Ultrasound differs from the modalities discussed in the previous three chapters in that it transmits energy that falls within the acoustic, rather than electromagnetic, spectrum. Ultrasound is used in medicine for imaging as well as in the treatment of musculoskeletal conditions.
The success of eccentric exercise for the treatment of tendinopathy is an excellent example of mechanotransduction at work. The tendon fibroblast (tenocyte) is the predominant cell found in tendon and is responsible for producing the components of the ECM and maintaining tissue homeostasis.
A 28-year-old female tennis coach and player is referred for care, complaining of neck pain following a motor vehicle accident 6 days ago. She was at a complete stop when her car was hit from behind. She was transported to the emergency department at a local hospital. She was discharged after being evaluated for injuries.
Therapeutic Modalities for Musculoskeletal Injuries, Fourth Edition
With Online Video, offers comprehensive coverage of therapeutic
interventions for musculoskeletal injuries, providing the tools for
optimal decision making for safe and effective use of each treatment
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Therapeutic Modalities for Musculoskeletal Injuries, Fourth Edition With Online Video, offers comprehensive coverage of evidence-based therapies for rehabilitation of musculoskeletal injuries. The information aligns with the Board of Certification’s Role Delineation Study/Practice Analysis, Sixth Edition, and the Commission on Accreditation of Athletic Training Education’s Athletic Training Education Competencies, Fifth Edition, and is a vital resource for students preparing for examinations as well as professionals in the field who wish to stay informed of the latest research.
Therapeutic Modalities for Musculoskeletal Injuries, Fourth Edition, applies evidence-based research and clinical experiences of top practitioners in the field to optimize the care of musculoskeletal injuries and provides students and practitioners with solid fundamentals in development of rehabilitation programs. The content of this fourth edition has been significantly updated and revitalized to include all modalities that coincide with BOC requirements and offers the latest in contemporary science in the field. Further updates include the following:
New online video that corresponds to modalities discussed throughout the text, directly demonstrating how to apply techniques to individual patients
A new chapter on mechanobiology that provides new understanding of the effects of movement and activity on cell function
A new chapter on the application of exercise as a stimulus for tissue repair
Additional information on the principles and clinical applications of cold, heat, electrotherapy, laser, and ultrasound
Updated and revamped case studies and guided scenarios that apply all modalities found throughout the book to real-world situations
The content of the book is organized in parts to logically address therapeutic interventions for musculoskeletal injuries. Part I explains the core concepts of therapy, specifically in terms of clinical practice, and part II addresses the physiology of the acute response to tissue damage, tissue repair, and pain. Part III examines electrical modalities for pain management, provides an introduction to neuromuscular control, and addresses the use of biofeedback and neuromuscular stimulation to restore neuromuscular control in rehabilitation. Parts IV and V delve into a critical evaluation of therapeutic applications of cold, superficial heat, ultrasound, electromagnetic fields, and low-power laser therapy. Part VI examines foundational concepts of mechanobiology and explains how and why exercise and mechanical forces are essential to musculoskeletal tissue repair. Part VII brings all of the concepts from the text together through a series of case studies and guided scenarios, which allow students to apply fundamentals to real-world situations.
Therapeutic Modalities for Musculoskeletal Injuries, Fourth Edition With Online Video, contains many learning features to assist comprehension, including chapter objectives, key terms and a glossary, sidebars with clinical application of current concepts, and chapter summaries. Additionally, access to 21 online videos of applying modalities in clinical practice will help students better understand concepts from the text. For instructors, a robust set of ancillaries is provided, including a fully updated test package and instructor guide, as well as a newly added presentation package plus image bank to assist with lecture preparation. Ancillary material can be accessed online at www.HumanKinetics.com/TherapeuticModalitiesForMusculoskeletalInjuries.
Therapeutic Modalities for Musculoskeletal Injuries,Fourth Edition, explains how to apply each therapy and addresses why and when a therapeutic intervention can improve the outcome of care. Students and professionals alike will develop stronger decision-making skills when determining the safest and most effective use of each treatment method.
Accessing the Online Video
Part I: Principles of Therapeutic Modalities and Rehabilitation Chapter 1. Fundamentals of Therapeutic Modalities Chapter 2. Psychological Aspects of Injury and Rehabilitation Chapter 3. Evidence-Based Application of Therapeutic Modalities
Part II: Physiology of Pain and Injury Chapter 4. Tissue Healing Chapter 5. Pain and Pain Relief Chapter 6. Clinical Management of Pain
Part III: Electrical Modalities and Nerve Stimulation Chapter 7. Principles of Electrical Modalities Chapter 8. Clinical Application of Electrical Stimulation for Pain Chapter 9. Arthrogenic Muscle Inhibition and Clinical Applications of Electrical Stimulation and Biofeedback
Part IV: Cold and Superficial Heat Therapies Chapter 10. Principles of Cold and Superficial Heat Chapter 11. Clinical Applications of Cold and Superficial Heat
Part V: Ultrasound, Electromagnetic Fields, and Laser Therapies Chapter 12. Principles of Ultrasound and Diathermy Chapter 13. Clinical Application of Ultrasound and Diathermy Chapter 14. Principles of Low-Level Laser Therapy Chapter 15. Clinical Application of Low-Level Laser Therapy
Part VI: Mechanobiology, Exercise, and Manual Therapies Chapter 16. Mechanobiology Chapter 17. Applications of Exercise and Manual Therapy to Promote Repair Chapter 18. Mechanical Energy and Manual Therapies
Part VII: Putting it All Together Chapter 19. Case Scenarios
About the Authors
About the Contributors
Text for students enrolled in entry-level athletic training and physical
therapy programs as well as those in postprofessional education.
Reference for athletic trainers, physical therapists or
physiotherapists, and sports medicine specialists.
Craig R. Denegar, PhD, PT, ATC, FNATA, is a professor in the
department of kinesiology and director of the doctor of physical therapy
program at the University of Connecticut. He has more than 30 years of
experience as an athletic trainer and physical therapist and has
extensive clinical practice experience related to persistent orthopedic
Denegar is a member of the National Athletic Trainers’ Association
(NATA) and the American Physical Therapy Association. He is editor in
chief of the Journal of Athletic Training and serves on the
editorial boards of the Journal of Sport Rehabilitation, Journal of
Strength and Conditioning Research, and Open Access Journal of
Sport Medicine. He is the former vice chair of free communications
on the NATA Research and Education Foundation’s Research Committee and
was the 2003 recipient of the William G. Clancy Medal for Distinguished
Athletic Training Research and the 2004 Distinguished Merit Award from
the Pennsylvania Athletic Trainers’ Society. Denegar was elected a
fellow of the NATA in 2011 and recognized as a Most Distinguished
Athletic Trainer by the NATA in 2014.
Ethan Saliba, PhD, ATC, PT, has been teaching therapeutic
modalities at the University of Virginia at Charlottesville for over 25
years. He is the head athletic trainer and associate athletics director
for sports medicine, and he oversees 25 varsity sports. Saliba is a
certified athletic trainer, licensed physical therapist, and
sport-certified specialist who has written extensively on various
aspects of athletic injuries and rehabilitation. Saliba was honored as
the NATA Head Athletic Trainer of the Year in 2007.
Susan Foreman Saliba, PhD, ATC, PT, is an associate professor in
the Curry School of Education at the University of Virginia at
Charlottesville. She has over 20 years of clinical experience and taught
therapeutic modalities during that time. Susan is a member of both the
NATA and the American Physical Therapy Association (APTA) and has served
on the NATA Educational Executive Committee and the Free Communications
Committee of the NATA Research and Education Foundation. She is
conducting research on the clinical application of therapeutic
About the Contributors
Michael Joseph, PhD, PT, is an assistant professor in the
department of kinesiology physical therapy program at the University of
Connecticut. Joseph has more than 15 years of clinical experience as a
physical therapist specializing in sports medicine and is a consultant
for many professional and collegiate teams. He is a member of the
American Physical Therapy Association and is on the editorial board of
the Journal of Strength and Conditioning Research and the World
Journal of Orthopedics. Joseph teaches clinical and musculoskeletal
pathology, mechanobiology, and musculoskeletal evaluation and treatment.
His focus of research is the adaptation of connective tissue to
Kavin Tsang, PhD, ATC, is an associate professor in the
department of kinesiology at California State University at Fullerton.
He is an active member of the National Athletic Trainers’ Association
(NATA) and an athletic trainer certified by the Board of Certification.
His clinical experiences encompass physical therapy clinics, high school
athletics, collegiate intramural programs, and intercollegiate
athletics. He has been teaching therapeutic modalities in various
athletic training education curricula for over 14 years. Tsang serves on
the NATA Research and Education Foundation (NATA REF) Board of
Directors, NATA REF Free Communications Committee, NATA Convention
Program Committee, and FWATA Education Program Committee. He is also
chair of the Far West Athletic Trainers’ Association (FWATA) Research
and Grants Committee.
"The book meets the needs of everyone from new students to long-time
professionals by clearly explaining each concept in both basic terms and
in-depth detail… The inclusion of manual therapies, mechanical energy,
and exercise as modalities is vital as these are emerging concepts in
the healthcare and injury management fields. This book compares well
with other books on therapeutic modalities, and is the most complete
Instructor guide. Includes chapter summaries and objectives, lecture outlines, sample syllabus, and supplemental class activities to assist in lecture preparation.
Test package. Includes an average of 25 questions for each chapter in true-or-false, fill-in-the-blank, multiple-choice, essay, and short-answer formats.
Presentation package plus image bank. Includes more than 380 PowerPoint slides that the instructor can customize, organize, and tailor to the needs of each class. These slides can also be used as classroom handouts or transparencies. The content of the robust image bank can be tailored to course objectives. It includes the most important art, photos, and tables from the book, sorted by chapter, which can be used in PowerPoint presentations, homework assignments, and classroom lectures.
The presentation package plus image bank is also available for purchase • ISBN 978-1-4925-0710-9
Online video. Includes 21 online videos of clinical application of modalities found in the text. These videos demonstrate proper technique and form so that students learn how to appropriately and accurately apply modalities for therapy.
The online video is also available for purchase • ISBN 978-1-4925-0711-6