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PTA Techniques > thermotherapy > Flashcards

thermotherapy Flashcards

1
Q

how thermotherapy works:

A

heat dilates blood vessels, increases circulation, increases blood flow (hyperemia)

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2
Q

local superficial heating is indicated for ______ conditions.

A

subacute

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3
Q

produces lower temperature at the site of the pathology relative to the higher temperatures in the superficial tissues, which results in analgesia

A

local superficial heating

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4
Q

____ ______ effect is desired in later stages of healing

A

deeper heating

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5
Q

diathermy and ultrasound are ____ heating

A

deep

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6
Q

HP, paraffin, fluidotherapy, whirlpool are all ____ heating

A

local superficial

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7
Q

physiological effects of heat application:

increased (5)

A
  • cardiac output
  • metabolic rate
  • pulse rate
  • respiratory rate
  • vasodilation
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8
Q

physiological effects of heat application:

decreased (5)

A
  • blood pressure
  • mm
  • blood to internal organ
  • blood flow to resting mm
  • stroke volume
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9
Q

reasons why we should use therapeutic agent

A

indications

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10
Q
  • pain
  • DOMS
  • sprains
  • strains
  • articular problems
  • mm pain and spasms
  • Jt stiffness
  • decreased ROM
  • myofascial TP
  • mm guarding

are all ______ for thermotherapy

A

indications

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11
Q

goals for thermotherapy:

A
  • to produce relaxation
  • to increase ROM/flexibility
  • reduce pain
  • accelerate healing
  • preparation for other interventions
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12
Q

precautions(9):

A
  • cardiac insufficiency
  • edema
  • impaired circulation
  • impaired thermal regulation (MS)
  • metal in tx site (US/diathermy)
  • topic creams/lotions
  • demyelinated nerves (MS, TOS, CTS)
  • open wounds
  • pregnancy
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13
Q

CONTRAindications (9):

A
  • acute or early subacute traumatic and inflammatory conditions
  • decreased sensation
  • Deep vein thrombosis DVT
  • Peripheral Vascular Disease PVD
  • impaired cognitive function (precautionish)
    decreased circulation (precautionish)
  • malignant tumors
  • tendency towards hemorrhage or edema
  • very old/very young patients (precautionish)
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14
Q

heat transfer from warmer object to cooler object by means of direct molecular interaction from physical contact

A

conduction

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15
Q

heat transfer by movement of air or fluid from a warmer area to a cooler area by moving past cooler area

A

convection

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16
Q

transfer of heat from a warmer object to a cooler object by means of electromagnetic energy without the heating of a medium

A

radiation

17
Q

Tx Guidelines

A
  • must be performed by qualified PT, PTA, SPTA
  • Position patient comfortably, expose drape appropriately, remove jewelry
  • inspect and assess tissue and sensation
  • call bell or alert instructions given to patients
  • check patient frequently
  • dry and inspect skin at conclusion of tx
  • document specific procedure used
18
Q

The 10 questions to ask:

A
  1. When did your injury occur?
  2. Did you have any bruising or bleeding?
  3. Do you have a history of blood clots?
  4. Do you have normal feeling in this area?
  5. Do you have a history of cancer?
  6. Are you pregnant or trying to get pregnant?
  7. Do you have any heart or circulation problems?
  8. Do you have any metal in this area?
  9. Have you applied creams to this area today?
  10. Do you have any nerve issues (CTS, MS)?
19
Q

Hot packs- canvas filled with _____ ____.

A

silica gel

20
Q

Select an appropriate _____ and ____ hot pack for the area to be treated.

A

size and shape

21
Q

Remove hot pack from ______ with tongs

A

hydrocollator

22
Q

hot-pack hydrocollator is between ____ and ____ degrees F.

A

165-170 degrees F

23
Q

Use # to # layers between patient and hot pack

A

6-8

24
Q

use # to # layers if patient is laying on the hot pack

A

10-12

25
Q

secure hot pack in place as needed. Check on the patient within first # minutes and periodically after.

A

5

26
Q

HP reaches peak heat at # minutes

A

5

27
Q

HP Total treatment time:

A

15-20 minutes

28
Q

Normal skin response to HP (2)

A
  • pinkness or redness in tx area

- wetness and/or sweating area

29
Q

abnormal skin responses to HP (3)

A
  • excessive redness
  • blistering
  • rash or burns
30
Q

wax containing mineral oil (6:1 or (7:1). Warm, melted (between 125-127 deg. F) Oil lubricates and conditions skin; can soften scars

A

paraffin

31
Q

2 containers, immerse area to be treated in warm water for 3-4 minutes; then immerse in cold water for 1 minute. Repeat 5-6 times, ending with warm. Dry area

A

contract baths guidelines

PTA Techniques (12 decks)

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