304Lab:Cryo&compression

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Author:
itzlinds
ID:
265450
Filename:
304Lab:Cryo&compression
Updated:
2014-03-12 10:32:34
Tags:
cryotherapy compression lab
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Description:
cryotherapy & compression
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  1. what effects does a barrier have on cryotherapy?
    The barrier does not allow the skin temperature to reach 58 F, where maximum analgesia is achevied.
  2. when is a barrier for cryotherapy indicated:
    • blood flow to the area is compromised
    • nerve or cold intolerance
    • raynaud's phenomenon
    • or if reuseable cold packs are applied
  3. describe the following of ice bags:

    advantages:
    disadvantages:
    • advantages
    • easy
    • efficient
    • safe to use
    • require only a plastic bag + ice

    • disadvantage
    • ice machines are expensive and their cost may be prohibitive in some situations
  4. describe the following of instant (chemical) cold packs:

    advantages:
    disadvantages:
    • advantages
    • convenient: stored in med kit/emergency


    • disadvantages:
    • short worklife/duration
    • only used 1x
    • chemcials are extremely caustics to skin if leaked
  5. describe the following of ice packs AND instant (chemcial) packs:

    indications:
    • acute injury or inflammation
    • acute or chronic pain
    • postsurgical pain and edema
  6. describe the following of ice packs AND instant (chemcial) packs:

    contraindications:
    • cardiac or respiratory involement
    • uncovered open wounds
    • circulatory insufficiency
    • cold allergy and/or hypersensitivity
    • anesthetized skin (absence of sensation)
  7. describe the following of ice massage:

    advantages:
    disadvantages:
    • advantages
    • pt. able to administer self tx
    • clinic or home tx
    • convenient, practicle, time efficent
    • provide cold tx when ice machine is not available

    • disadvantages
    • small tx area
    • no compression
    • temp is not reduced at the same magnited as other cold modalities
  8. describe the following of ice massage:

    indications:
    • subacute injury or inflammation
    • muscle strains
    • contusions
    • acute or chronic pain
  9. describe the following of ice massage:

    contraindications:
    • cases in which pressure on the injury is contraindicated
    • suspected fx
    • uncovered open wounds
    • circulatory insufficiency
    • cold allergy and/or hypersensitivity
    • anesthetized skin (absence of sensation)
  10. describe the following of ice immersion:

    advantages:
    disadvantages:
    • advantages:
    • allows for circumferential cooling and simultaneous ROM exercises (increase venous return)
    • injuries with irregular surface


    • disadvantages:
    • uncomfortable, increased pain due to larger surface area
    • cold penetrates to the bone level in toes, fingers
    • limb is in a gravity depedent position
  11. describe the following of ice immersion:

    indications:
    • subacute injury or inflammation
    • muscle strains
    • contusions
    • acute or chronic pain
  12. describe the following of ice immersion:

    contraindications:
    • cardiac or respiratory involvement
    • uncovered open wounds
    • circulatory insufficiency
    • cold allergy and/or hypersensitivity
    • anesthetized skin (absences of sensation)
    • absolute inability to tolerate the cold temperatures
  13. describe the following of vapo coolant spray:

    advantages:
    disadvantages:
    • advantages:
    • rapid decrease of skin temp (decrease pain transmission)


    • disadvantages
    • potential of frostbite (with ethyl chloride)
  14. describe the following of vapo coolant spray:

    indications:
    • tirgger points
    • muscle spasm
    • decreased ROM
  15. describe the following of vapo coolant spray:

    contraindications:
    • allergy to the spray
    • acute and/or postsurgical injury
    • open wounds
    • contraindications relating to cold applications
    • contraindiciations relating to passive stretching
    • use around the eyes. when tx'ing the UE, torso, or neck protect the pts. eyes from the spray
  16. describe the following of moist heat packs:

    advantages:
    disadvantages:
    • advantage:
    • suitable for localized areas or areas that normally cannot be tx'ed by immersion
    • wide variety of size/styles

    • disadvantages:
    • effectiveness is diminished when used over irregular areas (ankle, fingers)
  17. list the following of moist heat packs:

    indications (7):
    • subacute or chronic inflammatory conditions
    • reduction of subacute or chronic pain
    • subacute or chronic muscle spasm
    • decreased ROM
    • hematoma resolution
    • reduction of joint contractures
    • infection
  18. list the following of moist heat packs:

    contraindications:
    • acute conditions: this modality will increase the inflammatory response in the area
    • peripheral vascular disease: the heat cannot be dissipated, increasing chance of burns
    • impaired circulation
    • poor thermal regulation
  19. list the following of paraffin baths:

    advantages:
    disadvantages:
    • advantage:
    • delivers heat to small, irregular shaped areas
    • 6x the amount of heat as H20

    • disadvantages:
    • risk of burns (touching the sides and bottom of the unit)
  20. describe the following of paraffin baths:

    indications:
    • subacute and chronic inflammatory condititons
    • limitations of motion after immobilization
  21. describe the following of paraffin baths:

    contraindications:
    • open wounds: wax and oil would irritate the tissues
    • skin infections: the warm, dark environment is an excellent breeding ground for bacteria
    • sensory loss
    • peripheral vascular disease
  22. describe the following of warm whirlpool baths:

    advantages:
    disadvantages:
    • advantages
    • able to perform ROM activities while rec'ving thermal tx
    • extremities or entire body
    • promote muscular relaxation

    • disadvantages:
    • hyper or hypothermia may occur (full body immersion)
  23. list 5 clinical indications of compression:
    • acute injury: with swelling/edema
    • edema: medical origin, venous insufficiency, lymphedema (to promote swelling)
    • deep vein thrombosis (prevention of)
    • venous statis ulcers
    • control hypertrophic scarring (a rasied scar)
  24. list 7 contraindications of compression:
    • CHF or pulmonary edema
    • recent or acute DVT
    • obstructed lymphatic or venous return
    • arterial insufficiency: not enought artial blood flow
    • acute local infection: spread to systemic infection
    • severe hypoproteinemia: low protein to kidney (which filters)
    • acute fx
  25. list the indications for a new lateral ankle sprain that would warrent the use of an ice pack:
    • acute injury/inflammation
    • acute pain
  26. use the following case studies to discuss and note the clinical use of heat and cold. state and justify which cold or heat modalitiy you would use:

    an athlete has subacromial bursitis in the L shoulder. there is decreased GH motion due to pain
    • vapo coolant: decreased ROM
    • moist heat pack: decreased ROM
    • Whirlpool: decreased ROM
  27. use the following case studies to discuss and note the clinical use of heat and cold. state and justify which cold or heat modalitiy you would use:

    athlete is 2 days post decompression surgery:
    • ice pack: postsurgical pain/edema
    • compression: TEDS, prevention of DVT
  28. use the following case studies to discuss and note the clinical use of heat and cold. state and justify which cold or heat modalitiy you would use:

    an athlete sustaned a quad strain 4 days ago and now has weakness and stiffness in this muscle. the area is not warm to the touch or red:
    • ice massage: muscle strains; subacute injury
    • ice immersion: muscle strains; subacute injury
    • moist heat pack: subacute inflammatory, reduce subacute pain
  29. use the following case studies to discuss and note the clinical use of heat and cold. state and justify which cold or heat modalitiy you would use:

    a soccer player sprained his ankle 24 hrs ago. There is minimal effusion or edema, but the ankle is painful, especially with motion:
    • ice pack: acute injury/inflammation/pain
    • compression: acute injury
  30. use the following case studies to discuss and note the clinical use of heat and cold. state and justify which cold or heat modalitiy you would use:

    a wrestler complains of pain and spasm of the upper trapezius. you can palpate localized areas of painful trigger points:
    • vapo coolant spray: trigger points, muscle spasm
    • moist heat pack: subacute/chronic muscle spasm
  31. use the following case studies to discuss and note the clinical use of heat and cold. state and justify which cold or heat modalitiy you would use:

    a football player has been rehabbing after a flexor tendon rupture. you notice decreases in ROM extension.
    • paraffin bath: limitations of motion, subacute inflammatory
    • vapo coolant spray: decreased ROM
  32. list the 7 contraindications for the game ready:
    • acute inflammatory phlebitis (superficial veins)
    • hx/recent DVT or pulmonary embolus
    • arteriosclerosis or vascular ischemic disease
    • condition in which increased venous or lymphatic return is not desired
    • decompensated hypertonia (spasticity)
    • significant vascular impairment (prior frostbite, diabetes)
    • hemtaological dyscrasias
  33. list the 4 pressure settings on the game ready:

    none:
    low:
    med:
    high:
    • none:
    • low: 5-15 mmHg
    • med: 5-50mmHg
    • high: 5-75 mmHg

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