Date:
8-18-06
Instructor: Brad Montgomery
Phone No.: (205)652-3696
Office No.: 220
Athletic Training
AH 330
Therapeutic Modalities in Athletic Training
TEXT:
Prentice, William E. Therapeutic Modalities in Sports Medicine. St. Louis, Missouri: McGraw-Hill, 5th
edition, 2003.
CREDIT:
3 semester hours
PREREQUISITE:
AH 324 or permission of the instructor
DESCRIPTION:
Techniques, indications, and procedures in the application of therapeutic modalities, such as:
thermotherapy, cryotherapy, light, sound, electricity, compression, traction, and massage. Students are required to attain one hundred
and twenty hours of clinical experience as a part of the total hours needed for eligibility to sit for the NATA-BOC national
examination.
OBJECTIVES:
At the conclusion of this course, the successful student will be able to:
1. Understand and recognize the indications and contraindications for the different forms of therapeutic treatments and the various
therapeutic modalities.
2. Understand the psychological and physiological effects of therapeutic modalities.
3. Understand the proper application technique for each therapeutic modality.
4. Design effective management and treatment programs to return an athlete to pre-injury health status.
5. Accept the moral and ethical obligations to provide for treatment of the injured athlete to the fullest extent possible.
6. Understand the theories of pain control and what effect therapeutic modalities have on these theories.
7. Understand the usage of both the acoustic and electromagnetic spectrum in relation to therapeutic modalities.
8. Understand the principles of electricity and their application to the use of electrical modalities.
9. Understand the moral, ethical, safety, and legal precautions of the usage of therapeutic modalities.
CONTENT OUTLINE:
1. The Electromagnetic and Acoustic Spectrums
2. Guidelines for Using Therapeutic Modalities
3. Pain and Mechanisms of Pain Relief
4. Infrared Modalities
5. TEST 1
6. Basic Principles of Electricity
7. Electrical Stimulating Current and Iontophoresis
8. Biofeedback
9. TEST 2
10. Ultrasound
11. Short-wave and Microwave Diathermy
12. Ultraviolet Therapy
13. Low Power Lasers
14. Intermittent Compression Devices
15. TEST 3
16. Traction as a Specialized Modality
17. Therapeutic Massage
18. COMPREHENSIVE FINAL EXAM
Chapter 1
Chapter 2
Chapter 3
Chapter 4
Chapter 7
Chapters 8 & 9
Chapter 13
Chapter 5
Chapter 6
Chapter 15
Chapter 14
Chapter 11
Chapter 12 (if time allows)
Chapter 10 (if time allows, probably will wait to rehab)
COURSE REQUIREMENTS:
A. Meet at least 2/3 of all class meetings
B. 5 Supplemental readings & 3 pop tests for bonus points
C. One research project
D. Three major objective examinations
E. One comprehensive final examination
F. Attain 120 contact hours towards total for NATA-BOC requirements
EVALUATION:
A. Three major objective examinations
B. One research paper/project
C. One comprehensive final examination
D. Supplemental readings
E. Pop tests/quizzes
F. Attain 120 contact hours
GRADE SCALE:
TOTAL:
300 pts. (42%)
100 pts. (14%
150 pts. (21%)
50 pts. (6%)
Bonus pts.
120 pts. (17%)
720 PTS.
645-720
573-644
501-572
429-500
428 and below
A
B
C
D
F
POLICIES:
1.
2.
Attendance: A student cannot receive credit for a course if he/she does not attend at least two-thirds of the class meetings,
regardless of the reason for the absence. The attendance policy of the UWA ATEP program will also be followed as set by the
Director of Sports Medicine in the Policy & Procedures Manual.
Academic Misconduct: The academic misconduct policy of The University of West Alabama will be followed in this course as it
is stated in the university catalogue.
3.
Request for Accommodation: The University of West Alabama strives its programs accessible to qualified persons defined as disabled under
section 504 of the Rehabilitation Act of 1973 and the Americans With Disabilities Act. Students who have special needs that require
accommodation are responsible for notifying instructors in each course in which they are enrolled and appropriate staff members, who intern
will refer the student to the ADA Compliance Coordinator. Following verification of the student's status, the ADA Compliance Coordinator
will work with the instructor or staff member in implementing an appropriate plan for accommodation for the student's needs. Support
documentation of special needs from a physician or other qualified professional will be required if deemed necessary.
For additional information, students should contact the Student Success Center, Foust Hall 7, (205) 652-3651 or the office of Student Life 311,
Webb Hall, (205) 652-3581.
4.
Discussion of Grades with Professor: Any student who receives failing grades at any time during this course is urged to discuss
this with the teacher.
NATA-BOC COMPETENCIES NECESSARY TO PASS THIS COURSE:
These competencies will be covered in whole or in part as determined by the material.
Acute Care Of
Cognitive
18 Explains the application principles of cold application, elevation, and compression
Injuries And Illnesses Domain
in treatment of acute non-limb-threatening pathologies.
Acute Care Of
Cognitive
19 Cites the signs, symptoms, and pathology of acute inflammation.
Injuries And Illnesses Domain
Acute Care Of
Cognitive
46 Constructs and educates the patient regarding home care and self-treatment plans.
Injuries And Illnesses Domain
Acute Care Of
Affective
14 Supports the application of cryotherapy, elevation, and compression as primary care
Injuries And Illnesses Domain
for a non-threatening injury.
Assessment and
Affective
1Appreciates the importance of a systematic assessment process in the management
evaluation
Domain
of injuries and illness.
Assessment and
Affective
2Appreciates the importance of documentation of assessment findings and results.
evaluation
Domain
Assessment and
Affective
5Appreciates the practical importance of thoroughness in a clinical evaluation.
evaluation
Domain
Health care
Affective
9Accepts the responsibility for completing the necessary paperwork and maintaining
administration
Domain
the records associated with the administration of health care programs.
Pathology Of Injuries Cognitive
19 Identifies the implications of various underlying pathologies and uses this
And Illnesses
Domain
knowledge to select appropriate therapeutic modalities and therapeutic exercise protocols.
Pathology Of Injuries Affective
4Promotes accountability for moral and ethical decision-making in the treatment of
And Illnesses
Domain
pathologic conditions.
Therapeutic
Cognitive
1Determines the appropriate modality according to the treatment goals and
Modalities
Domain
objectives as they relate to wound healing and tissue repair.
Therapeutic
Cognitive
2Describes methods of evaluating and recording progress of therapeutic modality
Modalities
Domain
treatments.
Therapeutic
Modalities
Therapeutic
Modalities
Therapeutic
Modalities
Cognitive
Domain
Cognitive
Domain
Cognitive
Domain
Therapeutic
Modalities
Therapeutic
Modalities
Therapeutic
Modalities
Therapeutic
Modalities
Therapeutic
Modalities
Therapeutic
Modalities
Therapeutic
Modalities
Therapeutic
Modalities
Therapeutic
Modalities
Cognitive
Domain
Cognitive
Domain
Cognitive
Domain
Cognitive
Domain
Cognitive
Domain
Cognitive
Domain
Cognitive
Domain
Cognitive
Domain
Cognitive
Domain
Therapeutic
Modalities
Therapeutic
Modalities
Therapeutic
Modalities
Cognitive
Domain
Cognitive
Domain
Cognitive
Domain
Therapeutic
Modalities
Therapeutic
Modalities
Therapeutic
Modalities
Therapeutic
Modalities
Therapeutic
Modalities
Cognitive
Domain
Cognitive
Domain
Cognitive
Domain
Cognitive
Domain
Affective
Domain
Therapeutic
Modalities
Affective
Domain
Therapeutic
Modalities
Therapeutic
Modalities
Therapeutic
Modalities
Therapeutic Exercise
Affective
Domain
Affective
Domain
Affective
Domain
Affective
Domain
3Illustrates the use volumetric and anthropometric measurements to determine the
effectiveness of treatment outcomes.
4Identifies the body’s physiological responses during and following the application
of therapeutic modalities.
5Describes the role and function of the common prescription and nonprescription
pharmacological agents that are used in conjunction with therapeutic modalities (e.g., topical
ointments, phonophoresis, iontophoresis.
6Explains the principles of physics, including basic concepts associated with the
electromagnetic and acoustic spectra (e.g., frequency, wavelength).
7Interprets terminology, principles, and basic concepts of electrical units (e.g.,
amperes, volts, watts, ohms).
8Compares and contrasts contemporary pain-control theories.
9Assesses the selection and use of therapeutic modalities for the control of acute and
chronic pain.
10 Describes the electrophysics, biophysics, set-up, indications, contraindications, and
specific physiological effects associated with stimulating electrical currents.
11 Describes the electrophysics, biophysics, set-up, indications, contraindications, and
specific physiological effects associated with short-wave diathermy.
12 Describes the physical properties, biophysics, set-up, indications, contraindications,
and specific physiological effects associated with the application of superficial heat and cold.
13 Describes the physical properties, biophysics, set-up, indications, contraindications,
and specific physiological effects associated with therapeutic ultrasound.
14 Describes the physical properties, biophysics, set-up, indications, contraindications,
and specific physiological effects associated with the application of intermittent compression
units.
15 Describes the physical properties, biophysics, set-up, indications, contraindications,
and specific physiological effects associated with cervical and lumbar traction devices.
16 Describes the physical properties, biophysics, set-up, indications, contraindications,
and specific physiological effects associated with therapeutic LASER.
17 Describes the physical properties, biophysics, set-up, indications, contraindications,
and specific physiological effects associated with the application of electromyogram (EMG)
and biofeedback devices.
19 Illustrates the typical physiological and psychological responses to trauma as they
relate to the use of therapeutic modalities.
20 Interprets local, state, and federal standards for the operation and safety standards
of therapeutic modalities.
21 Describes the manufacturer’s protocol for use to ensure safe and proper application.
22 Applies manufacturer’s guidelines for the inspection and maintenance of
therapeutic modalities.
1. Accepts the professional, ethical, and legal parameters that define the proper role of the
certified athletic trainer in the use of therapeutic agents to treat, rehabilitate, and
recondition athletes and others involved in physical activity.
2. Respects the role of attending physicians and other medical and allied health personnel
in the use of therapeutic agents to treat, rehabilitate, and recondition athletes and others
involved in physical activity.
3. Advocates the accepted medical protocol regarding the confidentiality of medical
information relative to therapeutic modality treatments.
4. Initiates accepted medical protocol regarding therapeutic prescriptions.
5.
Promotes the accepted medical protocol regarding health care referral in the
rehabilitation and reconditioning process.
2 -Accepts the moral and ethical obligation to provide rehabilitation or reconditioning to
athletes and others involved in physical activity to the fullest extent possible.
Proficiencies
Subj
area
Out
#
Outcome
Taught
Covered
Evaluate
d
AC
3-2-1H demonstrate the ability to apply ice, compression, & elevation to an acute
sprain, strain, or contusion
TM 5-1-1
perform a physical examination to identify the current inflammatory stage
AH101
TM 5-1-2
AH101,
AH282
AH101,
AH281
AH101
perform a physical examination & interview to identify the indications,
contraindications, & precautions to various treatment protocols
TM 5-2demonstrate the ability to select the appropriate parameters for & then
C1A
prepare & apply the following: cold whirlpool treatment
TM 5-2demonstrate the ability to select the appropriate parameters for & then
C1B
prepare & apply the following: controlled cold therapy unit
TM 5-2demonstrate the ability to select the appropriate parameters for & then
C1C
prepare & apply the following: ice pack
TM 5-2demonstrate the ability to select the appropriate parameters for & then
C1D
prepare & apply the following: vapo-coolant spray
TM 5-2demonstrate the ability to select the appropriate parameters for & then
C1E
prepare & apply the following: ice immersion
TM 5-2-C1F demonstrate the ability to select the appropriate parameters for & then
prepare & apply the following: ice massage
TM 5-2demonstrate the ability to select the appropriate parameters for & then
C1G
prepare & apply the following: cryokinetics
TM 5-2demonstrate the ability to select the appropriate parameters for & then
H1A
prepare & apply the following: moist heat pack
TM 5-2demonstrate the ability to select the appropriate parameters for & then
H1B
prepare & apply the following: paraffin treatment
TM 5-2demonstrate the ability to select the appropriate parameters for & then
H1C
prepare & apply the following: contrast bath
TM 5-2demonstrate the ability to select the appropriate parameters for & then
H1D
prepare & apply the following: warm whirlpool treatment
TM 5-2-M1 demonstrate the ability to prepare & apply a massage treatment
TM 5-2E1A
TM 5-2E1B
TM 5-2E1C
TM 5-2E1D
TM 5-2-E1E
demonstrate the ability to select the appropriate parameters for & then
prepare & apply the following: sensory-level pain control treatment
demonstrate the ability to select the appropriate parameters for & then
prepare & apply the following: noxious-level pain control treatment
demonstrate the ability to select the appropriate parameters for & then
prepare & apply the following: motor-level pain control treatment
demonstrate the ability to select the appropriate parameters for & then
prepare & apply the following: muscle re-education treatment
demonstrate the ability to select the appropriate parameters for & then
prepare & apply the following: muscle pumping treatment
TM 5-2-E1F demonstrate the ability to select the appropriate parameters for & then
prepare & apply the following: muscle atrophy retardation treatment
TM 5-2demonstrate the ability to select the appropriate parameters for & then
E1G
prepare & apply the following: acute edema treatment
TM 5-2demonstrate the ability to select the appropriate parameters for & then
E1H
prepare & apply the following: muscle splinting/spasm treatment
TM 5-2-E1I demonstrate the ability to select the appropriate parameters for & then
prepare & apply the following: iontophoresis treatment
TM 5-2-I1 demonstrate the ability to select the appropriate parameters for & then
prepare & apply intermittent compression to the upper & lower extremities
TM 5-2demonstrate the ability to properly perform the following therapeutic
M2A
massage strokes: effleurage
TM 5-2demonstrate the ability to properly perform the following therapeutic
M2B
massage strokes: petrissage
TM 5-2demonstrate the ability to properly perform the following therapeutic
M2C
massage strokes: friction (circular, transverse)
TM 5-2demonstrate the ability to properly perform the following therapeutic
M2D
massage strokes: tapotement
TM 5-2demonstrate the ability to properly perform the following therapeutic
AH481
AH381
AH200, AH330331
AH200, AH330331
AH200, AH330331
AH200, AH330331
AH200, AH330331
AH200, AH330331
AH200, AH330331
AH200, AH330331
AH200, AH330331
AH200, AH330331
AH200, AH330331
AH200, AH330331
AH200, AH330331
AH200, AH330331
AH200, AH330331
AH330-331
AH381
AH330-331
AH481
AH381
AH330-331
AH481
AH381
AH330-331
AH481
AH381
AH330-331
AH481
AH381
AH330-331
AH481
AH381
AH330-331
AH481
AH381
AH330-331
AH481
AH381
AH330-331
AH481
AH102
AH330-331
AH481
AH281
AH330-331
AH481
AH281
AH330-331
AH481
AH281
AH330-331
AH481
AH281
AH330-331
AH481
AH281
AH330-331
AH481
AH101
AH101
AH101
AH101
AH101
AH101
AH101
AH101
AH101
AH101
AH281
AH481
AH481
AH481
AH481
AH481
AH481
AH481
AH481
AH481
AH481
AH481
AH481
AH481
AH481
AH481
M2E
massage strokes: vibration
TM 5-2-M3 demonstrate the ability to properly perform the following therapeutic
massage strokes: myofascial release techniques
TM 5-2demonstrate the ability to select the appropriate parameters for & then
T1A
prepare & apply the following: mechanical traction
TM 5-2demonstrate the ability to select the appropriate parameters for & then
T1B
prepare & apply the following: manual traction
TM 5-2demonstrate the ability to select the appropriate parameters for & then
T1C
prepare & apply the following: positional traction
TM 5-3demonstrate the ability to select the appropriate parameters for & then
U1A
prepare & apply the following: thermal ultrasound treatment
TM 5-3demonstrate the ability to select the appropriate parameters for & then
U1B
prepare & apply the following: non-thermal ultrasound treatment
TM 5-3demonstrate the ability to select the appropriate parameters for & then
U1C
prepare & apply the following: combination electricalstimulation/ultrasound treatment
TM 5-3demonstrate the ability to select the appropriate parameters for & then
U1D
prepare & apply the following: phonophoresis treatment
TM 5-3demonstrate the ability to select the appropriate parameters for & then
U1E
prepare & apply the following: indirect application of ultrasound treatment
(underwater, bladder)
TM 6-2set-up & apply the following types of electrical stimulation units:
E2A
monophasic stimulator (e.g., high volt stimulation)
TM 6-2set-up & apply the following types of electrical stimulation units: biphasic
E2B
stimulator (e.g., Transcutaneous Electrical Nerve Stimulation [TENS],
Neuromuscular Electrical Stimulation [NMES])
TM 6-2set-up & apply the following types of electrical stimulation units: direct
E2C
current (e.g., iontophoresis)
TM 6-2set-up & apply the following types of electrical stimulation units: alternating
E2D
current (e.g., interferential, NMES)
TM 6-2-E2E set-up & apply the following types of electrical stimulation units:
multifunction electrical stimulation devices
AH281
AH330-331
AH481
AH102
AH330-331
AH481
AH102
AH330-331
AH481
AH102
AH330-331
AH481
AH102
AH330-331
AH481
AH102
AH330-331
AH481
AH102
AH330-331
AH481
AH102
AH330-331
AH481
AH102
AH330-331
AH481
AH102
AH330-331
AH481
AH102
AH330-331
AH481
AH102
AH330-331
AH481
AH102
AH330-331
AH481
AH102
AH330-331
AH481
CALENDER:
Students Will Not Attend Class During Assessment Day, Labor Day, & Thanksgiving (see times below)
Project Due Date: November 17, 2003
August 22 & 24
Review Sylabii and assign topics for outside class activities.
August 29 & 31
The Electromagnetic and Acoustic Spectrums
September 5 &7
The Electromagnetic and Acoustic Spectrums cont., Guidelines for Using Therapeutic
Modalities, Article 1 Due
September 12 & 14 Pain and Mechanisms of Pain Relief
September 19 & 21 Infrared Modalities, Article 2 Due
September 26 & 28 Infrared cont., TEST 1, Basic Principles of Electricity
September 20, 22,
Basic Principles of Electricity cont, Article 3 Due
&24
October 3 & 5
Electrical Stimulating Current
October 10 & 12
Biofeedback
October 17 & 19
Iontophoresis, Article 4 Due,
October 24 & 26
Assessment Day, TEST 2
October 31 &
Ultrasound , Article 5 Due
November 2
November 7 & 9
Ultrasound cont., Phonophoresis, Short-wave and Microwave Diathermy
November 14 & 16, Ultraviolet Therapy, Intermittent Compression Devices, Research Project Due on 17th
November 20-26
Thanksgiving Break
November 28 & 30 Low Power Lasers,
Decemeber 5 & 7
Traction as a Specialized Modality, TEST 3
December 13
Final Exam @ 11:00am