الريبلاى هنا
https://t.me/Physical_Therapy_T

لو قولت إني نجحت هلاقي ألف مبروك ولا 1000 وارجع؟🥳

اهم الاسئلة في ال Hubbard

Procedures of Hubbard tank :-

- Explain procedure of treatment to the patient
( تنفع لأي حاجه اول ما تتزنق قولها 😂 )
- the patient should be dressed cotton clothes
- Ear stoppers are NOT recommend but you can use small's lambs wool pad
- the patient lies on a canvas which are attached to the hoist by cables
- the patient lift in and out the tank through Overhead hoist or hand operated hoist
- apply cold compress on a patient's head
- give to the patient cold drinks after treatment
- remove the patient carefully from the tank
- After treatment, Dry his hair and apply dry towel in head

■ Indication
( مهمة عشان ال cases )
Poor circulation
amputations
Paraplegia
Infected wounds
Poliomyelitis
Polyplegia
passive stretching
Arthritis with stiff and swollen joints

■ Contraindication

Diabetes mellitus
Varicose veins
Advanced arteriosclerosis Advanced peripheral vascular diseases

■ Physiological effects

Vasodilation
Improving LOCAL artieral and lymphatic circulation
Diminution of edema and effusion.
regression of the inflammatory process.
removing dirt, dead tissue and pus
Cleaning and stimulating of wound healing..
Breaking down old adhesions

ملخص ال hydrocollator

----‐---‐---------Equipment----------------

- metal hot pack container
- packs are various in shape and size
- enough towels
- Tongs or gloves

----------------- Procedures----------------

- the level of water in hydrocollator should be at the top of backs in all times
- check the temperature at is 75 : 80 C
- check the room temperature at 23 :27 C
- it takes 2 hours to be heated
- the duration of treatment from 20: 30 minutes
- Explain the procedure of treatment to the patient
(بتنفع لأي حاجه )
- Test for hot and cold sensation
- The unit should be cleaned every month
- Fold a towel into 1:6 layers

---------- Dangers and precautions-----
1 Burn
- lacks on number of towels
- impaired sensation
- impaired circulation
- hypersensitive skin

2 Dehydration
- it applied in more than one area at the same time .

-------------Thermal effects ---------------

■Raise the temperature of skin as
much as 20 C and reach to 57 C

■ raise the temperature of tha muscle to 6 C

■ raise the subcutaneous tissue as much as 15 C

Thermal effects leads to :-

■ decrease joint stiffness
■ decrease muscle spasms
■ muscle relaxation
■ decrease joint stiffness
■ collagen fibers more stretchable

-----------Circulatory effects ---------------

■ vasodilation of the capillaries
■ increase blood flow

----------- Metabolic effects ----------------

■ increase metabolism
■Change in rate of enzymatic activity
■ decrease blood pressure
■ one more the area my cause dehydration and sweating 😓

----------Sedative effect ------------------

■ muscle relaxation
■ safe Analgesic

------------Indication ------------------

■chronic Inflammation
■chronic edema
■ adhesions
■ muscle spasm

-----------Contraindication ------------------

■ cancer or tuberculosis
■gross edema
■ deep x-ray therapy
■ lack of comprehension
■ open wounds
■ Dermatological conditions as acne or eczema

--------------- Advantages ------------------

■ the packs various in size
■ not need much handling
■ save time
■ easy to apply

-------------Disadvantages ----------------

■ not easy to apply around shoulders and hips
■ not use on sensitive patients
■ cause skin rash

Indication، physiological,
contraindication المميزة لكل جهاز

Whirlpool :- 🚨🚨🚨🚨🚨

immobilized who cannot be cleaned in another manner after immobilization or casting.

Patients who are morbidly obese

. Skin ulceration and infection.

Acute musculoskeletal injuries

Contractures Burns

- A relief of pain by stimuli which act through the pain gate mechanism.

Active assisted, resistive and stretching exercises can be done for the upper and lower extremities in various positions.

Hubbard tank 🚨🚨🚨🚨

passive stretching

Poliomyelitis and paraplegia

Arthritis with stiff and swollen joints

Pain relief in amputations

Infected wounds → with added antiseptic agent

muscle re-education or active exercises.

stretching of soft tissues

Softening of scar tissue.

Contrast 🚨🚨🚨

Reflex sympathetic dystrophy.

Post-traumatic swelling and edema

Neuropathic pain.

Excessive sweating

Chronic sprains and contusions.

Rheumatologic disease

can increase local blood flow by up to 100%

vascular flush or circulatory whip

An increase of deeper circulation occurs reflexively

more effective at increasing local circulation in a tissue area than heat or cold alone.

Contrast bath

-----Application = procedure---------

-2 tanks
One for hot water and second for cold water
- first immersion the part in hot water at 40:45 C at 4 :6 minutes
- second immersion in cold water at 15:20 C at 1: 4 minutes
- Repated this cycle for 4 times
- total treatment take 15 : 30 minutes

■--------------- inductions -------------

Rheumatologic disease
Reflex sympathetic dystrophy.
Post-traumatic swelling and edema
Neuropathic pain.
Contusion = burise
Excessive sweating
Chronic sprains

■----------- contraindication --------------

Diabetes
Arterial insufficiency
Advanced peripheral vascular disease.

_Treatment time :
1.Hydrocollator packs (20-30 mins) وممكن من 30-45
وفى الحالة دى بعمل renewing لى الpack.
2.whirl pool tank ( 20-45 mins)
4.contrast baths (15-30 mins)
_4-6 mins hot , then 1-4 mins cold

Whirlpool

----Procedures = applications ---------

- select the type and the style of
tank according to needs of patient
- the tank is filled with water and check the temperature by the thermometer
- the position of patient according to the treated part
- place the part in water
- encourage the patient to move the part and make exercise
- if treating wound or dead tissue , shut off the agitatior and removed the pieces tissue from
- Duration 20:45 min

---------types of whirlpool ------------------

1 low boy tank
هنعلمها ب LLR
L = long sitting position
L = lower trunk and pelvis
R = ROM exercise

2 high boy tank
يستخدم لل hip or leg

•In a high boy tank the patient is seated in a chest high water with flexed hips and knees

3 extremity

used for the upper or lower extremities
وفي ال lower لحد ال Knee بس مش بيوصل لل hip
has a capacity of 10 to 45 gallons of water.

-------------------- indication-------------------
- acute musculoskeletal injuries
-contractuers Burns
- skin ulceration
-skin infection
- muscle spasm
-Degenerative arthritis
- Patients who are morbidly obese
- immobilized

---------------- contraindication-----------

- diabetes
- vascular disease
-Varicose veins
- Arteriosclerosis

------------Advantage -------------------------

NOT occupy a large space
Allow exercise and movment
Cleaning open wounds

------‐--------Disadvantages -----------------

Risk of infection
Time consuming
Tank is expensive