Thermal Agents in Rehabilitation: Evidence Based Update

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Item: physi-435ATHERMALAGENTS

Description

Thermal modalities are by far the most commonly used modality in the rehabilitation setting. They have been used for decades to provide complementary treatment to a host of maladies. But what does the latest evidence show regarding the use of these thermal agents that have been used for decades after injury? This course provides a brief review of the purpose and physiologic basis of the application of thermal modalities as well as the indications for and contraindications to their use. The majority of this course provides a review of recent literature about their safety, efficacy, and clinical utilization. The course discusses the evidence surrounding whole body cryotherapy, the use of RICE vs. POLICE after acute injury, and the use of “older” modalities such as ultrasound, phonophoresis, diathermy, low level laser therapy, fluidotherapy, paraffin, heat, and ice. Note: It is anticipated that the therapist will already have a thorough understanding of the scientific rationale for using various types of thermal modalities and which modality is most appropriate for a given patient condition.



Physicourses is an AOTA Approved Provider of professional development. Course approval ID# 6295. This distance learning-independent course is offered at 0.6 CEUs Intermediate Level, OT Service Delivery, Foundational Knowledge. AOTA does not endorse specific course content, products, or clinical procedures.


Available Course Credits

Alaska State PT & OT Board 6.00
AOTA 6.00
Arizona State Board of Physical Therapy 6.00
Arkansas State Board of Physcial Thearpy 6.00
BOC 6.00
California Physical Therapy Board 6.00
Colorado Division of Professions and Occupations 6.00
Connecticut Department of Public Health 6.00
Delaware Examining Board of Physical Therapists and Athletic Trainers 6.00
District Of Columbia Department of Health 6.00
FPTA 6.00
Georgia State Board of Physical Therapy 6.00
Hawaii Board of Physical Therapy 6.00
Idaho Physical Therapy Licensure Board 12.00
Illinois Department of Professional Regulation 6.00
Indiana Physical Therapy Board 6.00
Iowa Board of Physical Therapy and Occupational Therapy 6.00
Kansas State Board of Healing Arts 6.00
Kentucky Board of Physical Therapy 6.00
Louisiana Physical Therapy Board 6.00
Maine Board of Physical Therapy 6.00
Maryland Board of Physical Therapy 0.60
Massachusetts Board of Allied Health Professionals 6.00
Michigan Board of Physical Therapy 6.00
Minnesota Board of Physical Therapy 6.00
Mississippi State Board of Physical Therapy 6.00
Missouri Advisory Commission for Physical Therapists 6.00
Montana Board of Physical Therapy Examiners 6.00
Nebraska Department of Health and Human Services 6.00
New Mexico Physical Therapy Board 6.00
New York State Education Department 6.00
North Carolina Board of Physical Therapy Examiners 6.00
North Dakota Board of Physical Therapy 6.00
Oklahoma Physical Therapy Board 6.00
Oregon Board of Physical Therapy 6.00
Pennsylvania State Board of Physical Therapy 6.00
Physical Therapy Governing Board New Hampshire 6.00
South Carolina Board of Physical Therapy 6.00
South Dakota Physical Therapy License Board 6.00
State of Alabama Board of Physical Therapy 6.00
State of Rhode Island Department of Health 6.00
Tennessee Board of Physical Therapy 6.00
Texas Physical Therapy Association 6.00
Utah Physical Therapy Licensing Board 6.00
Virginia Board of Physical Therapy 6.00
Washington State Board of Physical Therapy 6.00
West Virginia Board of Physical Therapy 6.00
Wisconsin Physical Therapy License Board 6.00
Wyoming Board of Physical Therapy 6.00

Course Content

435a Thermal Agents in Rehabilitation: Evidence Based Update
Module
Course Evaluation
Module

Daniel Lorenz, DPT, PT, ATC, LAT, CSCS

Dr. Lorenz is the Director of Sports Medicine at Lawrence Memorial Hospital/OrthoKS in Lawrence, KS. Previously, he was an owner and Director of Physical Therapy for Specialists in Sports and Orthopedic Rehabilitation (SSOR), an outpatient physical therapy practice based in Overland Park, KS with three locations. He has a B.S. in Health Sciences with an emphasis in Athletic Training from Grand Valley State University in 1999 and a M.S in Physical Therapy from Grand Valley State in 2001. In 1997, he was an athletic training intern for the Chicago White Sox Major League Baseball team.

From 2004- 2005, he completed the Duke University Sports Physical Therapy Fellowship. Formerly, he was an assistant athletic trainer and physical therapist for the Kansas City Chiefs from 2005-2007. In 2009, he earned his Doctor of Physical Therapy from the University of St. Augustine in St. Augustine, FL. He has served as a rehabilitation consultant for numerous local sports teams including Sporting Kansas City, Kansas City Chiefs, and the Kansas City Mavericks, and also many local colleges including Mid-America Nazarene University and University of Missouri Kansas City. He is currently the Chair of the Sports Performance Enhancement Special Interest Group for the American Academy of Sports Physical Therapy.

Dr. Lorenz has been published several times in peer-reviewed journals and has been an invited speaker numerous times at local, state, and national conferences in sports medicine. In 2018, Dan was recognized by the NSCA as the Sports Medicine/Rehabilitation Professional of the Year and in 2014, he was awarded the inaugural Distinguished Physical Therapy Alumni Award from Grand Valley State University.

435a Thermal Agents in Rehabilitation: Evidence-Based Update—Course Objectives At the conclusion of the course, the therapist will be able to: 1. Recall the injury process and the stages of healing in biological tissues. 2. Compare and contrast the therapeutic effects of heat versus cold. 3. Identify the indications, contraindications, and precautions of various thermal modalities. 4. Recall the latest research regarding the use of ultrasound and other modalities. 5. Answer the question: should we still “RICE” after injury? 6. Recall evidence regarding the cellular and physiological effects of whole body cryotherapy and identify the role and use of WBC for recovery and prevention. 7. Recognize evidence from current literature for efficacy and appropriate modality choices for various soft tissue injuries. 8. Choose and apply appropriate approaches to case studies. 435a Thermal Agents in Rehabilitation: Evidence-Based Update Table of Contents Page # Hour 1 Course Instructions 2 Author 3 Course Description and Course Objectives 4 Table of Contents 5 I. Introduction 7 II. The Physiology of Tissue Injury 9 III. Physiological Effects and Benefits of Heat 13 Hour 2 IV. Physiological Effects and Benefits of Cold 16 V. Heat (Superficial vs. Deep, Moist vs. Dry) 19 A. Superficial Heat: Moist Hot Packs, Heat Balms, Heat Patches 19 1. Evidence-Based Update 2. Conclusions Regarding Moist Hot Pack, Heat Balms, Heat Patches B. Moist Heat: Paraffin Bath 21 1. Evidence-Based Update Regarding Paraffin Bath 2. Conclusions Regarding Paraffin Bath C. Dry Heat: Fluidotherapy 23 1. Evidence-Based Update Regarding Fluidotherapy 2. Conclusions Regarding Fluidotherapy VI. Deep Heat 25 A. Shortwave Diathermy 1. Evidence-Based Update Regarding Shortwave Diathermy 2. Conclusions Regarding Shortwave Diathermy Hour 3 B. Ultrasound 30 1. Evidence-Based Update Regarding Ultrasound 2. Conclusions Regarding Ultrasound C. Phonophoresis 38 1. Evidence-Based Update Regarding Phonophoresis 2. Conclusions Regarding Phonophoresis Hour 4 VII. Low-Level Laser Therapy 43 1. Evidence-Based Update Regarding LLLT 2. Conclusions Regarding LLLT VIII. Cold Modalities 48 A. Ice Bags, Cold Packs, Chemical Cold Packs, Frozen Corn/Peas, Ice Massage, Cold/Ice Water Immersion 1. Evidence-Based Update regarding Cold Modalities 48 2. Should We Still “RICE” after an Acute Injury? 50 3. Current Treatment Guidelines for Ice after Acute Injury and DOMS 4. Ice Prior to Activity in Healthy Clients Hour 5 5. Conclusions Regarding Cold Modalities 62 6. Conclusions regarding Cooling Gels vs. Other Cold Modalities 64 B. Vapocoolant Spray 64 1. Evidence-Based Update Regarding Vapocoolant Spray 2. Conclusions Regarding Vapocoolant Spray C. Whole Body Cryotherapy 67 X. Heat vs. Cold 69 A. Therapeutic Effects of Heat vs. Cold B. Contrast Therapy 71 1. Evidence-Based Update Regarding Contrast Therapy Hour 6 2. Conclusions Regarding Contrast Therapy 74 XI. Conclusion: Thermal Modalities 75 References 76 Examination 83 Evaluation 89

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Refunds will be provided according to the following guidelines: i) For cancellation requests made within 5 days of the initial enrollment or subscription, a full refund will be issued.  Refunds will be issued using the same method of payment used for the original transaction, unless otherwise agreed upon in writing.

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In the event Physicourses cancels your course, you will be issued a full refund or transfered to a course of equal or greater value. 

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Educational Level: Intermediate

Target Audience: PT, PTA, OT, OTA, ATC

Course Completion Requirements: Passing an online exam with 70% or greater will be required to earn continuing education credit

This course is approved for 0.6 CEUS. 6 contact hours

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