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Thermal Modalities. General Principles. Physical Laws. Cosine Law Inverse Square Law Arndth-Schultz Principle Law of Grotthus-Draper. Cosine Law. Angle of incidence: The angle at which radiant energy strikes the body.
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Thermal Modalities General Principles
Physical Laws Cosine Law Inverse Square Law Arndth-Schultz Principle Law of Grotthus-Draper
Cosine Law • Angle of incidence: The angle at which radiant energy strikes the body. • As the angle of incidence changes from 90º, the less effective the transmission. • Based on the cosine of the angle of incidence: • Effective energy = Energy * Cosine (angle) • Radiant energy should be ±90º
Inverse Square Law • Intensity of radiant energy depends on the distance between the source and the target. • Changing the distance changes the intensity • Change is proportional to the square of the distance.
Inverse Square Law • Formula: E = Es/D2 E – energy received by the tissue Es – energy produced by the source D2 – Square of the distance between the target and the source • Doubling the distance between the tissues and the target decreases the intensity by a factor of four.
Arndth-Schultz Principle • Energy must be absorbed by the tissues • Must be sufficient to stimulate a physiological response • Too little stimulus: no effect • Too much stimulus: injury
Grotthus-Draper • Inverse relationship between absorption and penetration of energy. • Energy absorbed by one tissue layer is not passed along to deeper layers. • The more energy absorbed in superficial layers, the less available for deeper layers.
Metabolic Changes • Heat increases metabolism • Cold decreases metabolism • A 1.8ºF (1ºC) change in tissue temperature = 13% change in metabolism
Tissue Properties • Deeper tissues have higher temperatures • Different tissues have different conductivity properties Thermal Conductivity • Skinc 0.96 • Adipose Tissuei 0.19 • Musclec 0.64 c – conductor i - insulator
Thermoreceptors • Cold-responsive receptors • Heat-responsive receptors • More cold receptors than heat receptors
General Principles • Exchange of kinetic energy (heat) • Transfer of energy is based on a gradient between two points • The greater the gradient, the more energy that is transferred • Energy always moves from a high concentration to a low concentration • Moist heat pack to the skin • Skin to an ice pack
Transfer of Thermal Energy Conduction Convection Radiation Evaporation Conversion
Conduction • Objects are touching each other • Conductors • Skin • Muscle • Insulators • Adipose tissue • Terrycloth towels
Convection • Involves the circulation of air or water • One object is cooled • Another object is heated • Example: • Whirlpool
Radiation • No medium is required • Examples: • LASER • Infrared light • Ultraviolet light • Thermal modalities provide radiant energy • But is not the primary form of heat exchange
Evaporation • Change from liquid to gaseous state • Draws heat from the body • Cools superficial tissues • Examples: • Sweating • Vapocoolant sprays
Conversion • Change of one form of energy to another • Electromagnetic energy to heat • Acoustical energy to heat • Examples: • Short wave diathermy • Ultrasound