Shared Flashcard Set

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Thermotherapy/Hydrotherapy
Lab and Lecture
55
Medical
Graduate
06/30/2015

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Cards

Term
heating tissue to what temperatures will result in a physiologic response?
Definition
104-113 F or 40-45 C
Term
Heating tissue to what temperature may lead to tissue injury?
Definition
113 F
Term
thermotherapy is a superficial agent, there can be an effect on deep structures due to what?
Definition
reflex action of the hypothalamus
Term
3 types of heat energy
Definition
conductive heat, convective heat, radiant heat
Term
examples of conductive heating agents
Definition
hot packs, parrafin
Term
examples of radiant heat
Definition
luminous lamp, non-luminous lamp
Term
net exchange of heat between the distant emitting physical agent and the absorbing abojct is from the hotter to the colder surface
Definition
radiant heat
Term
example of convective heat
Definition
fluidotherapy
Term
14 biophyiscal effects ofh eat
Definition
increases local temperature superficially, increases local metabolism, vasodilation of ateriorles and capillaries thereby increasing blood flow, increased leukocytes and phagocytosis, increased capillary permeability, increased metabolic wastes, speeds up nerve conduction, increases elasticity of muscles, ligaments, and capsule fibers, analgesia, increased formation of edema, decreases muscle tone and spasm, increased cardiac output, increased pulse and respiratory rate, decreased blood pressure, decreased blood flow to internal organs
Term
6 general indications for thermotherapy
Definition
joint stiffness, preparation for E-stim and/or massage, musculoskeletal pain, preparation for passive and active exercise, muscle spasm, subacute and chronic traumatic and inflammatory conditions
Term
7 contraindications for thermotherapy
Definition
acute and subacute traumatic and inflammatory conditions, decreased circulation, decreased sensation, impaired cognitive function, malignant tumors, tendency towards hemorrhage, DVT, very young/old
Term
8 precautions, dangers, and adverse reactiosn for thermotherapy
Definition
pregnancy, impaired circulation, metal in the area (jewelry, implants), open wounds, burns, fainting, bleeding, skin and eye damage from IR irradiation
Term
how long do hot packs usually retain heat for
Definition
approx 30 minutes
Term
temperature of the water inside of a hydrocollator
Definition
158-170 F
Term
when using a hot pack a ptnt should not do this....
Definition
ptnt should not lay on the hot pack
Term
paraffin/oil mixture melts between what temperatures?
Definition
118-130 F
Term
major precaution for parraffin
Definition
good medium for bacterial growth
Term
luminous heat aka short or near infrared penetrates to what tissue and tissue depth
Definition
subcutaneous depth 5-10 mm
Term
non luminous heat aka far or long form infrared penetrates what tissue and how deep
Definition
epidermis only 2 mm
Term
alternate use of heat lamps
Definition
wound care for oozing wounds
Term
cosine law for heat lamps
Definition
make sure the heat lamp is perpendicular to the area that is being treated
Term
inverse square law for heat lamps
Definition
if you halve the distance between the lamp and the target, the intensity will increase by 4
Term
3 useful applications of fluidotherapy
Definition
dry heat, massaging effect, sensory stimulation for skin for desensitization, and pressure oscillation minimizes edema
Term
recommended tempeartures for fluidotherapy
Definition
102-125
Term
precaution for fluidotherapy
Definition
cannot treat open wounds or infection unless covered with a protective dressing
Term
thermal physicologic effects of hydrotherapy
Definition
depends on temperature, but effects are similar to those of cryotherapy and thermotherapy
Term
mechanical effects of hydrotherapy
Definition
debridement of wounds, unloading of body weight, aiding in exercise training, managing edema
Term
hydrotherapy: systemic body effects to cold
Definition
decreased HR, increased BP because of vasoconstriction, increased RR
Term
hydrotherapy: systemic body effects to heat
Definition
initial increase in BP, but the decreased due to compensatory vasodilation, increased HR, increased RR
Term
primary modes of energy transfer with hydrotherapy
Definition
conduction, convection
Term
what happens to the viscocity of a liquid as temperature increases?
Definition
viscocity decreases
Term
how does turbulence result in an analgesic effect?
Definition
stimulates skin receptors
Term
wound debridement is best done with what type of water
Definition
more turbulent water
Term
hydrotherapy: temperature needed for a cold sensation
Definition
0-26 C/ 32-79 F
Term
hydrotherapy: temperature needed to treat acute inflammation
Definition
cold 0-26 C/32-79 F
Term
hydrotherapy: temperature needed for tepid sensation
Definition
26-33 C / 79-92 F
Term
hydrotherapy: temperature needed to treat acute inflammation if colder temp is not tolerated, or as a medium for exercise
Definition
tepid 26-33 C / 79-92 F
Term
hydrotherapy: temperature needed for sensation of neutral warmth
Definition
33-33.5 C-92-96 F
Term
hydrotherapy: temperature needed to treat open wounds, medically compromised patients with circulatory, sensory, or cardiac disorders, and decrease tone
Definition
neutral warmth 33-35.5 C / 92-96 F
Term
hydrotherapy: temperature needed for mild warmth sensation
Definition
35.5-37 C / 96-98 F
Term
hydrotherapy: temperature needed to increase mobility in burn patients
Definition
mild warmth 35.5-37 C / 96-98 F
Term
hydrotherapy: temperature needed for hot sensation
Definition
37-40 C / 99-104 F
Term
hydrotherapy: temperature needed for control of pain
Definition
hot 37-40 C / 99-104 F
Term
hydrotherapy: temperature needed for very hot sensation
Definition
40-43 C / 104-110 F
Term
hydrotherapy: temperature needed to increase soft tissue extensibility, chronic conditions, limited body area only
Definition
very hot 40-43 C / 104-110 F
Term
hydrotherapy: what temperatures should ont be used
Definition
> 43 C/ >110 F
Term
indications for agitator therapy
Definition
arthritis, pain syndromes, fractures, sprains, systemic diseases (ie MS), ulcers, wounds
Term
contraindications for agitator therapy
Definition
decreased hot/cold discriminiation, severe cardiorespiratory disease, active bleeding, fecal/urinary incontinence, allergies to additivies, 1st trimester of pregnancy, severe mental impairments
Term
Percentage of body weight off-loaded with water just above ankles
Definition
15%
Term
Percentage of body weight off-loaded with water at mid thigh
Definition
35%
Term
Percentage of body weight off-loaded with water at hip/belly button level
Definition
50%
Term
Percentage of body weight off-loaded with water at chest/shoulder
Definition
75%
Term
Percentage of body weight off-loaded with water at level of neck
Definition
90%
Term
indications for hydrotherapy
Definition
poor standing balance, partial weight bearing ambulation, aerobic exercise, active assistive exercise, active exercise or resistive depending on patient capability, patients needing spinal decompression,
Term
contraindications for hydrotherapy
Definition
bowel/bladder incontience, urinary infection, severe epilepsy, unprotected open wounds, unstable blood pressure, severe cardiac or respiratory dysfunction,
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