Hydrotherapy L2 Thermotherapy: introduction to therapeutic heat in thermal agents

This is the second Hydrotherapy lecture in the Hydrotherapy course targeting second year students in the Faculty of Physical therapy, Benha University, Egypt.
In This Lecture:
1. Body response to cold and heat therapy
2. Physiological and therapeutic effects of heat (local and systemic)
3. Indications of thermotherapy
4. Contraindications of thermotherapy
5. Precautions of thermotherapy
6. Adverse effects of thermotherapy
7. Testing of thermal sensation
Good luck

[@drfatmaalfeky7372]

1. Enumerate Physiological and therapeutic effects of heat

[@Yomna_Osama_Morsii]

Local : increase blood flow-pain cotrol-change muscle spasm-sedative effect
Systemic: increase sweating- increase pulse rate-increase breathing rate- generalized vasodilatation

[@ahmedsaeed3323]

1. Increasing sweating.
2. Increased pulse rate.
3. Increased rate of breathing.
4. Increased elimination through kidneys.
5. Lowering of blood pressure due to decrease in sodium concentration, loss of urea and loss of
other nitrogenous substance.
6. Generalized skin vasodilatation
احمد سعيد سيد

[@Mohamed_Azab222]

Decrease blood pressure and increase breathing rate and bulse rate and loss of uria

[@ranaawad929]

رنا السيد محمد
increase blood flow
increase metabolic activity
pain control
increase fluidy dynamic
reduce muscle spasm
sedative effect

[@ShahdAdaros]

1.Local physiological effect ‏‪
A.increas blood flow
B.increas fluid dynamics
C.reduction of muscle spasm
D pain control
E.sedative effect
2.systmatic physiological effect

[@user-wj5bu2fe5o]

ندى عبدالرحمن سامى
1_there are local and generalized physiological and therapeutic effects .
Local as increase blood flow and metabolism and rate of healing and increase tissue extensibility and ROM and fluid dynamics and modulate pain and sedative effect and decrease muscle spasm and change muscle strength.
Generalized as : increase pulse rate and breathing rate and generalized skin vasodilation and increase elimination through kidney and decrease B.P due to loss of sodium ions and urea and nitrogenous substances and over sweating
2_ to return to the normal level of blood pressure and avoid fainting .

[@asimmohamed6467]

To avoid the fainting and maintain blood pressure

[@drfatmaalfeky7372]

2. Complete the following sentence:
The patient’s head should be elevated with a pillow during heat application and the patient should remain in position used during the treatment for a few minutes after heat application to ……………….

[@keromena5585]

Normalize blood pressure before rising
كيرلس عماد عصمت

[@zhraashawky9355]

normalize blood pressure

[@OmniaWael-c7k]

To normalize blood pressure before rising
امنيه وائل

[@AhmedRedaElmasry]

Normalize blood pressure before rising

[@shurooqmahmoudhussain2032]

To avoid the fainting and normalize the blood pressure

[@user-eb9ku7gu2j]

كريم ابرهيم محمد محمد
1- there are local and
generalized physiological and
therapeutic effects.
2- to return to the normal level of blood pressure and avoid fainting.

[@drfatmaalfeky7372]

2. Enumerate indirect mechanisms of pain control by heat

[@mohamedhani_]

Remove waste products
Decrease muscle sapsm
Re absobatoin edema
Imbrove tissu healing

[@mahmoudhegazy1245]

1: Removal of irritant waste products
2: Re-absorption of edema
3: Decrease muscle spasm
4: Improving tissue healing

[@reemsamy-goda82]

Imbrove tissu healing
Remove waste products
Decrease muscle sapsm
Re absobatoin edema
ريم سامى الجوده

[@YasmeenMahrous-ce3mt]

Remove waste products
Decrese spasm os muscle
Treat edema
Increase healing

[@mohamedawad2756]

Remove of irritant waste products
Decrease muscle spasm
Improve tissue healing
Reabsorption of edema

[@user-he7fh7hr4i]

1-there are local and generalized physiological effects of heat
2-to normalize blood pressure before rising

[@drfatmaalfeky7372]

1. Complete the sentence
Heat is contraindicated in Thrombophlebitis because ……………………………………………………………..

[@abdullahammar6947]

Because the blood flow can move the thrombus to vital organs whuch can cause death or damage to the body

[@fatmaelzaharaahusseinaliel3255]

Because it may make the thrombus move to vital organs and make person die

[@Hossamzankloni]

Because thrombs moves to vital organ and cause death

[@YA7417-v3f]

May dislodge thrombus and move to vital organs and make death

[@sahrrr]

Becaus the thrombus can move with the blood stream to Vital organs

[@nadahady121]

Local effects of heat :
Increase blood flow
Increase range of motion
Increase metabolic activity
Effect on muscle strength
Pain control
Sedative effect
General effects:
Increase pulse rate
Increase sweating
Increase breathing
Increase elemination through kidney
Vasodilation
Hypotension
ندى عبدالهادي قنديل

[@drfatmaalfeky7372]

1. Complete the following:
Heat is contraindicated in areas of compromised circulation because ……………………

[@eyadsherif4473]

اياد شريف صلاح رياض
the body part will gradually increase in temperature, and local heat injury.

[@ahmedsalama2046]

the body part will gradually increase in temperature, and can result local heat injurie
احمد محمد توفيق سلامة

[@mariamsamy1435]

مريم سامي جرجس
Because risk of burn if circulation is inadequate to dissipate heat in tissues

[@monamahmoud887]

The body can not get lost the heat and my cause faiting and burns

[@mohamedyasser5291]

Body part will increase in temperature
محمد ياسر صبحي علي

[@user-pc7jz3kc1n]

Reduction muscle spasm changes in muscle strength
And pain control
Increase fluid dynamics
Increase sweating and pulse rate
*Qu number 2
To avoid fainting
احمد ايمن احمد صادق

[@user-wx2ge9jw1z]

Reduce muscle spasm - increase blood flow- increase metabolic activity- decrease pain

[@shimaamahmoud5484]

Local physiological effects
1/heat increase blood flow
2/heat increase metabolic activity and increase tissue healing
3/increase fluid dynamics
4/increase tissue extensibility and ROM
5/rsduce in muscle spasm
6/change in muscle strength
7/pain control
8/sedative effects

[@shimaamahmoud5484]

System
increase in
Sweet
Pulse
Breathing
Eliminating through Kidney
Decrease in blood pressure
Skin vasodilation
شيماء محمود

[@shimaamahmoud5484]

To avoid fainting

[@user-kr5ox5jx6c]

1:local physiological affect and systemic effect
2:to normalize bood pressure before rising

[@user-kr5ox5jx6c]

نور محمد عبد الفتاح

[@olamohamed1141]

هو انا ازاي اعرف ان الشخص عنده thrombophlebitis ؟

[@lifewithmariam7351]

What is the reason muscle strength increase when we exceed 30 minutes of application ?

[@hebamohammedfawzy9997]

Because it gradually recover and then increased to above pretreatment

[@drrofidaalghreeb1601]

beyound the30 minutes of tretment for the next 2 hours hte muscles will recover then it will gain strength

[@Malak.Ahmed.MohamedKhedr]

Because muscle strength gradually recovers beyond 30 mins. & increase above to pretreatment levels.

[@rorororo8938]

دكتورة بعد اذنك
مفهمتش اوي جزئية ان لما المريض يكون عنده alcer فرجله حضرتك بتقولي احطله hot pack على الظهر مفهمتش هنا ع ظهر الجسم العادي ولا ع ظهر رجله؟

[@esraazakarya4920]

لأ .. مش بنحطها على ظهر الرجل
المقصود ال back عشان تبدأ الحرارة تتوزع للجسم كلة
لكن لو حطيتيها على ال dorsum of the foot 🦶 كدا ال blood flow هيكون عالي جدا و هيزود ال ulcer و يسبب أمراض

[@rorororo8938]

@@esraazakarya4920 معلش ممكن توضحيلي اكتر بس

[@esraazakarya4920]

@@rorororo8938
تمام بصي ..
لو فرضا عندنا شخص عنده ulcer in the foot
فكدا مينفعش أحطه ال hot pack on the foot
لإن الحرارة بتعمل vasodilation يعني بتوسع الوعاء فبياخد كمية دم أكبر
فكدا الدم هيزيد أوي لمنطقة ال ulcer دي فممكن يعمل rupture و damage
لكن لو حطيتيها على ضهر العيان .. هيكون الحرارة الجزء الاكبر متركز على الضهر و جزء بسيط اللي واصل لباقي اجزاء الجسم
أتمنى تكوني فهمتيني 🥺

[@d.a607]

Remove irritants east product
Reabsorption of edema
Decrease muscle spasm
Improve tissue healing

[@user-wb1pv4yu4j]

To normalize the blood pressure before the rising and to avoid the fainting

[@fatmaeldib1465]

To normalize blood pressure before rising to avoid fainting
فاطمة خطاب عبد المحسن

[@user-iu3xy9tm2w]

Increase sweating and pulse rate /increase blood flow/increase metabolism
مريم سيد احمد على

[@user-wi5jm5fs3z]

١-decrease muscle spasm
increase tissue healing
remove waste products
٢-because that will result in gradually increase in tissue temprature, local burn inurjy

[@nadahady121]

To avoid fainting because of rising in blood pressure
ندى عبدالهادي قنديل

[@drfatmaalfeky7372]

2. Complete the following sentence:
Heating is indicated before and during stretching because ……………………………………..

[@khadigakhalede5232]

Heating decreases muscle strength

[@user-wt6fl2ry6g]

Stiffness

[@omarmahrous2542]

Because that the muscle's strength are decreased

[@fatmahossam6563]

Heating decreases muscle strength

[@محمدنبيل-خ8ع]

because it increases the extensibility

[@nourhangaffar7798]

نورهان السيد جعفر

[@drfatmaalfeky7372]

2. Complete the sentence
Heating is indicated before and during stretching because………………….

[@user-jl9uh4xj3w]

Plasicdeformationactives

[@esraazakarya4920]

To increase tissue in length and maintain most of the increase after cooling

[@arwayassermohammed5085]

It causes plastic deformation which make it maintain the length after cooling

[@arwamohamedabdelrhman4452]

It increases tissue extensibility

[@Sara31220]

To increase the tissue in length

[@user-rz1ud4pv7z]

Remove waste products
Decrease ms spasm

[@user-wx2ge9jw1z]

To avoid a fainting

[@drfatmaalfeky7372]

. Complete the following sentence:
Continuation of the application beyond 30 to 45 minutes causes ………………………….

[@khadigakhalede5232]

Tissue congestion and vasoconstriction of vessels

[@محمدنبيل-خ8ع]

Vasoconstriction

[@hananmoner248]

Tissue congestion and blood vessels vasoconstricted

[@omarmahrous2542]

Vasoconstriction

[@habibaabosalem4044]

Vasoconstriction and adverse effects

[@user-wx2ge9jw1z]

Reduce muscle spasm - increase blood flow- increase metabolic activity- decrease pain

[@user-wx2ge9jw1z]

Reduce muscle spasm - increase blood flow- increase metabolic activity- decrease pain

[@user-wx2ge9jw1z]

Reduce muscle spasm - increase blood flow- increase metabolic activity- decrease pain