Advanced Physical Agent Modalities
Principles and Practical Application

Fast Facts:

Skill Level: Beginner

Live Rehabed Workshop Live Course

Who Should Attend:

This entry level course is designed for OTs and OTAs and is a great review course for PTs, PTAs and Athletic Trainers.

Participants are cautioned to apply new information and skills within the scope of state licensure law. The clinical use of physical agent modalities is governed by state law/practice act. Completion of this course does not give the participant the right to apply treatments that are not covered under their specific state’s practice act.

Locations:

There are no scheduled workshops at this time.

Date TBD
TBA
Check alternative course: 30 hour Evidence Based Physical Agents: Application and Practice

This is a comprehensive, hands-on 30 hour class, taught in two 2-day sessions.

Develop your clinical skills and practical knowledge. Focus on evidence-based clinical review and practical applications across the lifespan for neurological, rehabilitation and orthopedic patients using Advanced Physical Agent Modalities including the thermal agents of heat, light, & therapeutic ultrasound; and the electrical modalities including TNS, FES and iontophoresis.

Part One focuses on Thermal Agents; Part Two focuses on Electrical Stim. Each lab session has equipment in the therapist’s hands. Practical applications are reviewed and practiced for each modality. The course is designed to assist the therapist in integrating information regarding the use of modalities appropriately when treating their patients. The expectation is to “learn it today, then practice it tomorrow”.

Theoretical concepts will be presented within a framework of the biologic principles and evidence based clinical applications for the modalities reviewed in class. At the completion of the course, participants will be able to appropriately select parameters for using thermal agents to enhance treatment. Review and practice application of TNS, FES and Iontophoresis, including parameter selections for stroke, neuro rehab vs. orthopedic rehab, in both adults and pediatrics. Chronic pain, and muscle strengthening will also be addressed. Case studies provide real-life patient problems and treatment solutions.

Come prepared to share your difficult patient situations and engage in group problem-solving sessions.

Common questions this course will answer:

  • Is it safe to use ultrasound over metal implants or over fractures?
  • Can you use ultrasound with electrical stimulation?
  • What does pulsed ultrasound do?
  • Can I use the same machine and setting for muscle stimulation and pain control?
  • Do the settings really matter, or can I just use presets?
  • What is the difference between iontophoresis and phonophoresis? Which works better?
  • How do you pick the electrode polarity in iontophoresis?
  • Can I use ultrasound and/or FES with a pediatric/geriatric/neuro population?
  • Should I have patients exercise with stimulation or not?

Course Objectives:

Part One: Thermal Agents
Upon completing Part One, the participant will be able to:

  • list appropriate treatment parameters for a variety of clinical diagnoses using heat, ultrasound, and light.
  • recognize/identify the basic properties of heat, ultrasound, and light.
  • recognize the current research which provides evidence for therapeutic uses of all the superficial physical agent modalities.
  • list the contraindications for therapeutic heat, ultrasound, and light.
  • identify how to use, store and document ultrasound and phonophoresis mediums and medications

Part Two: Electrical Stimulation
Upon completing Part Two, the participant will be able to:

  • recognize current research which provides evidence for therapeutic & rehabilitative uses of FES including high volt ,medium frequency, TENS, iontophoresis
  • identify the principle of electrode size, material, and placement technique.
  • recognize/identify the guidelines & contraindications in working with electrical stimulation & iontophoresis
  • Identity and differentiate the use and choice of parameters for each of the electrical modalities with different patient populations and for different diagnoses, including muscle strengthening and re-education, pain and edema control.

CE Credits

Total of 30 contact hours. 15 contact hours for Part One, and 15 contact hours for Part Two.

Accepted by many professional credentialing organizations and state professional regulatory boards. Check with your state board/credentialing agency to verify. Certificate of attendance will be issued to all participants upon completion of the course and may be used for CEU verification of credits. CE Credits vary by state. Please check with your state board/certifying agency to confirm conversion of contact hours to CE. See links below.

Physical Therapy Board of California: The Physical Therapy Board of California recognizes Rehab Education, LLC as an approval agency to approve providers offering continuing competency courses for CA licensed PTs and PTAs. This course is approved for 30 contact hours. (15 contact hours for Part One, and 15 contact hours for Part Two.)

California OT Board: This course and instructor have been approved by the CA Board of OT for 30 contact hours of post-professional education in the advanced practice area of physical agent modalities. (Approval # 22-P2)

Idaho Occupational Therapy Board: This course has been approved by the Idaho Occupational Therapy Board. Approval #5533

Illinois State Board of Physical Therapy: Approved CE Sponsor by Illinois State Board of Physical Therapy, Division of Professional Regulations, #216.000227 for courses completed by 09-30-2012.

North Carolina Board of Physical Therapy Examiners: This course has been approved by virtue of Illinois CE Provider Approval #216.000227 for 30 contact hours. (Course must be completed by 09-30-2012).

NJ OTAdvisory Council: Approved by the NJ Occupational Therapy Advisory Council pursuant to N.J.A.C. 13:44-5.4

NY State Physical Therapy Board: Rehab Education, LLC is recognized as an approved of PT and PTA continuing education by the NY State Education Department's Board of Physical Therapy provider for courses completed by 05-13-2013.

BOC Approved Provider #P8271: (For courses completed by 12-31-2012). Rehab Education, LLC is recognized by the Board of Certification, Inc. to offer continuing education for Certified Athletic Trainers.

AOTA Approved Provider #6177. These states currently recognize AOTA Approved Providers for OT continuing education either in regulatory language or by formal written communication to AOTA:

Alaska
Arkansas
Delaware
District of Columbia
Illinois
Indiana
Kentucky
Louisiana
Maryland
Minnesota
Mississippi
Missouri
Montana
Nevada
New Hampshire
Ohio
Oregon
Oklahoma
Rhode Island
South Carolina
Tennessee
Texas
Vermont
Virginia

*NBCOT...National Board for Certification of Occupational Therapy (view PDU requirements)
+HTCC... Hand Therapy Certification Commission  (view recertification requirements)

State PT Boards
State OT Boards

Agenda

PART ONE: Thermal Agents—DAY 1

7:30-8:00 Registration
8:00-10:15 Pre-Test
Ultrasound: A Basic Understanding
  • Equipment Standards
  • BNR – what is it?
  • 1MHz vs. 3 MHz
  • Thermal vs. Mechanical effects
  • Pulsed vs. Continuous US
10:15-10:30 Break
10:30-12:00 Biological Effects of Ultrasound:
  • Membrane Permeability
  • Tissue Healing
  • Phonophoresis (& medications)
  • Transmission Gel & Unit calibration
12:00-12:30 Documentation
12:30-1:15 Lunch (on you own)
1:15-2:30 Ultrasound Lab
2:30-3:15 Recommendations/Contraindications
Adverse effects
Indications/evidence for use
3:15-3:30 Break
3:30-4:15 Laser & Light Lecture
4:15-6:30 Laser & Light Lab with case studies

PART ONE: Thermal Agents—DAY 2

7:45-8:00 Registration
8:00-9:00 Laser & Light (continued)
Q & A
9:00-10:00 Physiology of Heat Wave Therapy
Modes/mechanisms of Heat Transfer
10:00-10:15 Break
10:15-12:15 Heat Lecture continued
12:15-1:00 Lunch on your won
1:00-2:00 Thermotherapy
Hands on Lab /case studies
2:00-2:15 Q & A
Brief Break
2:15-3:15 Introduction to Electric Stimulation
Post-Test & post test review
3:30 Adjourn

PART TWO: Electrical Stim—DAY 1

7:30-8:00 Registration
8:00-9:15 Electrical Stimulation:
  • Introduction & Pretest
  • Terms/definitions
  • Uses of ES in rehab– muscle strengthening/ re-education
  • Pain & edema control/ iontophoresis
9:15-10:00 Physiology and Physics of Electrical Stimulation
  • action potential
  • waveforms & parameters
  • electrode considerations
  • Strength Duration Curve
10:00-10:15 Break
10:15-12:15 TENS & FES-First cousins
Pain Control – TENS
Conventional & Low frequency
Burst/modulation & SD modes
Hands on guided lab in pairs
12:15-1:15 Lunch (on your own)
1:15-1:45 TENS LAB cont’d/
Questions/Cases
1:45-3:00 NMES/ FES guided hands-on Lab in pairs
  • muscle strengthening and reeducation
  • use with denervated muscles
3:00-3:15 Break
3:15-4:30 Lab Cont’d
4:30-6:30 Case Studies, questions
contraindications/precautions/documentation

Do clinical units work like portable units?

PART TWO: Electrical Stim— DAY 2

7:30-8:00 Registration
8:00-8:45 Case Studies using clinical units
Muscle re-ed/Pain control/strengthening
8:45-9:30 Interferential / medium frequency / “Russian"
9:30 - 10:00 Interferential lab with clinical units
10:00-10:15 Break
10:15-10:45 Edema Control
Muscle pumping vs polarity
10:45-12:15 Tissue Healing
Acute & Chronic Wounds
Patient cases and hands-on group lab
12:15-1:00 Lunch (on your own)
1:00-2:00 Iontophoresis:
  • indications for specific ions
  • electrode selection
  • contraindications/precautions
  • patient cases & hands on lab
2:00-2:15 Break
2:15-3:00 Summary/overview of electrical stim
Recommendations/ Contraindications
Questions/Concerns/Wrap-up
Post test and certificates
3:00-3:30 Post test and certificates
3:30 Adjourn

 

Sara Shapiro, MPH, PT has been an Assistant Clinical Professor in the Graduate Program in PT at UCSF/SFSU, where she was a faculty member from 1983 until 2009. She is a graduate of SUNY at Buffalo, and holds an MPH from the University of North Carolina, Chapel Hill, where she also completed a post-graduate fellowship in pediatrics. She has been practicing for 40 years, with certification in NDT and the Baby course.

Sara is presently working as a Clinical Program Manager for Accelerated Care Plus in San Francisco, CA. She continues to be a frequent speaker at conferences, and to mentor new therapists, teach and maintain a small caseload of patients, integrating her knowledge of electrical stimulation and ultrasound for wound care, pain management, women's issues, and rehabilitation of facial paralysis.

Sara is the author of the Electrical Currents chapter in Physical Agents in Rehabilitation, 3rd Edition, M Cameron, ed.

Tuition

Note: Early Bird rates are in effect if your application is postmarked four weeks or more prior to registration.Early Bird RateLate Registration Rate
Advanced Physical Agent Modalities Principles and Practical Applications$775$830

Dates & Locations

There are no scheduled workshops at this time.

Please note:
Live courses require a minimum number of participants to operate. You will receive a written confirmation when minimum is met. Do not purchase non-refundable travel until you receive official written confirmation.

INTERESTED IN HOSTING? PLEASE CALL 845-368-2458 OR E-MAIL info@RehabEd.com


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