Contrast Bath in Physiotherapy SRS
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Contrast bath therapy involves soaking an injured area in alternating hot and cold water baths to increase blood flow and decrease joint stiffness. The temperature changes from hot to cold and back again produce a "pumping effect" that helps remove swelling through improved venous and lymphatic drainage. A full contrast bath treatment consists of soaking in warm water for 10 minutes, cold water for 1 minute, repeated three times, ending with warm water. Contrast baths can help relieve pain, stiffness and swelling through induced vasodilation and vasoconstriction of blood vessels.
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Contrast Bath in Physiotherapy SRS
- 1. Sreeraj S R Contrast Bath
- 2. Sreeraj S R Introduction • Contrast bath therapy is a method of application which involves soaking the area to be treated in alternating baths of hot and cold water. • Contrast baths combine alternating hot and cold water applications to increase blood flow and to decrease joint stiffness
- 3. Sreeraj S R Physiological mechanism • contrast therapy produces a cycle of local vasoconstriction and vasodilation resulting in a “pumping effect” to facilitate the removal of oedema by venous and lymphatic removal. • Believed to alleviate • pain, • stiffness, and • edema by induced vasodilatation and vasoconstriction that is usually produced by normally contracting muscles.
- 4. Sreeraj S R Equipment Needed • Two containers large enough to accommodate area to be treated • one container is filled with cold water of 10° to 18° C (50° to 56° F) and • another one is filled with hot water 38° to 44° C (100° to 110° F). • Two test tubes for hot & cold discrimination test prior to treatment
- 5. Sreeraj S R Procedure • Always begin with the warm water and end with the warm water. • Place part in the warm water for 10 minutes • move the part around through the full, pain-free range of motion. • Remove and place immediately in cold water for 1 minute. • There will be an initial short period of tingling until the part becomes accustomed to the cold. • Continue alternating parts in hot water for 4 minutes and cold water for 1 minute
- 6. Sreeraj S R Procedure In Summary, soak in • Warm water for 10 Minutes • Cold water for 1 Minute • Warm water for 4 Minutes • Cold water for 1 Minute • Warm water for 4 Minutes • Cold water for 1 Minute • Warm water for 4 Minutes Total time: 25 Minutes
- 7. Sreeraj S R Contraindications • Poor Circulation • Heart Disease • High Blood Pressure (Uncontrolled) • Lack of Skin Sensation • Open Wounds
- 8. Sreeraj S R References 1. Stanton DB,Lehman JB,Graziano M,Ryan C. Contrast Baths:What Do We Know about Their Use?. JOURNAL OF HAND THERAPY. 2003: 343 - 346 2. Contrast Baths. UHL Physiotherapy Dept. March 2004: 1-2 3. Contrast Baths. The Ohio State University Medical Center. 2010. 4. Lucy Beveridge. Contrast Bathing, Occupational Therapy, Patient Information Leaflet. The Dudley Group. 2013 5. Carol Fawkes, Elena Ward. Contrast bathing – a snapshot summary report. NCOR Research Development. 2012: 1 - 8 6. X07823 (3/12). Rehabilitation and Sports Medicine Services. Approved for distribution by Spectrum Health Patient Education Council ©2012 Spectrum Health 7. Home Instructions for Contrast Bath. Cincinati Children's. ©1987, ArthritisFoundation 8. Clair Allam. Occupational Therapy Contrast bath instructions. Cambridge University Hospitals NHS Foundation Trust. 2015: 1-2
- 9. Sreeraj S R THANK YOU