Non-Systems_Cryotherapy/Thermothearpy

  1. Cryotherapy - normal response of skin
    Dark pink or red
  2. Cryotherapy - abnormal response of skin
    Wheels or rash
  3. Urticaria - describe
    • Erythema of skin w/wheal formation
    • Associated w/severe itching d/t histamine reaction
  4. Adverse physiological effects of cold d/t hypersensitivity - 4
    • Cold urticaria
    • Facial flush
    • Puffiness of eyelids
    • Respiratory problems
  5. Adverse physiological effects of cold in severe cases - 1
    Anaphylaxis (DEC BP, INC HR) w/syncope
  6. Cryotherapy - Contraindications - 8
    • PVD
    • Raynaud's disease
    • Over regenerat­ing peripheral nerves
    • Cold hypersensitivity (urticaria)
    • Cold intolerance
    • Cryoglobulinemia
    • Impaired T sensation
    • Paroxysmal cold hemoglobinuria
  7. Cryotherapy - Cold packs - Tx T
    0-10°F
  8. Cryotherapy - Cold packs - Tx time
    10-20 minutes
  9. Cryotherapy - Cold packs - Tx time for spasticity
    30 min
  10. Cryotherapy - stages of sensation w/ice massage
    Cold, burning, aching
  11. Cryotherapy - Tx Time
    5-10 minutes or until anelgesia occurs
  12. Vapocoolant spray - Tx T
    10-15 minutes
  13. Vapocoolant spray - Indications - 3
    • Myofascial referred pain
    • DEC muscle spasm
    • Trigger points
  14. Vapocoolant spray - Tx parameters - 5
    • Hold 18-24" away from area IN DIRECTION OF MM FIBERS
    • Spray at 30 deg angle
    • Sweep/spray 4"/sec starting at pain site and moving to area of referred pain
    • Allow area to completely evaporate before applying next sweep
    • MM should be passively stretched before and during application, AROM performed after
  15. Ice massage -  3
    • Area no larger than 4x6" in 2"/sec overlapping circles 
    • DO NOT do over - bony area, superficial nn
    • Facilitates mm contraction
  16. Cryocuff - elevate bucket how far from sleeve?
    15-18"
  17. Thermotherapy - Contraindications - Deep & Superficial - 7
    • Impaired circulation, cognitive function or sensation
    • Malignancy
    • Acute infections
    • Acute & subacute traumatic/inflammatory conditions
    • Very young or old patients
    • DVT (for superficial)
    • Thoracic area containing pacemaker (for deep)
  18. Thermotherapy - Precautions - 7
    • Cardiac insufficiency, impaired circulation
    • Edema
    • Impaired thermal regulation
    • Metal in tx area
    • Pregnancy
    • Demyelinated nn
    • Open wounds
  19. Hot packs - Tx parameters - 4
    • T - 165-170°F
    • Time - 20-30 min
    • 6-8 layers of cover
    • 2-3 commercial covers
  20. Paraffin bath - 4
    • T - 125-127° (mixture melts @ 118-130°)
    • Time - 15-20 min
    • Contains a 6:1 or 7:1 ratio
    • Glove method (dip & wrap) - 6-12 layers
  21. Paraffin bath - Indications - 3
    • Painful joints d/t arthritis
    • Other inflammatory conditions in subacute or chronic phase
    • Joint stiffness of hands/wrists
  22. Paraffin bath - Contraindications - 4
    • Allergic rash
    • Open wounds
    • Recent scars/sutures
    • Skin infections
  23. Phonophoresis - Tx parameters - 3
    • Mode - Pulsed 20%
    • Time - 5-10 min
    • Intensity - 0.5-0.75 w/cm2
  24. Phonophoresis - Goals/indications - 2
    • Pain modulation
    • DEC inflammation in sub­acute/chronic MSK conditions
  25. For bursitis/tendonitis/tenosynovitis use what - cryotherpy or thermotherapy?
    Cryotherpay
  26. Fluidotherapy - Therapeutic effects - 3
    • Skin desensitezation
    • Promotes tissue healing
    • Edema management
  27. Fluidotherapy - Tx parameters - 4
    • Cover wound w/plastic
    • T - 100-118 deg
    • Time - 15-20 min
    • Pt can do active therex
  28. Infrared lamp - Tx parameters - 3
    • Wavelength - 780-1500 nanometers
    • Tx time - 15-30 min
    • 20" away from body
Author
Tanuisha
ID
323057
Card Set
Non-Systems_Cryotherapy/Thermothearpy
Description
Cryotherapy/Thermothearpy
Updated