Dr. Martin's notes

Tuesday January 24, 2017

Therapeutic modalities describe methods and agents used in the treatment of the injured muscles, joints and soft tissues

Theraputic Modalities are used to:
-increase blood flow
-reduce inflammation and swelling
-restore normal use of injured area

Choosing a Modality
1. Is this modality safe for use on this type of injury?
There are many different modalities that will give you the same or similar effect. The therapist's plan chooses the type of modality that he/she feels will be of the best benefit to the patient.

2. Will use of this modality contribute significantly to the rehabilitation process and the total recovery of the person?
The modality utilized must be indicated for use in the actions determined in the plan set out for the patient. Any contraindications should be noted in the treatment plan

3. Is the person applying the modality trained and authorized to use it safely and efficiently?
You need to have hands on use and to have knowledge of the application and theraputic effects of all modalities.

Documenting Physical Therapy treatments

Documentation of care in physical therapy is essential, as many malpractice cases evolve from the incorrect use of a modality or therapy.

The general rules for all physical therapy are:

Document everything – Remember “If you didn’t write it down, It didn’t happen!”
Check the patient frequently
Ask how the therapy feels
Follow the prescribed guidelines for the proper use of the modality
Start with low intensity then increase
Always start your therapy at zero
Be sure the patient is comfortable
Clean the modality after using it. Make it ready for the next person.
Keep the treatment area clean and dry.

All therapy must be documented with the following:
Modality utilized
Treatment # (tx 2 of 6)
Areas treated (use diagram)
Time of treatment (from-to works best)
Patient’s response
Patient’s signature
Therapist signature