Thermal/Cryo/ Compression Therapy

Question 1

What are the physical principles of tissue heating

Answer 1

1. Conduction ( transfer of heat)
2. Convection (spreading heat)
3. Conversion (non thermal to tissue… US)
4. Radiation (laser)

Question 2

Contraindication for thermo

Answer 2

Recent/potential hemorrhage
DVT
Impaired sensation
Impaired cognitive
Cancer

Question 3

Precautions thermo therapy

Answer 3

Inflammation
Pregnancy - whirlpool
Impaired circulation
Edema
Cardiac insufficiency
Metal/jewelry
Over an open wounds
Demyelinated nerves

Question 4

Thermotherapy adverse effects

Answer 4

Use 6 layers
Limit initial temp
Educate patient
Call bell

Question 5

Why we use cryotherapy

Answer 5

Decrease inflammation
Decrease swelling
Decrease spasticity

Question 6

Clinical indications cryotherapy

Answer 6

Acute msk
Over casts and or bandages
Decrease pain

Question 7

What are normal progression of cold applications

Answer 7

Cold
Intense cold
Burning sensation
Numbness (this is good?)

Question 8

When should you discontinue treatment of cryotherapy

Answer 8

if patient reports discomfort and normal response is not achieved

Question 9

Contraindications for cryotherapy

Answer 9

Cold hypersensitive
Raynaud’s disease
Over regenerating peripheral nerves

Question 10

Precautions of cryotherapy

Answer 10

Over the superficial branch of a nerve
Over an open wound
Hypertension
Poor sensation or mentation
Very young and very old

Question 11

How long should you apply cryotherapy

Answer 11

10-20 when the goal is vasoconstriction

Question 12

What is compression use for

Answer 12

Control peripheral edema caused by vascular or lymphatic dysfunction
DVT
Facilitate residual limb shaping
Lymphedema treatment

Question 13

What are the parameters for compression therapy **

Answer 13

Inflation pressure = 30 - 80mmHg just below the patients diastolic pressure
UE = usually low range 30-60mmHg
Higher for venous insufficiency
Lower pressure for residual limb reduction, shaping, and posttraumatic edema

Treatments time is 2-3 hrs

Question 14

Contraindications for compression

Answer 14

Heat failure
Pulmonary edema
DVT
Arterial disease
Uncontrolled hypertension
Significant hypoproteinemia
Trauma

Question 15

Precautions for compression

Answer 15

Impaired sensation
Cancer
Stroke
Superficial peripheral nerves
Local skin infection

Question 16

What is PEACE & LOVE

Answer 16

Protection
Elevation
Avoid anti inflammatories
Compression
Eduction

Load
Optimism
Vascularization
Exercise