06-18: Fluidotherapy, Whirlpool Flashcards
1
Q
Fluidotherapy
A
- Superficial, dry heat
- Simultaneously heat, massage (mechanical), sensory stimulation
2
Q
Equipment for Fluidotherapy
A
- Container circulates warm air and small cellulose particles
3
Q
Advantages of Fluidotherapy
A
- Promote tissue healing
- Skin desensitization
- Prevent edema
- Allows for active movement during intervention
- Maintains constant temperature
4
Q
Disadvantages of Fluidotherapy
A
- Expensive
- May require extremity to be in a gravity dependent position
5
Q
Fluidotherapy - Parameters
A
- Cover open wounds
- Place body part in fluidotherapy prior to turning machine on
- 110˚-125˚
- Agitation of particles set to pt comfort
- Rx time: 20 min.
6
Q
Types of whirlpools (3)
A
- Extremity (hand or foot) tank
- Lowboy Tank (full body immersion)
- Hubbard Tank (full body immersion)
7
Q
Therapeutic uses of Hydrotherapy (3)
A
- Wound care
- Unloading of weight (Waist level 50% WB, Chest level 20% WB)
- Reduction of edema
8
Q
Properties of water (7)
A
- Buoyancy
- Hydrostatic pressure
- Relative density
- Resistance
- Specific gravity
- Specific heat
- Total drag force
9
Q
Buoyancy
A
- Archimede’s principle
- Upward force exerted by liquid on the body when immersed in water is equal to the amount o fthe water that has been displaced by the body
10
Q
Hydrostatic pressure
A
- Water exerts pressure perpendicular to the body and increases in proportion with depth of immersion
- Helps with edema
11
Q
Relative density
A
- Allows a person with higher amount of body fat to float more easily than a leaner person
12
Q
Resistance
A
- Water molecules tend to attract each other and provide resistance to movement of the body in the water
- Resistance increases in proportion to speed of motion
13
Q
Specific gravity
A
- Ratio density of the object to the density of the water
14
Q
Specific heat
A
- Measure of the ability of a fluid to store heat
- Water can store 4x the heat than air
15
Q
Total drag force
A
- Hydromechanic force exerted on a person submerged in water that opposes the direction of the body’s motion
16
Q
Therapeutic effects of Hydrotherapy
A
- Increase blood flow
- Increase core temperature
- Relaxation
- Pain relief
- Vasodilation
- Decrease abnormal tone
- Wound/debridement
17
Q
Indications of hydrotherapy
A
- Burn care
- Superficial heating/cooling
- Muscle strain
- Edema control
- Arthritis
- Desensitization of residual limb with contrast bath
- Pain management
- Wound care
- Decreased ROM
- Pool therapy/exercise
- Sprain
- Joint stiffness
- Muscle spasm/spasticity
18
Q
Contraindications of hydrotherapy
A
- PVD
- Unstable BP for full immersion (hubbard tank)
- Gangrene
- Severe infection
- Incontinence
- Advanced cardiovascular or pulmonary disease
- Impaired circulation
- Advanced renal infection
- Diminished sensation
19
Q
Hydrotherapy - Temperature
A
- Warm WP: 98˚-110˚F (37˚-45˚C) for arm/hand; 98˚-104˚F (37˚-40˚C) for leg
- Cold WP: 50˚-60˚F limb; 65˚-80˚F full body
- Therapeutic Pool: 79˚-98˚ for aquatic therapy
20
Q
Hydrotherapy - Procedure
A
- Sterile tank
- Fill tank with water
- Select appropriate temp
- Adjust and turn on turbine
- Monitor pt vital signs
- Rx time: 10-30 min
- Exercise can be performed during intervention prn
- Dry off body part as appropriate
- Reapply wound dressings prn