CRYOTHERAPY HIGH YIELD Flashcards
what are the examples of thermal energy?
conduction
convection
radiation
conversion
cryotherapy has localized cooling that facilitates responses like?
vasoconstriction
decreased:
metabolic rate
decreased inflammation
decreased painthis type of therapy is used in which heat is transferred from skin to cold modality until temperatures are equal?
cryotherapy
this type of tissue acts as an insulator?
adipose tissue
*if increased, increase treatment time
affect of cryotherapy on superficial tissues and deeper tissues?
the affect of ice pack?
superficial tissues cool rapidly then rate of cooling slows and levels off
deeper tissues cool slower and lesser extent compared to superficial tissues
20 minute ice pack decreases muscle temperature 7 degrees Fahrenheit at depth of 2 cm
what paradigm do we use to treat acute inflammation?
PRICE
how does cold suppress inflammatory responses?
reduced release of inflammatory mediators
decreased prostaglandins
decreased capillary permeability
what does cold not promote?
removal of edema but it does limit formation of edema
what is the impact of cryotherapy on blood flow?
decreased blood flow in the skin like in the superficial vasoconstriction of blood vessels
what is the impact on neural tissue by cryotherapy? what does this specifically interrupt?
cold
burning
achy
numbness
pain spasm cycle via cooling of muscle spindles
*cooling of nerves slows neural impulses
what is cryokinetics?
when is applied?
cold and motion via combination of cold application and active exercise
cold is applied until analgesia then more exercise to facilitate recovery inorder to prevent loss of function
what are the indications of cryotherapy?
limit of edema formation
reduce pain
facilitate muscle relaxation
limit secondary hypoxic tissue injury
what are the contraindications of cryotherapy?
cold urticaria cold intolerance raynauds disease cryoglobulinemia paroxysmal cold hemoglobinuria cold. agglutinin disease
what are the precautions of cryotherapy?
hypertension thermoregulatory disorders over a superficial wound over an open wound over an area of poor sensation in a young or older individual
these cold modalities treat focal or localized areas?
ice pack
ice message
what responses does thermotherapy facilitate?
decreased pain
vasodilation
increased metabolic rate
increased inflammation
what is the effect of thermotherapy on deep and superficial tissue?
little effect on deeper tissue like muscles and joints
increase superficial tissue like the skin like 1-2 cm depth with therapeutic effects at 102-112 degree Fahrenheit
what is the impact of thermotherapy on blood flow?
vasodilation of capillaries
decreased fluid viscosity
increased permeability of local tissues
not warranted during the inflammatory phase***
thermotherapy is not warranted during what phase?
inflammatory phase, could extend into the acute and subacute inflammatory stages and apply 2-3 days after acute injury
what is the impact of thermotherapy on neural tissue?
increased rate of chemical reactions and cell metabolism with increased neural impulses
sensory and motor fun is enhanced
decrease mechanical pressure on nociceptive fibers to decrease pain
what are the indications of thermotherapy?
decrease:
joint stiffness
muscle spasm
pain
increase:
blood flow
elasticity of tissues like ligaments, tendons and fascia
what are the contraindications of thermotherapy?
acute injuries impaired circulation thrombophlebitis patients with tumors open wound closed infection coronary heart disease
this type of superficial tissue modality is the most common?
moist heat pack with Terry cloth used as a barrier
this type of superficial tissue modality is used with warm water in the whirlpool that permits the heat around the entire limb?
warm water immersion
this type of superficial tissue modality is used as a dry warm whirlpool modality?
fluidotherapy commonly for wrist and hand
intermittent compression is used to facilitate what responses?
decrease edema
increase blood flow
decrease pain
this type of compression is used as a pneumatic device that inflates sleeve around the joint or limb
reduces edema and swelling
mech pressure forces fluids within venous system from distal to proximal
external pressure forces fluids to go from high pressure to low pressure
intermittent compression
what are the indications of intermittent compression?
lymphedema
post acute traumatic edema
chronic edema
prevention of DVT after surgery
what are the contraindications of intermittent compression?
compartment syndrome fractures peripheral vascular disease DVT local superficial infection local dermatological infection
what is the max pressure and treatment time of intermittent compression?
50-80 mmHg
20-30 minutes
