الحاجات دي الي هي ال increase وال decrease في ال Cryotherapy عشان ال T&F

⬇️ reduce sensation of pain
⬇️. Pain reduction
⬇️. reducing muscle spasms
⬇️ HEAT lessening stimulus threshold of muscle spindles
⬇️. HEAT decreasing gamma efferent
⬇️ cold decrease local neural activity
⬇️ Decrease Nerve conduction velocity
⬇️. Decreases afferent discharge from cutaneous receptors
⬇️. reduces metabolic rate
⬇️ decrease in production of metabolites
⬇️. decrease in metabolic heat
⬇️.Reduction in muscle guarding
⬇️ decreased nutrient
⬇️ decreased phagocyte
⬇️ decreased muscle blood flow
⬇️ Decreased cell permeability
⬇️ Decreased edema accumulation
⬇️ reduction in inflammation
⬇️. diminishing the activity of collagenases
⬇️ decreased cellular output
⬇️ slowing of Na - k pump
⬇️ decreased need for oxygen
⬇️ decreased secondary injury
⬇️ reduced swelling
⬇️ limit scope of trauma
⬇️ slows the rate of the chemical reactions
⬇️ hotness
⬇️ redness
⬇️ edema
⬇️ loss of faction
⬇️.reduces the rate of oxygen consumption
⬇️ Slowing the rate of metabolism
⬇️ decrease production of pro-inflammatory
⬇️ decreasing the activation threshold of tissue nociceptors
⬇️ temporary inhibition of muscle spindles of the application area
⬇️ if any discomfort recurred, the ice was reapplied
⬇️ The cold reduces the athlete’s pain

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⬆️ Cold raises the threshold stimulus of muscle spindles
⬆️. increase in epinephrine secretion
⬆️. effects of ice application diminish with increased tissue depth
⬆️ increased fluid viscosity
⬆️ increased depolarization threshold
⬆️ higher production of anti-inflammatory
⬆️ increase Pain Threshold (PTH)
⬆️ increase pain Tolerence (PTO)
⬆️ enhanced short-term improvements
⬆️ Manual stretch and manual stretch with ice improving the length of hamstrings muscle
⬆️ with exercises, it improves VAS
⬆️ With exercises, it improves ROM

ملاحظات المحاضرة ال 11 😬
Aquatic exercise
Aquatic = water
Exercises = performed movements in water.

Gait training
تمرينات المشى
Endurance training

تدريب القدرة على التحمّل (Endurance Training) هو نوع من التمارين الرياضية التي تهدف إلى تحسين قدرة الجسم على الاستمرار في الأداء لفترات زمنية طويلة دون الشعور بالإرهاق. يشمل هذا النوع من التدريب الأنشطة مثل الجري على المسافات الطويلة، ركوب الدراجات لمسافات طويلة، والسباحة الطويلة الأمد.

Provide three-dimensional access to the patient.
هيعالج المريض من ثلاث اتجاهات
أنه يعلمه يمشي لوراء ولقدام وعلي الجنب.

زيادة أنماط الحركة (Motor patterns) تعني تحسين قدرة الجسم على تنفيذ حركات معينة بشكل أكثر فعالية ودقة.

proprioceptive deficits
Improve sensation of position and movement
انك تبقى حاسس بالمكان الي انت بتحركه

المخطط بيجي في الامتحان سلايد 5

ال hydrostatic pressure عند ال manubrium بتكون 88.9 mm Hg
تعالا نقارن بضغط الدم
ضغط الدم 120 /80
80 دي ال diastolic
ال 120 دي لل systolic
كده بقى ال hydrostatic pressure لما الماء توصل عند ال manubrium بتكون
أكبر قليلا من ال diastolic
وده هيساعد أنه يقلل ال edema

Displaces venous blood proximal
دي الي هو هيساعد ان الدم ينتشر للجزاء القريبة

وهنا فيه سؤال مقالي مهم
How Aquatic exercise improves stroke volume and cardiac output ?

سلايد 8 مهمة 🚶‍♂️
Exercise induced asthma
بيحصل shallow and rapid breathing
من حدوث ال exercises

open chain exercise
دي تمارين بتعملها وفيها بتعمل
Fixation of proximal
And movment of distals
زي وانت بتكتب بتحرك ال distal وفيه ثبات في shoulder و كوعك

Closed chain exercise
fixation of distal
And movment proximal
زي وانت بتقعد بيكون في الأول ال proximal متحرك وال distal ثابت

حركه طلوع السلم في البداية بتكون
Open chain
بعد كده بتبقى
Closed chain

وانت نايم وبتتحرك دي open chain

Decrease Maternal hyperthermia
بيقل درجه حراره الواحدة الحامل

Precautions
دي محاذير يعني بتعمل التمارين وأنت جمب المريض لأن الحالات دي خطر محتاجه متابعة

مريض ال ataxic بيكون ماشي زي مشيت السكران drinking gite
angina
جلطه في ال coronary الشريان التاجي الي بيدي ال blood supply لل heart
thrombosis in coronaries

Tracheotomies
واحد عامل فتحه في ال trachea

Contraindication
مينفعش خالص يتعالج ب aquatic

Cases 🫵🫵

- orthopedic Rehabilitation
- Fibromyalgia
- Spondylosis
- Artificial joint
- arthroplasty
- ACL reconstruction
- meniscectomy
- disc bulges or herniations

سؤال مهم ال
floating equipment in aquatic

- Neck collar
- Rings
- vests
- life jacket
- Belts
- swim Bars
- Kickboard

سؤال مهم
New Equipment in aquatic

- underwater treadmills
- swimming pools
( circular or straight )
- aqua walkers

Treadmill Grapevine / caricoa
دي تمارين بيعملها وهو ماشي علي أطراف اصابعه

صور التمارين الي ف pdf مهمة
وده فيديو بيوضح التمارين دي وده الي متاخد منه الصور الي ف pdf 😂😂

https://youtu.be/ZhC4XDZGlFg?si=UwRjRrOKyLktyr2g

https://youtu.be/7ithICDZKqs?si=j8VAwme0W1FMh1Yw

بس كده دي ملاحظات المحاضرة 🔥❤️

Questions Scentific term
الجزء الأول

also known as water therapy or aquatic therapy, is a broad term encompassing the use of water in any form for therapeutic purposes like maintenance of health or the treatment of disease.

👉 Hydrotherapy

are produced by the application of water at temperatures above or below that of the body

👉 Thermal effects

effects are produced by the impact of water upon the surface of the body in the form of sprays, douches, frictions, whirlpools, etc.


👉 The mechanical effects

water molecules on the surface have greater tendency to hold together

👉 surface tension

the tendency of water molecule to adhere to other substances

👉 Adhesion

(Water in motion): the tendency of water molecules to adhere to each other

👉 hydromechanics

are external form of energy (e.g. heat, cold, light, electricity) applied to the patients to assess in the rehabilitation process.

👉 Physical agents modalities (PAMs)

is a direct transfer of energy between two objects in physical (direct) contact with each other.

👉 conduction.

is a direct transfer of energy from higher temperature to lower temperature without the need for an intervening medium

👉 radiation

is a transfer of heat through direct contact between circulating medium (air/ water) and another material of different temperature

👉 Convection.

non-thermal form of energy (mechanical,electrical and/ or chemical) in to heat.

👉 Conversion

heat is absorbed bythe liquid on the skin surface and cools the skin as it turns into a gaseous state.

👉 evaporation

A condition(s) that could benefit from a specific therapeutic modality.

👉 indication

A condition(s) that could be adversely affected if a particular therapeutic modality is used.

👉 contraindication

Applied with special care or limitations. “Relative contraindications”

👉 precautions

In acute trauma or hemophilia

👉 bleeding

Due to potential peripheral superficial vasodilatation and decrease blood pressure .

👉 Fainting

Poor technique
Patients' inability to dissipate or detect heat
•Treatment over areas of implanted metal or open wounds

👉 burn

من اول هنا بقى اهم حاجة 🚨

It is an efficient automatic unit producing a uniform and constant temperature to heat silica gel packs

👉 hydrocollator

Is a stainless steel tank in which silica gel packs are heated.

👉 hydrocollator Tunk

The packs are filled with silica granules

👉 silica gel packs

is most commonly used to treat the distal body segments of the upper and lower extremities of adults.

👉 Whirlpool

is essentially a local bath for extremities, with the limb submerging in rapidly circulating water.

👉 Whirlpool

is an Immersion Hydrotherapy which involves a part of an body immersion tanks

👉 Whirlpool

can be used to allow the patient to be in a long sitting position and perform ROM exercises.

👉low boy tank

referred to as a hip or leg tank, •can be used for the immersion of both lower extremities.

👉high boy tank

is usually used for the upper or lower extremities and has a capacity of 10 to 45 gallons of water.

👉Extremity tank

used for special massage effects or to give under water douche.

👉jet hose

may be used to convey non ambulatory patients in and out the tank.

👉water stretcher and overhead carrier

A narrow section at the middle of the tank allows the therapist to reach the patient and wider sections at each end

👉hubbard tank

can be used to transport the patient into the hydrotherapy tank in a seated position

👉body sling

With a special shape looking like a figure of 8, it is designed for practical use by allowing the therapist treatment without having to enter the water

👉hubbard tank

is named for the engineer who first designed it.

👉hubbard tank

designed for full immersion of the body, usually filled with warm water, used in therapeutic exercises in a program of physiotherapy.

👉hubbard tank

it is alternate immersions of the part in hot (100-105°F/40-45°C) and cold (59 -68°F/15-20°C) water to produce marked hyperemia of the skin.

👉contrast path

الجزء الثاني

is the upward force that works opposite to gravity

👉 Buoyancy

a lifting force that acts to reduce axial loading of the joints by minimizing vertical ground reaction forces.

👉 Buoyancy

when a body is entirely or partially immersed in fluid at rest, it experiences an upward thrust equal to the weight of the fluid it displaces.

👉Archimedes’ principle

is the reference point of an immersed object on which buoyant (vertical) forces of fluid predictably act rather than center of gravity

👉 center of Buoyancy

is friction occurring between molecules of liquid resulting in resistance to flow

👉 viscosity

provides resistance to the motion of a body in water.

👉 viscosity

is the pressure exerted on immersed objects

👉 hydrostatic pressure

a fluid exerts equal pressure on all surfaces of a body at rest at a given depth

👉 Pascal’s law

Used in the acute stages of the healing process immediately following injury when a loss of tissue temperature is the goal of therapy

👉 Cryotherapy

is the applications in cold agent for therapeutic purposes.

👉Cryotherapy

combination of cold application to numb the injured body part and graded progressive, active exercises.

👉 Cryokintics

referring to combination of cold and exercise.

👉Cryokintics

enhanced short-term improvements in flexibility over heat or stretching alone.

👉cryostretch

refers to the use of multi depth immersion pools or tanks that facilitate the application of various established therapeutic interventions

👉 aquatic exercises

can be performed using the bottom of the pool to fix the distal extremity

👉 closed chain exercise

can be performed using the bottom of the pool to fix the proximal extremity

👉 open chain exercise

is mechanical walkers fitted within a circular pool that contains a consistent depth of water.

👉 aqua walkers

General instructions for treated with paraffin wax
For the patient
1. Remove the jewellery and clothes from the treated area
2. Inspect the area before and after treatment
3. Wash and dry the treated area
4. The fingers should be abducted
5. The patient shouldn't remove the fingers that mat lead to crack ' يشق ' the
paraffin layers .
6. The patient shouldn't move his hand to the sides or the buttom of the paraffin container .
7. If the patient has edema ask him to elevate his arm .

For the device
1. Check the device
2. Mix paraffin with oil at a ratio 4 : 1
3. Control the power of the container to the maximum for quick melt .
4. Set the thermostat to 45 : 50 °c
5. After treatment put the used paraffin in the container and filter it by putting the paraffin to another container .
6. The paraffin is changed every 6 months.
------------------------------------
1 _ In dip wrap technique
* We apply the general instructions at first then
* We dip the treated area and re-dip it for 6:10 times then wrap a plastic bag or Wax paper then put a towel around the treated area .
* Wait for 15 : 10 minutes until the paraffin cool .
* At the end, peel 'قشر' the paraffin from the treated area.
------------------------------------
2_ dip immersion
* We should decrease the temperature of the container and shut off the device during treatment. So avoid risk of burn.
* Apply the general instructions then
* Dip the treated area into the paraffin and remove
* We wait for 5 : 15 sec for the layer of the paraffin get hard
* Re-dip the treated area into the paraffin and let it for 20 minutes then remove it.
" Tray technique"
هي نفسها تاني طريقة dip immersion بس هنعمل dip مرتين ونستني ربع ساعة ، بعدها هنجيب semi-liquid paraffin حاجه شبه الصلصال ونطلب من patient يعمل بيها اشكال كـ exercise .
-----------------------------------
3_Paint technique
* Apply the general instructions for the treated area
* Paint a layer of paraffin by brush 🖌️ and wait for the layer to become hard and opaque 'سميكة'
* Repeat it for 6:10 times
* Put a plastic bag the cover it with towel .
* Wait for 20 minutes
* Peel off the paraffin layers
------------------------------------
4_Bandaging technique
Use lint cloth قماش وبري
الطريقة دي سهلة خالص بندهن بالفرشاة paraffin وبعدها نحط عليها bandage وهكذا مذكرش عدد معين لكن قال several times
Treatment duration 10:20 minutes
-----------------------------------
5_ pouring
We put the patient over a big bowl or on the top of the container
*We pour the wax over the treated area by mug for 4:6 layers and wrapped around by a towel to prevent heat loss .
*Maintain for 10 : 20 minutes

#SVNU
From (فاعل خير😄)

السلام عليكم...
الحاجات دي كويسة جدا جدا وتجميعات مهمة ولامّة حاجات كتير بتلخبط

في كام حاجة بس مش كتير مش تبعنا فنعملها skip

وفي حاجات كمان هتنزل شوية ... تابعوا🧑‍🦯🧑‍🦯

دعواتكم♥️

https://youtu.be/CMwywakDSJA?si=7eYncvFKyaXYAyRX
شرح contrast bath , hubbard and whirl pool tank فى 12 دقيقة ونفس الداتا بتاعتنا 🥹

https://youtu.be/Fyr5OaB_Cu4?si=OeAI7FiAe44cRm0m
_Hydrocollator packs application in 1 min.
https://youtu.be/ZBmBoUtRcA8?si=oj2EC0j-OJHpt8Vi
_Hydrocollator packs ( application + physiological effects+indications + contraindication) in 4:20 mins

1 F
2 T
3 T
4 T

السؤال الي فيه إجابتين ده لو a صح اختارها عادي لو B صح اختارها عادي إنما لو B and A صح اختار C
ولو B and A غلط هتختار D

5 C
6 B
7 D