問題一覧
1
Physiological effects of sf heating
increase tissue temperature, increase local metabolism, increase blood flow, analgesia and sedation, increase nerve conduction velocity, reduce skin resistance, local hyperemia
2
Physiologic effects of general heat application
increase cardiac output, increase metabolic rate, increase pulse rate, increase respiratory rate, increase vasodilation, decrease blood pressure, decrease muscle activity, decrease blood flow to internal organs
3
Physiologic effects of local heat application
increase blood flow, increase tissue elasticity, increase metabolism, increase vasodilation, decrease muscle strength, decrease joint stiffness, decrease muscle spasm, decrease pain
4
Indications of superficial heat
before active exercise, before passive ROM/stretching exercises, before electrical stimulation, before traction, before massage, in the presence of muscle spasm, before ultrasound, before jt mob, following acute inflammation without bleeding
5
Contraindications of superficial heat
acute conditions with hemorrhage, DVT, areas of poor circulation , presence of dysesthesia or reduced sensation, very old and young patient, malignancy, fever, over tissue devitalized by radiation and xray therapy
6
Hydrocollator pack is also known as
hot packs, hot moist pack, moist heat pack
7
One of the most common ways to deliver superficial heat
hydrocollator packs
8
Generally contain a hydrophilic substance such as silica gel or bentonite, encased in channeled canvas covers
hydrocollator packs
9
Stored in thermostatically controlled units that are filled with water
hydrocollator packs
10
Temperature range of hydrocollator packs
71-79, 159.8-174.2
11
Temp is regulated by the length of time it is stored and the temp of water in which it is stored
hydrocollator packs
12
After a hot pack has been used, a period of ________min is needed for the hot pack to reach the temp of the water in hydrocollator tank
20-30
13
Allow 30 min in between uses
hydrocollator packs
14
Hot pack is covered with _____ layers of towel
6-8
15
Hot pack: _________ covers are also available and are equivalent to ____ layers of towelling
commercial terrycloth; 2-4
16
Manufactured in several sizes and shapes to better match the body part to which they are applied
hydrocollator packs
17
Hydrocollator packs: 10x12 inches is suitable for treating medium size flat surface areas
standard
18
Hydrocollator packs: Oversized
lumbar
19
Hydrocollator packs: approx. 2x the size of standard pack and is suited for larger flat surface areas
lumbar
20
Hydrocollator packs: designed to fit the contours of the neck and upper back and are also appropriate for use around peripheral jts
cervical
21
Weight of the hot pack helps maintain contact with the skin surface. Patient must feel comfortable warmth and not burning.
bothtrue
22
In hydrocollator packs, it is important to sedate patient to sleep so that they can relax. These are contraindicated after radiation therapy
first false
23
Indication of hydrocollator packs include adhesion. Contraindication include dermatologic conditions
both true
24
Hydrocollator packs readily conform to all body parts. It is a passive intervention, exercise cannot be performed simultaneously
first false
25
Single device with contents that react to oxygen when unwrapped
thermacare heat wrap
26
Takes 30 mins of exposure of the wrap to reach its therapeutic temp of 40 deg celsius
thermacare heat wrap
27
Continues to stay warm for 8hrs
thermacare heat wrap
28
Transmit heat to body tissue by conduction
chemical hot pots
29
Pt feels sensation of pleasant warmth
chemical hot pots
30
Available with safety switches that allow the heating pad to increase in temp only while the control is held in on the on position
electric heating pads
31
Alternative or homemade version of hot moist pack
hot compress
32
Can be a towel dipped in warm water and directly applied on the target area, or recycled water bottle with warm water inside then wrapped sufficiently with enough layers of towel and directly applied on the target area
hot compress
33
Paraffin wax bath is a mixture of paraffix wax and ________, which are combined to lower the melting point and the specific heat in comparison to water
mineral oil
34
Stored in double walled, thermostatically controlled stainless steel tanks, and temperatures are maintained in the range of 47-54.4 or 117-130
paraffin
35
Paraffin wax bath temp
47-54.4, 117-130
36
This method of sf heat is best suited for distal extremities such as wrist, hand or foot
paraffin wax bath
37
Duration of paraffin wax bath
15-20 mins
38
Paraffin to mineral oil ratio
7:1
39
A solid glove is formed that serves to insulate the body part against heat loss
dip and wrap
40
More effective in raising tissue temp b it places the patient at greater risk for burn
dip and immerse
41
Most commonly used method of PWB
brush
42
How many layers for brush method
8-10
43
How many reps for dip and wrap?
8 reps
44
Indication of paraffin wax bath include chronic edema and inflammation
true
45
In paraffic wax bath, pt is unable to move during treatment. This modality is also useful un treatment of arthritic hands and feet
both true
46
Body part is heated and suspended by circulating air at high temp
fluidotherapy
47
Alternative to paraffin or hydrotherapy or when dry heat is desirable
fluidotherapy
48
Treatment duration for fluidotherapy
15-20 mins
49
Temperature for fluidotherapy
46.1-50.6, 115-123
50
If open wounds are present, body part should be placed in a plastic bag or large rubber glove
fluidotherapy
51
Not for claustrophobic patients
fluidotherapy
52
During fluidotherapy, active exercise is possible during intervention. This modality can minimize effects of gravity but cannot treat uneven contours and bony parts
first true
53
Mud packs and peat packs
peloids
54
Peloids treatment duration
20 mins
55
Peloids temperature
45-48 deg celsius
56
Mud packs
sulfur, iron, silicates
57
Organic moor peat
decaying vegetable for horticulture, organic manure absorbs and releases heat
58
Small tunnels fitted with hot air fan heater
hot air baths
59
Air temp for hot air baths
70-80 deg celsius
60
Hot, dry air is applied locally for the treatment of chronic diseases of jts, nervous system and organs of pelvis
hot air baths
61
Useful for crushed hand injuries, open wounds and arthritis
hot air baths
62
Alternative immersion of part in hot and cold water
contrast baths
63
Produces vascular exercises through active vasodilation and vasoconstriction of blood vessels
contrast baths
64
Treatment duration for contrast baths
20-30 mins
65
Temp for contrast bath
100-110, 55-65
66
Indication for contrast bath
PVD, sprain, strain, acute injury
67
Contrast bath: place extremity in warm water for ____ mins, then transfer to cold water and immerse for 1 minute
4
68
Treatment duration ratio of contrast bath warm:cold
4:1
69
Conduction
paraffin wax bath, hydrocollator packs , peloids
70
Convection
fluidotherapy, hot air bath, contrast bath
71
aka cold therapy
cryotherapy
72
Therapeutic application of any material or substance that results in withdrawal of heat from the body
cryotherapy
73
Thermal sensory experience that occur whenever the skin comes in contact with something hotter or cooler than the skin
thermal shock reaction
74
Cryotherapy: First 20-30min
initial vasoconstriction
75
Cryotherapy: >30 mins
reflex vasodilation
76
Cryotherapy: Local piloerection
goosebumps
77
Superficicial cold modality can penetrate tissues at greater depth than superficial heating because of increased rate of heat transfer and decreased rate of blood flow
true
78
Normal sequence of sensation after aoplication of cold
intense cold, burning pain, aching pain, numbness
79
Within 3 mins of application
intense cold
80
4-7 mins
burning pain
81
8-15 mins
aching pain
82
15-30 mins
numbness
83
Indication for cryotherapy include after deep friction massage, jt mov and strenous exercise. Cryoglobulinemia and Raynaud’s disease are also indications
first true
84
Give some precautions of cryotherapy
htn, thermoregulatory disorders, over sf peripheral nerve, over open wounds, poor sensation area
85
Ice massage duration
3-10 mins
86
Provides greatest magnitude of cooling among all cryotherapeutic agents
ice massage
87
May cause frostbite
ice massage
88
Durable plastic cover around a silica grl stored in ref tank
chemical cold packs
89
For home use and can be disposable
chemical cold packs
90
Chemical cold pack temp
10-15, -12.2 to -9.4
91
Duration for chemical cold pack
10-15 mins
92
Ice towel duration
10-15 mins
93
Use of plastic bags filled with ice cubes or crushed ice
ice pack
94
Ice pack duration
5-15 mins, extend to 20-40 mins for deeper muscles
95
System for applying cold compression to various areas of the body
cryocuffs
96
Cryocuff duration
15 mins
97
Hydrostatic pressure provides a compressive force to the target area
cryocuffs
98
Method of cooling the skin by evaporation of substance sprayed on the skin
vapocoolant spray
99
Vapocoolant spray substance used
ethyl chloride, fluorocarbon
100
Duration for vapocoolant spray
<6 secs each area