5 Uses of Hydrotherapy
- Superficial heating or cooling
- Water exercise
- Pain control
- Edema control
- Wound care
When should whirlpool treatments be used?
Only when…
- used for cleansing wounds that contain extensive thick exudate, slough, necrotic tissue, gross purulence, or dry eschar
- non-immersion hydrotherapy devices are unavailable or ineffective
What do most facilities use for wound care?
non-immersion hydrotherapy techniques
Non-immersion hydrotherapy devices deliver fluid between _ -__ psi
4-15
When is non-immersion hydrotherapy recommended?
for the treatment of wounds containing necrotic, nonviable tissue or debris
How long are non-immersion hydrotherapy techniques used for?
Used until there is a complete granulation bed present
What 3 things do non-immersion hydrotherapy do?
- Removes necrotic tissue
- Promotes healing
- Increases patient comfort
How is bacteria removed from wounds?
By combining the use of whirlpool and non-immersion hydrotherapy
Why is the debridement of burns especially painful?
Because the wounds are less deep and sensory nerves may still be intact
For burns should you use non-immersion or immersion hydrotherapy?
Non-immersion hydrotherapy is generally less painful and faster
During what stages of a burn is hydrotherapy used?
Early in treatment to debride burns and late in treatment after re-epithelialization has occurred
How does negative pressure wound therapy aid in the wound healing?
By removing fluid and mechanically deforming the wound
Negative Pressure Wound Therapy (NPWT) helps to accelerate healing of what types of wounds?
diabetic ulcers
What are the 2 contraindications for local immersion therapy?
- Maceration around a wound
- Bleeding
What are the 4 precautions for local immersion therapy?
- Impaired thermal sensation in the area to be immersed
- Infection in the area to be immersed
- Confusion or impaired cognition
- Recent skin grafts
What are the 2 contraindications for full body immersion therapy in hot water?
- Pregnancy
- MS
- Poor thermal regulation
What are the 5 contraindications for full body immersion therapy regardless of the temperature?
- Cardiac instability
- Infectious conditions that may be spread by water
- Bowel incontinence
- Severe epilepsy
- Suicidal patients
What are the 7 precautions for full body immersion therapy?
- Confusion or disorientation
- Alcohol ingestion by patient
- Limited strength, endurance, balance or ROM
- Medications
- Urinary incontinence
- Fear of water
- Respiratory problems
What are the contraindications for negative pressure wound therapy?
- Necrotic tissue
- Untreated osteomyelitis
- Malignancy
- Untreated malnutrition
- Exposed arteries, veins, nerves, or organs
- Nonenteric and unexplored fistulas
What are the 3 precaution’s for negative pressure wound therapy?
- Anticoagulant therapy
- Difficult hemostasis
- Confusion or disorientation
When should the turbine be pointed away from a wound during a whirlpool treatment?
If that region is hypersensitive of if granulation tissue is present
Under what 3 circumstances is whirlpool typically used?
- Hydrotherapeutic exercise
- Pain control in limited area of the body
- Wound treatment
When treating acute inflammation what should the temperature of the whirlpool be?
0 to 26° C (32 to 79° F)
When using the medium for exercise what should the temperature of the whirlpool be?
26 to 33° C (79 to 92° F)
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Intro to Physical Agents24
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Electromagnetic Radiation32
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Inflammation and Tissue Repair57
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Aquatic Therapy34
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Mechanisms of Pain42
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Tone Abnormalities44
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Motion Restrictions6
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Thermal Agents57
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Thermal Agents (part 2)15
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Ultrasound71
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Diathermy39
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Lasers40
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Ultraviolet Radiation22
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Traction42
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Hydrotherapy40
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Compression54
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Massage Therapy41
