Superficial Cold Modalities Flashcards

1
Q

use of ice or cold applications

A

cyrotherapy/cold therapy

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2
Q

ice/cold in greek

A

cyro

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3
Q

effects of cold

A

hemodynamic effects
neuromuscular effects
metabolic effects

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4
Q

initial decrease in blood flow; later increase in blood flow

A

hemodynamic effect

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5
Q

responses to increase in blood flow

A

cold-induced vasodilation
hunting response

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6
Q

neuromuscular effects to cold

A

decrease in nerve conduction velocity

inc in pain threshold

altered muscle strength

dec spasticity

facilitation of muscle contraction

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7
Q

myelinated, small fibers a-delta

A

increase effect; nerve conduction velocity

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8
Q

unmyelinated & large fibers

A

decrease effect; nerve conduction velocity

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9
Q

increase pain threshold

A

gate control theory

interruption of pain spasm cycle

reduction of sensory nerve NCV

reduction of edema

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10
Q

exposure to cold less than/equal to 5 mins

A

increase muscle strength

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11
Q

exposure to cold > 5-30 mins

A

decreased muscle strength

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12
Q

initial effect of cold to dec spasticity

A

dec in gamma motor activity

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13
Q

later effect of cold to dec spasticity

A

dec in afferent spindle & GTO activity

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14
Q

quick application of cold for muscle contraction

A

facilitate alpha motor neuron (for flaccid muscles)

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15
Q

decreased metabolic rate

A

controls acute inflammation

inhibits activity of cartilage-degrading enzymes for OA

reduced level of histamine in the blood for RA

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16
Q

cartilage-degrading ezymes

A

collagenase, elastase, hyaluronidase, protease

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17
Q

methods of heat loss

A

conduction

convection

evaporation

radiation

respiration

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18
Q

inflammation control

edema control

pain control

modification of spasticity

symptom management in MS

Facilitation

Cyrokinetics Cyrostretch

Treatment of acute burns

Treatment in conjuction w joint mob, deep friction massage, strenuous workouts and rest, compression & elevation

A

uses of cyrotherapy/indications

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19
Q

example of inflammation control

A

reduce DOMS after exercise

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20
Q

cold hypersensitivity/cold induced urticaria

cold intolerance

cyroglobulunemia

paroxysmal cold hemoglobinuria

raynaud’s disease/phenomenon

over a regenerating peripheral nerve

over an area w circulatory compromise of peripheral vascular disorder (PVD)

A

contraindications of cyrotherapy

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21
Q

over superficial main branch of a nerve

over an open wound

hypertension

poor sensation of mentation

extreme ages of pts

A

precautions of cyrotherapy

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22
Q

tissue death from ischemia

frostbite

A

adverse effects of cold

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23
Q

four stages of sensation in application of cyrotherapy

A

Cold

Burning

Aching

Numbness

CBAN!!

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24
Q

PRICES

A

protection

rest

ice

compression

elevation

stabilization

25
filled w silica/saline gel covered w vinyl
cold packs
26
storing of cold packs for INITIAL use
>= 2 hrs
27
storing of cold packs for SUCCEEDING use
at least 30 mins
28
alternative for cold packs
4:1 water and rubbing alcohol
29
duration for cold packs
10-20 minutes
30
crushed ice in a plastic bag; more aggressive than cold packs
ice packs
31
duration of ice packs
10-20 mins
32
easy to use inexpensive materials brief use of clinicians time low level of skill req for application covers moderate to large areas can be applies to elevated limb
advantages of cold/ice packs
33
pack must be removed to check area pt may not tolerate the weight pack may have inadequate contact on certain areas longer duration compared to ice massage
disadvantages of cold/ice packs
34
ice cups or frozen water popsicles; done over a small area before deep pressure massage
ice massage
35
when using ice massage, skin temperature will not drop below
15 C
36
treatment area can be observed during application for small, irreg areas short duration inexpensive can be applied to an elevated limb
advantages of ice massage
37
time consuming for large areas requires active participation of clinician or pt throughout the application
disadvantages of ice packs
38
cooled water is circulated through the sleeve which is applied to the extremity then inflated intermittently Used for inflammation and edema post op and in other circumstances
controlled cold impression unit
39
temperature of controlled cold impression unit
10-25 C
40
duration of controlled cold impression unit
10-15 minutes
41
allows simultaneous application of cold and compression temp and compression force are easily controlled can be applied to large joints
advantages of controlled cold impression unit
42
treatment site cant be seen during treatments expensive usable for extremities cannot be used for trunk or digits
disadvantages of controlled cold impression unit
43
application of vapocoolant spray
application is upright and held at 30 deg acute angle, approx 30-35 cm from the skin at rate of 10cm/sec
44
brief, localized, superficial cooling before stretching
advantages of vapocoolant spray
45
limited use requires covering of the pt's eyes, nose, and mouth when treating close to the face
disadvantages of vapocoolant spray
46
used primarily in pts w CNS disorder
quick/brief icing
47
application of brief icing
quick swipes of ice cube over the belly of involved muscle performed 3-5 times, have a facilitatory effect which might occur immediately or 27-42 mins of applucation
48
3 swipes, wipe water after every swipe
A-icing
49
hold ice for 3-5 seconds, wipe water after
C-icing
50
consist of 2 chemical substances, one in a small vinyl bag within a larger bag convenient for emergency use
chemical cold packs
51
storing of chemical cold packs
should remain in tank at least 24 hrs before first use at least 30 mins for subsequent uses
52
duration of chemical cold packs
10-15 minutes
53
terry cloth towels soaked in a bucket of crushed ice/slush frozen wet towels
ice towels
54
duration of ice towels
10-15 mins
55
most practical if cooling of the distal extremities is desired ensures circumferential cooling of extremities
cold baths
56
indicated for conditions in which exercise of the injured part during cold treatment is desired most intense application of cold
cold whirlpool
57
duration of cold whirlpool
5-15 minutes
58
documentation of cyrotherapy
on in x to