What are the 3 STP phases?
Acute, Subacute, Chronic.
Goals of acute/inflammatory phase STP?
Protect, reduce pain/swelling/spasm, prevent secondary injury.
Common treatments in acute phase STP?
Rest, ice, compression, elevation, protection, light motion, NSAIDs.
Goals of subacute/repair phase STP?
Continue pain/swelling control, promote healing, restore mobility.
Treatments in subacute phase?
Ice/heat combo, contrast baths, moderate stretching, massage, ultrasound, exercise progression.
Goals of chronic/remodeling phase STP?
Aggressive stretching, strengthen tissue, return to functional activities.
Treatments in chronic phase?
Heat, advanced rehab, sports-specific drills, advanced modalities.
Main effects of cryotherapy?
↓ pain, ↓ spasm, ↓ metabolism, ↓ swelling, vasoconstriction.
What does CBAN stand for in cryotherapy?
Cold, Burn, Ache, Numb.
Typical application times for cryotherapy?
Bags 20–30 min, ice cup 7–12 min, whirlpool 10–20 min.
Precautions/contraindications for cryotherapy?
Cold allergies, Raynaud’s, superficial nerves, poor circulation/sensation.
Why does ice numb an area?
Slows nerve conduction and pain signal transmission.
Effects of thermotherapy?
↓ pain, ↓ spasm, vasodilation, ↑ collagen elasticity, ↑ blood flow.
When should thermotherapy not be used?
Acute injuries, infection, poor circulation, decreased sensation.
Typical application times for heat?
10–30 minutes.
Temperature ranges for hot whirlpools?
99–110°F.
What is a contrast bath?
Alternating hot/cold immersion or packs to pump swelling out.
When to end with heat vs. cold in contrast bath?
End with heat if activity follows, cold if no activity follows.
Effects of E-stim?
Pain modulation, swelling reduction, muscle contraction, ↓ atrophy.
Acute swelling effect of E-stim?
Drives fluids away from site.
Chronic swelling effect of E-stim?
Muscle pumping action.
What is iontophoresis?
Using E-stim to drive medications through skin.
Effects of ultrasound?
Thermal (heat) or non-thermal (healing).
Can ultrasound be used on acute injuries?
Yes, if pulsed (non-thermal).