L2 Thermal Flashcards
Conduction
hot and cold packs
direct contact
Convection
oven or fluidtherapy
Radiation
directionally focused heath through the air
Conversion
mechanical energy transformed to thermal
Evaporation
sweating, rubbing alcohol
Vasodilation w/cryotherapy
initially decreased blood flow
at about 15 minutes, vasodilation
What does cryotherapy do?
decreased nerve conduction
reduced pain
increased pain threshold
changes in strength
decreased spasticity
decreased enzyme degradation
reduction in DOMS
Contraindications of Cryotherapy
active dvt
impaired circulation
impaired sensation
malignancy
anterior neck, eyes, regenerating nerves
Precautions of Cold Therapy
damaged skin
very young or very old pts
Application of cold therapy
barrier to the skin. small area = 3-5 min, large area= 15 min, inflammation = 10 min on/off (no longer than 15 min to avoid CIVD = cold induced vasodilation)
4 stages of icing
cold
burning
aching
numbness
Goals of heat
pain reduction
decreased muscle guarding
tissue extensibility
strength
increased function
increased nerve conductivity
increased metabolic rate
increased extensibility
Contraindications of heat
acute dvt
impaired circulation, sensation, cognition
malignancy
pregnancy
infection
Precautions of heat
cardiac failure
chronic wound
anterior neck
damaged skin
Adverse effects of heat
increased HR
sweating
burns
increased core body temp–increased metabolic activity
vasodilation –>fall risk due to hypotension