Heat Flashcards

1
Q

what are the six uses of heat

A
  1. relaxation
  2. pain relief
  3. inc blood flow
  4. facilitate tissue healing
  5. decrease muscle spasm
  6. decrease jt/tissue tightness
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2
Q

what is the level of therapeutic heat?

A

104-113F, less can have mild effects, more can damage tissue

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3
Q

how does heat affect metabolism

A

heat increases metabolism and oxygen available to cells

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4
Q

how does heat impact the nervous system?

A

heat DECREASES SYMPATHETIC RESPONSE leading to vasodilation

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5
Q

how does heat impact inflammation? (dont need to know specific mediators for test)

A
  1. heat activates PGs and Hist to vasodilate smaller arteries and arterioles
  2. heat activates kallikrein then bradykinin which increases vascular permeability
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6
Q

what is the thermal gait theory?

A

local thermoreceptors block input from nociceptive afferents

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7
Q

what is the effect of heat on connective tissue?

A

plastic elongation: ability of a tissue to maintain stretch after its applied

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8
Q

what does thermal conductivity depend on (3)

A
  1. intensity of the heat
  2. time of exposure
  3. thermal medium
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9
Q

how does adipose tissue behave with heat

A

it is an insulator that decreases heat conduction

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10
Q

how far does heat reach? depth

A

1-3cm

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11
Q

if you want to achieve a deeper heat what type of modality would you use

A

continuous US 1-5cm

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12
Q

what are the four main heat conduction modalities

A

MHP, paraffin, electric heating pads, and OTC heat wraps

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13
Q

what is the main heat convection modality?

A

fluidotherapy

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14
Q

what is the main radiation heat modality?

A

laser

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15
Q

what is the melting point of paraffin?

A

129

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16
Q

how can you lower the melting point of paraffin?

A

adding oil 113-129 degrees

17
Q

what is special about paraffin? 2

A

it has a lower specific heat than water - does not feel as hot at the same temp

slower rate of heat conduction than water

18
Q

describe the paraffin procedure 6

A
  1. educate the pt
  2. remove jewelery
  3. wash hands or feet
  4. dip the body part 8-10 times without touching the surface
  5. wrap in a plastic bag
  6. cover in towels for 15-30 minutes
19
Q

how hot is the water in the hydroc?

A

158-167

20
Q

how many layers for a MHP?

A

6-8

21
Q

should patients lie their entire weight on the MHP?

A

NO

22
Q

what are the 8 contraindications for heat

A
  1. lack of heat sensation
  2. vascular insuff/disease
  3. recent hemorrhage
  4. malignancy
  5. acute inflam
  6. infection
  7. recent vasodilators
  8. pt unable to fully communicate
23
Q

in order of most to least, what tissues are affected by heat? 3

A

skin > subcue > muscle