|
SKILL
|
PROCEDURE DESCRIPTION |
MATERIALS &
EQUIPMENT |
CONTRAINDICATIONS
|
PRECAUTIONS |
MOUSE
OVER PICTURE TO VIEW
MOVIE
|
|
INDICATIONS |
| Ice Bag Preparation |
- Fill bag with appropriate
amount of ice
- Remove air from ice bag
- Place patent in proper position |
Ice bags
Ice (at temperature of 0 through -5 degrees C)
Ties (optional) |
- Lack of normal temperature sensibility
- Cold hypersensitivity / allergy |
- Allergy to cold
- Excessive treatment time
- Cover open wounds
- Assess function before and after intervention |
|
- Pain
- Control inflammation
- Prevent increases in swelling
- Use post exercise |
| Ice Bag Application |
- Check for Contraindications
-Tie bag close to top
- Elevates injured area (if applicable)
- Secure ice bag with wrap |
Ice bags
Ice (at temperature of 0 through -5 degrees C)
Ties (optional) |
- Lack of normal temperature sensibility
- Cold hypersensitivity / allergy |
- Allergy to cold
- Excessive treatment time
- Cover open wounds
- Assess function before and after intervention |
|
- Pain
- Control inflammation
- Prevent increases in swelling
- Use post exercise |
| Ice Cup Preparation
|
- Check supplies
- Fill paper cup with appropriate amount
of water
- Place in freezer, allowing sufficient time for freezing to occur
(check freezer temp.) |
Water (freezing to
temperature no less than -5 degrees C)
Paper cups (usually 10 oz or less) |
- Lack of normal temperature sensibility
- Cold hypersensitivity / allergy |
- Allergy to cold
- Excessive treatment time
- Cover open wounds
- Assess function before and after intervention |
|
- Pain
- Control Inflammation
- Prevent increases in swelling
- Used in stretching technique |
| Ice Cup Application |
- Inquires regarding contraindications before beginning treatment
- Tell the patient expected treatment sensation & duration
- Locate and smooth ice cup
- Position athlete/patient correctly
- Peel away excess paper from cup
- Rub ice in continuous motion
- Continue to monitor patient during treatment |
Water (freezing to
temperature no less than -5 degrees C)
Paper cups (usually 10 oz or less) |
- Lack of normal temperature sensibility
- Cold hypersensitivity / allergy |
- If welts or wheal appear during
treatment, discontinue
- if skin changes color to absolute whit, discontinue treatment
- if patient complains of discomfort, discontinue treatment
- Avoid excessive stretch with this modality
- Allergy to cold
- Excessive treatment time
- Cover open wounds
- Assess function before and after intervention |
|
- Pain
- Control inflammation
- Prevent increases in swelling
- Used in stretching technique |
| Ice Immersion Preparation |
- Fill ice bath with sufficient ice and
water to cover extremity
- Ensure the patient has a secure location to sit (bench, chair, etc) |
Ice
Water
Bucket/tub
Bench / Chair
Towels |
Lack of normal temperature sensibility
Cold hypersensitivity /allergy |
- Allergy to cold
- Excessive treatment time
- Cover open wounds / discontinue until healed
- Assess function before and after intervention |
|
- Used when irregular shaped body part
to get more surface coverage
- Pain
- Control inflammation
- Prevent increases in swelling
- Use post exercise
|
| Ice Immersion Application |
- Inquires regarding contraindications before beginning treatment
- Have patient place extremity in ice bath
- Indicate to patient that the
treatment will last approx. 10-15 mins. |
Ice
Water
Bucket/tub
Bench / Chair
Towels |
Lack of normal temperature sensibility
Cold hypersensitivity / allergy |
- Allergy to cold
- Excessive treatment time
- Cover open wounds / discontinue until healed
- Assess function before and after intervention |
|
- Used when irregular shaped body part
to get more surface coverage
- Pain
- Control inflammation
- Prevent increases in swelling
- Use post exercise
|
| Warm Whirlpool Preparation |
- Fills tank with sufficient
water
- Checks temperature
- Questions patient regarding conditions / contraindications
- Properly position patient (safety and to achieve optimal treatment)
- Expose body part to be treated |
- Tank / tub / bucket
- Varying temperature (usually 35 - 43 degrees C)
- Turbine (if applicable)
- Secure place for patient to sit |
- Caution when gravity dependant
position is of concern
- Use on acute injury (increase temp increases soft-tissue swelling)
- Open wounds |
- If entire body immersed,
temperature should not exceed 38 degrees C as this interferes with
thermoregulation
- Cover open wounds / discontinue until healed-Assess function before
and after intervention |
|
- Achieve therapeutic warming
- Can complete Active ROM / therapeutic exercise while in whirlpool
- Joint mobilization can also be performed while providing treatment
- Used when irregular shaped body part to get more surface coverage |
| Warm Whirlpool Application |
- Verify there are no
contraindications
- Have patient place body part into tank
- Instruct patient on turbine safety and correctly position turbine
flow (if applicable)
- Indicate treatment time and expected sensations
- Monitor patient during treatment |
Tank / tub / bucket
Varying temperature (usually 35 - 43 degrees C)
turbine (if applicable) |
- Caution when gravity dependant
position is of concern
- Use on acute injury (increase temp increases soft-tissue
swelling)
- Open wounds |
- If entire body immersed,
temperature should not exceed 38 degrees C as this interferes with
thermoregulation
- Cover open wounds / discontinue until healed
- Assess function before and after intervention |
|
- Achieve therapeutic warming
- Can complete Active ROM / therapeutic exercise while in whirlpool
- Joint mobilization can also be performed while providing treatment
- Used when irregular shaped body part to get more surface coverage |
| Cold Whirlpool
Preparation |
- Fills tank with sufficient
water
- Checks temperature
-Questions patient regarding conditions / contraindications
-Properly position patient (safety and to achieve optimal treatment)
-Expose body part to be treated |
Tank / tub / bucket
Varying temperature
Turbine (if applicable) |
- Treatment is gravity dependent
- Cover open wounds
- Lack of normal temperature sensibility
- Cold hypersensitivity / allergy |
- Assess function before and
after intervention |
|
- Allows for more complete coverage with
irregularly shaped body parts
- Acute injury to control pain and swelling |
| Cold Whirlpool
Application |
- Verify there are no
contraindications
- Have patient place body part into tank
- Instruct patient on turbine safety and correctly position turbine
flow (if applicable)
- Indicate treatment time and expected sensations
- Monitor patient during treatment |
Tank / tub / bucket
Varying temperature
Turbine (if applicable) |
- Treatment is gravity dependent
- Cover open wounds
- Lack of normal temperature sensibility
-
Cold hypersensitivity / allergy |
- Assess function before and
after intervention |
|
- Allows for more complete coverage with
irregularly shaped body parts
- Acute injury to control pain and swelling |
| Hydrocollator Steam Pack Preparation |
- Check temperature of
hydrocollator packs
- Wrap hot pack in towels / Turkish towel
- Verify that the patient has no contraindications
- Position patient appropriately
- Expose body part |
- Turkish Towel / Towel
- Hot pack |
- Lack of normal temperature sensibility
- If desire depth >1cm warming
- If patient unable to tolerate weight of hot pack |
- If patent needs to be
placed prone, place towels / pillows under abdomen
- Assess function before and after intervention |
|
- Superficial Warming (1cm depth or
less)
- Increase collagen remodeling ability
- Reduction in tissue viscosity (easier to move through ROM) |
| Hydrocollator Steam Pack Application |
- Place appropriate barrier
between patient and hot pack
- Verify the patent has no open wounds or conditions
- Secure hot pack |
- Turkish Towel / Towel
- Hot pack |
- Lack of normal temperature sensibility
- If desire depth >1cm warming
-If patient unable to tolerate weight of hot pack |
- If patent needs to be
placed prone, place towels / pillows under abdomen
- Assess function before and after intervention |
|
- Superficial Warming (1cm depth or
less)
- Increase collagen remodeling ability
- Reduction in tissue viscosity (easier to move through ROM) |
| Cryo-Cuff Preparation |
- Locate Cryo-cuff and
required materials
- Select boot size appropriate for patient and extremity
- Check for contraindications / conditions |
Cryo-cuff
Ice
Water |
- If patient cannot tolerate compression
- Circumferential compression is not indicated
- Cover open wounds
- Lack of normal temperature sensibility
-
Cold hypersensitivity / allergy
|
|
|
| - Acute injury to reduce pain &
swelling |
| Cryo-Cuff Preparation |
- Apply Cryo cuff to patient
- Flips up spout on top of jug to allow filling (needs to have jug
above boot to fill and below boot to drain)
- Closes spout to keep water in boot
- Elevates body part if applicable
- Monitor patient |
Cryo-cuff
Ice
Water |
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