2 questions...!!

Hallo All,

would some one please answer the following questions clearly as possible as s/he can:

1.Where(at which part of the body ),when(at what ages?) and For what cases we can apply a contrast hydrotherapy(Hot packs and Ice packs ) At the same session of physical therapy?! IF yes,for which of them would be priorty to apply first hot or ice pack?!

2. For what cases & How we can describe for patients from a medical view (healthy )the appropriate Mattress/bed,shoes and pillows?!(note i'm not asking about commertial products.)

Regards:rolleyes:

hi Jonior PT:
for the first question, hydrothertapy doesent mean cold and hot packs ( it means excercises under water), but physiomodalties means cold and hot packs.
cold and hot packs used for group of age where the patient is mentally oriented ( to help them to determine if the pack is exctreme cold or hot to avoid burn), for the causes, mostly all PT knows that hot used in chronic conditions for excemple in truma or stroke ( to decrese pain, decrase muscle tone, improve circulation to facilitate healing, and to increase scar elasticity).
but for cold pack it is mostly used in acute stage, like inflamation ( rheumatoid arthrities causes or OA ).
using hot or cold pack depend on the pt prefere ( if the pt likes hot so use hot other wise use cold), also check pt sensation befoe applying the modality.
buy

[QUOTE=Hessa;12606]hi Jonior PT:
for the first question, hydrothertapy doesent mean cold and hot packs ( it means the causes, mostly all PT knows that hot used in chronic conditions for excemple in truma or stroke ( to decrese pain, decrase muscle tone, improve circulation to facilitate healing, and to increase scar elasticity)

Hallo Hessa

Thanks for ur reply, but i meant at what cases(diseases) not causes ,also i want to know contraindications of being uese hot and ice packs at same time of session of PT,,,

HI





contrast bath :Therapeutic heat and cold to distal extremity .This produces alternate dilations and contractions of the blood vessels, which aid in the absorption of swelling and thus promote the healing process

Indication ::
Ligament Sprain or Joint capsule sprain
After initial ice only for first 72 hours
Stasis edema
Peripheral Vascular Disease
Improve circulation in contralateral extremity
Occurs by consensual vasodilatation
Exercise is more effective in PVD
Osteoarthritis or Rheumatoid Arthritis
Improves range of motion
Adverse Effects

Vigorous hyperemia
Discomfort during cold cycle
Issue of compliance

Preparation :

Warm Water Bath: 38-44 C (100-111 F)
Cold Water Bath: 10-18 C (50-66 F)
Technique 1: Decrementing Warm Baths (20 minutes)


Warm water bath for 5 minutes
Cold water bath for 1 minute
Warm Water bath for 4 minutes
Cold water bath for 1 minute
Warm Water bath for 3 minutes
Cold water bath for 1 minute
Warm Water bath for 2 minutes
Cold water bath for 1 minute
Warm Water bath for 1 minute

Technique 2: Fixed Warm Baths (30 minutes)

Warm water bath for 10 minutes
Cycle warm and cold baths for 4 repetitions
Cold water bath for 1 minute
Warm Water bath for 4 minutes

Hallo Hussam

Thanks alot of for ur post...but plz if u have any suggested /recommended books ,web sites plz provide me ...

Regards:rolleyes: ;) ;)

junior_physiotherapist,

contrast bath it could be hydrotherapy!! sorry hessa but it is part of hydrotherapy!

and about the books,

physical agent in rehabilitation
Michelle H.Cameron
2nd edition pages 277-290-291



Evidence-Based Guide to Therapeutic Physical Agents
Alain Yvan Belanger