The Contemporary Use of Therapeutic Modalities

chapter

1

A Progressive Model for Rehabilitation

of 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.

Short- and Long-Term Goals

Phases of the Inflammatory Response

(continued)

Common Referred Pain Patterns

Problem Location of painMyocardialinfarction

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

Table 4.1

(continued)

Common Referred Pain Patterns (continued)

Problem Location of painCholecystitis (gallbladder)

Right shoulder and midscapular region

Renal (kidney) disorder

Low back and left shoulder

Stomach and upper small intestine (duodenum) disorder

Left shoulder

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.

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.

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.

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.

chapter

6Impact of Injury and Painon Neuromuscular Control

Straight Leg Raise With Extensor Lag

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): 13–14.

Swelling Within the Capsule

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): 13–14.

Single Leg Balance

Single Leg Balance on Foam Roller

Shoulder Hiking

chapter

8Cold and Superficial Heat

Polar Care Unit

Ice Massage

Cold Water Immersion

Vapocoolant Spray

Maximum Whirlpool Temperatureby Body Part

Table 8.2Body part Degrees F Degrees C

Wrist and hand 112 44.4

Foot and ankle 110 43.3

Elbow 108 42.2

(continued)

Maximum Whirlpool Temperature

by Body Part (continued)Body part Degrees F Degrees C

Knee 106 41.1

Thigh 104 40.0

A Paraffin Bath

Fluidotherapy