CRYOTHERAPY HIGH YIELD Flashcards

1
Q

what are the examples of thermal energy?

A

conduction
convection
radiation
conversion

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2
Q

cryotherapy has localized cooling that facilitates responses like?

A
vasoconstriction
decreased: 
     metabolic rate
     decreased inflammation
     decreased pain
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3
Q

this type of therapy is used in which heat is transferred from skin to cold modality until temperatures are equal?

A

cryotherapy

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4
Q

this type of tissue acts as an insulator?

A

adipose tissue

*if increased, increase treatment time

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5
Q

affect of cryotherapy on superficial tissues and deeper tissues?

the affect of ice pack?

A

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

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6
Q

what paradigm do we use to treat acute inflammation?

A

PRICE

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7
Q

how does cold suppress inflammatory responses?

A

reduced release of inflammatory mediators

decreased prostaglandins

decreased capillary permeability

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8
Q

what does cold not promote?

A

removal of edema but it does limit formation of edema

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9
Q

what is the impact of cryotherapy on blood flow?

A

decreased blood flow in the skin like in the superficial vasoconstriction of blood vessels

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10
Q

what is the impact on neural tissue by cryotherapy? what does this specifically interrupt?

A

cold
burning
achy
numbness

pain spasm cycle via cooling of muscle spindles

*cooling of nerves slows neural impulses

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11
Q

what is cryokinetics?

when is applied?

A

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

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12
Q

what are the indications of cryotherapy?

A

limit of edema formation
reduce pain
facilitate muscle relaxation
limit secondary hypoxic tissue injury

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13
Q

what are the contraindications of cryotherapy?

A
cold urticaria
cold intolerance
raynauds disease
cryoglobulinemia
paroxysmal cold hemoglobinuria 
cold. agglutinin disease
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14
Q

what are the precautions of cryotherapy?

A
hypertension
thermoregulatory disorders
over a superficial wound
over an open wound
over an area of poor sensation
in a young or older individual
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15
Q

these cold modalities treat focal or localized areas?

A

ice pack

ice message

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16
Q

what responses does thermotherapy facilitate?

A

decreased pain
vasodilation
increased metabolic rate
increased inflammation

17
Q

what is the effect of thermotherapy on deep and superficial tissue?

A

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

18
Q

what is the impact of thermotherapy on blood flow?

A

vasodilation of capillaries
decreased fluid viscosity
increased permeability of local tissues
not warranted during the inflammatory phase***

19
Q

thermotherapy is not warranted during what phase?

A

inflammatory phase, could extend into the acute and subacute inflammatory stages and apply 2-3 days after acute injury

20
Q

what is the impact of thermotherapy on neural tissue?

A

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

21
Q

what are the indications of thermotherapy?

A

decrease:
joint stiffness
muscle spasm
pain

increase:
blood flow
elasticity of tissues like ligaments, tendons and fascia

22
Q

what are the contraindications of thermotherapy?

A
acute injuries
impaired circulation
thrombophlebitis 
patients with tumors
open wound
closed infection
coronary heart disease
23
Q

this type of superficial tissue modality is the most common?

A

moist heat pack with Terry cloth used as a barrier

24
Q

this type of superficial tissue modality is used with warm water in the whirlpool that permits the heat around the entire limb?

A

warm water immersion

25
Q

this type of superficial tissue modality is used as a dry warm whirlpool modality?

A

fluidotherapy commonly for wrist and hand

26
Q

intermittent compression is used to facilitate what responses?

A

decrease edema
increase blood flow
decrease pain

27
Q

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

A

intermittent compression

28
Q

what are the indications of intermittent compression?

A

lymphedema
post acute traumatic edema
chronic edema
prevention of DVT after surgery

29
Q

what are the contraindications of intermittent compression?

A
compartment syndrome
fractures
peripheral vascular disease
DVT
local superficial infection
local dermatological infection
30
Q

what is the max pressure and treatment time of intermittent compression?

A

50-80 mmHg

20-30 minutes