Therapeutic Modalities For Musculoskeletal Injuries - 3rd Edition

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Therapeutic Modalities For Musculoskeletal Injuries - 3rd Edition By Craig Denegar, Ethan Saliba and Susan Saliba

© 2010
Book 304 pages
ISBN-13: 9780736078917

Product Description

Therapeutic Modalities for Musculoskeletal Injuries, Third Edition, provides comprehensive coverage of evidence-based therapies for athletic injury rehabilitation. Part of Human Kinetics’ Athletic Training Education Series, the updated third edition presents the most current research regarding therapeutic modalities for athletic injuries and improves on previous editions through the alignment of the text’s content with the National Athletic Trainers’ Association (NATA) Athletic Training Educational Competencies. The result is a valuable resource for students preparing for NATA certification.

Therapeutic Modalities for Musculoskeletal Injuries, Third Edition, assists students and professionals in understanding the theoretical basis for and safe use of each modality. Readers will also find the text helpful in their research of the clinical literature to determine the effectiveness of each modality. In addition to explaining how to apply each therapy, this text addresses why and when each modality would prove safe and effective, providing readers with information for improved decision making regarding the utility of each modality in the injury management continuum.

Therapeutic Modalities for Musculoskeletal Injuries offers balanced coverage of the uses and abuses of modality treatments, allowing readers to evaluate and apply the most effective modalities for specific injuries. The third edition begins with a discussion of the physical and psychological aspects of injury and rehabilitiation, persistent and chronic pain and pain relief, and the impact of injury and pain on neuromuscular control. Following that is a presentation of evidence-based application of therapeutic modalities, including cryotherapy and superficial heat, electrotherapy, ultrasound, diathermy, electromagnetic fields, low-level laser therapy, and manual therapies. Suggested treatment plans for acute musculoskeletal injuries, clinical applications for neuromuscular control and biofeedback, and clinical management of persistent pain conclude the text.

Though specific treatment for individual problems is not prescribed, reference is made to specific guidelines, summary articles, and research articles for further study. In this way, the text encourages students and professionals to seek additional research in order to construct optimal treatment strategies and to support the clinical decisions they make.

Therapeutic Modalities for Musculoskeletal Injuries, Third Edition, offers a variety of learning aids to help students understand, apply, and review the content, including chapter objectives, practical scenarios, key points, key terms, sidebars, review questions, and references. To reinforce practical scenarios, summary boxes throughout the text provide at-a-glance highlights of how treatments are used. Instructors will find time-saving supplemental materials, including a fully updated instructor guide, test bank, and image bank, accessible online at:

Human Kinetics’ Athletic Training Education Series contains six textbooks, each with its own supporting instructional resources. Featuring the work of respected athletic training authorities, the series parallels and expounds on the content areas established by the NATA Education Council. To learn more about the books in this series, visit the Athletic Training Education Series Web site at:


Chapter 1. The Contemporary Use of Therapeutic Modalities
Legal Aspects of Therapeutic Modality Application: Practice Acts and Negligent Treatment
The Rehabilitation Plan of Care

Chapter 2. Psychological Aspects of Rehabilitation
Psychological Response to Injury
Maximizing Compliance With a Rehabilitation Plan of Care
Barriers to Successful Rehabilitation
Clinical Outcomes and Efficacy of Therapeutic Modalities
A Word About Placebo

Chapter 3. Tissue Injury, Inflammation, and Repair
Healing Tissues and Inflammation: An Overview
Acute Phase of the Inflammatory Response
Repair Phase of the Inflammatory Response
Maturation Phase of the Inflammatory Response
Chronic Inflammation

Chapter 4. Pain and Pain Relief
What is Pain?
Pain and the Physical Exam
Pain Assessment
Transmission of the Pain Sensation
Pain Control Theories

Chapter 5. Persistent Pain and Chronic Pain
Where and How Pain Sensitivity Increases
Sources of Persistent Pain

Chapter 6. Impact of Injury and Pain on Neuromuscular Control
Integration of Components of Neuromuscular Control Into a Rehabilitation Plan of Care
Why Is Neuromuscular Control Lost?
The Role of Therapeutic Modalities in Restoring Neuromuscular Control

Chapter 7. Evidence-Based Application of Therapeutic Modalities
The Need for Evidence-Based Practice
Tools Necessary for Assessing Outcomes
Finding and Assessing the Evidence
Beyond the RCT – Systematic Review and Practice Guidelines

Chapter 8. Cold and Superficial Heat
Energy Transfer
Cryotherapy and Cryokinetics
Superficial Heat
Heat and Cold: Contrast Therapy
Heat, Cold, and Contrast Therapy: Deciding What to Apply

Chapter 9. Principles of Electrotherapy
Basics of Electricity
Types of Electrical Current: Alternating, Direct, and Pulsatile
Parameters of Electrical Stimulation
Electrode Considerations

Chapter 10. Clinical Uses of Electrical Stimulation
Pain Relief: Transcutaneous Electrical Nerve Stimulation
Muscle Reeducation: Neuromuscular Electrical Stimulators
Iontophoresis and Stimulation of Denervated Muscle: Direct Current (DC) Stimulator
Wound Healing: Microcurrent Electrical Nerve Stimulator

Chapter 11. Ultrasound, Diathermy, and Electromagnetic Fields
Application of Acoustic Energy:Ultrasound
Efficacy of Ultrasound Therapy for Musculoskeletal Conditions
Application of Electromagnetic Energy: Diathermy and Pulsed Electromagnetic Fields
Efficacy of Diathermy and PEMF Therapy for Musculoskeletal Conditions
Stimulation of Fracture Healing

Chapter 12. Low-Level Laser Therapy
Electromagnetic Energy
Laser Production
Properties of Laser Light
Laser Classification
Laser Parameter Selection
Comparing Low-Level Laser Therapy Treatments
Biological Effects of Laser
Safety Considerations
Contraindications and Precautions

Chapter 13. Mechanical Energy
Manual Therapy
Is Manual Therapy Effective?
Intermittent Compression
Traction and Intermittent Compression: Effective Therapies?

Chapter 14. Treatment Plans for Acute Musculoskeletal Injuries
Management in the Acute Stage: Rest, Ice, Compression, Elevation
Modalities Used in Addition to RICE
Repair Phase

Chapter 15. Neuromuscular Control and Biofeedback
Volitional Control and Biofeedback
Clinical Applications: Restoring Control of Volitional Contraction
Clinical Applications: Functional Progression
Learning Relaxation

Chapter 16. Clinical Management of Persistent Pain
Treating Persistent Pain
Diagnosis and Plan of Care Problems
Treating Chronic Pain

About the Authors


Text for students enrolled in athletic training courses and those preparing for NATA certification. Reference for athletic trainers, physical therapists, sports medicine specialists, and sport physiotherapists

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