Hydrotherapy Flashcards
Hydrotherapy
the use of water in any of its three forms: liquid, solid or vapor, internally or externally, in the prevention, treatment or healing of any ailment or disease
Know and understand all the indications of your treatments
Yes
Know and understand all the contraindications and precautions of your treatments
Yes
Maintain detailed records of your patients treatment and review these records before…
Every treatment
When should you take the time to fully explain the hydrotherapy procedure to your patient
Before the treatment starts
Clarity =
Safety
Monitor your patient closely and comfort at all times
Yes
Your patient must be thoroughly and evenly warm before any treatment begins. Never…
Cold on cold patient
What should you do if your patient is chilled by the treatment (i.e goose flesh, feels chilly)
Stop treatment immediately and warm your patient
After warm/hot treatments, it’s should be followed by
A rest period
After cool/cold treatments, it should be followed by
Light, monitored exercise
Circadian rhythm heating phase
3am - 3pm
Circadian rhythm cooling phase
3pm - 3am
Intense treatments are best done in
The morning
Medium treatments are best done in
The afternoon
Light treatments are best done in
The evening
The heat application should be bigger and longer than
The cold
Always end with
Cold
In contrast treatments there should be a minimum of ______ in temperature
10 degree difference
Uses
• Relieve pain and discomfort (ie. analgesic)
• First aid (PRICE in sports or acute injuries)
• Pre-heat for massage or exercise
• Promote relaxation and reduction of stress
• Increase circulation to skin, extremities and joints
• Stimulate immune system
• An exercise environment (pool exercises assist in increasing joint ROM)
• Increase joint ROM (eg. using paraffin wax in the treatment of non
acute arthritis)
Indications
• Pain and inflammation
• Sports injuries, overuse injuries, repetitive strain injuries
• Stress
• Insomnia
• Decreased ROM
• Patients that are weak, bedridden or unable to support their weight (eg.
wheelchair, rehab)
• Hypertoned muscles
• Arthritis (not in acute/flared up stage, no extremes of temperature)
• Decreased circulation, poor or sluggish circulation
Physiological Effects of water
• Thermal
• Mechanical
• Chemical
Thermal
Using temperatures above or below the normal human body temperature
Mechanical
Friction to the skin (ex. Salt glow)
Strike to the skin (ex. Jets in a hot tub)
Chemical
- Dissolve substance in water
applied to skin (ex. Compress or poultice)
-absorbed (ex. Epsom salt bath)
-Inhaled (ex. Steam with eucalyptus***)
Classification of hydrotherapy
Constitutional
Regional
Local
Constitutional
treats whole person/body (eg. Fullbath, steam, IRS)
Regional
treats a section/part of body (eg. CAB, CFB, abdominal wash)
Local
treats a small area/part of body (eg. ice massage, heat pack)
Precautions to hydrotherapy
Cold
Heat
Hydrostatic pressure
Cold precaution
avoid further injury, such as returning to vigorous activity after ice or cryotherapy, avoid application of ice over bony areas and superficial nerves
Heat precaution
Monitor your patient’s reactions, the medical condition of the patient (ie. Multiple Sclerosis) to tolerate heat, and the ability to generate sweat must be considered
Hydrostatic pressure precaution
This pressure is exerted to the venous system from immersion of the body in water. Hydrostatic pressure increases with water depth. Monitor patient reactions and the medical condition of the patient. (eg. patients with a cardiovascular condition, pregnancy, arteriosclerosis)
Cold contraindications
• Very high/low blood pressure
• Pleurisy (inflammation of pleura, tissue around lungs, tissue is fragile)
• Raynaud’s disease in flared up stage (impaired ability for blood vessels to
constrict & relax)
• Hypersensitivity to cold (a negative reaction is hives, or increased pain)
• Peripheral neuropathy (lack of or diminished sensation in the extremities, caution
with diabetes)
• Previous history of frostbite to the area
• Sinusitis (tissues are already constricted due to nasal congestion)
• NEVER cold on a chilled/cold patient