††††† 201 KAR 28:170. Deep physical agent modalities.


††††† RELATES TO: KRS 319A.010(8), 319A.080(4), 319A.170(1)(c)

††††† STATUTORY AUTHORITY: KRS 319A.070(3), 319A.080(4)(b)

††††† NECESSITY, FUNCTION, AND CONFORMITY: KRS 319A.080(4) allows the board to set forth guidelines for the training and instruction necessary for the use of deep physical agent modalities. KRS 319A.070 states that the board shall issue a certification to a person who qualifies under this administrative regulation. This administrative regulation sets forth the requirements for obtaining certification in deep physical agent modalities.


††††† Section 1. Definition. "DPAM Specialty Certification" means the certification issued to a Kentucky-licensed occupational therapist or licensed occupational therapist assistant who meets the standards set forth in KRS 319A.180 and this administrative regulation and who has been certified by the board.


††††† Section 2. Application. A licensee, before utilizing deep physical agent modalities, shall submit an application to the board for a DPAM Specialty Certification.

††††† (1) The application shall be accompanied by:

††††† (a) Payment of the fee required by KRS 319A.170(1)(c).

††††† (b) Proper documentation that the applicant has met all educational and clinical requirements for certification which include:

††††† 1. Successful completion of the requisite hours of training and instruction required by KRS 319A.080(4) for the level of licensure held by the applicant; and

††††† 2. Successful completion of the five (5) treatment sessions that meet the requirements specified in Section 4 of this administrative regulation.

††††† (2) The documentation shall include:

††††† (a) The names and addresses of the person or organization presenting the courses or training attended by the applicant;

††††† (b) A copy of the course syllabus or a description of the workshop or seminar which includes a summary of the learning objectives and teaching methods employed in the workshop or seminar and the qualifications of the instructors;

††††† (c) The name and address of the person who supervised the treatment sessions;

††††† (d) A statement signed by the supervisor confirming that the applicant has completed five (5) supervised treatment sessions and that the criteria set forth in Section 4 of this administrative regulation have been met; and

††††† (e) A statement signed by the designed program official confirming successful completion of the training or course of instruction.

††††† (3) A DPAM Specialty Certification shall be issued by the board before the individual can begin using deep physical agent modalities except when a qualified licensee is performing those modalities as part of a supervised program to complete the supervised treatment sessions required for a DPAM Specialty Certification under this administrative regulation.

††††† (4) The board shall maintain a roster of persons who have been issued DPAM Specialty Certification for the use of deep physical agent modalities.

††††† (5) An OT/L or OTA/L who is also licensed by the Kentucky Board of Physical Therapy as a physical therapist or physical therapist assistant and who seeks a DPAM certification shall be certified by the board upon application.


††††† Section 3. Training and Instruction. (1) The training and instruction shall be earned by direct personal participation in courses, workshops, or seminars.

††††† (2) The content of the courses, workshops, or seminars shall include training and instruction in the following subject areas:

††††† (a) Principles of physics related to specific properties of light, water, temperature, sound, and electricity;

††††† (b) Physiological, neurophysiological, and electrophysiological changes which occur as a result of the application of each of the agents identified in KRS 319A.010(8);

††††† (c) Theory and principles of the utilization of deep physical agents which includes guidelines for treatment or administration of agents within the philosophical framework of occupational therapy;

††††† (d) The rational and application of the use of deep physical agents;

††††† (e) The physical concepts of ion movement;

††††† (f) Critical thinking and decision making regarding the indications and contraindications in the use of deep physical agents;

††††† (g) Types selection and placement of various agents utilized;

††††† (h) Methods of documenting the effectiveness of immediate and long-term effects of interventions;

††††† (i) Characteristics of equipment including safe operation, adjustment, and care of the equipment; and

††††† (j) Application and storage of specific pharmacological agents.

††††† (3) The programs shall be approved or recognized either by the American Occupational Therapy Association or the American Society of Hand Therapists or be approved by the board.

††††† (4) A person who is seeking board approval for training and instruction courses, workshops, or seminars which are intended to meet the requirements of KRS 319A.080(4) shall submit a "DPAM Course, Workshop or Seminar Provider Approval Application Form" to the board.


††††† Section 4. Supervised Treatment Sessions. (1) The supervised treatment sessions required for certification shall be sufficiently detailed to allow the DPAM Specialty Certification supervisor to determine that the supervisee has demonstrated the following skills:

††††† (a) The ability to evaluate or contribute to the evaluation of the client, depending upon the applicant's licensure status as an OT/L or an OTA/L and make an appropriate selection of the deep physical agent to be utilized;

††††† (b) A thorough knowledge of the effects of the deep physical agent which is to be utilized;

††††† (c) The ability to explain the precaution, contraindication, and rationale of the specific deep physical agent utilized;

††††† (d) The ability to formulate and justify the occupational therapy intervention plan specifically delineating the adjunctive strategy associated with the use of each deep physical agent;

††††† (e) The capability to safely and appropriately administer the deep physical agent;

††††† (f) The ability to properly document the parameters of intervention which include the clientís response to treatment and the recommendations for the progression of the intervention process; and

††††† (g) The skills identified in paragraphs (d) and (f) of this subsection are not applicable to an OTA/Lís practice and an OTA/L is not required to demonstrate the skill in a supervised treatment session.

††††† (2) The supervised treatment sessions shall include one (1) session for each of the following areas:

††††† (a) Iontophoresis;

††††† (b) Ultrasound; and

††††† (c) Electrical stimulation.

††††† (3) The remaining two (2) sessions may cover any deep physical agent identified in KRS 319A.010(8).

††††† (4) Supervised treatment sessions may be completed in a laboratory portion of an instructional course, provided that the instructor meets the boardís requirements for a DPAM specialty certification supervisor and that all of the requirements of this administrative regulation have been met.

††††† 5. Treatment sessions shall be completed under the direct supervision of a person who meets the requirements of subsection (5) of this section and is approved by the board.

††††† 6. Before an individual may be a supervisor for the treatment sessions specified in this administrative regulation, he or she shall:

††††† (a) Be licensed or certified by a state agency that has the authority to permit the use of deep physical agent modalities;

††††† (b) Be licensed at a level which permits the individual to fully and independently evaluate the client;

††††† (c) Be in good standing with that agency; and

††††† (d) Have one (1) year of clinical experience in the use of deep physical agent modalities.

††††† (7) The issuance of the DPAM specialty certification by the board only shows that the applicant has met the minimum requirements of KRS 319A.080(4)(a). It shall be the duty of the individual licensee to determine his or her competency to provide a specific DPAM for a client.


††††† Section 5. An OTA/L certified to use DPAMs under this administrative regulation may only use DPAMs when supervised by an OT/L certified to use DPAMs under this administrative regulation.


††††† Section 6. Incorporation by Reference. (1) "DPAM Course, Workshop or Seminar Provider Approval Application Form", is incorporated by reference.

††††† (2) This material may be inspected, copied, or obtained, subject to applicable copyright law, at the Kentucky Board of Licensure for Occupational Therapy, 911 Leawood Drive, Frankfort, Kentucky 40601, Monday through Friday, 8 a.m. to 4:30 p.m. (29 Ky.R. 591; Am. 923; eff. 9-18-2002; 30 Ky.R.976; 1780; 1927; eff. 2-16-04.)