superficial hot modalities Flashcards

(49 cards)

1
Q

hemodynamic effects

A

vasodilator release, activates cutaneous receptors

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2
Q

vasodilators

A

histamine and prostaglandin

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3
Q

what happens when cutaneous receptors are activated

A

smooth muscles relax

- DRG
	○ Later on synapsing to lateral gray horn of tc segments
	○ Decrease symp adrenegic activation
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4
Q

when you increase temp by 1 degree ncv —- by —-

A

increases by 2 m/s

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5
Q

effect of hot on demyelinated peripheral enrves

A

conduction block

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6
Q

hot reduces ___ and ____

A
  • Reduces ischemia and spasm

○ Breaks pain spasm pain cycle

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7
Q

how long should application be for decrease in muscle strength

A

initial 30 mins

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8
Q

how does thermo alter muscle strength

A
  • Lowered firing rate of alpha motor neurons

Decreased firing rate of: type II muscle spindle efferents and gamma efferents
Increase firing rate of type 1b (GTO)

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9
Q

increase in metabolic rate is seen between ___ and ___ degrees

A

39 to 43

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10
Q

beyond 45 degrees, what is effect on metabolic rate

A

enzymatic activity reduced

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11
Q

beyond 50 degrees, what is effect on metabolic rate

A

○ Enzymatic activities stop

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12
Q

good effect of heat on metabolic rate

A
  • Accelerates healing of chronic wounds
    • Shift of o2 dissociation curve to right
      ○ Makes O2 available for tissue repair
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13
Q

bad effect of heat on metabolic rate

A
  • Increase in collegenase activity => destroy articular cartilage
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14
Q

temp and duration for tissue extensibility

A

40-45 degrees for 10 mins

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15
Q

methods of heat gain

A
  • Conduction
    • Convection
    • Radiation
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16
Q

hot moist pack storage

A

70-75 degrees c

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17
Q

hmp is made of

A

bentonite and hydrophilic silicate gel

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18
Q

terry cloth is equivalent to

A

4 layers

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19
Q

duration of hmp

A

15-20 mins

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20
Q

ratio of wax to oil in pwb

21
Q

purpose of oil

A

makes melt at lower temp

22
Q

melting temp of pwb

23
Q

methods of pwb

A

○ Dip and wrap: 6-10
○ Dip immersion: 20 mins
○ Paint and brush

24
Q

fluidotherapy

A
  • Dry heating
    • Convection moving air
    • Cabinet with cellulose inside
25
lambert's cosine law
right angle
26
inverse square law
intensity inversely proprortionate to distance
27
Law of grothus draper/principle of chemical activation
§ Waves must be absorbed in order to have an effect
28
- Arndt schultz principle
§ Intensity = warmth | § There is an optimal amount of energy absorption per unit time
29
Bunsen roscoe law of reciprocity
§ Intensity and duration are inversely proportional
30
Near IR/IRA/MIRE
- Short - Luminous (closer to visible) - 7701400 nm - 3x10^8 m/s - Epidermal and dermal layer - Penetration: 1-3 mm - Vigorous rise in temp
31
Middle or far IRR
- Long - Non luminous - 1,400-3000 nm - Stratum corneum - 0.1 mm - Small and gradual rise in temp
32
Luminous IRR
- From glowing source tungsten or carbon filament
33
Non-luminous
- Non glowing source like corborundum with metal reflector
34
Luminous distance
45-60 cm / 18-24 inches
35
Non-luminous distance
74-91 cm/ 29-36 inches
36
preheating for IRRs
- Not necessary for luminous ○ Can do 5 min warm up - Non-luminous ○ Requires 5-10 min warmp up
37
optimum time for IRR
20 mins
38
functions of IRR
Used for pressure sores adjunct to TENS - Lowers skin impedance Psoriasis
39
contraindications for heat
- Hemorrhage recent or potential - Thrombophlebitis - Malignant tumor - Metal in area
40
contraindications for IRR
- Acute dermal conditions - Erythema ab igne ○ Red rash - Over the eyes - Cardiac insufficiency
41
precautions for heat
- Acute injury or inflammation - Pregnancy - Impaired circulation - Poor thermal regulation - Edema - Metal close to area - Recently applied topical counterirritants - Demyelinated nerves ○ Do not compress - Impaired sensation - Impaired mentation
42
precautions for irr
perspiration
43
irr documentation
at on in x to
44
contrast bath temperatures
Warm - 38-44 degrees | Cold - 10-18 degrees
45
use of contrast bath
Vascular pumping mechanism Benefit of heat while avoiding increased edema Larger difference for pain or edema For desensitization: small difference
46
process of contrast bath
hot for 3-4 mins, cold for 1 min repeat 5-6 times end with hot
47
conversion of Celsius to Fahrenheit
c(9/5) + 32
48
Fahrenheit to Celsius
(F - 32)(5/9)
49
vasodilatory effect of heat is the release of
nitrous oxide and bradykinin