Hydrotherapy/Massage

Question 1

Buoyancy

Answer 1

tendency to remain afloat in liquid

Question 2

Archimede’s principle

Answer 2

an object immersed in water experiences an upward thrust equal to the weight of the water displaced

Question 3

Upwards vs downard movements

Answer 3

upwards movement are assisted

downward movements are resisted

Question 4

Specific gravity of water

Answer 4

1.00g/cm2 at 4 celsius

less than 1 will float
greater than 1 will sink

Question 5

Hydrostatic pressure

Answer 5

pressure exerted by the water on the immersed part

Question 6

Pascal’s Law

Answer 6

object immsersed in a fluid will exert equal pressure on all surfaces of the object

Question 7

Viscosity

Answer 7

degree to which fluid resists flow due to cohesive forces

viscosity resist movements in all direction\

Question 8

Rapid movements vs Slow movements

Answer 8

rapid movement met with greater resistance

slower movement met with slower resistance

Question 9

Physio effect of hydrotherapy: Cleansing effect

Answer 9

treatment of open wounds
soften/remove debris
debriding agent to remove endogenous agents
cleansing agent, microbial/surfactants can be added

Question 10

Physio effect of hydrotherapy: Musculo effect

Answer 10

Decreased WB
strengthening
slowed bone density loss
less fat loss than with other forms of exercise

Question 11

Physio effect of hydrotherapy: Cardiovascular effect

Answer 11

Increased venous circulation, cardiac volume, cardiac output

decreased HR, SBP, VO2 response to exercise

Question 12

Physio effect of hydrotherapy: Respiratory effect

Answer 12

decreased vital capacity, exercise induced asthma

increased work of breathing

Question 13

Physio effect of hydrotherapy: Renal effect

Answer 13

diuresis

increased sodium/potassium excretion

Question 14

Psychological effects

Answer 14

relaxation

invigoration

Question 15

Indications for Hydro therapy: subacute/chronic

Answer 15

decreased swelling (pressure)
hastens healing (thermal)
dec pain (thermal)
inc ROM (thermal)
inc strength (pressure)

Question 16

Indications for Hydrotherapy: contractures/scars

Answer 16

relaxation (psychological)
inc soft tissue extensibility (thermal)
softens scar tissue (fluidity/thermal)

Question 17

Indications for Hydrotherapy: arthritis

Answer 17

inc ROM (thermal)buoyancy
dec pain (thermal)buoyancy

Question 18

Indications for Hydrotherapy: open wounds

Answer 18

cleans/debride (fluidity/pressure)
increases circulation (thermal/pressure)

Question 19

Indications for Hydrotherapy: muscle weakness

Answer 19

increase ROM (buoyancy/antibuoyancy)
increase strength (pressure)

Question 20

Contraindications

Answer 20

Cardiac dysfunction
Respiratory dysfunction
Decreased thermal sensitivity
Acute RA
Severe PVD
Open infeciton spread

Question 21

Contrast Bath therapeutic goal

Answer 21

vascular exercise

pain relief/desensitization

Question 22

Contrast Bath effect

Answer 22

vaso constric/dilate of superficial BV

edema decreased

Question 23

Contrast Bath indications

Answer 23

impaired circulation
transition period of inf phase
edema
SINUS HA
Complex Regional Pain syndrome

Question 24

Contrast bath temp

Answer 24

55-67 to 80-104
large diff for pain relief
small diff for desensitization

Question 25

Whirlpool therapeutic goal

Answer 25

debride open wounds same as superficial cooling/heating reduce pain

Question 26

Whirlpool effects

Answer 26

lympth movement | moistens/softens tissue

Question 27

Agitation of water may:

Answer 27

``` phasic stim to afferent inc pressure means to grade exercise dec thermal gradients remove necrotic tissue/decrease bacterial load ```

Question 28

Whirlpool indications

Answer 28

infected/dirty wounds/burns muscle weakness early PVD subacute/chronic

Question 29

Cautions of Whirlpool

Answer 29

makes ure it is GFCI signs of faintness/fever seaksickness

Question 30

Common temps of Whirlpool

Answer 30

92-96 Neutral 96-99 Warm 99-104 Hot 104-110 very Hot

Question 31

Therapeutic Effects of Massage

Answer 31

assessment invigorate the body relaxation superficial blood flow inc pain threshold lympth flow to dec edema inc soft tissue ext decrease scar tissue to inc ROM

Question 32

Indications of Massage

Answer 32

``` pain spasms edema adhesions soreness headaches inc blood flow inc lymph drainage ```

Question 33

Contraindications of Massage

Answer 33

``` arteriosclerosis thrombosis embolism phlebitis severe varicose veins open wounds infections acute inf/cancer ```

Question 34

Therapeutic vs Rubdown

Answer 34

therapeutic- treatment of a disease (required) | rubdown- to relax muscles due to tension (desired)

Question 35

Reflexive effects of Massage

Answer 35

act on local sensory/motor nerves as well as CNS cause sedation due to muscle relaxation effects through skin via sensory receptors pain/circulatin/metabolism

Question 36

Mechanical effects of Massage

Answer 36

accompanied with reflexive effect but with inverse relation ship mm elongation and mob of soft tissue increase blood flow to skeletal mm slow mm atrophy, inc skin temp

Question 37

Purpose of Effleurage massage

Answer 37

accustom pt. apply lubrication oil increase skin circulation increase rate of exchange in periphery

Question 38

Purpose of Petrissage massage

Answer 38

press waste out of tissue increase lympth/venous return break up adhesions loosen fibrous tissue/increase elasticity

Question 39

Types of effleurage massage

Answer 39

raking, ironing, heart, tree, feathering, 3 stroke on trap

Question 40

Types of petrissage

Answer 40

kneading, ocean waves, skin rolling, praying hands, pincers on traps

Question 41

Purpose of compression massage

Answer 41

press tissue into underlying bone

Question 42

Purpose of vibration massage

Answer 42

act on GTO to recipricol inhibition

Question 43

Purpose of shaking massage

Answer 43

influence mm spindle system jt proprioception

Question 44

Purpose of Rocking massage

Answer 44

stim vestibular and muscular system

Question 45

Purpose of persussion

Answer 45

stim subcutaneous tissue, increase circulation

Question 46

Purpose of friction

Answer 46

break up adhesions