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Therapeutic Modalities

Therapeutic Modalities. Superficial Heat. 10 mm below surface Hydrocollator pack Infrared lamp Paraffin bath. Hydrocollator Pack. Canvas bag with silica gel or sand Heated to 170 Place towels between pack and skin Use for 20 minutes Not for areas with impaired skin or circulation.

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Therapeutic Modalities

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  1. Therapeutic Modalities

  2. Superficial Heat • 10 mm below surface • Hydrocollator pack • Infrared lamp • Paraffin bath

  3. Hydrocollator Pack • Canvas bag with silica gel or sand • Heated to 170 • Place towels between pack and skin • Use for 20 minutes • Not for areas with impaired skin or circulation

  4. Infrared Heat • No pressure on body • Use for 20 minutes • Not for areas with impaired skin or circulation

  5. Paraffin Bath • 1 part liquid petroleum to 7 parts paraffin • 125-130 degrees • Mostly for hands and feet • Not for areas with impaired sin or circulation

  6. Deep Heat • 30-50 mm below the skin • Diathermy: • Microwave or shortwave generator • Ultrasound

  7. Diathermy • Deep heating by electromagnetic or mechanical waves

  8. Microwaves • Hold director perpendicular to the treated part • Skin must be clean and dry to prevent burns • Use for no more than 20 minutes • Do not use in presence of pacemaker

  9. Shortwaves • Protect skin with towels • Do not use near metal implants or pacemakers • Do not use with impaired skin or circulation

  10. Ultrasound • Fine vibrations caused by sound generate heat • Must use oil on skin under transducer that transmits soundwave

  11. Hydrotherapy • Whirlpool • Hubbard tank • Therapeutic pool

  12. Whirlpool • 98-104 degrees • Massages skin • Dilates blood vessels • Relieves pain • Use for 20 minutes

  13. Hubbard Tank • Large whirlpool shaped like a whole body • Used for debridement of large areas

  14. Therapeutic Pool • 98 degrees • Inclining bottom with deep and shallow ends • Used to strengthen legs and assist with ambulation

  15. Cold Therapy • Ice packs • K-pads – circulating water • 10-15 minutes • Reduce swelling, inflammation and spasticity

  16. Side Effects • Both heat and cold can cause erythema • Heat: increase circulation, reduce inflammation and pain • Cold: decrease circulation, swelling and pain

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