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hydrotherapy

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Hydrotherapy transfers heat through   conduction or convection and is administered in tanks of varying size ranging from extremity whirlpools to Olympic size pools.  
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The main therapeutic effects of hydrotherapy include   wound care, unloading of weight, and reduction of edema. The specific instrument to be used depends on the treatment objectives and site of the pathology.  
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Hydrotherapy Therapeutic Effects--   Increase blood flow  
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Hydrotherapy Therapeutic Effects--   Increase core temperature  
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Hydrotherapy Therapeutic Effects--   Relaxation  
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Hydrotherapy Therapeutic Effects--   Pain relief  
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Hydrotherapy Therapeutic Effects--   Vasodilation  
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Hydrotherapy Therapeutic Effects--   Decrease abnormal tone  
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Hydrotherapy Therapeutic Effects--   Wound/debridement  
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Hydrotherapy Indications--   Burn care  
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Hydrotherapy Indications--   Superficial heating or cooling  
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Hydrotherapy Indications--   Edema control  
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Hydrotherapy Indications--   Muscle strain  
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Hydrotherapy Indications--   Arthritis  
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Hydrotherapy Indications--   Desensitization of residual limb with contrast bath  
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Hydrotherapy Indications--   Pain management  
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Hydrotherapy Indications--   Wound care  
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Hydrotherapy Indications--   Decreased range of motion  
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Hydrotherapy Indications--   Pool therapy/exercise  
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Hydrotherapy Indications--   Sprain  
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Hydrotherapy Indications--   Joint stiffness  
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Hydrotherapy Indications--   Muscle spasm/spasticity  
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Contraindications   Peripheral vascular disease  
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Contraindications   Gangrene  
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Contraindications   Severe infection  
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Contraindications   Urinary/fecal incontinence  
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Contraindications   Advanced cardiovascular or pulmonary disease  
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Contraindications   Buergerʼs disease with contrast bath  
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Contraindications   Impaired circulation  
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Contraindications   Renal infection  
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Contraindications   Bleeding surface area  
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Contraindications   Diminished sensation  
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An extremity tank is used for   the distal upper or lower extremity.  
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Approximate dimensions for the extremity tank are   a depth of 18 to 24 inches, a length of 28 to 32 inches, and a width of 15 inches.  
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extremity tank (   10-45 gallons)  
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A lowboy tank is used for   larger parts of the extremities and permits long sitting with water up to the midthoracic level.  
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Approximate dimensions for the lowboy tank are   a depth of 18 inches, a length of 52 to 65 inches, and a width of 24 inches.  
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lowboy tank   (90-105 gallons)  
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A highboy tank is used for   larger parts of the extremities and the trunk and permits sitting in chest-high water with hips and knees flexed.  
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Approximate dimensions for the highboy tank are   a depth of 28 inches, a length of 36 to 48 inches, and a width of 20 to 24 inches.  
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highboy tank   (60-105 gallons)  
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The Hubbard tank   is used for full-body immersion.  
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Approximate dimensions for the Hubbard tank are   a depth of four feet, a length of eight feet, and a width of six feet.  
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Hubbard tank Contraindications specific to full-body immersion include   unstable blood pressure and incontinence.  
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Hubbard tank Treatment time   ranges between 10 to 20 minutes.  
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Hubbard tank Temperature should not exceed   100 degrees Fahrenheit (39 degrees Celsius).  
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Hubbard tank   (425 gallons)  
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A therapeutic pool is used   for exercising in a water medium.  
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therapeutic pool Temperature should range between   79 to 98 degrees Fahrenheit (26 to 37 degrees Celsius) depending on patient age, health status, and goals.  
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32 - 79 ºF   Acute inflammation of distal extremities  
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79 - 92 ºF   Exercise  
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92 - 96 ºF   Wound care, spasticity  
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96 - 98 ºF   Cardiopulmonary compromise, treatment of burns  
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99 - 104 ºF   Pain management  
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104 - 110 ºF   Chronic rheumatoid or osteoarthritis, increased range of motion  
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Treatment parameters for whirlpool: Select the water temperature based on diagnosis and goals and assist the patient into a comfortable position. Adjust turbine. Monitor the patientʼs vital signs and level of comfort.    
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whirlpool Treatment time ranges between 10 and 30 minutes.    
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Exercise can be performed during whirlpool as indicated. After treatment dry and inspect the treated area.    
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Treatment parameters for pool therapy: In addition to general contraindications for superficial or deep heating, specific contraindications include incontinence, open areas, fear of water, confusion, and significant respiratory pathology.    
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pool therapy The therapist must stay with the patient and monitor vital signs and tolerance to activity.    
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Advantages of pool therapy include decreased weight bearing with the assistance of buoyancy, easier handling by the therapist, control over the amount of resistance during exercise, and diminished risk of falling with activity.    
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The tank must be thoroughly cleaned after each use with a disinfectant and antibacterial agent.    
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