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LECTURE3 :- ASSESSMENT AND RECORDING Biophysical Effects of Hydrotherapy:-

LECTURE3 :- ASSESSMENT AND RECORDING Biophysical Effects of Hydrotherapy:-. A- THERMAL EFFECTS:

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LECTURE3 :- ASSESSMENT AND RECORDING Biophysical Effects of Hydrotherapy:-

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  1. LECTURE3 :-ASSESSMENT AND RECORDINGBiophysical Effects of Hydrotherapy:- A- THERMAL EFFECTS: The effect of hydrotherapy is to gain the therapeutic value of heat or cold. The same physiologic of heat and cold apply to hydrotherapy as to other thermal agents, except that a larger body surface area usually is immersed in water than that covered by a hot or cold pack. Therefore, exposure of the body to varying temperatures will have not only a local effect, but also systemic effects on the cardiovascular and other organ systems.The greater the difference in temperature between, and blood pressure is raised, as a result of peripheral vasoconstricition.The increase in peripheral resistance requires the heart to work harder to maintain adequate blood flow the periphery.

  2. The application of heat to the entire body will cause an initial increase in blood pressure, followed by a decrease in blood pressure as a result of vasodilatation.The initial rise in blood pressure may be quite marked and prolonged if the temperature of the bath is very high, above 40 c . Respiratory rate will increase with the application of heat or cold, although the increase may be less marked with the application of heat.

  3. B- MECHNICAL EFFECTS: The three main mechanical effects of water are:- 1- Buoynacy :-This is the capacity of that water to support objects in it. Buonacy may be affected by (1) Postural alingment ,(2) The surface area immersed , (3)The weight of the bones in relation to muscle and fat, and (4) Vital capacity . 2- Cohesion and Viscosity:- Water molecules are cohesive, they have the the ability to attract each other. Cohesion in a liquied is the attractive force exerted by each molecule on those surrounding it. This wil cause resistance to any object moving through the liquid. The greater the cohesion of the molecules, the greater the viscosity of the liquid.

  4. 3- Tactile or Pressure :- Water exerts a perpendicular pressure against the surface of the body .This hydrostatic pressure is the ratio of the magnitude of the force exerted by the fluid per body surface area. This pressure dependent on the depth of the submerged part and the density of liquid.Hydrostatic pressure increase as depth and density of the liquid increase. Therefore, motion is performed more easily near the surface of the water than at greater depths.The impact of water under pressure is used to clean wounds of loose material, influence sensory nerves and influence peripheral circulation.

  5. C- CHEMICALS:- This is not a property of the water itself, but is due to the gases or solids which it may contain. The water is, then , a medium or method of carrying cleaning or medicating agents to a large area of the skin.

  6. ASSESSMENT:- The initials SOAPIER are derived from the following: S:- Subjective assessment – information given by the patients about themselves. O:- Objective assessment- examination of the patient. A- Analysis of the above information- diagnosis and medical history and S and O to formulate a problem list. P:Plan of action- for each of the problems. I: Intervention- treatment of the patient. E: Evaluation- evaluation of the intervention, what occured as the result of the treatment

  7. R: Review- the next treatment session and any proposed treatment changes. These details are suitable for both land and water, but certain factors must be elicited that relate specifically to water:- S: Subjective assessment- must include the patient, s attitude to water, information as to their perceived ability in water, and details of previous hydrotherapy or other water activity such as type, place, date and results. O: Objective assessment- takes into account the shape and density of the patient as well as any contraindications to hydrotherapy

  8. A: Analysis- the analysis of shape and density is vital and forms part of the problem list. I: Intervention- will also include the teaching of mental adjustments, balance restoration and rotational control. For ongoing management the SOAPIER format is used as appropriate and is divided into two parts. 1- The acute ,short – term patient. 2- The chronic, long – term patient. For the acute ,short –term patient a daily SOIER is conducted and a new A and P formulated as the S and O alter.

  9. For the chornic, long – term patient IER is carried out and a full SOAPIER take place weekly. Specific items that need to be used in assessment for water activity including:- * Shape and density. * Suitability for group activity. * Goniometry. * Oxford Scale of Muscle Power modified for water. * Percentage weight- bearing. * Muscle tone. * Breathing control.

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