Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Chapter 33 Rehabilitation and...

Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Chapter 33

Rehabilitation andTherapeutic Modalities


Principles of Body Mechanics

• Use of certain key muscle groups together with good body alignment and proper body positioning to reduce risk of injury to patient and caregiver



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• Good posture– Protects entire body

– Enables you to lift, push, and pull easily and safely

– Check posture frequently



• Lifting techniques


Transferring Patients

• Use good body mechanics

• From wheelchair to examination table

• From examination table to wheelchair


Assisting Patients to Ambulate

• Walking provides ultimate level of independence and freedom

• Safety issues

• Assisting the patient to stand and walk

• Care of the falling patient


Assistive Devices

• Walkers

• Crutches– Measuring a patient for axillary crutches

– Triangle stance

– Teaching patient to ambulate with axillary crutches

– Crutch walking gaits


Assistive Devices

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Assistive Devices

• Canes– Standard

– Quad

– Walkcane

• Wheelchairs– Safety rules for transporting patient in wheelchair


Therapeutic Exercises

• Goniometry and range of motion

• Muscle testing

• Types of therapeutic exercise– Without constant exercise, musculoskeletal system

would deteriorate

– Effects of exercise on body



• Types of therapeutic exercise– Active

– Passive

– Assisted

– Active resistance



• Electromyography– Test electrical activity of muscle

• Electrostimulation of muscle– Stimulates to exercise muscle

– Helpful to nerve-damaged muscle



• Range of motion exercises– Designed to maintain joint mobility

– Passive or active

– Terminology of joint movement

– General precautions


Therapeutic Modalities

• Heat and cold– Precautions for heat and cold applications

– Types• Thermotherapy: causes vasodilation

• Cryotherapy: causes vasoconstriction



• Moist and dry heat modalities– Moist heat therapies

– Dry heat therapies



• Moist and dry cold modalities– Moist cold therapies

– Sitz bath

– Dry cold therapies



• Ultrasound– High-frequency acoustic vibration injuries

– How it works

– Potential dangers

• Massage therapy– Purpose

– Benefits

Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Chapter 33 Rehabilitation and...

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