13 - Thermotherapy Flashcards

1
Q

Types of Thermo therapy

A
  • Hydrocollator (moist hot packs)
  • warm whirlpool
  • paraffin
  • fluidotherapy
  • contrast bath
  • heat lamps
  • topical counterirritants
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Mechanisms of heat transfer

A
  • conduction
  • convection
  • radiation
  • conversion
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

conduction

A

heat transfer via direct contact

  • hydrocollator packs
  • paraffin baths
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Convection

A

transfer heat by moving air/water particles across body part

  • whirlpool
  • fluidotherapy (chamber of dry air that is circulated)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Radiation

A

transfer of heat from a warmer surface to a cooler through air or vacuum

  • infrared lamps
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

conversion

A

heat generated from another energy form

  • ultrasound
  • diathermy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

superficial heat

A

heating of

  • skin and small joints
  • deeper muscles: quadriceps, hamstrings
  • subcutaneous fat and skin pain makes keep eating difficult
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Affects of thermotherapy

A
  • pain relief
  • calming/sedating effect
  • spasm reduction
  • increased mobility
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Proof of thermotherapy effect of this

A
  • better than Motrin at creating analgesic effect
  • long-duration low-level heat can be beneficial for LBP
  • shorter duration moist heat helps reduce myofascial pain
  • proven to increase muscle length
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

thermotherapy indications

A
  • decreased pain
  • decrease spasms
  • osteoarthritis
  • rheumatoid arthritis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

thermotherapy contraindications

A
  • areas of impaired heat sensation
  • malignancy
  • thrombophlebitis
  • hemorrhage
  • abdomen, pelvis, low back in pregnancy
  • acute inflammation
  • views/unreliable patients
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

thermotherapy precautions

A
  • impaired circulation
  • over wounds
  • severe cardiac insufficiency
  • over superficial metal implants
  • may cause decreased motor skill and reaction time
  • increase fever
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Hydrocollator Packs characteristics

A
  • packs made from: canvas pouches containing silicate-gel
  • temp = 158 – 169oF
  • cloth covers
    • Towels = 6 – 8 layers
    • Terry cover ~ 4 layers
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Warm Whirlpool characteristics

A
  • 86 – 100oF
  • Increase surface area, decrease heat used
  • Time: 10 – 45 minutes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Warm Whirlpool contraindications

A
  • Incontinence
  • Fever
  • Multiple sclerosis
  • Pregnancy (1st trimester)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Sitz bath

A

used for soaking perineal/anal area for PAIN or ITCHING

  • Plastic or stainless steel
  • 72 – 100oF
17
Q

Paraffin characteristics

A
  • 124 – 129oF
  • 6:1 mixture of Paraffin/mineral oil
  • Put in plastic bag after dipping
18
Q

Paraffin-Brushing technique

A
  • Check contraindications
  • Remove jewelry
  • Use standard paint brush to apply 7 – 10 layers
  • Wrap/cover in plastic and layer of towels
  • Time = 30 mins
    • Remove towel, plastic and wax
    • Return wax to paraffin bath
19
Q

Fluidotherapy

A

chamber of dry air that is circulated

  • 110 – 126oF
20
Q

Fluidotherapy

A
  • Check contraindications
  • Place injured area in machine
  • Use toweling at the interface btwn machine and body segment
  • Time = 30 mins
    • Can do active exercises in machine
21
Q

Infrared Lamp application

A
  • Check for contraindications
  • Remove metal from area
  • Time = 15 – 20 min
  • Depth of penetration = few mm
22
Q

Infrared lamp amount of heat

A

depends on

  • exposure time
  • distant rumble
  • angle of perpendicular
  • output of bulb
23
Q

Contrast Bath

A
  • Subacute phase
  • Allows transfer from cold modalities to warm modalities
  • BAD for treating swelling
  • Used for DECREASING PAIN
24
Q

Contrast Bath procedure

A
  • First modality = 1 – 4 minutes
  • Second modality = 1 – 4 minutes
  • Repeat 20- 30 minutes
  • Make sure heating and cooling stay at appropriate temps
  • Generally end with:
    • Cold when vasoconstriction sough
    • Hot when vasoconstriction sough
25
Q

Topical counterirritant contains

A
  • menthol
  • Methyl salicylate
  • Camphor
  • Capsaicin
26
Q

Topical counterirritant mechanism

A
  • Through A-Delta and C0afferent fibers
    • Inhibit pain
  • Decrease pn, increase ROM
  • No proof of deep tissue temp change