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Illinois Occupational Therapy Modalities
Physical Agent Modalities
Modalities that produce a response in soft tissue through the use of light, water, temperature, sound, or electricity.
They are characterized as adjunctive methods used in conjunction with or in immediate preparation for: patient involvement in purposeful activity; the use of ergonomic principles; the adaptation of environments and processes to enhance functional performance; or the promotion of health and wellness.
Modalities include but are not limited to the following:
Required Training and Education
Modalities using electricity would cover: pain control, edema reduction, and muscle reeducation. Examples include, but are not limited to: biofeedback, neuromuscular electrical stimulation/functional electrical stimulation (NMES/FES), transcutaneous electrical nerve stimulation (TENS), high volt galvanic stimulation (HVGS), interferential, iontophoresis. The training shall include:
Thermal modalities would include superficial and deep heat and cyrotherapy. Examples include, but are not limited to, hot and cold packs, ice massage, fluidotherapy, warm whirlpool, cool whirlpool, ultrasound, phonophoresis, paraffin and contrast baths.
The didactic training shall be obtained through educational programs, workshops, or seminars offered or approved by a college or university, Illinois Occupational Therapy Association, the American Occupational Therapy Association and its affiliates, Illinois Physical Therapy Association, the American Physical Therapy Association, National Board for Certification in Occupational Therapy (NBCOT), or the Hand Therapy Certification Commission.
The training shall be documented and made available to the Division or Board upon request. Training shall be completed prior to the use of these modalities. Documentation shall include:
Clinical Treatment Demonstration
The clinical treatment demonstration shall include the following:
The clinical supervisor for the treatment session shall:
Training Prior to 2002
Occupational therapists and occupational therapy assistants who, prior to January 1, 2002, have attended training programs and have developed competencies in the use of physical agent modalities may demonstrate competency through proof of one or more of the following:
Ill. Admin. Code § 1315.162