superficial cold - application techniques Flashcards
what are cold packs or cold gel packs made of
they are filled with gel and covered by vinyl
at what temp does the cold packs become semi solid
0-5 deg
how do you store cold packs
in freezer at -5 deg
initial use - > or 2 hrs
succeeding use - 30 mins
what is the home alternative for cold packs
4:1 water and rubbing alcohol mixture
how long do we apply cold packs for
10-20 mins but 10 mins in clinics
what are iced packs made of
crushed ice in plastic bag
where are ice packs usually used
in the field for acute injuries
compare cold packs and ice packs in terms of their advantages
cold packs - better conforms to the body
ice packs - more aggressive cooling
how long do we apply ice packs for
10-20 mins
what are the advantages of cold and ice packs
easy to use
inexpensive
brief us of clinician’s time
low level of skill needed
covers moderate to large areas
can be applied to elevated limb
what are the disadvantages of cold and ice packs
pack must be removed to check area
patient may not tolerate weight of pack
inadequate contact in certain areas
longer duration compared to ice massage
what is ice massage made of
frozen ice cups or water popsicles
when is ice massage usually used
done over a small area before deep pressure massage
why is ice massage not as cold as other methods
not drop below 15 deg bcs ice is constantly moving
how long do we apply ice massage
usually 3-5 mins basta mag CBAN na
what are the advantages of ice massage
treatment area can be observed during appli
for small or irregular areas
short duration
inexpensive
can be applied to elevated limb
what are the disadvantages of ice massage
time consuming for large areas
requires active participation of pt and PT
what are cold compression units
cooled water circulated through a sleeve that can also be inflated intermittently
what is the temp of CCCU
10-25 deg na sset sha as well as the compression
when is CCCU usually used
used for inflammation and edema post op or other circumstances
what are the advantages of CCCU
allows simultaneous appli of cold and compression
temp and compression are easily controlled
can be applied to large joints
what are the disadvantages of CCCU
treatment site cant be seen during treatment
expensive
usable for extremities only
cannot be used for trunk and digits
how is the vapocoolant spray applied
held at an angle of 30 deg and 30-45 cm away from skin
sprayed at 4 inches/sec
use of vapocoolant spray in trigger points
unidirectional sweep along muscle w trigger point usually used before deep friction massage
use of vapocoolant spray to inc ROM
entire length of muscle covered 2-3x at 10cm/sec
what happens if the effect of vapocoolant spray is not felt
wait for skin to reward then reapply
what are the advantages of the vapocoolant spray
brief, localized, superficial cooling before stretching
what are the disadvantages of the vapocoolant spray
limited use
requires covering of pt eyes, nose and mouth
what are chemical cold packs
consists of 2 chemical substances in separate vinyl bags tas pag hahalo instant cold pack
when are chemical cold packs usually used
for emergency - ambulances
how are chemical cold packs stored
remain in tank 24 hours before use
at least 30 mins for subsequent use
at what temp are chemical cold packs stored
around -9 to -12 deg
how long are chemical cold packs applied
10-15 mins
what are ice towels
towels soaked in bucket of ice or frozen we towels
how are cold towels used
inconvenient bcs towels need to be changed every 4-5 mins and very messy
how long are cold towels applied
10-15 mins
most practical cooling method for distal extremities
cold baths
what is the advantage of cold baths or whirpools
ensures circumferential cooling
what is the temp for cold bath and for cryokinetics
13 to 18 dec
lower temp for cryokinetics
how long are cold baths applied
10-15 mins
most intense application of cold
cold whirlpool - bcs water circulates more cooling effect
temp of cold whirlpool
10-16 deg
how long is cold whirlpool applied
5-15 minutes
what is the difference of cold baths and whirlpool
bath - conduction
whirlpool - convection
when is cold whirlpool usually used
for conditions in which exercise of the injured part during cryo is desired
