Chapter DHS 107

DHS 107.16(1)(b)28.g. g. Bailey scale; and

DHS 107.16(1)(b)28.h. h. Lincoln Osteretsky motion development scale;

DHS 107.16(1)(b)29. 29. Neuro-muscular evaluation;

DHS 107.16(1)(b)30. 30. Wheelchair fitting — evaluation, prescription, modification, adaptation;

DHS 107.16(1)(b)31. 31. Jobst measurement;

DHS 107.16(1)(b)32. 32. Jobst fitting;

DHS 107.16(1)(b)33. 33. Perceptual evaluation;

DHS 107.16(1)(b)34. 34. Pulse volume recording;

DHS 107.16(1)(b)35. 35. Physical capacities testing;

DHS 107.16(1)(b)36. 36. Home evaluation;

DHS 107.16(1)(b)37. 37. Garment fitting;

DHS 107.16(1)(b)38. 38. Pain; and

DHS 107.16(1)(b)39. 39. Arthrokinematic.

DHS 107.16(1)(c) (c) Modalities. Covered modalities are the following:

DHS 107.16(1)(c)1. 1. Hydrotherapy:

DHS 107.16(1)(c)1.a. a. Hubbard tank, unsupervised; and

DHS 107.16(1)(c)1.b. b. Whirlpool;

DHS 107.16(1)(c)2. 2. Electrotherapy:

DHS 107.16(1)(c)2.a. a. Biofeedback; and

DHS 107.16(1)(c)2.b. b. Electrical stimulation — transcutaneous nerve stimulation, medcolator;

DHS 107.16(1)(c)3. 3. Exercise therapy:

DHS 107.16(1)(c)3.a. a. Finger ladder;

DHS 107.16(1)(c)3.b. b. Overhead pulley;

DHS 107.16(1)(c)3.c. c. Restorator;

DHS 107.16(1)(c)3.d. d. Shoulder wheel;

DHS 107.16(1)(c)3.e. e. Stationary bicycle;

DHS 107.16(1)(c)3.f. f. Wall weights;

DHS 107.16(1)(c)3.g. g. Wand exercises;

DHS 107.16(1)(c)3.h. h. Static stretch;

DHS 107.16(1)(c)3.i. i. Elgin table;

DHS 107.16(1)(c)3.j. j. N-k table;

DHS 107.16(1)(c)3.k. k. Resisted exercise;

DHS 107.16(1)(c)3.L. L. Progressive resistive exercise;

DHS 107.16(1)(c)3.m. m. Weighted exercise;

DHS 107.16(1)(c)3.n. n. Orthotron;

DHS 107.16(1)(c)3.o. o. Kinetron;

DHS 107.16(1)(c)3.p. p. Cybex;

DHS 107.16(1)(c)3.q. q. Skate or powder board;

DHS 107.16(1)(c)3.r. r. Sling suspension modalities; and

DHS 107.16(1)(c)3.s. s. Standing table;

DHS 107.16(1)(c)4. 4. Mechanical apparatus:

DHS 107.16(1)(c)4.a. a. Cervical and lumbar traction; and

DHS 107.16(1)(c)4.b. b. Vasoneumatic pressure treatment;

DHS 107.16(1)(c)5. 5. Thermal therapy:

DHS 107.16(1)(c)5.a. a. Baker;

DHS 107.16(1)(c)5.b. b. Cryotherapy — ice immersion or cold packs;

DHS 107.16(1)(c)5.c. c. Diathermy;

DHS 107.16(1)(c)5.d. d. Hot pack — hydrocollator pack;

DHS 107.16(1)(c)5.e. e. Infra-red;

DHS 107.16(1)(c)5.f. f. Microwave;

DHS 107.16(1)(c)5.g. g. Moist air heat; and

DHS 107.16(1)(c)5.h. h. Paraffin bath.

DHS 107.16(1)(d) (d) Procedures. Covered procedures are the following:

DHS 107.16(1)(d)1. 1. Hydrotherapy:

DHS 107.16(1)(d)1.a. a. Contrast bath;

DHS 107.16(1)(d)1.b. b. Hubbard tank, supervised;

DHS 107.16(1)(d)1.c. c. Whirlpool, supervised; and

DHS 107.16(1)(d)1.d. d. Walking tank;

DHS 107.16(1)(d)2. 2. Electrotherapy:

DHS 107.16(1)(d)2.a. a. Biofeedback;

DHS 107.16(1)(d)2.b. b. Electrical stimulation, supervised;

DHS 107.16(1)(d)2.c. c. Iontophoresis (ion transfer);

DHS 107.16(1)(d)2.d. d. Transcutaneous nerve stimulation (TNS), supervised;

DHS 107.16(1)(d)2.e. e. Electrogalvanic stimulation;

DHS 107.16(1)(d)2.f. f. Hyperstimulation analgesia; and

DHS 107.16(1)(d)2.g. g. Interferential current;

DHS 107.16(1)(d)3. 3. Exercise:

DHS 107.16(1)(d)3.a. a. Peripheral vascular exercises (Beurger-Allen);

DHS 107.16(1)(d)3.b. b. Breathing exercises;

DHS 107.16(1)(d)3.c. c. Cardiac rehabilitation — immediate post-discharge from hospital;

DHS 107.16(1)(d)3.d. d. Cardiac rehabilitation — conditioning rehabilitation program;

DHS 107.16(1)(d)3.e. e. Codman’s exercise;

DHS 107.16(1)(d)3.f. f. Coordination exercises;

DHS 107.16(1)(d)3.g. g. Exercise — therapeutic (active, passive, active assistive, resistive);

DHS 107.16(1)(d)3.h. h. Frenkel’s exercise;

DHS 107.16(1)(d)3.i. i. In-water exercises;

DHS 107.16(1)(d)3.j. j. Mat exercises;

DHS 107.16(1)(d)3.k. k. Neurodevelopmental exercise;

DHS 107.16(1)(d)3.L. L. Neuromuscular exercise;

DHS 107.16(1)(d)3.m. m. Post-natal exercise;

DHS 107.16(1)(d)3.n. n. Postural exercises;

DHS 107.16(1)(d)3.o. o. Pre-natal exercises;

DHS 107.16(1)(d)3.p. p. Range-of-motion exercises;

DHS 107.16(1)(d)3.q. q. Relaxation exercises;

DHS 107.16(1)(d)3.r. r. Relaxation techniques;

DHS 107.16(1)(d)3.s. s. Thoracic outlet exercises;

DHS 107.16(1)(d)3.t. t. Back exercises;

DHS 107.16(1)(d)3.u. u. Stretching exercises;

DHS 107.16(1)(d)3.v. v. Pre-ambulation exercises;