FINAL PBA Flashcards
WOUNDS & BURNS - acute & early subacute
hydro
Comfortable positioning with a pillow to elevate the injured area. Apply a cool towel to the forehead for 5 min, 2x per day for 1 week. Diaphragmatic breathing is encouraged to promote relaxation
WOUNDS & BURNS - late subacute & chronic
hydro
CONTRAST
-over sanitary barrier, apply a warm towel/ heating pad on a warm setting on top of the injured area (never under)
-leave on for 10 minutes
-after, apply a cold towel to the injured area, and leave on for 5 minutes following C-BAN of a cold sensation, then burning, aching & numb
-repeat 2x daily, for 1 week, or until symptoms are relieved
WOUNDS & BURNS - CI’s
-infection risk is a concern: hand washing, gloves may be worn, oil is not used around the wound
-avoid direct contact with burns that produce blisters
-with burns, active resisted exercise may be CI’d in the acute stage if a large area is affected
-frictions are CI’d if patient is taking anti-inflammatory medications
-frictions are CI’d on keloid or proud flesh scars
WOUNDS & BURNS - treatment goals
-increase relaxation systemically to decrease SNS firing
-increase circulation on compensatory structures to improve joint health
-decrease adhesions to promote joint health (chronic)
-decrease adhesions to increase ROM (chronic)
SPASMS - hydro
REFLEX MUSCLE GUARDING
cold
Using a cold ice pack, place a clean towel over top of the injured area, place an ice pack on top. Keep ice on for 5-10 minutes or until numbness is felt. Repeat 2x a day for 1 week, or until symptoms are gone. You will first feel cold, burning, then aching followed by numbness. When the pack is removed, apply self massage to the area.
INTRINSIC MUSCLE SPASM
Deep moist heat
Place a wet, warm towel, on top of the injured tissue. Leave on for 10 minutes and repeat this 2x a day for 1 week, or until symptoms are gone. Once the spasm has decreased, slowly move the injured area and surrounding joints. Diaphragmatic breathing is encouraged to help decrease stress levels
SPASMS - CI’s
-DO NOT attempt to completely eliminate reflex muscle guarding that is splinting an acute injury
-hot hydrotherapy applications are contraindicated with a muscle spasm resulting from an acute injury
-cold hydro CI’d on intrinsic
-massage is locally CI’d with DVT
-locally painful conditions
-tissue fragility
SPASMS - treatment goals
-increase relaxation systemically to decrease SNS firing
-decrease spasm in X to increase ROM (intrinsic)
-increase circulation on compensatory structures to improve joint health
SCAR TISSUE - acute & early subacute
hydro
Comfortable positioning. Apply a cool towel to the forehead for 5 min, 2x per day for 1 week. Diaphragmatic breathing is encouraged to promote relaxation
SCAR TISSUE - late subacute & chronic
hydro
Take a hot bath or shower
Self massage to the area
Then, using a cold towel, place a sanitary barrier on the injured area with the cold towel on top. Leave on for 5 minutes or until numbness is felt. You will first feel cold, burning, then aching followed by numbness.
Repeat this 1x per day for 1 week, or until symptoms are gone
Diaphragmatic breathing is encouraged
SCAR TISSUE - CI’s
-Frictions are CI’d if patient is taking anti-inflammatory medications
-Frictions are CI’d on keloid or proud flesh scars
SCAR TISSUE - treatment goals
-increase relaxation systemically to decrease SNS firing
-decrease adhesions in X to increase ROM
-decrease adhesions in X to promote joint health
TRIGGER POINTS - hydro
Rest after treatment, drink lots of water
Take a hot bath or shower
Using a heating pad over the painful area, place over the skin (never under)
Leave it on a warm setting for 10-20 minutes 2x per day for 1 week, or until symptoms are gone
Stretch the area after the hot application to promote circulation
TRIGGER POINTS - CI’s
-Avoid prolonged chilling of a muscle containing a trigger point as this may activate it
-Avoid combining prolonged ischemic compression and frictions to the same muscle in the same appointment since this can overtreat the tissue
-A full stretch to a muscle after trigger point treatment is complete is CI’d if it crosses a hypermobile joint
TRIGGER POINTS - treatment goals
-decrease TP in X to improve ROM
-increase relaxation systemically to decrease SNS firing
EDEMA - hydro
COLD (cold/ warm in late subacute/ chronic)
Elevate the area. using a clean towel, place it on the injured area with an icepack on top. Leave on for 5 minutes or until numbness is felt. You will first feel cold, burning, then aching followed by numbness.
Repeat this 2x per day for 1 week, or until symptoms are gone
Diaphragmatic breathing is encouraged
