hydrotherapy Flashcards

1
Q

what are the physical properties of water

A

specific heat

thermal conductivity

buoyancy

resistance

hydrostatic pressure

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2
Q

what is water’s specific heat

A

4.19 J/g/°C

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3
Q

what is water’s thermal conductivity

A

0.000057 °C/cm

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4
Q

what does specific heat mean

A

amount of energy needed for a substance to inc temp of a material

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5
Q

what does thermal conductivity mean

A

ability to transfer heat

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6
Q

relate the properties of specific heat and thermal conductivity with water and air

A

water can retain heat 4x more and can transfer it 25x faster than air

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7
Q

how does water transfer heat

A

via conduction if no current

convection if may current

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8
Q

clinical appli of 0-18°C

A

very cold to cold

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9
Q

clinical appli of 18-26°C

A

cool - acute inflammation

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10
Q

clinical appli of 26-33.5°C

A

tepid - exercise; acute inflammation if unable to tolerate cold

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11
Q

clinical appli of 33.5-35.5°C

A

neutral warmth - open wounds, medically-compromised pts, dec tone

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12
Q

clinical appli of 35.5-37°C

A

mild warmth - inc mobility of burns

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13
Q

clinical appli of 37-40°C

A

hot - pain control

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14
Q

clinical appli of 40-43°C

A

very hot - inc tissue extensibility, chronic conditions

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15
Q

clinical appli of >43°C

A

should not be used

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16
Q

exp buoyancy of water

A

appli of archimedes’s principle and specific gravity - body immersed has an upward thrust equal to amount of fluid displaced

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17
Q

specific gravity of pure water

A

1

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18
Q

specific gravity of salt water

A

1.024 - easier to float

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19
Q

specific gravity of ave human body

A

0.974 but if exhale all air maging 1.1 so will sink

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20
Q

specific gravity of subcutaneous fat

A

0.85 - more fat more it will float

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21
Q

exp resistance of water

A

d/t viscosity - inc surface area or speed = inc resistance

22
Q

exp hydrostatic pressure

A

appli of pascal’s law - fluid exerts pressure on body proportionate to depth

deeper = more pressure; so mas mataas sa lower ex

23
Q

what are the physiological effects of water

A

cleansing
MSK
thermal
cardiovascular
respiratory
renal
psychological

24
Q

exp cleansing effects of water

A

from pressure = remove debris or d/t dissolved surfactants and anti-microbials

25
Q

exp MSK effects of water

A

dec WB - assistive

strengthening by movement against flow or buoyancy - resistive

effects on bone density loss - wolf’s law

less fat loss vs normal exercise

26
Q

exp thermal effects of cold water

A

dec metabolism

pain relief

controls inflammation

27
Q

exp thermal effects of warm water

A

relaxes muscle

inc flexibility

improve circulation

inc tissue extensibility

pain relief

28
Q

exp cardiovascular effects of water

A

inc venous circulation, cardiac volume, cardiac output

dec HR, systolic BP, VO2; since inc venous return

29
Q

exp respiratory effects of water

A

inc work of breathing - to cope up w CO; get tired easily to

dec vital capacity

dec exercised-induced asthma - high humidity

30
Q

exp renal effects of water

A

diuresis

inc Na and K excretion

31
Q

exp psychological effects of water

A

warm - relaxing

cold - energizing

32
Q

uses of hydrotherapy in rehab

A

superficial heating or cooling

pain control

edema control

water exercise

wound care

33
Q

exp superficial heating or cooling via water

A

by conduction or convection

34
Q

exp pain control via water

A

reduction of WB - OA, knee injuries

thermal effects - GCT, slow NCV, breaks pain-spasm cycle

35
Q

exp edema control via water

A

by hydrostatic pressure

36
Q

exp water exercises via water

A

walking, cycling

can be assistive if with current or resistive if against

37
Q

exp wound care via water

A

rehydration and softening of wound

debridement or cleaning from pressure or mga shit s water

38
Q

contraindications of local immersion hydrotherapy

A

maceration around wound

bleeding

39
Q

precaution of local immersion hydrotherapy

A

impaired sensation and cognition

infection

recent skin grafts

40
Q

contraindications of full-body immersion hydrotherapy

A

cardiac instab

infection

bowel incontinence

severe epilepsy

suicidal patients

41
Q

precautions of full-body immersion hydrotherapy

A

confusion, disorientation

alcohol ingestion

limited strength, endurance or balance

medications for CV disease

urinary incontinence

fear of water

respiratory compromise

42
Q

duration of treatment for pain relief

A

20-30 mins

43
Q

duration of treatment for exercise

A

basta matapos yung reps

44
Q

exp contrast bath

A

warm - 38-43°C
cold - 13-18°C

3-4 mins hot -> 1-2 mins cold for 20-30 mins

45
Q

last immersion for acute to subacute in contrast bath

A

cold

46
Q

last immersion for subacute to chronic in contrast bath

A

hot

47
Q

last immersion for usual contrast bath

A

warm water

48
Q

common temp for water exercise

A

tepid; 26-33°C

49
Q

common temp for low-intensity water exercise

A

warm: 34-36°C

50
Q

common temp for high-intensity water exercise

A

cold - 26-29°C

51
Q

discuss non-immersion irrigation devices

A

sprays 4-15 psi on open wound

delivers fluid at controlled pressure + removes contaminated fluid (suction) = PULSED LAVAGE

pulsatile irrigation device

52
Q

what are the safety measures for hydrotherapy

A

check electrical machines and wires

do not run turbine s water

room temp of 25-30°C c relative humidity is recommended

infection control