Course Objectives
Each course module has specific objectives to complete. These are the objectives:
Regulations
At the end of this module, you will:
- Identify the philosophical trends related to PAMs and Occupational Therapy.
- Outline the relationship between PAMs and the AOTA Occupational Therapy Practice Framework.
- Discuss the American Occupational Therapy Association, Inc., position on physical agent modality use and educational preparation.
- Identify your state’s regulatory agencies which govern the use of physical agents by occupational therapy practitioners and read the rules and regulations.
- Provide a common lexicon for PAM use in OT.
- Provide an overview of commonly used PAMS in OT.
Superficial Anatomy
At the end of this module, you will:
- Define the normal anatomy of the skin.
- Describe the somatosensory system.
- List the function of normal skin.
- Detail the effects of aging on the sensory system.
Wound Healing
At the end of this module, you will:
- Classify types of soft tissue injuries.
- Address the three phases of repair (inflammation, proliferation, and maturation).
- Discuss the cellular processes occurring in each phase.
- Review appropriate intervention methods based on research findings.
- Describe complications that interfere with normal healing.
Pain Theory and Perception
At the end of this module, you will:
- Define the type or category of pain.
- Describe primary causes of the pain.
- List the factors that contribute to pain.
- Discuss assessment and intervention strategies available for the pain conditions.
- Describe other medical or psychosocial conditions which should influence the choice of treatment of pain conditions.
Cryotherapy
At the end of this module, you will:
- List the biophysical and biophysiological changes which occur with Cryotherapy.
- Identify the indications, contraindications and precautions for the application of cold agents.
- Demonstrate the clinical reasoning involved in the application of cold agents.
- Identify commonly used types of cold agents.
- Describe the application procedures for each cold modality presented in this module.
- Discuss appropriate patient education procedures for safe application of cryotherapy agents.
- Discuss essential elements of documentation for cryotherapy agents.
Superficial Heat Agents
At the end of this module, you will:
- Define the term superficial thermal agent.
- Differentiate between the two commonly used methods of heat transfer: conduction and convection.
- Discuss the four biophysical effects of heat.
- Describe the physiologic response to tissue secondary to temperature elevation.
- Differentiate between mild, moderate and vigorous dosages of heat.
- List indications, precautions, and contraindications that should be considered when using superficial thermal agents.
- Describe the proper clinical applications for hot packs, paraffin bath, fluidotherapy, light, whirlpool, and contrast bath.
- Discuss appropriate patient education procedures for safe application of superficial thermal agents.
- Discuss the essential elements of documentation for superficial thermal agents.
Deep Heat Modalities
At the end of this module, you will:
- Discuss the theory and rationale for the application of therapeutic deep thermal modalities (such as ultrasound, low level laser therapy [LLLT], diathermy, and phonophoresis).
- Outline and differentiate between the parameters for therapeutic ultrasound.
- Outline current research trends in the utilization of deep thermal modalities.
- Demonstrate clinical decision making in the determination of the appropriate treatment parameters for deep thermal modalities.
- Discuss the clinical procedures for the application of deep thermal modalities.
- Present guidelines for the safe use of deep thermal modalities stating contraindications and precautions for treatment.
- Discuss appropriate patient education procedures for safe application of deep thermal agents.
- Discuss essential elements of documentation for deep thermal agents.
Principles of Electrotherapy
At the end of this module, you will:
- Identify the relationship between technical terminology and sensory responses.
- Describe the biophysical and biophysiological changes associated with electrotherapy.
- Discuss the available parameters of electrical stimulation devices\describe the principles and concepts of electricity.
- Identify the physiological effects of electrical stimulation using alternating current, direct current, and pulsatile current.
Transcutaneous Electrical Nerve Stimulation
At the end of this module, you will:
- Define the therapeutic goals of electrical therapy.
- Identify the physiological events associated with electrical stimulation.
- Define the distinguishing characteristic and indications and contraindications of electrical stimulation.
- Distinguish the physiological effects of various parameters of electrical stimulation (voltage, type, dosage, duty cycle, etc.).
- Discuss the therapeutic relationship of electrotherapy with other therapeutic procedures.
- Discuss appropriate patient education procedures for safe application of transcutaneous electrical nerve stimulation.
- Transcutaneous electrical nerve stimulation.
Neuromuscular Electrical Nerve Stimulation
At the end of this module, you will:
- Describe the clinical application of electrical stimulation in rehabilitation.
- Outline and discuss the clinical reasoning process used to determine selection of NMES and appropriate parameters.
- Describe the intervention parameters of therapeutic electrical currents for re-education, strengthening, spasticity reduction, FES etc.
- Identify the biophysiological responses to electrical currents for alternating and direct current modalities.
- Discuss the indications and contraindications for NMES use.
- Identify appropriate electrode placement for various intervention protocols.
- Discuss appropriate patient education procedures for safe application of neuromuscular electrical stimulation.
- Discuss essential elements of documentation for neuromuscular electrical stimulation.
Iontophoresis
At the end of this module, you will:
- Describe the clinical applications for iontophoresis.
- Discuss the biophysiology and mechanism related to transdermal delivery of medication.
- Identify common medications used in iontophoresis and their pharmacological characteristics.
- Outline clinical decision-making regarding iontophoresis, indications and precautions.
- Discuss appropriate patient education procedures for safe application of iontophoresis.
- Discuss essential elements of documentation for iontophoresis.
Pharmacology
At the end of this module, you will:
- Discuss the following processes in pharmacokinetics: absorption, distribution, and metabolism.
- Explain the processes of pharmacodynamics and pharmacotherapeutics as it pertains to routine drugs used in Phonophoresis and Iontophoresis.
- Discuss the effects of physical agents, exercise, and manual techniques on pharmacokinetics.
- Discuss the aging process as it relates to pharmacokinetics.