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Current Evidence Based Protocols on the Use of Therapeutic Modalities

Profession: Physical Therapists/Assistants,Occupational Therapists/Assistants,Doctors of Chiropractic
Topic: Clinical
CEU: 0.9 unit
Contact Hours: 9 hours

States Approved:
- Physical Therapists/Assistants : Arkansas, California, Colorado, Hawaii, Indiana, Maine, Massachusetts, Michigan, New York, Rhode Island, South Dakota, Utah, Vermont, Wyoming
- Occupational Therapists/Assistants : Ohio
- Doctors of Chiropractic : New Jersey

Skill Level: Beginner


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Course Description:

This publication explores the effectiveness of several therapeutic modalities in the treatment of neurological and musculoskeletal disabilities and the challenges faced by health practitioners in selecting the most appropriate treatments. Numerous guidelines recommend therapeutic modalities for the management of musculoskeletal conditions; however, recommendations are lacking concerning the specific adjunct modalities to employ. This review will also discuss current evidence-based clinical practice guidelines that have been developed in the treatment of neurological and musculoskeletal conditions.

Clinicians use a variety of modalities to reduce pain, improve mobility, and treat neuromusculoskeletal injuries and disabilities. Examples of therapeutic modalities include hot packs, cold packs, whirlpools, TENS (Transcutaneous Electrical Nerve Stimulation), ultrasound, traction, electrical stimulation, and joint and spine mobilization/manipulation, all of which can help strengthen, relax, and heal muscles, as well as expedite recovery in the orthopedic setting.

Course objectives:

  1. Understand how ultrasound benefits in fracture healing.
  2. Identify the mechanisms of action of iontophoresis, low-level laser therapy, electrical stimulation and spinal decompression therapy.
  3. Choose the best modality for osteoarthritis and rheumatoid arthritis.
  4. Prescribe the best treatment protocol for knee pain, neck pain, and shoulder pain based on evidence based guidelines.
  5. Differentiate high intensity ultrasound versus low intensity ultrasound

Target Audience:

  • Physical Therapists
  • Physical Therapy Assistants
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Doctors of Chiropractic

To purchase the online exam and e-book, simply hit the "click to proceed" button above. This option allows you to print your certificate instantly after passing the exam. (A score of 70% is required to pass the exam.)

To buy the paperback version from Amazon click below.

Chapter 1: Therapeutic Modalities
Biofeedback (CPT code 90901)
Compression (97016)
Continuous Passive Motion (CPM)
Contrast Baths (CPT code 97034)
Diathermy (Short Wave) (CPT code 97024)
Electrical Stimulation (CPT code G0283)
Extracorporeal Shock Wave Therapy (CPT code 0019T, 0101T)
Fluidotherapy (CPT 97022)
Infrared Therapy (CPT 97026)
Iontophoresis (CPT 97033)
Laser Therapy (Low-Level)
Paraffin Bath (CPT Code 97018)
Spinal Decompression Therapy and Mechanical Traction (97012)
Thermotherapy - Superficial Heat and Cold (CPT 97010)
Ultrasound (CPT 97035)
Ultrasound - Sonophoresis/Phonophoresis
Whirlpool (CPT 97022)/ Hydrotherapy (CPT 97036)
Chapter 2: Therapeutic Procedures
Aquatic Therapy with Therapeutic Exercise (CPT code 97113)
Gait Training (includes Stair Climbing) (CPT Code 97116)
Manual Therapy (e.g. connective tissue massage, joint mobilization and manipulation, and manual traction) (CPT Code 97140)
Massage including Effluerage, Petrissage, and/or Tapotement (Stroking, Compression, Percussion) (CPT code 97124)
Neuromuscular Reeducation of Movement, Balance, Coordination, Kinesthetic Sense, Posture and/or Proprioception for Sitting and/or Standing Activities (CPT code 97112)
Orthotic Management & Prosthetic Training (CPT codes 97760-97762)
Self-Care/Home Management Training (e.g., activities of daily living [ADL] and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) (CPT code 97535)
Therapeutic Activities – Dynamic Activities to Improve Functional Performance (CPT code 97530)
Therapeutic Exercises to Develop Strength and Endurance, Range of Motion, and Flexibility (CPT code 97110)
Wheelchair Management (Assessment, Fitting and Training) (CPT Code 97542)
Work Hardening/Work Conditioning (CPT Code 97545-97546)
Sidebar: Complementary and Alternative Medicine
Chapter 3: Evidence-Based Clinical Practice Guidelines
Clinical Practice Guidelines
Guidelines for Cervical and Thoracic Spine Disorders
Guidelines for Low Back Dysfunction
Guidelines for Ankle/Foot Disorders
Guidelines for Shoulder Disorders
Guidelines for Chronic Pain Conditions (Including Fibromyalgia)
Guidelines for Fall Prevention
Guidelines for Frail Elderly
Guidelines for Osteoarthritis
Guidelines for Rheumatoid Arthritis
Guidelines for Osteoporosis
Guidelines for CVA
Guidelines for Neurodegenerative Diseases
Chapter 4: Therapeutic Injections and Physician Administered Modalities
Botulinum Toxin Injections
Dorsal Nerve-Root Ganglion Radiofrequency Ablation
Epidural Steroid Injection (epidural steroid injection)
Epiduroscopy and Epidural Lysis of Adhesions
Intradiscal Steroid Therapy
Joint Injections
Platelet-Rich Plasma Injections
Radiofrequency Medial Branch Neurotomy/Facet Rhizotomy
Sacroiliac Joint Injection
Shoulder-Joint Injections
Soft-Tissue Injections
Subacromial Injections
Sympathetic Injections
Trigger-Point Injections and Dry Needling Treatment
Viscosupplementation/Intracapsular Acid Salts
Zygapophyseal (Facet) Injection
Chapter 5: Common Medications Used for Pain Management
Muscle Relaxants, Skeletal Muscle Relaxants
Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)
Steroids, Oral
Topical Agents
Vitamin B6
Vitamin C


CA sealPhysical Therapists/Assistants : Arkansas, California, Colorado, Hawaii, Indiana, Maine, Massachusetts, Michigan, New York, Rhode Island, South Dakota, Utah, Vermont, Wyoming

Physical Therapists, Physical Therapist Assistants: New York: Rehabsurge, Inc. is recognized by the New York State Education Department’s State Board for Physical Therapy as an approved provider for physical therapy and physical therapist assistant continuing education. This seminar is awarded 9 contact hours.

Physical Therapists, Physical Therapist Assistants: California: The Physical Therapy Board of California recognizes Rehabsurge, Inc. as an Approval Agency to Approve Providers of Continuing Competency Courses in California for Physical Therapists and Physical Therapy Assistants. This course is approved for 9 CEs/Contact Hours.

Pricing Information

Self Study Physical Book Only (through $30

Exam Only (through or by mail): $60

Self Study E-Book and Exam(through $90


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