ) E S ( Electrical Stimulation ) FES (Functional Electrical Stimulation )
28. 28. (