Domain 5 - Therapeutic Modality Skills

   The following table is a list of links to pages that describe how to perform these skills often with other background material.  Below that are objectives used to guide the inclusion of material in teaching.

Athletic Training Clinical Proficiencies

Teaching Objective 1:

The student will relate the findings of a physical examination to determine the appropriate course of treatment.

Specific Outcomes

1.            The student will perform a physical examination to identify the current inflammatory stage.

2.             The student will perform a physical examination and interview to identify the indications, contraindications, and precautions to various treatment protocols.

Teaching Objective 2:

The student will demonstrate the ability to apply therapeutic modalities.

Specific Outcomes

Cryotherapy

1.            The student will demonstrate the ability to select the appropriate parameters for and then prepare and apply the following:

a.    cold whirlpool treatment                                            e.    ice immersion

b.    controlled cold therapy unit                                       f.     ice massage

c.     ice pack                                                                                g.    cryokinetics

d.    vapo-coolant spray                                                        

Thermotherapy

1.            The student will demonstrate the ability to select the appropriate parameters for and then prepare and apply the following:

a.    moist heat pack                                                                c.     contrast bath

b.    paraffin treatment                                                          d.    warm whirlpool treatment        

Electrotherapy

1.            The student will demonstrate the ability to select the appropriate parameters for and then prepare and apply the following:

a.    sensory-level pain control treatment                    f.     muscle atrophy retardation treatment

b.    noxious-level pain control treatment                    g.    acute edema treatment

c.     motor-level pain control treatment                        h.    muscle splinting/spasm treatment

d.    muscle re-education treatment                                i.     iontophoresis treatment

e.    muscle pumping treatment                                       

2.            The student will set-up and apply the following types of electrical stimulation units:

a.    monophasic stimulator (e.g., high volt stimulation)

b.    biphasic stimulator (e.g., Transcutaneous Electrical Nerve Stimulation [TENS], Neuromuscular Electrical Stimulation [NMES])

c.     direct current (e.g., iontophoresis)

d.    alternating current (e.g., interferential, NMES)

e.    multifunction electrical stimulation devices

Ultrasound

1.            The student will demonstrate the ability to select the appropriate parameters for and then prepare and apply the following:

a.    thermal ultrasound treatment

b.    non-thermal ultrasound treatment

c.     combination electrical-stimulation/ultrasound treatment

d.      phonophoresis treatment

e.      indirect application of ultrasound treatment (underwater, bladder)

Traction

1.            The student will demonstrate the ability to select the appropriate parameters for and then prepare and apply the following:

a.    mechanical traction

b.    manual traction

c.     positional traction

Intermittent Compression

1.            The student will demonstrate the ability to select the appropriate parameters for and then prepare and apply intermittent compression to the upper and lower extremities.

Therapeutic Massage

1.            The student will demonstrate the ability to prepare and apply a massage treatment.

2.            The student will demonstrate the ability to properly perform the following therapeutic massage strokes:

a.    effleurage                                                                          d.    tapotement

b.    petrissage                                                                           e.    vibration

c.     friction (circular, transverse)                                      f.     myofascial release techniques