Thermotherapy

Question 1

What are the 4 most common methods of thermotherapy

Answer 1

Hotpacks
paraffin baths
heating pads
fluidotherapy

Question 2

What is the beneficial temperature range

Answer 2

104-113

Question 3

What are the 3 methods of heat exchange

Answer 3

conduction
convection
radiation

Question 4

What is conduction

Answer 4

exchange of energy b/t 2 materials that have 2 different temps

Question 5

Ways to utilize conduction

Answer 5

hot packs
paraffin baths
heating pads
chemical heat wraps

Question 6

What is the idea behind conduction

Answer 6

area of high temp touches and area of low temp and the low temp will rise to the high temp

Question 7

What is convection

Answer 7

conveyance of heat by movt of heated particles over an extremity

Question 8

Examples of convection

Answer 8

fluidotherapy

whirlpools

Question 9

Example of radiation

Answer 9

infrared lamp

Question 10

How to increase or decrease coupling media

Answer 10

add or subtract toweling

Question 11

What does increasing contact of the media do

Answer 11

increase conductivity

Question 12

What are factors that affect physiological response

Answer 12

Intensity-rate temp is applied to tissue
duration of tissue temp elevation
area or volume of tissue exposed

Question 13

What are the primary effects of superficial heat

Answer 13

analgesic
vascular
metabolic
extensibility

Question 14

What biophysiological responses are increased in superficial heat

Answer 14

blood flow
cell metabolism
o2 consumption
mm contraction velocity

Question 15

What biophsiological responses are decreased in superficial heat

Answer 15

Fluid viscosity
pain
mm spasm

Question 16

What changes happen in regards to metabolic

Answer 16

increases o2 and removal of metabolites

Question 17

What to eval bf using superficial heat

Answer 17

past/current med hx
pregnancy
skin condition-color, temp, sensitivity, dryness, integrity
current meds and allergies

Question 18

Why to use superficial heat

Answer 18

stiff joints 
subcuaneous adhesions-scars
contractures
chronic arthritis
subacute and chronic inflammation
cumulative trauma
trauma wounds
neuromas
muscles spasms
symathetic ns disorders

Question 19

Precautions when using superficial heat

Answer 19

increased edema
diminished sensation
compromised circulation
cog ability (to id reactions and discontinue tx)

Question 20

How should you always heat

Answer 20

in elevation

Question 21

Contraindications to superficial heat

Answer 21

pregnancy
impaired sensation
poor thermal reg.
tumor/cancer
acute inflammation/edema
deep vein thrombophletis
infection
primary repair of tendon/lig
advanced cardiac disease
impaired mental status
RA

Question 22

Why is superficial heat a contraindication w/ tumors/cancer

Answer 22

can increase the size of the tumor

Question 23

Why is whirlpool good

Answer 23

water bouyancy

active mvt during t

Question 24

what can whirlpool be used for

Answer 24

wound debridement

Question 25

downfall of whirlpool

Answer 25

dependent position/limb dependency time consuming to set up expensive equip possibility of infection if not properly set up antimicrobial agent- fights germs that are healing

Question 26

What is fluidotherapy

Answer 26

dry heat | fine particles suspended in hot air

Question 27

Where is fluidotherapy usually done

Answer 27

distal ext. | UE

Question 28

What is fluidotherapy used for

Answer 28

desensitization | AROM PROM

Question 29

Disadvantage o fluidotherapy

Answer 29

hand in dependent position-usually below heart | messy

Question 30

What can you not have in fluidotherapy

Answer 30

open wounds

Question 31

What are hot packs

Answer 31

silica gel materai in a canvas pouch

Question 32

What do you keep the hydroculator a for hot packs

Answer 32

165-175

Question 33

What is needed for hot packs

Answer 33

6 layers of towels

Question 34

How long do hot packs need to reheat before using

Answer 34

30 min

Question 35

What is a contrast bath

Answer 35

alternating bt warm and cool water creating a pumping like action

Question 36

Effects of contrasts baths

Answer 36

Decreases edema increases peripheral blood flow decreases pain decreases stiffness

Question 37

What temp do you want the water for contrast baths

Answer 37

100-110 | 50-70

Question 38

process of a contrast bath

Answer 38

``` warm water for 10 min cool for 1 min warm for 4 min cool for 1 min repeat 4:1 two times ```

Question 39

What does a warm water soak do

Answer 39

decreases subacute and chronic edema

Question 40

What temp should you have for a warm water soak

Answer 40

99-110

Question 41

what to do during a warm water soak

Answer 41

mild or mod dose of heat circumferential heat to fingers 15-20 min soak

Question 42

What is a paraffin bath used for

Answer 42

Arthritis | systemic sclerosis

Question 43

What do paraffin baths do

Answer 43

decrease stiffness improve ROM decrease pain

Question 44

Temp for paraffin bath

Answer 44

118-135

Question 45

What is in a paraffin bath

Answer 45

paraffin | mineral oil

Question 46

4 types of paraffin bath techniques

Answer 46

immersion dip immersion brush pouring

Question 47

Which dip is the deepest in paraffin bath

Answer 47

initial

Question 48

What to avoid in paraffin baths

Answer 48

moving hands to prevent cracks (creates hot spots)

Question 49

What to consider for home programs

Answer 49

make sure pt has cog to follow precautions | an use warm bath, low temp heat pad, hot water bottle, rice/flax packs

Question 50

What is thermotherapy

Answer 50

superficial thermal agents transfer energy either to or from body tissues that is located superficially