Modalities
Indications
Precautions
Contraindications
Technique and Safety
100

This moist heat modality is often used to decrease pain and increase tissue extensibility before stretching.

What is a hot pack?

100

This is a primary indication for using superficial heat to improve occupational performance.

What is reducing muscle stiffness or joint pain

100

When using a hot pack, this precaution helps to prevent a burn/burns

What is having at least 6 layers of towels between the hot pack and the person

100

Applying superficial heat is contraindicated in these situations (name 4)

What is impaired sensation/peripheral neuropathy, acute trauma, PVD, blood clot, edema, infection, open wounds, fever, cancer, active bleeding

100

This movement techniques prevents standing waves during ultrasound application

What is continuous movement of the sound head?

200

This modality uses sound waves to heat tissues up to 5 cm deep.

What is ultrasound?

200

Deep thermal agents are indicated for this musculoskeletal condition to increase tissue extensibility.

What is tendonitis?

200

When applying ultrasound near epiphyseal plates in children, this precaution is necessary.

What is using low intensity or avoiding the area?
200

Ultrasound should not be applied over this type of implant.

What is a pacemaker?

200

Before applying any preparatory (enabling/adjunctive) modality, this step ensures appropriateness.

  • What is assessing client goals and occupational performance needs?


300

This type of electrical stimulation is commonly used for muscle re-education

What is neuromuscular electrical stimulation (NMES)?

300

Electrical stimulation can be indicated for this condition to reduce edema

What is an acute injury or post-surgical edema?

300

This precaution is necessary when using electrical stimulation on clients with cardiac conditions

What is monitoring heart rate and avoiding chest placement?

300

Electrical stimulation should never be applied over this body region.

What is the carotid sinus?

300

Before applying electrical stimulation, this step ensures client safety.

What is checking skin integrity?
400

This device uses intermittent pressure to reduce edema in the extremities.

What is a pneumatic compression pump?

400

Mechanical traction is indicated for this spinal condition.

What is cervical radiculopathy?

400

When using a compression device, this precaution prevents circulatory compromise.

What is monitoring limb color and sensation?

400

Mechanical traction is contraindicated in this condition due to risk of instability.

What is osteoporosis?

400

This must be documented after applying a thermal or electrical modality.

What is client response and skin condition?

500

This modality is commonly used to reduce inflammation and pain after an acute injury.

What is an ice pack?

500

Cryotherapy is often used to manage this symptom following surgery.

What is edema?

500

Before applying any modality, this precaution ensures client safety and appropriateness.

What is screening for contraindications and obtaining informed consent?

500

What are the contraindications for use of electrical stimulation with a patient (name 4)

What is open wounds, DVT, active bleeding, bleeding disorders, infection, malignancy/cancer, pregnancy, tuberculosis,  over a impalnted electronic device, eyes, carotid sinus, 
500

This risk increases when heat is applied to an area with poor vascular supply.

What is tissue damage or burns?

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