RICC Modalities

What does IASTM do

treats tight muscles, muscle adhesions, scar tissue, strains, tendinopathies

what does IASTM do physiologically

initiates body’s local inflammatory response to breakdown adhesions and scar tissues, increase blood flow, improve ROM, reduce chronic inflammation

what are the indications for IASTM

muscle strains

muscle tightness

tendinitis

fascitis

chronic pain

what are the contradictions to doing IASTM

acute injury

open wound

fracture

body/sensitive area

if patient says no

how long should scraping last for

max 30 sec in one direction

max 5 total minutes

what should you tell a patient during IASTM

is pressure to hard/soft

it will be uncomfortable

can cause bruising and redness

what is cupping used for

tight muscles, muscle adhesions, strains, tendinopathies, chronic pain

what does cupping do

uses negative pressure to pull fluid and layers of tissue in direction of cups

increased blood flow

reduced muscle tightness

improved ROM

reduced pain and inflammation

what are cupping indications

muscle tightness

muscle spasm

localized pain

tendonitis

what are cupping contradictions

acute injury

open wound

fracture

bony/sensitive area

if a patient says no

how many pumps should you use with cupping

two

how long should cupping last

10 minutes

what do you tell a patient with cupping

relax

feels like the cup is sucking up the muscle

can cause bruising and redness

normal to be sore

what types of estim are used to reduce pain

pre mod

IFC

why does premod and IFC reduce pain

give brain alternative stimulus that blocks pain receptors

how many pads do you use with premod

2

how long should premod last

10-15 minutes

what do you tell a patient when doing a normal speed increase with premod

tell me when you start to feel the tingling

what should you tell a patient when doing a slow increase on premod

tell me when to stop it should be annoying but not painful

what are indications of premod

smaller area

pain

post surgery

chronic pain/injury

acute pain/injury

what are contradictions to premod

open wound

fracture

pregnancy

pacemaker

damaged nerves

patient says no

what are indications for IFC

larger area

pain relief

after surgery

acute pain/injury

chronic pain/injury

what are contradictions to IFC

open wound

fracture

pregnancy

pacemaker

damaged nerves

patient says no

how many pads should you use with IFC

4

how long should IFC last

10-15 minutes

what should you tell a patient when doing a normal speed increase with IFC

tell me when you start to feel tingling

what should you tell a patient when doing a slow increase with IFC

tell me when to stop it should be annoying but not painful

what are indications of russian

muscle re-education

post surgery

acute (no strain)

what are contradictions to russian

open wound

fracture

pregnancy

pacemaker

damaged nerves

patient says no

why do you do russian

help patient activate muscle with external stimulus

promote muscle function recovery

produce isometric contractions

what type of pads do you use with russian

large rectangle pads

what is the average time for russian

10 minutes

what do you tell a patient when turning up intensity on russian

tell me when you start to feel tingly

strong and uncomfortable

contract with each stimulation

what does ultrasound do

sends sound waves into tissue which facilitates the body’s natural healing process, reduces inflammation/pain, and increases blood flow

what effects are always present when ultrasounding

improves O2 delivery by increasing capillary density

tissue regeneration

increase fibroblasts

vascular regeneration

what duty cycle do you use with non termal

10/20/50 %

what duty cycle do you use with thermal

100% or continuous

what are indications to non thermal

acute inflammation

acute tissue injury

pain control

bruising

assessing stress fracture

what are contradictions to non thermal

over eyes, heart, skull, genitals, pregnant uterus

infection

skin disease

impaired circulation/sensation

pacemaker

cancer

which machines can you use with non thermal

nugget

franken stim

how long should non thermal be

5 minutes

what should you tell a patient with non thermal

you shouldn’t feel anything

if it gets hot tell me

what are additional effects with thermal

increased tissue extensibility

decreased joint stiffness

reduced muscle spasm

decreased pain perception

increased blood flow

what machine do you use with thermal

nugget

what are indications for thermal

subacute inflammation/chronic inflammation

pain

decreased ROM due to muscle tightness

muscle spasm

tissue damage

what are contradictions to thermal

acute injury/inflammation

metal in treatment area

what frequency do you use for deep tissue

1 MHz

what frequency do you use with superficial tissue

3 MHz

what should you tell a patient with thermal

should get a little warm

if achy, uncomfortable, or too hot let me know

what does combo do

reduces muscle spasm and improve ROM

what machine do you use with ultrasound

nugget

what are indications for combo

muscle spasms

limited ROMw

what are contradictions for combo

pacemaker

pregnancy

patient says no