Week 9 Hydrotherapy/Compession

Question 1

Compression Reduces edema by:

Answer 1

Increasing extravascular hydrostatic pressure and circulation

Question 2

Edema and venous stasis ulcers with intermittent compression pumps the inflation time is generally:

Answer 2

greater than deflation time

Question 3

What temperature should the pool water be kept?

Answer 3

79-97 dgrees

Question 4

Temp of the pool for the elderly deconditioned patients or patients with arthritis

Answer 4

93-97 degrees at low intensity

Question 5

79-82 degrees in the pool should be used for:

Answer 5

vigorous/high intensity exercise

Question 6

Anything below 65 degrees of water would cause

Answer 6

impairment of the muscle to contract

Question 7

Buoyancy

Answer 7

An upward force on an object immersed in a flude that is equal to the weight of the fluid it displaces, enabling it to float or to appear lighter

Question 8

Hydrostatic Pressure

Answer 8

The process exerted by a fluid on a body immersed in the fluid. The pressure increases with increased depth of immersion

Question 9

Resistance

Answer 9

A force counter to the direction of movement. Resistance to a body’s movement in water is proportional to the relative speed of body and water motion and to the frontal areas of body parts in contact with the water

Question 10

When a person exercises in water what is their heart rate response?

Answer 10

HR is blunted

Question 11

Cleansing effects of Hydrotherapy

Answer 11

-Softens materials
- exerts pressure
- debriding agent for exudate or necrotic tissue
Antimicrobial or surfactant additives may be

Question 12

Venous blood is displaced (blank) from the extremities

Answer 12

Proximally

Question 13

renal effects of Hydrotherapy

Answer 13

• Increased urine production
  Increased renal flow
  Increased central blood volume
  Decreased ADH and aldosterone

Question 14

Uses of hydrotherapy

Answer 14

Superficial heating/cooling
Water exercise
Pain Control
Edema Control
Wound Care

Question 15

Edema Reduction is due to (blank) when in the pool

Answer 15

Hydrostatic Pressure

Question 16

Wound care hydrotherapy

Answer 16

• Hydrotherapy accelerates wound healing
• facilitates rehydration, softening, debridement
• May improve circulation

Question 17

Contraindications for LOCAL Immersion Hydrotherapy

Answer 17

• Maceration around a wound
• Bleeding

Question 18

Contraindications for FULL BODY immersion hydrotherapy

Answer 18

• Cardiac instability
• Infectious conditions that may be spread by water
  -Bowel incontinence
  -Severe epilepsy
  -Suicidality

Question 19

Contraindications for Negative pressure wound therapy

Answer 19

• necrotic tissue
• untreated osteomyelitis
• malignancy in the wound
• Untreated malnutrition
• exposed vessels, nerves, or organs
• nonenteric and unexplored fistulas
• exposed anastomotic sites

Question 20

Precautions for LOCAL Immersion

Answer 20

• impaired thermal sensation in immersed area
• Infection in immersed area
  -Confusion or impaired cognition
  -Recent skin graft

Question 21

Precautions for FULL BODY in hot/very warm water

Answer 21

• pregnancy
• multiple sclerosis
• poor thermal regulation

Question 22

Precautions for FULL BODY immersion for ANY temperature

Answer 22

• Confusion/disorientation
• Alcohol ingestion
• limited strength, endurance, balance, ROM
• Medications
• Urinary Incontinence
• Fear of water
• respiratory problems

Question 23

Precautions for nonimmersion Hydrotherapy

Answer 23

• maceration
• May be ineffective

Question 24

Precautions for Negative pressure wound therapy

Answer 24

• anticoagulant therapy
• Difficult hemostasis
• Confusion

Question 25

Adverse Effects of Hydrotherapy

Answer 25

Drowning
Asthma
Burns, Fainting, bleeding
Hyponatremia
Infection
Aggravation of edema
Asthma exacerbation

Question 26

Compression

Answer 26

A mechanical force that increases external pressure on the body or a body part
- To improve fluid balance/circulation
- May increase activity of temperature sensitive collagenase to control scar formation

Question 27

Effects of External Compression

Answer 27

• Improves Venous and lymphatic circulation
• Limits the shape and size of tissue
• Increases Tissue temperature
• Edema reduction
  -prevention of deep vein thrombosis

Question 28

Intermittent compression may be (blank) effective than static by milking fluids from proximal to distal vessels

Answer 28

More

Question 29

Clinical indications for the use of external compression

Answer 29

• Edema Control
  Prevention of DVT
• venous stasis ulcers
• Residual limb shaping after amputation
• Control of hypertrophic scarring

Question 30

How does compression reduce edmea?

Answer 30

Increases extravascular hydrostatic pressure= circulation promotion
- May move fluid proximally through vessels

Question 31

Venous Stasis Ulcers what can compression do to help?

Answer 31

• Improve venous circulation
  Improve rate of healing of venous stasis ulcers
• multilayered compression more effective than lower pressure
• Compression therapy is the cornerstone of venous ulcer treatment

Question 32

Contraindications to Compression

Answer 32

• ABI less than 0.8

Question 33

Contraindication for Intermittent or sequential compression pumps

Answer 33

• Heart failure or pulmonary edema
• Recent or acute DVT thrombophlebitis or PE
• Obstructed lymphatic or venous return
• Severe PAD
• Acute local skin infection
• Significant hypoproteinemia
• Acute trauma/ fracture
• Arterial revascularization

Question 34

Precautions for compression

Answer 34

• Impaired sensation or mentation
• Uncontrolled hypertension
• Cancer
• Stroke/significant cerebrovascular insufficiency
• Superficial peripheral nerves

Question 35

Compression garments: DVT Prevention compression range

Answer 35

16-18 mmHg
- worn 24 hours a day

Question 36

Compression garments: Custom or off the shelf Scar tissue control

Answer 36

20-30 mmHg
- Scar tissue control

Question 37

Compression garments: Custom or of the shelf edema control

Answer 37

30-40 mmHg