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Definition
-Hot packs are superficial heating agents that transfer heat to the body via
conduction where they are in contact with the skin surface to which they are
applied.(Michlovitz, Hecox, et.al.)
- By Hecox, new packs should be left in the tank for at least 24 hours to absorb
as much moisture as possible and achieve the desired temperature.
- by Tyrone Reyes and Ofelia Reyes, the unit should be cleaned once a month.
This is done by draining the tank and cleaning it with mild soap and hot water.
- Hot packs are applied over layers of towels, usually 8 layers for 20-30 minutes.
- Between treatments, the packs should be left in the tank for at least 20-30
minutes.
- The patient should only feel a mild to moderate sensation of heat during the
application.
- During the application, the therapist is advisable to check hot pack every 5
minutes to detect the skin color and patient’s subjective feelings about the amount of
heat being perceived.
- According to Hecox, the temperature of a hot pack drops quickly once the pack
is removed from the tank. Therefore, the more quickly the pack is covered and placed
on the patient, the warmer it will be during the treatment.
By Michlovitz:
By Hecox
Procedures:
1. By using a metal or wooden tongs, remove the hot pack from the tank. Allow the
excess water to drop off and place or cover it with a terry cloth or towel (usually 6
– 12 layers). Additional toweling maybe necessary, depending on the patient’s
physical condition and heat tolerance.
2. Place the pack on the appropriate body area and if necessary by the use of
Velcro straps, secure it firmly to prevent it from slipping off the area.
3. The patient should then be properly draped with a sheet to prevent chill if the air
in the room is cool.
4. Always provide the patient with a method of calling when they feel any
discomfort. Explain to the patient that if the therapist is not immediately available
and he feels too uncomfortably, the patient can remove the hot pack.
5. Put the towel layer that was next to the patient’s skin in the laundry hamper.
INDICATION:
By HECOX:
1. used before or in conduction with other techniques like before traction, massage,
ROM exercise and etc, to achieve relaxation and sedation.
By MICHLOVITZ:
CONTRAINDICATION:
By HECOX:
1. Local infection
2. Dermatologic conditions
2. Desensitized skin.
PRECAUTIONS
4. If the patient can’t tolerate hot packs, used other superficial heating modality.
TYPES of HMP
Hot Packs are designed to fit every contour of the body. The hot packs can be
used in many types of pain management and therapy. These packs provide up to 35
minutes of deep soothing therapeutic moist heat.
5. Special Eye-Size 2
- This wall mount rack has a stainless steel base and 6 folding
hooks.
It can either be used as Hot / Cold pack. Heat in the Microwave or Cool in the
Freezer. It has a frost free cover and soft texture. Perfect for those bumps or scrapes. You can
use it to treat strains, sprains, tendonitis, and other injuries that require cold or hot therapy. It is
non toxic and biodegradable gel.
1. Gel Pack 6 x 20-perfect for you neck and upper back
2. Gel pack 3x5 ice and hot pack for small areas of the body like
elbow and wrist.
FLUIDOTHERAPY
- A superficial heating/ dry heat agent that transfer heat energy by CONVECTION
(a transfer of heat energy through fluid).
- According to HECOX, The thermal conductivity and specific heat of the particles
and air allow the temperature of the unit to be higher than that of water used
therapeutically. With this, the patient can safely tolerate a higher temperature.
- To MICHLOVITZ, the combination of air- flowing around the high surface area
of the finely divided particles, and the bulk movement of solids produces high heat
fluxes and uniform temperatures throughout, thus providing massaging action, sensory
stimulation, and levitation.
ADVANTAGES:
BY MICHLOVITZ:
By Hecox:
1. The circulating, air-blown, warmed particles give the patient feeling of lightness
and surrounding warmth.
3. The therapist can insert his hand through a separate access sleeve to perform
PROM (passive range of motion) or stretching procedures or to assist the patient
exercise.
DISADVANTAGES
By MICHLOVITZ:
By Hecox:
1. The limb units are too small to accommodate more than a distal limb: thus, they
cannot be used to treat a back, hip, or shoulder.
Technique of Application
Before initiating the following procedures, the therapist must inspect the part for
skin integrity, good circulation, and sensitivity to heat:
Procedure:
1. Wash and dry the part to be treated because other patient will be using the same
container.
3. Check the part for open wounds. If present, cover the wound.
4. Insert the part into the sleeve and close it snugly around the more proximal
portion of the limb so that the particles do not come out once the blower is turned
on.
7. Instruct the patient about how to exercise or stretch during the treatment.
POSTTREATMENT PROCEDURE
2. Before removing the limb from the unit, help the patient remove all the particles
so the treatment area remains clean.
INDICATION
• Decrease pain
• Increase mobility
• Desensitize skin/scar
• increases circulation
CONTRAINDICATION
PRECAUTION
• over malignancies
• Open wounds. A light, non occlusive dressing should be used to prevent the particles
from contaminating the wound.
FLUIDOTHERAPY UNIT
1. The FLU110D Fluidotherapy Unit is designed to
treat single extremities including the hand, wrist, elbow, foot & ankle. Holds 30 lbs of CELLEX
media, a small solid particles.
Temperature maintained 70’C and 75’C (158’F and 39’C to 48’C (1102.2’F –
165’F)by Michlovitz 118.4’F) by Michlovitz
4. Oversize Pack
5. Special Eye-Size
Pack
6. Knee or Shoulder
Pack