superficial hot modalities Flashcards

1
Q

hemodynamic effects

A

vasodilator release, activates cutaneous receptors

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2
Q

vasodilators

A

histamine and prostaglandin

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3
Q

what happens when cutaneous receptors are activated

A

smooth muscles relax

- DRG
	○ Later on synapsing to lateral gray horn of tc segments
	○ Decrease symp adrenegic activation
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4
Q

when you increase temp by 1 degree ncv —- by —-

A

increases by 2 m/s

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5
Q

effect of hot on demyelinated peripheral enrves

A

conduction block

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6
Q

hot reduces ___ and ____

A
  • Reduces ischemia and spasm

○ Breaks pain spasm pain cycle

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7
Q

how long should application be for decrease in muscle strength

A

initial 30 mins

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8
Q

how does thermo alter muscle strength

A
  • Lowered firing rate of alpha motor neurons

Decreased firing rate of: type II muscle spindle efferents and gamma efferents
Increase firing rate of type 1b (GTO)

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9
Q

increase in metabolic rate is seen between ___ and ___ degrees

A

39 to 43

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10
Q

beyond 45 degrees, what is effect on metabolic rate

A

enzymatic activity reduced

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11
Q

beyond 50 degrees, what is effect on metabolic rate

A

○ Enzymatic activities stop

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12
Q

good effect of heat on metabolic rate

A
  • Accelerates healing of chronic wounds
    • Shift of o2 dissociation curve to right
      ○ Makes O2 available for tissue repair
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13
Q

bad effect of heat on metabolic rate

A
  • Increase in collegenase activity => destroy articular cartilage
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14
Q

temp and duration for tissue extensibility

A

40-45 degrees for 10 mins

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15
Q

methods of heat gain

A
  • Conduction
    • Convection
    • Radiation
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16
Q

hot moist pack storage

A

70-75 degrees c

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17
Q

hmp is made of

A

bentonite and hydrophilic silicate gel

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18
Q

terry cloth is equivalent to

A

4 layers

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19
Q

duration of hmp

A

15-20 mins

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20
Q

ratio of wax to oil in pwb

A

6:1

21
Q

purpose of oil

A

makes melt at lower temp

22
Q

melting temp of pwb

A

45-50

23
Q

methods of pwb

A

○ Dip and wrap: 6-10
○ Dip immersion: 20 mins
○ Paint and brush

24
Q

fluidotherapy

A
  • Dry heating
    • Convection moving air
    • Cabinet with cellulose inside
25
Q

lambert’s cosine law

A

right angle

26
Q

inverse square law

A

intensity inversely proprortionate to distance

27
Q

Law of grothus draper/principle of chemical activation

A

§ Waves must be absorbed in order to have an effect

28
Q
  • Arndt schultz principle
A

§ Intensity = warmth

§ There is an optimal amount of energy absorption per unit time

29
Q

Bunsen roscoe law of reciprocity

A

§ Intensity and duration are inversely proportional

30
Q

Near IR/IRA/MIRE

A
  • Short
    • Luminous (closer to visible)
    • 7701400 nm
    • 3x10^8 m/s
    • Epidermal and dermal layer
    • Penetration: 1-3 mm
    • Vigorous rise in temp
31
Q

Middle or far IRR

A
  • Long
    • Non luminous
    • 1,400-3000 nm
    • Stratum corneum
    • 0.1 mm
    • Small and gradual rise in temp
32
Q

Luminous IRR

A
  • From glowing source tungsten or carbon filament
33
Q

Non-luminous

A
  • Non glowing source like corborundum with metal reflector
34
Q

Luminous distance

A

45-60 cm / 18-24 inches

35
Q

Non-luminous distance

A

74-91 cm/ 29-36 inches

36
Q

preheating for IRRs

A
  • Not necessary for luminous
    ○ Can do 5 min warm up
    • Non-luminous
      ○ Requires 5-10 min warmp up
37
Q

optimum time for IRR

A

20 mins

38
Q

functions of IRR

A

Used for pressure sores
adjunct to TENS
- Lowers skin impedance
Psoriasis

39
Q

contraindications for heat

A
  • Hemorrhage recent or potential
    • Thrombophlebitis
    • Malignant tumor
    • Metal in area
40
Q

contraindications for IRR

A
  • Acute dermal conditions
    • Erythema ab igne
      ○ Red rash
    • Over the eyes
    • Cardiac insufficiency
41
Q

precautions for heat

A
  • Acute injury or inflammation
    • Pregnancy
    • Impaired circulation
    • Poor thermal regulation
    • Edema
    • Metal close to area
    • Recently applied topical counterirritants
    • Demyelinated nerves
      ○ Do not compress
    • Impaired sensation
    • Impaired mentation
42
Q

precautions for irr

A

perspiration

43
Q

irr documentation

A

at on in x to

44
Q

contrast bath temperatures

A

Warm - 38-44 degrees

Cold - 10-18 degrees

45
Q

use of contrast bath

A

Vascular pumping mechanism
Benefit of heat while avoiding increased edema
Larger difference for pain or edema
For desensitization: small difference

46
Q

process of contrast bath

A

hot for 3-4 mins, cold for 1 min

repeat 5-6 times

end with hot

47
Q

conversion of Celsius to Fahrenheit

A

c(9/5) + 32

48
Q

Fahrenheit to Celsius

A

(F - 32)(5/9)

49
Q

vasodilatory effect of heat is the release of

A

nitrous oxide and bradykinin