HYDROTHERAPY Flashcards

(50 cards)

1
Q

4 functions of the skin

A

protection
thermoregulation
excretion
absorption

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2
Q

core body temp

A

37C

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3
Q

skin can tolerate (heat and cold)

A

-5 and 57C

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4
Q

skin surface temp is usually

A

28-32C

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5
Q

3 heat conserving activites

A

shivering
vasoconstriction
goosebumps

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6
Q

3 heat losing activities

A

perspiration
vasodilation
increased breathing rate

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7
Q

properties of water

A

thermal properties
specific heat
thermal conductivity
mechanical effects
chemical effects

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8
Q

transfer of heat CCCRE

A

conduction
convection
conversion
radiation
evaporation

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9
Q

reflex effects

A

vasomotor
visceromotor
granular

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10
Q

3 effects of temperature therapy applications

A

local effects
reflex effects
systemic effects

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11
Q

what is derivation

A

drawing of fluid from its main pathway to chilled tissue

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12
Q

cardinal signs of inflammation

SHARP

A

SWELLING
HEAT
ALTERED FUNCTION
REDNESS
PAIN

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13
Q

hunting response

A

when the temperature in a tissue is reduced for 12-15 mins or below 10C

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14
Q

physiological effects of cold

A

depressive, slows down metabolic functions

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15
Q

5 factors that influence cold’s effects

A

temperature
duration
size of tx area
temperature of individual
amount of adipose tissue

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16
Q

C-BAN

A

cold
burning
aching
numb

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17
Q

S.K.I.L.L.S

A

skin
kidneys
intestines
liver
lungs
spleen

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18
Q

define retrostasis

A

the action of fluid being mobilized from the body surface into deeper tissues

drawing of blood to interal organs

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19
Q

the higher the conductivity of a material the better the material transfers heat

A
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20
Q

stages of inflammation

A

acute
subacute
chronic

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21
Q

general rule for cold or heat

A

cold for acute
contrast for sub acute
heat for chronic

22
Q

R.I.C.E

A

rest
ice
compression
elevation

23
Q

indications for cold

A

acute sprains
inflammation
edema
muscular pain
muscle guarding spasm
acute tendinitis
acute bursitis
fractures
headaches
MS
post surgical conditions

24
Q

caution w cryotherapy

A

frostnip
cold over cast
superficial wounds
young or old people
immunocompromised
high BP
cardiac disorders
nerve conduction problems

25
what is dosimetry factors
appropriate dosage of a tx
26
factors under control of therapist for tx
tx area application temperature therapeutic medium static or dynamic tx speed of application tx duration tx frequency use of additives post-tx activities
27
ratio for contrast
3:1 hot:cold
28
direct heat effects(5)
increased metabolism of affected tissues altered cardiovascular dynamics altered blood dilution detoxification direct effects on soft tissue structures
29
venous negative reaction
skin appears red and blue most common w hot tx's stop tx and promote drainage
30
warm tx's raise tissues to what temp
33-38C
31
hot applications are over ?
38C
32
what is passive derivation
doesn't require energy local vasodilation that allows heat to escape blood rushes to bodys surface to prevent heat damage
33
6 factors that influence heats effects
temp of application speed tissue is heated duration presence/absence of coupling agent ** size of tx area amount of adipose tissue
34
indications for heat application
promote injury healing myofascial trigger point DOMS spasticity chronic tendinitis scars non inflammatory joint pain limited mobility anxiety labour pain
35
cautions w thermotherapy
if a person is already overheated dehydrated cardiovascular, renal or respiratory disorders bleeding disorders diabetes mellitus peripheral vascular disease over abdomen of pregnant woman sensory or thermoregulatory disorders
36
health history questions
age health status general constitution medications restrictions understand nature of presenting condition/symptom
37
checking for what in assessment ? SSSCT
swelling sore scars color tissue health
38
assessment tests (4)
vital signs - HR and BP skin discrimination test - impaired sensation nail bed test - peripheral vascular disease patch testing - concern for pt's reaction to tissues
39
include these in consent
temperature heating or cooling agent method of application duration positioning draping benefits and risks questions right of refusal consent
40
with local tx , always lay heating or cooler agent on top of person, never under
placing it under traps heat and impairs thermoregulation mechanisms which increase risk of burns
41
with longer treatments metabolism increases but circulation slows
42
negative reactions
tissue discoloration shivering dizziness low or high BP headache nausea disorientation hyperventilating feeling faint
43
types of negative reactions
arterial venous paradox combined
44
arterial reaction
skin appears marble like with red and white blotches most common w contrast, intense heat, long cold applications stop application and promote dilation of blood vessels
45
venous reaction
skin appears red and blue red - hyperemia blue - congestion due to inability of veins to cope w increased blood drainage common w hot treatments stop treatment, promote drainage
46
paradox reaction
body responds in a way that is contrary to what should happen cryotherapy = skin becomes pale, red, then white paradox = skin become pale, then white but not red stop tx, reassess, refer to doc if needed
47
combined reactions
a combo of two or more arterial, venous or paradox reactions happen only happens when someone has circulatory disorder stop tx, allow rest
48
name some pulse points
carotid brachial ulnar radial femoral popliteal posterior tibial
49
average BP
120/70
50
vant hoffs law
chemical reactions increase two to three times for every 10C temperature increase