Lecture #11

Question 1

What are some heat indications?

Answer 1

Subacute and chronic inflammatory condtions and pain
subacute edema removal
decreased ROM
resolution of swelling
trigger points
muscle gurading and spasm
subacute muscle strain or lig. sprain
subacute contusion and infection

Question 2

What is the body’s response to thermotherapy?

Answer 2

Increased circulation, increased cell permeability
Increased skin nutrition
Vasodilation cutaneously and subcutaneously
Oxygen delivery causes analgesia, muscle spasm relaxation and decreased spasticity
Heat lessens stimulus threshold of muscle spindle
Connective tissue elasticity increases
Increased metabolism
Hyperemia
Pooling of blood in an area or body part

Question 3

Thermotherapy agents:

Answer 3

MHP, warm gell packs, heating pad, warm/hot whirlpool, chemical additives, infrared heat lamps, diathermies, paraffin baths, fluidotherapy

Question 4

How many layers of toweling need to be used to protect the pt?

Answer 4

6 layers = 1”

Question 5

What temp. is a Warm whirlpool set to?

Answer 5

Extremity 98-108

Body 98-102

Question 6

Normal Tx time for warm whirpool?

Answer 6

15-20 minutes

Question 7

What is paraffin bath?

Answer 7

mixture of paraffin wax and mineral oil @ 126 degrees, gives relief from dry skin and has heating effects

Question 8

How many times you dip in paraffin bath?

Answer 8

6x

Question 9

What you do for paraffin tx?

Answer 9

Dip 6x allowing to harden after each dip
Place in plastic bag w/ toweling to hold in heat
Tx 20-30 min
Remove wax and place back in heater

Question 10

Infrared lamps: how to use?

Answer 10

creates superficial heat (1mm)

have pt. positioned 20” away for 20 mins.

Question 11

What s fluidotherapy?

Answer 11

Dry whirlpool w/ finely ground corn cob heated to 115 degrees.
Tx : 20 mins
not to use w/ open wounds

Question 12

Heat contraindications:

Answer 12

Acute musculoskeletal and inflammatory conditions
Impaired circulation
PVD (thrombophlebitic area)
Skin anesthesia
Over tumors
CAD
Hemorrhagic area
Over abdominal, pelvic, and low back areas of pregnant women
Confused patients
Open wounds
Do not use if edema is present and you are unsure of the cause

Question 13

What can contrast baths be used for?

Answer 13

been effective in treating DOMS

sub-acute swelling, produce vasodilation and constriction, and reduce necrotic cells

Question 14

Tx ratio + time for contrast baths

Answer 14

3:1 or 4:1 (hot:cold)
end w/ most effective
16-20 minutes

Question 15

Temps. for the water in contrast baths

Answer 15

Cold = 50-60
Hot = 104-106

Question 16

One thing to remember to assess after Tx of contrast baths is?

Answer 16

Swelling to determine effectiveness

Question 17

Contrast bath contraindications

Answer 17

Same as hot and cold

Question 18

DOCUMENT! Ratios used and results if any

Answer 18

FYI

Question 19

What are counter-irritants? What they do? examples?

Answer 19

Chemical effects, causing sensory receptors in skin to fire but very superficial. I.e. biofreeze and atomic bomb

Question 20

Active ingredients in counter-irritants?

Answer 20

Menthol, methyl salicylate, camphor, and capsaicin

Question 21

Is massage while applying a counter-irritant more beneficial than the actual stuff you apply?

Answer 21

Yes! So keep rubbing them down!