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508 > Thermotherapy > Flashcards

Thermotherapy Flashcards

1
Q

What are the 4 most common methods of thermotherapy

A

Hotpacks
paraffin baths
heating pads
fluidotherapy

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2
Q

What is the beneficial temperature range

A

104-113

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3
Q

What are the 3 methods of heat exchange

A

conduction
convection
radiation

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4
Q

What is conduction

A

exchange of energy b/t 2 materials that have 2 different temps

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5
Q

Ways to utilize conduction

A

hot packs
paraffin baths
heating pads
chemical heat wraps

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6
Q

What is the idea behind conduction

A

area of high temp touches and area of low temp and the low temp will rise to the high temp

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7
Q

What is convection

A

conveyance of heat by movt of heated particles over an extremity

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8
Q

Examples of convection

A

fluidotherapy

whirlpools

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9
Q

Example of radiation

A

infrared lamp

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10
Q

How to increase or decrease coupling media

A

add or subtract toweling

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11
Q

What does increasing contact of the media do

A

increase conductivity

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12
Q

What are factors that affect physiological response

A

Intensity-rate temp is applied to tissue
duration of tissue temp elevation
area or volume of tissue exposed

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13
Q

What are the primary effects of superficial heat

A

analgesic
vascular
metabolic
extensibility

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14
Q

What biophysiological responses are increased in superficial heat

A

blood flow
cell metabolism
o2 consumption
mm contraction velocity

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15
Q

What biophsiological responses are decreased in superficial heat

A

Fluid viscosity
pain
mm spasm

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16
Q

What changes happen in regards to metabolic

A

increases o2 and removal of metabolites

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17
Q

What to eval bf using superficial heat

A

past/current med hx
pregnancy
skin condition-color, temp, sensitivity, dryness, integrity
current meds and allergies

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18
Q

Why to use superficial heat

A 
stiff joints 
subcuaneous adhesions-scars
contractures
chronic arthritis
subacute and chronic inflammation
cumulative trauma
trauma wounds
neuromas
muscles spasms
symathetic ns disorders
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19
Q

Precautions when using superficial heat

A

increased edema
diminished sensation
compromised circulation
cog ability (to id reactions and discontinue tx)

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20
Q

How should you always heat

A

in elevation

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21
Q

Contraindications to superficial heat

A 
pregnancy
impaired sensation
poor thermal reg.
tumor/cancer
acute inflammation/edema
deep vein thrombophletis
infection
primary repair of tendon/lig
advanced cardiac disease
impaired mental status
RA
22
Q

Why is superficial heat a contraindication w/ tumors/cancer

A

can increase the size of the tumor

23
Q

Why is whirlpool good

A

water bouyancy

active mvt during t

24
Q

what can whirlpool be used for

A

wound debridement

25
Q

downfall of whirlpool

A

dependent position/limb dependency
time consuming to set up
expensive equip
possibility of infection if not properly set up
antimicrobial agent- fights germs that are healing

26
Q

What is fluidotherapy

A

dry heat

fine particles suspended in hot air

27
Q

Where is fluidotherapy usually done

A

distal ext.

UE

28
Q

What is fluidotherapy used for

A

desensitization

AROM PROM

29
Q

Disadvantage o fluidotherapy

A

hand in dependent position-usually below heart

messy

30
Q

What can you not have in fluidotherapy

A

open wounds

31
Q

What are hot packs

A

silica gel materai in a canvas pouch

32
Q

What do you keep the hydroculator a for hot packs

A

165-175

33
Q

What is needed for hot packs

A

6 layers of towels

34
Q

How long do hot packs need to reheat before using

A

30 min

35
Q

What is a contrast bath

A

alternating bt warm and cool water creating a pumping like action

36
Q

Effects of contrasts baths

A

Decreases edema
increases peripheral blood flow
decreases pain
decreases stiffness

37
Q

What temp do you want the water for contrast baths

A

100-110

50-70

38
Q

process of a contrast bath

A 
warm water for 10 min
cool for 1 min
warm for 4 min
cool for 1 min
repeat 4:1 two times
39
Q

What does a warm water soak do

A

decreases subacute and chronic edema

40
Q

What temp should you have for a warm water soak

A

99-110

41
Q

what to do during a warm water soak

A

mild or mod dose of heat
circumferential heat to fingers
15-20 min soak

42
Q

What is a paraffin bath used for

A

Arthritis

systemic sclerosis

43
Q

What do paraffin baths do

A

decrease stiffness
improve ROM
decrease pain

44
Q

Temp for paraffin bath

A

118-135

45
Q

What is in a paraffin bath

A

paraffin

mineral oil

46
Q

4 types of paraffin bath techniques

A

immersion
dip immersion
brush
pouring

47
Q

Which dip is the deepest in paraffin bath

A

initial

48
Q

What to avoid in paraffin baths

A

moving hands to prevent cracks (creates hot spots)

49
Q

What to consider for home programs

A

make sure pt has cog to follow precautions

an use warm bath, low temp heat pad, hot water bottle, rice/flax packs

50
Q

What is thermotherapy

A

superficial thermal agents transfer energy either to or from body tissues that is located superficially

508 (10 decks)

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