(1) A licensee desiring to use sound or electrical physical agent modalities must successfully complete and provide to the board documentation of:

(a) 20 hours of instruction or training in sound physical agent modality devices;

(b) 20 hours of instruction or training in electrical physical agent modality devices; and

(c) either:

(i) certification by the Hand Certification Commission, Inc.; or

(ii) the successful completion of ten proctored treatments consisting of:

(A) five proctored treatments under the direct supervision of a licensed medical practitioner in sound physical agent modality devices;

(B) five proctored treatments under the direct supervision of a licensed medical practitioner in electrical physical agent modality devices; and

(C) two proctored treatments equal one hour of instruction or training for the purpose of 37-24-106 , MCA. No more than five hours of proctored treatments in each modality may count toward the 40 hour instruction or training requirement in sound and electrical physical agent modalities.

(2) The 40 hours of instruction or training required by (1) must be approved by the board, and must consist of the following subjects:

(a) the principles of physics related to specific properties of light, water, temperature, sound, or electricity, as indicated by selected modality;

(b) the physiological, neurophysiological, and electrophysiological changes, as indicated, which occur as a result of the application of the selected modality;

(c) the response of normal and abnormal tissue to the application of the modality;

(d) the indications and contraindications related to the selection and application of the modality;

(e) the guidelines for treatment or administration of the modality within the philosophical framework of occupational therapy;

(f) the guidelines for educating the patient including instructing the patient to the process and possible outcomes of treatment, including risks and benefits;

(g) the safety rules and precautions related to the selected modality;

(h) the methods for documenting the effectiveness of immediate and long-term effects of treatment; and

(i) the characteristics of the equipment, including safe operation, adjustment, and care of equipment.