DOCSLIB.ORG

Shortwave Diathermy

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Shortwave Diathermy DIATHERMY What is DIATHERMY? • The use of non-ionizing electromagnetic energy from the radio-frequency spectrum as therapeutic agent Types of Diathermy Long wave - longest wavelength 300 – 30 m - most penetrating - no longer utilized due to high potential of causing burns and interference with radio transmissions Shortwave Microwave SHORTWAVE DIATHERMY Superficial and Method of Heat deep heating Transfer modality - Conversion Frequency Manner of Delivery - 27.12 MHz - continuous Wavelength - pulsed - 11 m Continuous vs Pulsed SWD PULSED SWD Pulse Repetition Rate (PRR) - 15 to 800 Hz Pulse Duration (PD) - 25 to 400 microseconds Peak Pulse Power (PPP) - 100 to 1000 watts Duration - 20 minutes (5-15 acute; 10-20 chronic) Calculating Mean Power in PSWD 1. Cycle Duration = 1000 / PRR 2. % cycle SWD delivered = (PD x 100) / Cycle Duration 3. Mean Power delivered = PPP x % cycle SWD SHORTWAVE DIATHERMY UNIT HEAT PRODUCTION • Dependent on: SPECIFIC ABSORPTION RATE Tissue conductivity charged molecules dipolar molecules non-polar molecules Electrical field magnitude Charged Molecules Ions and certain proteins Molecules are accelerated along + - lines of electric force + - + - Most efficient way of + - heat production Dipolar Molecules Water and some proteins Positive pole of the molecule aligns itself to the negative pole of the electric field (vice versa) Moderately efficient heat production Non-Polar Molecules • Fat cells • Electron cloud is distorted but negligible heat is produced • Least efficient heat production Clinical Implication ! • Blood, having high ionic content, is a good conductor vascular tissues as well • Metal and sweat are good conductors if metal implants and sweat are present within the electric field, may cause burn SHORTWAVE DIATHERMY Condenser Induction Field Field CONDENSER FIELD • Patient’s tissues are used as DIELECTRIC between the conducting electrodes • Oscillation and rotation of the molecules of the tissues produces heat • Either flexible metal plates (malleable) or rigid metal discs can be used as electrodes • Can be applied in 3 ways: contraplanar, coplanar, or longitudinal Ways of Application Contraplanar - aka Transverse positioning - plates are on either side of the limb Ways of Application Coplanar - plates parallel with the longitudinal section of the body part; same side Ways of Application Longitudinal - plates are placed at each end of the limb In what way should SWD be applied? • No conclusive evidence as to the technique of application that will produce the most effect on the heated tissue (Kitchen and Bazin, 1996) GUIDELINES ! Electrodes should be: Equal in size Slightly larger than the area treated Equidistant and at right angles to the skin surface INDUCTION FIELD • Patient is in the electromagnetic field or the electric circuit produce strong magnetic field induce electrical currents within the body (EDDY currents) • Utilizes either an insulated cable or an inductive coil applicator Arrangement of Inductive Coil Monode: coil arranged in one plane Hinged Diplode: permits electrode to be positioned at various angles around the three sides of the body part, or in one plane Which is more effective: condenser or induction field? Some studies argue that inductive diathermy produces greater increase in temperature of deeper tissues compared to condenser/capacitive technique Any deep effects following capacitive technique requires considerable increase in superficial tissue temperature THERAPEUTIC EFFECTS (continuous and pulsed) Increase blood flow Assist in resolution of inflammation Increase extensibility of deep collagen tissue Decrease joint stiffness Relieve deep muscle pain and spasm INDICATIONS Soft tissue healing - conflicting evidence as regards effectiveness of SWD - controlled animal studies revealed insignificant results as well as trials involving human subjects (Kitchen and Bazin, 1996); to date, no studies in the treatment setting was conducted INDICATIONS • Recent ankle injuries - inconclusive results following three double-blind protocols (Kitchen and Bazin) INDICATIONS A. Nerve Regeneration Pain Syndromes - studies were done on cats - Pulsed SWD may and rats provide better - PSWD induced regeneration of axons, pain relief in some acceleration and recovery of musculoskeletal nerve conduction conditions (neck B. Osteoarthritis and back) than - no established effect SWD C. Post-operative - insignificant (abdominal MICROWAVE DIATHERMY Superficial and deep heating Frequency: 300 MHz to 300 GHz Wavelength: 1m to 1mm Therapeutic Parameters: A. 122.5 mm – 2456 MHz B. 327 mm – 915 MHz C. 690 mm – 433.9 MHz Dosage: acute 5 to 15 minutes chronic 10 to 20 minutes MICROWAVE DIATHERMY APPARATUS How is microwave produced? Direct current (DC) is shunted to the cathode in the magnetron valve Release of electrons from the cathode to the multi-cavity anode valve Electrons oscillate at predetermined frequency High frequency alternating current is transmitted along a coaxial cable Coaxial cable transmits energy to a director Fate of Microwave Absorbed - energy is taken up by the material Transmitted - pass through the material without being absorbed Refracted - direction of propagation is altered Reflected - turned back from the surface THERAPEUTIC EFFECTS • Increased blood flow or circulation to the area • Increased tissue temperature • Increased metabolism • Facilitate relaxation • Increased pain threshold • Decreased blood viscosity INDICATIONS • Soft tissue injury • Mobilization • Pain relief CONTRAINDICATIONS • Pacemakers • Malignant CA • Metal implants • Active TB • Impaired • Fever sensation • Thrombosis • Pregnancy • X-ray exposure • Hemorrhage • Uncooperative • Ischemic Tissue patient • Testicles and eyes • Areas of poor circulation PRECAUTIONS • Operator should observe caution when handling the machine: same contraindications apply Production of Microwave: - Produced by high frequency current and have same frequency as the currents which produce them - Not produced by Oscillators/ Vacuum tube valves / Solid state devices Magnetron: - Consists of cylindrical cathode surrounded by an anode structure with cavities opening into the cathode Anode space by means of slot. • O/P energy is derived from the resonator system by means of a coupling loop forced into one of the cavities. • The energy picked up on the coupling loop is carried out of the magnetron on the central conductor of a co-axial o/p tube throgh a glass seal to the director • Director has radiating element of antenna • Electrical current transformed to antenna & emits EM radiation. Then a reflector which direct energy to the patient. Components of Microwave Diathermy • Main supply voltage • Interference Suppression filter( Bypass the high frequency pick up generated by Magnetron) • Fan motor connected with power supply ( Used to cool magnetron) Delay Circuit • Magnetron has to warmup for 3 to 4 minutes before power may be delivered from it • Delay ckt – connects the anode supply to the magnetron after this time elapse • Lamp lights up after 5 minutes – For indicates that apparatus is ready to use Magnetron Circuit • Filament heating voltage is obtained directly from the secondary winding of the transformer • Cathode circuit contains suppression filters • Anode supply may be DC or AC. • DC voltage from full wave rectifier followed by voltage doubler circuit • A high wattage variable resistance in series controls current applied to the anode circuit • AC voltage is applied to the anode of the through series connected thyrotron sothat AC voltages of both tubes are equal in phase. • The amount of the current through the magnetron /output power can be varied by shifting the phase of the control grid voltage with respect to the phase of the anode voltage • Phase shift can be achieved – By using capacitor resistor network. Safety circuit • Fuse(500 mA) in the anode supply circuit • Large self inductance coils in primary supply– For considerable interference • Due to small dimensions – cores become saturated- to avoid that coils are split up in such a way that no magnetization • Duration of irradiation – 10 to 25 minutes. • Skin should be dry as these waves are absorbed by water. Electrotherapy i-t curve • First stimulated with long impulses ( first 1s pulse duration then 0-05ms) • For each impulse duration the current intensity is adjusted until the stimulation threshold has been exceeded. • So the current intensity has to be achieved to keep threshold value • Impulse Duration(1000-300-100-10-3-1-0.05ms) Chronaxie Period: Minimum duration of impulse that will produce a response with a current of double of the rheobase Rheobase: Minimum intensity of current that will produce a response if the stimulus is of finite duration Galvanic current • Steady flow of direct current • Movement of ions and their collection at the skin areas lying beneath the electrodes • Bright red coloration due to increased blood flow • For atonic Paralysis, for treatment of disturbance in blood flow, iontophoresis • Current intensity – 0.3 to 0.5 ma/sq.cm • Duration : 10-20 minutes Faradic current • Sequence of pulses with defined shape & current intensity • Pulse duration – 1minute triangular waves with interval 20 minutes • Acts upon muscle tissue and upon the motor nerves to produce muscle contractions • No ion transfer & No chemical effect • Treatment of muscle weakness after immobilization and disuse atrophy & functional paralysis treatment Surging current • Peak current increases & decreases rhythmically & the rate of increase and decrease of peak amplitude
Load more

Recommended publications
  • Physical Therapy, Occupational Therapy, and Speech and Language Pathology Providers
    PhysicalPhysical Therapy,Therapy, OccupationalOccupational Therapy,Therapy, andand SpeechSpeech andand LanguageLanguage PathologyPathology ServicesServices ARCHIVAL USE ONLY Refer to the Online Handbook for current policy CContacting Wisconsin Medicaid Web Site dhfs.wisconsin.gov/ The Web site contains information for providers and recipients about the Available 24 hours a day, seven days a week following: • Program requirements. • Maximum allowable fee schedules. • Publications. • Professional relations representatives. • Forms. • Certification packets. Automated Voice Response System (800) 947-3544 (608) 221-4247 The Automated Voice Response system provides computerized voice Available 24 hours a day, seven days a week responses about the following: • Recipient eligibility. • Claim status. • Prior authorization (PA) status. • Checkwrite information. Provider Services (800) 947-9627 (608) 221-9883 Correspondents assist providers with questions about the following: Available: • Clarification of program ARCHIVAL• Resolving claim denials. USE ONLY8:30 a.m. - 4:30 p.m. (M, W-F) requirements. • Provider certification. 9:30 a.m. - 4:30 p.m. (T) • Recipient eligibility. Refer to the Online HandbookAvailable for pharmacy services: 8:30 a.m. - 6:00 p.m. (M, W-F) for current policy9:30 a.m. - 6:00 p.m. (T) Division of Health Care Financing (608) 221-9036 Electronic Data Interchange Helpdesk e-mail: [email protected] Correspondents assist providers with technical questions about the following: Available 8:30 a.m. - 4:30 p.m. (M-F) • Electronic transactions. • Provider Electronic Solutions • Companion documents. software. Web Prior Authorization Technical Helpdesk (608) 221-9730 Correspondents assist providers with Web PA-related technical questions Available 8:30 a.m. - 4:30 p.m. (M-F) about the following: • User registration.
    [Show full text]
  • Efficacy of Ice and Shortwave Diathermy in the Management of Osteoarthritis of the Knee – a Preliminary Report
    African Journal of Biomedical Research, Vol. 7 (2004); 107 - 111 ISSN 1119 – 5096 © Ibadan Biomedical Communications Group Available online at http://www.bioline.org.br/md Full Length Research Article EFFICACY OF ICE AND SHORTWAVE DIATHERMY IN THE MANAGEMENT OF OSTEOARTHRITIS OF THE KNEE – A PRELIMINARY REPORT ADEGOKE, B.O.A* AND GBEMINIYI, M.O. Physiotherapy Department, College of Medicine University of Ibadan Nigeria This study was designed to compare the effects of shortwave diathermy (SWD) and ice on pain, range of motion and function in osteoarthritis (OA) of the knee. Subjects were fourteen patients (4 males and 10 females) aged 40-70years diagnosed as having OA of the knee. Subjects were assigned into either the SWD or ice treatment groups, as they became available. All subjects received routine adjunct therapeutic exercises, were excluded from analgesic drugs and were treated thrice weekly during the four -week duration of the study. Subjects were assessed at the beginning and end of the study for pain, range of motion (ROM) and function using visual analog scale, universal goniometer and functional index questionnaire respectively. Data were subjected to descriptive statistics of means and standard deviation and inferential statistics of independent and paired t-tests. Results showed that while the subjects in the SWD group had significantly greater ROM and function than the ice group at the beginning of the study, both groups were not statistically significantly different on all dependent variables at the end of the study. Paired -ttest also indicated that the ice group improved significantly on all three dependent variables while the SWD group improved significantly in pain and ROM only.
    [Show full text]
  • Public Use Data File Documentation
    Public Use Data File Documentation Part III - Medical Coding Manual and Short Index National Health Interview Survey, 1995 From the CENTERSFOR DISEASECONTROL AND PREVENTION/NationalCenter for Health Statistics U.S. DEPARTMENTOF HEALTHAND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Health Statistics CDCCENTERS FOR DlSEASE CONTROL AND PREVENTlON Public Use Data File Documentation Part Ill - Medical Coding Manual and Short Index National Health Interview Survey, 1995 U.S. DEPARTMENT OF HEALTHAND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Health Statistics Hyattsville, Maryland October 1997 TABLE OF CONTENTS Page SECTION I. INTRODUCTION AND ORIENTATION GUIDES A. Brief Description of the Health Interview Survey ............. .............. 1 B. Importance of the Medical Coding ...................... .............. 1 C. Codes Used (described briefly) ......................... .............. 2 D. Appendix III ...................................... .............. 2 E, The Short Index .................................... .............. 2 F. Abbreviations and References ......................... .............. 3 G. Training Preliminary to Coding ......................... .............. 4 SECTION II. CLASSES OF CHRONIC AND ACUTE CONDITIONS A. General Rules ................................................... 6 B. When to Assign “1” (Chronic) ........................................ 6 C. Selected Conditions Coded ” 1” Regardless of Onset ......................... 7 D. When to Assign
    [Show full text]
  • Icd-9-Cm (2010)
    ICD-9-CM (2010) PROCEDURE CODE LONG DESCRIPTION SHORT DESCRIPTION 0001 Therapeutic ultrasound of vessels of head and neck Ther ult head & neck ves 0002 Therapeutic ultrasound of heart Ther ultrasound of heart 0003 Therapeutic ultrasound of peripheral vascular vessels Ther ult peripheral ves 0009 Other therapeutic ultrasound Other therapeutic ultsnd 0010 Implantation of chemotherapeutic agent Implant chemothera agent 0011 Infusion of drotrecogin alfa (activated) Infus drotrecogin alfa 0012 Administration of inhaled nitric oxide Adm inhal nitric oxide 0013 Injection or infusion of nesiritide Inject/infus nesiritide 0014 Injection or infusion of oxazolidinone class of antibiotics Injection oxazolidinone 0015 High-dose infusion interleukin-2 [IL-2] High-dose infusion IL-2 0016 Pressurized treatment of venous bypass graft [conduit] with pharmaceutical substance Pressurized treat graft 0017 Infusion of vasopressor agent Infusion of vasopressor 0018 Infusion of immunosuppressive antibody therapy Infus immunosup antibody 0019 Disruption of blood brain barrier via infusion [BBBD] BBBD via infusion 0021 Intravascular imaging of extracranial cerebral vessels IVUS extracran cereb ves 0022 Intravascular imaging of intrathoracic vessels IVUS intrathoracic ves 0023 Intravascular imaging of peripheral vessels IVUS peripheral vessels 0024 Intravascular imaging of coronary vessels IVUS coronary vessels 0025 Intravascular imaging of renal vessels IVUS renal vessels 0028 Intravascular imaging, other specified vessel(s) Intravascul imaging NEC 0029 Intravascular
    [Show full text]
  • Evidence for Effective Hydrotherapy
    514-529geytenbeek 21/8/02 4:15 pm Page 514 514 Key Words Hydrotherapy, systematic review, evidence-based research, critical appraisal. by Jenny Geytenbeek Evidence for Effective Hydrotherapy Summary Purpose The purpose of this study was to search for, appraise the quality of and collate the research evidence Background and Purpose supporting the clinical effectiveness of hydrotherapy. Hydrotherapy practice in physiotherapy has developed from a scientific basis of Method A systematic search of literature was performed hydrodynamic theory. An understanding using ten medical and allied health databases from which of the physical properties of water and the studies relevant to physiotherapeutic hydrotherapy practice physiology of human immersion, coupled were retrieved. Patient trials were critically appraised for with skills to analyse human movement, have helped physiotherapists in using research merit using recognised published guidelines and the hydrotherapy as a tool for facilitating results were collated into clinical, functional and affective movement and restoring function. outcomes for the investigated populations. Although there is a large body of anecdotal evidence, many hypothesised Results Seventeen randomised control trials, two case- benefits remain to be proven with control studies, 12 cohort studies and two case reports were rigorous research designed with minimal sources of bias (McIlveen and Robertson, included in the appraisal. Two trials achieved appraisal scores 1998). Expert opinion and clinical indicating high quality evidence in a subjectively evaluated experience alone do not confirm the merit categorisation. Fifteen studies were deemed to provide effectiveness of treatment (Bithell, 2000), moderate quality evidence for the effectiveness of but combined with clinical reasoning and hydrotherapy. evidence-based research, clinicians, patients and healthcare funders will be better assured of effective hydrotherapy Discussion Flaws in study design and reporting attenuated (Goldby and Scott, 1993; Wakefield, the strength of the research evidence.
    [Show full text]
  • Therapeutic Microwave and Shortwave Diathermy
    Therapeutic Microwave and Shortwave Diathermy . ., - ' ~·.- :·..:.;:: ___ ,,.,: ··"'·. ' A Review of Thermal Effect-i-veness, Safe Use, and State of the Art: 1984 U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Health Service Food and Drug Administration CDRH PUBLICATIONS- RADIOLOGICAL HEALTH Publications of the Center for Devices and Radiological Health (CDRH) are available as paper copies from either the U.S. Government Printing Office (GPO) or the National Technical Information Service (NTIS) as .. indicated by the GPO or PB prefix, respectively, on the ordering number. Publications are also available in microfiche from NTIS at $4.50 per copy. To receive all CDRH reports in microfiche, at $1.00 each, you may establish a deposit account with NTIS and request automatic distribution of "FDNHFZ" reports under the , "Selected Research in Microfiche" program. Publications without GPO or PB numbers are available only from the Center for Devices and Radiological Health. Addresses for ordering are: Superintendent of Documents, U.S. Government Printing Office, Washington, D.C. 20402; National Technical Information Service, Springfield, VA 22161 (outside North America, prices are double those listed); and Center for Devices and Radiological Health, Food and Drug Administration (HFZ-265), 5600 Fishers Lane, Rockville, MD 20857. All prices are subject to change. FDA82-8152 Annual Report of the Division of Biological Effects, Bureau of Radiological Health, Fiscal Year 1980 (October 1, 1979-September 30, 1980) (PB 82-215500, $11.50). FDA 82-8180 Radiation Safety in Nuclear Medicine: A Practical Guide (PB 82-159963, $14.50). FDA82-8181 A Primer on Theory and Operation of Linear Accelerators in Radiation Therapy (GPO 017c 015-00204-7, $4.25) (PB 82-162306, mf only).
    [Show full text]
  • Current Practices, Protocols, and Rationales of Diathermy Use by Occupational Therapists
    PRACTICES, PROTOCOLS, AND RATIONALES OF DIATHERMY 2 Abstract The purpose of this study was to determine the patterns of use of diathermy by occupational therapists in skilled nursing facilities (SNF) and its purported effectiveness. A survey was completed by 90 occupational therapists (response rate of 36%) who were members of the American Occupational Therapy Association, were listed in the practice area of SNF/long-term care (LTC) facility, and who had experience working in a SNF. Results showed that 54% of the participants had experience using diathermy in SNFs nationwide. The majority of participants with diathermy experience (94%) indicated that they typically implemented diathermy as a preparatory treatment before a functional activity and most participants (80%) administered diathermy for 16 to 30 minutes. The most common objectives when using diathermy were reducing pain (96%) and increasing range of motion (83%). The findings indicated that diathermy was being used for a wide range of diagnoses and symptoms, and that there were discrepancies in how and why occupational therapists administered diathermy in a SNF setting. Although occupational therapists with diathermy experience most frequently (48%) reported “usually” (i.e., 61-80% of the time) seeing a positive effect, many did not know the technicalities of administering diathermy, including the frequency (MHz) used (44%) and how the modality was reimbursed (11%). Additionally, there were conflicting results in diathermy being used for diagnoses and/or symptoms for which it is contraindicated. Due to a lack of research on diathermy use within occupational therapy literature, experimental studies to determine the effectiveness of diathermy would greatly benefit the field of occupational therapy in its effort to be an evidence-based practice.
    [Show full text]
  • Rehab Markeitng V2.Pub
    REHABILITATION THERAPY SERVICES AND PROVIDERS: Valuation, Acquisitions and Investments Analysis Executive Summary 2 Mergers and Acquisitions Analysis 3 Institutional Investments 11 C O N T E N T S T E N T C O N Publicly-Traded Companies 14 SCOTT-MACON Healthcare Investment Banking 2 REHABILITATION THERAPY SERVICES AND PROVIDERS: Valuation, Acquisitions and Investments Analysis Dear Clients and Friends, Scott-Macon is pleased to present you with our analysis of the Rehabilitation Therapy Market. This article reviews Rehabilita- tion Therapy Services and Provider Companies from three perspectives: Mergers and Acquisitions — The table starting on page 3 includes selected merger and acquisition transactions that have taken place from 2009 through the first quarter of 2014. Following this analysis on page 10, we present valuation metrics for these deals having publicly-disclosed information. Institutional Investments — The table on page 11 lists selected Rehabilitation Therapy Services and Provider Companies having institutional investors, and following that table on page 12 we show the list of institutional investors, along with their corresponding rehab investments. Publicly-Traded Companies — The table on page 14 presents rehab and comparable publicly-traded companies. Following are the summary valuation statistics: Revenue EBITDA Mergers & Acquisitions Multiple Multiple Mean 2.0x 9.6x Median 1.2x 8.6x Publicly-Traded Companies Mean 1.2x 10.1x Median 0.8x 10.0x I would welcome your call or email to discuss your corporate development
    [Show full text]
  • Sixty-Second Legislative Assembly of North Dakota in Regular Session Commencing Tuesday, January 4, 2011
    Sixty-second Legislative Assembly of North Dakota In Regular Session Commencing Tuesday, January 4, 2011 SENATE BILL NO. 2271 (Senators Sitte, Christmann, Mathern) (Representatives Hofstad, R. Kelsch, J. Kelsh) AN ACT to create and enact a new subsection to section 43-17-02 and chapters 43-57, 43-58, and 43-59 of the North Dakota Century Code, relating to creation of the state board of integrative health, regulation of naturopaths, and regulation of music therapists; to amend and reenact section 43-17-41 of the North Dakota Century Code, relating to duties of naturopaths; to provide a penalty; to provide an appropriation; and to provide for application. BE IT ENACTED BY THE LEGISLATIVE ASSEMBLY OF NORTH DAKOTA: SECTION 1. A new subsection to section 43-17-02 of the North Dakota Century Code is created and enacted as follows: A naturopath duly licensed to practice in this state pursuant to the statutes regulating such profession. SECTION 2. AMENDMENT. Section 43-17-41 of the North Dakota Century Code is amended and reenacted as follows: 43-17-41. Duty of physicians and others to report injury - Penalty. 1. Any physician, physician assistant, naturopath licensed under chapter 43-58, or any individual licensed under chapter 43-12.1 who performs any diagnosis or treatment for any individual suffering from any wound, injury, or other physical trauma: a. Inflicted by the individual's own act or by the act of another by means of a knife, gun, or pistol shall as soon as practicable report the wound, injury, or trauma to a law enforcement agency in the county in which the care was rendered; or b.
    [Show full text]
  • 2016 Approved Courses
    Approval # Course Title 006987887C271 SASTM Method of IASTM 006987887C272 Imaging in Rehabilitation: Essentials for the Autonomous Practitioner - 006987887C273 Imaging in Rehabiliation:Essentials for the Autonomous Practitioner - 006987887C275 Vision Processing & Therapy 006987887C276 The Brain in Detail 006987887C277 Evidence Informed Approach - Knee Complex 006987887C293 Imaging in Rehabilitation: Essentials for the Autonomous Practitioner - 006987887C294 Imaging in Rehabilitation: Essentials for the Autonomous Practitioner - 006987887C295 Imaging in Rehabilitation: Essentials for the Autonomous Practitioner - 006987887C278 Kinesio Taping Specialty - Peds Concepts - KT4 006987887C279 Kinesio Taping Clinical and Advanced Body Application KT3 006987887C281 Bad to the Bone: Shoulder Work 006987887C282 Regulating Children with Autism and/or Sensory Disorders: Cutting - 006987887C283 Injuries in Youth Sports: Assessment & Treatment of Orthopedic 006987887C284 Advances in Orthopedic Care: It's Not Just Broken Bones 006987887C285 Team Outcomes & Prosthetics Practices Workshop 006987887C286 Dynamic Running Analysis for Progressive Amputees 006987887C287 Amputee Walking School 006987887C288 Advanced Gait Training for Lower Extremity Amputees 006987887C297 Dysphagia: From Assessment to Discharge 006987887C298 Sensory Integration: Assessing and Treating Kids When Formal Testing 006987887C300 The Ultimate Hands-On Wound Care Clinical Lab 006987887C289 Gomez Orthotic Spinal System 006987887C290 Workshop in Vestibular Rehabilitation with Certification
    [Show full text]
  • Billing and Coding Guidelines Article Title Outpatient Rehabilitation Therapy Services Billed to Medicare Part B Article Effect
    Billing and Coding Guidelines Article Title Outpatient Rehabilitation Therapy Services billed to Medicare Part B Article Effective Date 01/15/2010 AMA CPT/ADA CDT Copyright Statement CPT codes, descriptions and other data only are copyright 2008 American Medical Association (or such other date of publication of CPT). All Rights Reserved. Applicable FARS/DFARS Clauses Apply. Current Dental Terminology, (CDT) (including procedure codes, nomenclature, descriptors and other data contained therein) is copyright by the American Dental Association. © 2002, 2004 American Dental Association. All rights reserved. Applicable FARS/DFARS apply. Sources CMS Pub.100-01 Ch.5 §70.6; CMS Pub.100-02 Ch.15 §60-60.3, 220-230.6, Rev.60.1, 63; *Transmittal 88, Rev 5921 CMS Pub.100-03 Ch.1§§150.1, 150.2, 150.4, 150.8, 160.2, 160.3, 160.12, 160.13, 160.15, 230.8, 240.3, 240.7, 270.6 CMS Pub.100-04 Ch.5 § 10.2, 20.4, Rev.1183 Coverage Topic Physical and Occupational Therapy Coding Information Modifiers GO - Service Delivered Under An Outpatient Occupational Therapy Plan of Care GP - Service Delivered Under An Outpatient Physical Therapy Plan of Care KX - Specific Required Documentation on File The claim must include one of the following modifiers to distinguish the discipline of the plan of care under which the service is delivered: • GO Services delivered under an outpatient occupational therapy plan of care; or, • GP Services delivered under an outpatient physical therapy plan of care. 1. List the appropriate procedure code for the service performed, include any necessary modifiers.
    [Show full text]
  • 2019 Ohio-Approved Courses Use Control (CTRL) + F to Search the PDF Listing
    2019 Ohio-approved Courses Use Control (CTRL) + F to search the PDF listing Approval Course Name Beginning Expiration Course Type CEUs Sponsor Name Phone Number Date Date 19S1832 Bal-A-Vis-X 6/4/2019 6/4/2020 OnSite,Series 24 ABC Therapy, Ltd. 330-666-2228 Exercise Training Guidelines for Academy of Oncologic Physical 19S2146 Individuals With Cancer 10/26/2019 10/26/2020 OnSite 8.5 Therapy 202-660-4460 2019 Academy of Pediatric Physical Therapy Annual Conference (APPTAC Academy of Pediatric Physical 19S2267 Nov 16, 2019) 11/16/2019 11/16/2020 OnSite 7 Therapy 703-706-3153 2019 Academy of Pediatric Physical Therapy Annual Conference (APPTAC Academy of Pediatric Physical 19S2268 Nov 17,2019) 11/17/2019 11/17/2020 OnSite 6 Therapy 703-706-3153 2019 Academy of Pediatric Physical Therapy Annual Conference (APPTAC) Academy of Pediatric Physical 19S2242 Nov 15, 2019 11/15/2019 11/15/2020 OnSite 7 Therapy 703-706-3153 Innovations to School-based Physical Academy of Pediatric Physical 19S1330 Therapy Practice Course 2019 7/12/2019 7/12/2020 OnSite 15 Therapy 703-706-3153 2019 Educational Leadership Academy of Physical Therapy 19S2245 Conference 10/17/2019 10/17/2020 CONF 14 Education 470-737-3651 Education Research: How to Begin Your Academy of Physical Therapy 19S2425 Journey (Mini-GAMER 10/17/2019 10/17/2020 OnSite 8 Education 470-737-3651 Medical Education Research Certificate Academy of Physical Therapy 19S2424 (MERC) Workshop 10/17/2019 10/17/2020 OnSite 8 Education 470-737-3651 Academy of Physical Therapy 19S2074 New Faculty Development Workshop
    [Show full text]