hydrotherapy Flashcards Preview

exam and Intervention II > hydrotherapy > Flashcards

Flashcards in hydrotherapy Deck (86)
Loading flashcards...
1
Q

what is hydrotherapy

A

the use of water for therapeutic purposes

2
Q

What is thermo-hydrotherapy (warm water immersion)?

A

use of water at temps above the immersed body skin temp (> 93 deg F)

3
Q

what is cryo-hydrotherapy (cold water immersion)?

A

use of water at temps below the immersed body skin temp (< 90 deg F)

4
Q

what temp is the burn tank kept at?

A

93 deg (thermoneutral)

5
Q

Indications of hydrotherapy?

A
  • superficial cooling or heating
  • wound care
  • water exercise (NOT aquatic therapy)
  • pain control
  • edema control
6
Q

3 advantages of hydrotherapy?

A
  • provides perfect contact with skin (contoured areas)
  • does not need to be fastened to the body
  • allows movement during heating or cooling
7
Q

Disadvantages of hydrotherapy when applied to extremities?

A
  • distal extremity must be in dependent position

- may aggravate edema

8
Q

What is important to consider for hydrotherapy

A

-edema counteracted by compression of hydrostatic pressure with immersion

9
Q

specific heat

A

capacity to store heat

10
Q

thermal conductivity

A

capacity of a substance to conduct heat

11
Q

specific heat of water

A

4.19

12
Q

specific heat and thermal conductivity of water is less or greater than air?

A

greater

13
Q

physical properties of water?

A
  • buoyancy
  • resistance
  • hydrostatic pressure
14
Q

what is buoyancy

A

an anti-gravitational force or vertical upward thrust against gravity

15
Q

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

A

buoyancy

16
Q

what does buoyancy promote

A

relative state of weightlessness

17
Q

buoyancy is dependent on

A
  • percent of body immersed

- specific gravity or weight density of the human body is less than water

18
Q

Buoyancy on water helps to do what?

A

-decrease stress and compression on weight bearing structures

19
Q

what is resistance-viscosity

A

a force counter to the direction of movement, controls flow of movement

20
Q

resistance-viscosity increases with what

A

speed of motion and area of contact

21
Q

a fast moving body results in what type of resistance

A

high

22
Q

paddles and fins increase what

A

frontal area and increase resistance

23
Q

slow moving body results in what type of resistance

A

moderate resistance

24
Q

limbs straight in front does what

A

decrease frontal area and decrease resistance

25
Q

what is hydrostatic pressure

A

the pressure exerted by a fluid on a body immersed in the fluid

26
Q

pressure increases with what for hydrostatic pressure?

A

fluid depth

27
Q

control over physical properties of water affects dosing and therapeutic goals by

A

hydrostatic pressure, buoyancy force, resistance

28
Q

how hydrostatic pressure controls over physical properties of water affects dosing and therapeutic goals

A

increased or decreased by varying depth of immersion

29
Q

how buoyancy controls over physical properties of water affects dosing and therapeutic goals

A

increased or decreased by varying % of body immersion

30
Q

how resistance controls over physical properties of water affects dosing and therapeutic goals

A
  • body movement velocity
  • body surface area
  • use of electrical turbine
31
Q

benefits of mechanical properties of hydrotherapy

A
  • enhances wound care
  • enhances control of edema
  • weightlessness effect
32
Q

water pressure and turbulence force of turbines used for cleansing and debridement is used to enhance

A

wound care

33
Q

Hydrostatic pressure causes limb compression and enhances

A

edema

34
Q

what benefits body unloading and painful weight bearing that may occur on land

A

Weightlessness effect, Buoyancy

35
Q

physiological effects of hydrotherapy

A
  • cleansing (lavage)
  • musculoskeletal
  • cardiovascular
  • Respiratory
  • renal
  • psychological
36
Q

Musculoskeletal effects of hydrotherapy are?

A
  • buoyancy decreases weight bearing
  • resistance provides force for strengthening
  • Hydrostatic pressure increases resting muscle blood flow when immersed up to the neck
37
Q

buoyancy decreases weight bearing but is depending on what

A

depth of immersion

38
Q

water at waist level is what percent unweighted?

A

50%

39
Q

resistance provides for strengthening is dependent on what two things

A

-speed of movement and surface area

40
Q

greater the speed and surface area equals what

A

greater resistance

41
Q

hydrostatic pressure increases resting muscle blood flow by what percent

A

100-225%

42
Q

hydrostatic pressure improves muscular performance by

A

increasing oxygen availability & waste removal from cells, thus promoting more effective muscular training

43
Q

is hydrotherapy effective for adults or children

A

both

44
Q

relaxing or invigorating is depending on what?

A

temperature

45
Q

warmer temperatures does what?

A

relax

46
Q

cooler temperatures does what?

A

invigorate

47
Q

during superficial heating or cooling energy transfer by

A

conduction and convection

48
Q

conduction is

A

still water and body part

49
Q

convection is when

A

water circulated around treated body area

50
Q

convection uses

A

electric turbines

51
Q

cryo-hydrotherapy physiological effects are

A
  • vasoconstriction
  • decreased blood flow
  • decreased metabolism
  • invigorating/ enhancing energy
52
Q

cryo-therapy therapeutic effects are

A
  • decreased post exercise muscle soreness

- enhances post-exercise recovery

53
Q

thermo-hydrotherapy physiological effects

A
  • vasodilation
  • increase blood flow
  • increase metabolism
  • enhance sedating
54
Q

thermo-hydrotherapy therapeutic effects

A
  • decrease pain
  • enhance labor
  • enhance wound care
55
Q

cold water may reduce what

A

inflammation, reducing pain

56
Q

pain control using hydrotherapy

A
  • high level sensory stimulation to peripheral mechanoreceptors to gate the transmission of pain
  • cold water. reduce inflammation
  • increased ease of movement with water immersion
  • decreased weight bearing may reduce joint compression
  • temperature (hot/cold)
57
Q

edema control requires

A

deep immersion

58
Q

what temp of water should you avoid with edema?

A

hot

59
Q

how does cold water control edema

A

vasoconstriction and reduce vascular permeability

60
Q

hydrotherapy controls edema by

A

hydrostatic pressure

61
Q

contraindications for local immersion hydrotherapy

A
  • maceration around a wound

- bleeding

62
Q

contraindications for full body immersion

A
  • cardiac instability
  • infectious conditions may spread via water
  • bowel and bladder incontinence
  • severe epilepsy
  • suicidality
63
Q

precautions for local immersion (peripheral limb)

A
  • impaired thermal sensation in immersed area
  • infection in immersed area
  • confusion or impaired cognition
  • recent skin grafts
64
Q

precautions for full body in hot/very warm water

A
  • pregnancy
  • MS
  • poor thermal regulation
65
Q

precautions for full body immersion for any temp

A
  • confusion or disorientation
  • alcohol ingestion
  • limited strength, endurance, balance, ROM
  • Medications
  • urinary incontinence
  • fear of water
  • respiratory problems
66
Q

adverse effects of hydrotherapy

A
  • drowning
  • burns, fainting and bleeding (vitals)
  • hyponatremia
  • infection
  • aggravation of edema
  • asthma exacerbation
67
Q

general application technique of hydrotherapy

A
  • evaluate pt
  • determine appropriateness & safety
  • select appropriate form of hydrotherapy
  • explain procedure and rationale to the pt
  • apply hydrotherapy
  • when treatment is complete, assess outcome
  • document
68
Q

types of whirlpools

A
  • extremity tanks

- low and high boy tanks

69
Q

extremity tanks

A

distal extremities

70
Q

low and high boy tanks

A

-larger body parts, full limbs

71
Q

low and high boy tanks can have immersion up to

A

waist

72
Q

cool whirlpool is used for

A

reduce inflammation

73
Q

tepid water is used for

A

exercise

74
Q

neutral warmth water for whirlpool is used for

A
  • control tone for near based hypertonicity

- circulatory, sensory, cardiac disorders

75
Q

mild warmth whirlpool usage

A

burns (after epithelialization)

promotes mobility and relaxation

76
Q

hot whirlpool usage

A

pain control, increase soft tissue extensibility

-large areas

77
Q

very hot whirlpool usage

A

pain control, increase soft tissue extensibility

  • limited body areas
  • OA, RA non acute stage
78
Q

whirlpool is an effective medium for what?

A
  • heat transfer
  • cleansing & debriding open wounds
  • exercise
79
Q

During whirlpool weaker muscles can do what?

A

move more freely than on dry land

80
Q

Whirlpools allow what while heat is being applied

A

movement

81
Q

during whirlpool pt can be safely and securely what?

A

positioned

82
Q

disadvantages of whirlpool?

A
  • size of the tank limits the amount of exercise and the size of the treated area
  • large quantity of water used
  • risk of infection
  • cost & time of cleaning
  • cost of heating water
  • time to assist pt dress/undress & position in whirlpool
83
Q

whirlpool must be what for safety

A

properly grounded

84
Q

what needs to have close attention when using hydrotherapy

A

infection control

85
Q

If pt is left alone with hydrotherapy there needs to be what?

A

call bell

86
Q

what needs to be documented when using hydrotherapy

A
  • type of hydrotherapy
  • pt. position or activities
  • water temp
  • treatment duration
  • response to intervention
  • IF possible: fluid pressure, water additives