Whirlpool Bath Dr. Rashi
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Transcript of Whirlpool Bath Dr. Rashi
USAGE OF WATER FOR THERAPEUTIC PURPOSES
USE OF WHIRLPOOL BATH HAS BECOME INCREASINGLY VALUABLE MEANS OF PHYSIOTHERAPEUTIC TREATMENT
Principle of applicationTHE PRINCIPLE OF WHIRLPOOL THERAPY IS
TO COMBINE THE EFFECTS OF TEMPERATURE WITH THE MECHANICAL EFFECTS OF WATER
WARM WHIRLPOOL CONTAINS WATER AT TEMPERATURE RANGES BETWEEN 36-45 DEGREE CELECIUS AND A JET OF WATER OR AIR STREAM ALLOWED TO PRODUCE TURBULENCE IN WATER
THIS TURBULENCE IS PRODUCED BY A ELECTRICAL MOTOR INCORPORATED INTO THE APPARATUS
DEPENDING UPON THE APPARATUS,WHIRLPOOL BATH CAN BE USED FOR THE TREATMENT OF LIMBS OR WHOLE BODY
Low boy tank- The Low Boy Tank can be used to allow an adult to sit in the tank and can range in capacity from 75 to 105 gallons
High boy tank-
sometimes referred to as a hip or leg tank, can allow for the immersion of both lower extremities
Capacity can range from 60 to 105 gallons
Full body immersion/Hubbard tank- The Hubbard Tank has a greater potential for exercise during treatment due to it's size and can accomodate a full body treatment
Capacity can range anywhere from 200 gallons to more than 400 gallons
Full body immersion/Hubbard tank- figure 8 pattern. The pattern can allow for easy access to the patient. Note that the larger tanks can also have more than one turbine for agitation.
Hubbard tank8 feet long * 6 feet wide * 4 feet deep425 gallons of waterTurbines, stretcher, hoistChances of contaminationExpensive secondary to amount of water,
time to clean
Extrimity tank- The Extremity Tank is usually used for the upper or lower extremities and has a capacity of 10 to 45 gallons of water
Temperature RangeCold: 55-65 degrees F acute inflammationCool: 65-80 degrees F acute inflammationTepid: 80-95 degrees F exercise, acute
inflammation if cold not tolerated, open wound, dec tone
Warm: 96-99 degrees F mobility, burnsHot: 99-104 degrees F pain, ROM, soft
tissue extensibilityVery Hot: 104-110 degrees F-chronic
conditions
Technique of application1. The whirlpool tank is filled with water2. The water temperature is checked by hand and
thermometer3. Adjust the patient’s position in accordance to the
treated body part and considering both comfort and security.
4. Explain the procedure and reassure the patient5. Place the body part in the water6. Encourage the patient to move while keeping the
body part under water during the treatment in case of joint involvement
7. After completion of treatment, dry the body part and wrap it keeping it warm
Therapeutic effectsThe whirlpool bath combines the values of
conductive heat and gentle massage
A sedative action.A relief of pain by stimuli which act through
the pain gait mechanism.A relaxation of muscle spasms.
Actions1. Producing vasodilatation2. Improving local arterial and lymphatic
circulation.3. Softening of scar tissue.4. Breaking down old adhesions after fractures of
sprains.5. Cleaning and stimulation of wounds.6. Mechanically removing dirt, dead tissue and pus.7. Causing regression of the inflammatory process.8. Diminution of edema and effusion.
THE PART TO BE TREATED IS IMMERSED INTO THE WATER AND JET OF STREAM IS ALLOWED TO PRODUCE TURBULENCE IN THE HOT WATER
TREATMENT IS USUALLY GIVEN FOR 15-20 MINUTES
WHIRLPOOL BATHS IS USED IN RHEUMATIC DISORDERS,POST TRAUMATIC STIFFNESS AND JOINT PAIN
IT IS EFFECTIVELY USED IN SPORTS MEDICINE FOR RELAXATION AFTER PRACTICE OR COMPETITION
USESBurns if no agitation is usedOpen wounds for debridment purposesPost-operative orthopedic conditions where
the water will add a bouyancy element to eliminate the weight of the extrmity for movement
As a resistance force for exercise
BEWARE OFAny adverse conditions that may appearSkin pallorShiveringDizzinessRapid , weak pulseHeadacheIncrease in edemaDecrease in ROMHyperventilation“Seasickness".
Indications1. Poor circulation2. Chronic edema3. Separate dead tissue4. Pain relief in amputations ( phantom pain)5. After removal of plaster cast (fractures)6. Stiff joints7. Infected wounds → with added antiseptic agent8. Arthritis with stiff and swollen joints9. Polyomyelitis and paraplegia to improve circulation10. Traumatic and chronic inflammatory conditions11. Weak and painful feet12. As preparation to massage, passive stretching and
exercises
CONTRAINDICATIONSFVERISH PATIENTRECENT SKIN GRAFTSCIRCULATORY IMPAIRMENTACTIVE BLEEDINGOPEN WOUNDSHAEMMORHAGESKIN ALLERGY