Exam 1 Information Flashcards
What are physical agents?
Energy or forces applied to a patient
What are the 3 categories of physical agents?
Thermal Agents, Mechanical, and Electromagnetic fields
What are the 4 main effects of physical agents?
a. modify inflammation and the healing process
b. relieve pain
c. alter collagen extensibility
d. modify muscle tone
What are contraindications?
A situation that makes treatment inadvisable.
What is an indication?
Something that is advisable.
What are precautions?
Something that should be used only with special care or limitations.
What are some local effects of HEAT
a. Vasodilation of arterioles by decreased sympathetic activity.
b. Chemical release causes active vasodilation and increased capillary permeability.
What is an axonal reflex?
Afferent impulses traveling antidromically toward the skin blood vessels where there is then a vasoactive mediator released.
What is a Consensual response?
Increase in blood flow in one extremity also causes increase in blood flow in other extremity, but generally to a lesser degree.
Where is the central control of heat
It is from an area of the hypothalamus and can sense a change in body core temperature of less than .2C
Cold Responses
a. Vasoconstriction
b. Decreased capillary permeability
c. Consensual Response
d. Respiratory- minimal changes
e. Shivering- in an attempt to produce more heat
f. Decreased local metabolism
Therapeutic Effects of HEAT
a. Increase the extensibility of collagen tissue
b. Decrease joint stiffness
c. Relieves muscle spasm
d. Pain relief
e. Increase blood flow (once past acute stage of inflammation.
f. Possibly assist in resolution of inflammation.
Therapeutic Effects of COLD
a. Decrease muscle spasm
b. Decrease pain and spasticity
c. Relieve swelling and edema (primarily through vasoconstriction.
d. Prevent excessive tissue damage following injury.
Superficial heating and cooling agents
Produce temperature elevations in skin and underlying subcutaneous tissues to a depth of approximately 1 cm.
Deep Heating agents
Capable of causing temperature elevations in tissues to depth of 3cm or more.