بسم الله الرحمن الرحيم
Hydrotherapy on Burns
Under supervision of: Prof. Samir Al-gazzar (Professor of P.T & Head of P.T program)
Prepared & gathered by: Abdulrahaman Albuni – 90269
What is hydrotherapy?

Hydrotherapy is the use of water in the treatment of different conditions, including arthritis and related rheumatic complaints. Hydrotherapy differs from swimming because it involves special exercises that you do in a warm-water pool. The water temperature is usually 33–36ºC, which is warmer than a typical swimming pool.
You’ll normally have hydrotherapy treatment within a hospital’s physiotherapy department. Usually a physiotherapist or a physiotherapist’s assistant with specialist training will show you how to do the exercises. The focus of the exercises can be adjusted to help your range of movement or strength, depending on your symptoms.
Hydrotherapy tends to be different to aquarobics, which can be quite strenuous, as it’s generally more focused on slow, controlled movements and relaxation.
How does hydrotherapy help?

Hydrotherapy can help you in a number of different ways:
v The warmth of the water allows your muscles to relax and eases the pain in your joints, helping you to exercise.
v The water supports your weight, which helps to relieve pain and increase the range of movement of your joints.
v The water can be used to provide resistance to moving your joints. By pushing your arms and legs against the water, you can also improve your muscle strength.
Benefits of Hydrotherapy

ü Patients can start rehabilitation earlier and recover faster
ü Greatly reduces pain
ü Decreases joint stress
ü Increases strength and range of movement
ü Improves balance and coordination
ü Reduces muscle spasms
ü Increases the patient's feeling of achievement even in the acute stages of rehabilitation
Conditions that Benefit from Hydrotherapy

Ø Arthritis
Ø Osteoporosis
Ø Repetitive motion injury
Ø Sports Injuries/Rehabilitation
Ø Orthopaedic surgery
Ø Back pain and shoulder pain
Ø Hip, knee, or ankle pain
Ø Brain or spinal cord injuries
Ø Bariatric care
Ø Amputations
Ø Lymphedema
Ø Prolonged inactivity/immobility
Ø Fatigue/weakness
Ø Fibromyalgia and other rheumatoid conditions
Ø Neurological disorders, including stroke, multiple sclerosis, and Parkinson's disease
How Does Hydrotherapy Treat Burns?

Burns from excessive heat, fire, sun, hot liquids, electricity, or chemicals affect millions of people every year. Most burns are minor injuries that occur at home or work. Hot water and the kitchen stove are common culprits. Hydrotherapy is the best first aid for such burns. Running cool water over the burned skin for 5 to 10 minutes soothes the pain immediately and helps avoid skin damage.
For more serious burns, hydrotherapy promotes healing by softening and removing the dead tissue and enabling new healthy tissue to form.
In addition to removing dead tissue, hydrotherapy can:
· Clean the surface of the wound and remove debris
· Prevent loss of fluid through the skin, which often occurs with burns and can lead to dehydration, especially in babies and young children
· Provide a moist environment for wound healing
· Remove pus
· Protect the healthy tissue around the burn from trauma
· Minimize scar tissue formation
· Adjust the microbial flora of the wound
· Minimize the risk of infection
· Help the physician assess healing
· Facilitate physical therapy
· Provide comfort and psychological improvement
· Promote the formation of healthy tissue and healing
How Is Hydrotherapy Used in Burn Units?

Most hospital burn units have hydrotherapy rooms. Hydrotherapy for burns can start within a few days of the trauma, once patients have recovered from the initial shock and their condition has stabilized. Burn patients often receive daily hydrotherapy throughout their hospitalization. As the burns begin to heal, hydrotherapy may be reduced to three times per week on an outpatient basis. Hydrotherapy is usually administered by nurses and specialized technicians. Sometimes physicians or physical therapists are also involved in the hydrotherapy sessions.
Immersion Hydrotherapy

Many hospital burn units use immersion hydrotherapy on all patients, regardless of the extent of the affected body surface. Immersion hydrotherapy is performed in tubs called hydrotanks, Hubbard tanks, or burn tanks. These may be equipped with lifts to ease the patient in and out. Hydrotherapy tubs must be carefully disinfected after each use, since infection of the damaged tissue is one of the most serious side effects of burns. Disposable liners are used in some burn tubs, and the water is sterilized. Hydrotherapy for burns should never be performed in a public tub because of the risk of infection.
Shower Hydrotherapy

Many burn units are replacing immersion hydrotherapy with shower hydrotherapy, because of the risk of infection from hydrotubs and because showering immediately rinses away dead skin and bacteria. Showering removes dead tissue as effectively as immersion hydrotherapy. A shower trolley or stretcher is draped with a sterilized disposable plastic sheet to reduce the risk of contamination that can cause infection. The patient lies on the sheet and receives hydrotherapy through a showerhead. Patients with less severe burns can be showered while sitting in a chair. Shower hydrotherapy utilizes tap water, but a chlorine solution is run through the showerhead to disinfect it.
Handheld showerheads are recommended when performing hydrotherapy at home, since strong hospital-grade disinfectants require special handling.
Whether in a tub or shower, hydrotherapy is performed with warm running water. Antiseptics may be added to the water to treat the burns during hydrotherapy. Sometimes an antiseptic scrub is used during hydrotherapy.
Additional Information About Hydrotherapy Sessions

The duration of hydrotherapy treatments varies greatly. Hydrotherapy for burns is often performed for just a few minutes at a time because it can be intensely painful. Pain medication is often administered before hydrotherapy, and general anesthesia may be required before performing hydrotherapy on the most severe burn victims. Some burn centers have begun using water-friendly virtual reality during burn treatment in hydrotherapy tubs. This diverts the patient’s attention away from the pain signals. Patients have reported significant reductions in severe or excruciating pain when they are immersed in virtual reality during hydrotherapy.
Burn patients often undergo physical therapy during hydrotherapy. The physical therapist encourages the patient to perform movements and participate in the bathing when possible. It has been found that patients are more comfortable, experience less pain, and make better progress when the two treatments are combined.
How Is Hydrotherapy Used for Chemical Burns?

When hydrotherapy is administered for chemical burns, either acid or alkali, within one minute, there is far less damage to the skin than if treatment is delayed for even three minutes. A delay in hydrotherapy can lead to irreversible damage. Prolonged gentle rinsing of the burn with a large volume of water under low pressure dilutes the chemical, washes it out of the skin, and normalizes the pH of the skin. The pH of skin burned with hydrochloric acid returns to normal within about two hours of initiating hydrotherapy. However, with strong alkali burns, such as those caused by sodium hydroxide or other caustic agents, it often takes at least 12 hours of continuous hydrotherapy for the skin pH to normalize.
If the chemical exposure is limited to the hand, the hand is placed under running tap water. For chemical burns on other parts of the body, immersion in a hydrotherapy tank is required.
Following exposure to a toxic liquid chemical, contaminated clothing is not removed until after hydrotherapy has begun. However, following contact with a solid chemical such as lye, contaminated clothing is removed before beginning hydrotherapy. All solid particles must be washed from the skin with large amounts of water under the lowest possible pressure.
References

v Arthritis Research UK Website
How effective is hydrotherapy? | Arthritis Research UK
v Kiltipper Woods Physiotherapy and Hydrotherapy Clinic Website
Benefits of Hydrotherapy Treatments | Arthritis Treatment | Hydrotherapy Dublin
v altMD.com website
Hydrotherapy for Burns - altMD.com Article

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