06-18: Fluidotherapy, Whirlpool Flashcards

1
Q

Fluidotherapy

A
  • Superficial, dry heat

- Simultaneously heat, massage (mechanical), sensory stimulation

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2
Q

Equipment for Fluidotherapy

A
  • Container circulates warm air and small cellulose particles
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3
Q

Advantages of Fluidotherapy

A
  • Promote tissue healing
  • Skin desensitization
  • Prevent edema
  • Allows for active movement during intervention
  • Maintains constant temperature
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4
Q

Disadvantages of Fluidotherapy

A
  • Expensive

- May require extremity to be in a gravity dependent position

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5
Q

Fluidotherapy - Parameters

A
  • Cover open wounds
  • Place body part in fluidotherapy prior to turning machine on
  • 110˚-125˚
  • Agitation of particles set to pt comfort
  • Rx time: 20 min.
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6
Q

Types of whirlpools (3)

A
  • Extremity (hand or foot) tank
  • Lowboy Tank (full body immersion)
  • Hubbard Tank (full body immersion)
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7
Q

Therapeutic uses of Hydrotherapy (3)

A
  • Wound care
  • Unloading of weight (Waist level 50% WB, Chest level 20% WB)
  • Reduction of edema
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8
Q

Properties of water (7)

A
  • Buoyancy
  • Hydrostatic pressure
  • Relative density
  • Resistance
  • Specific gravity
  • Specific heat
  • Total drag force
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9
Q

Buoyancy

A
  • Archimede’s principle
  • Upward force exerted by liquid on the body when immersed in water is equal to the amount o fthe water that has been displaced by the body
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10
Q

Hydrostatic pressure

A
  • Water exerts pressure perpendicular to the body and increases in proportion with depth of immersion
  • Helps with edema
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11
Q

Relative density

A
  • Allows a person with higher amount of body fat to float more easily than a leaner person
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12
Q

Resistance

A
  • Water molecules tend to attract each other and provide resistance to movement of the body in the water
  • Resistance increases in proportion to speed of motion
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13
Q

Specific gravity

A
  • Ratio density of the object to the density of the water
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14
Q

Specific heat

A
  • Measure of the ability of a fluid to store heat

- Water can store 4x the heat than air

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15
Q

Total drag force

A
  • Hydromechanic force exerted on a person submerged in water that opposes the direction of the body’s motion
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16
Q

Therapeutic effects of Hydrotherapy

A
  • Increase blood flow
  • Increase core temperature
  • Relaxation
  • Pain relief
  • Vasodilation
  • Decrease abnormal tone
  • Wound/debridement
17
Q

Indications of hydrotherapy

A
  • Burn care
  • Superficial heating/cooling
  • Muscle strain
  • Edema control
  • Arthritis
  • Desensitization of residual limb with contrast bath
  • Pain management
  • Wound care
  • Decreased ROM
  • Pool therapy/exercise
  • Sprain
  • Joint stiffness
  • Muscle spasm/spasticity
18
Q

Contraindications of hydrotherapy

A
  • PVD
  • Unstable BP for full immersion (hubbard tank)
  • Gangrene
  • Severe infection
  • Incontinence
  • Advanced cardiovascular or pulmonary disease
  • Impaired circulation
  • Advanced renal infection
  • Diminished sensation
19
Q

Hydrotherapy - Temperature

A
  • Warm WP: 98˚-110˚F (37˚-45˚C) for arm/hand; 98˚-104˚F (37˚-40˚C) for leg
  • Cold WP: 50˚-60˚F limb; 65˚-80˚F full body
  • Therapeutic Pool: 79˚-98˚ for aquatic therapy
20
Q

Hydrotherapy - Procedure

A
  • Sterile tank
  • Fill tank with water
  • Select appropriate temp
  • Adjust and turn on turbine
  • Monitor pt vital signs
  • Rx time: 10-30 min
  • Exercise can be performed during intervention prn
  • Dry off body part as appropriate
  • Reapply wound dressings prn