Whirlpool Bath Therapy

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WHIRLPOOL BATH

THERAPY
INTRODUCTION

• A whirlpool of the bath is a


tank that contains water with
a turbine in it to produce
movement of water through
agitation and aeration, making
it enable to assist or resist
movements of the distal parts
of the extremities or whole
extremities and the lower
trunk.
1) The extremity tanks are useful for the treatment of a distal extremity
2) lowboy and highboy tanks are useful for immersion of larger parts of the
extremities and for immersion up to the waist.
3) Hubbard tank -
• a) a tank designed for full immersion of the body, used for hydrotherapy.
• A narrow section at the middle of the tank allows the therapist to reach the
patient, and wider sections at each end permit full abduction of the
patient's legs and arms.
• c) The tank is fitted with an aerator that agitates the water and provides
gentle massage and débridement of wounds.
• An overhead crane facilitates transfer of the patient to and from the tank.
• e) The Hubbard tank is especially useful in the treatment of patients with
extensive burns and those with chronic multiple joint disorders.
• The tank is usually made of stainless steel, although fiberglass and plastic tanks
are also available.
• The shapes and sizes of the tanks are also variable.
• The turbine of the whirlpool is composed of a motor bracketed securely to the
side of the whirlpool , with pipes for water and air circulation suspended in the
water.
• The height and direction of the turbine determines the effect.
• For relief of pain and to achieve wound debridement the turbine may be
directed towards the involved area, whereas for the hypersensitive skin and
when the wound has lot of granulation ,the turbine is directed away from the
involved area.
• There is mixing tap to allow any desired water temperature ; a temperature of
36- 41 ( degree Celsius) are usually employed, but for the treatment of acutely
inflamed structures, a temperature of 0-26 degree Celsius ( cold whirlpool) is
used.
Techniques of application
• 1) The tank is filled with water and the required temperature is
selected using the thermostat.
• 2) If required an antimicrobial agent is added to water, this is
particularly for the treatment of wounds.
• 3) The patient is prepared as per any heat / cold treatments.
• 4) No clothing should be allowed to enter into the water, as it may be
sucked into the turbine.
• 5) If wound is to be treated, the wound dressings need to be removed
and adequate measures should be taken by the therapist such as
wearing of gloves, etc. to prevent the spread of infection.
• 6) Position the patient comfortably with the affected area immersed in
water
• 7) Adjust the direction & aeration of the turbine , as per the effect
required.
• 8) Turn on the turbine & tell the patient to exercise the affected pa
if treatment is directed for joint stiffness or edema without acute
inflammation.
9) Treatment time is usually confined to 10-30 minutes , though shorter
periods may be indicated for wound debridement.
10) At the end of treatment ,the limb should be kept out of water,
thoroughly checked and is covered by a dry sheet to avoid chilling.
11) If a wound is being treated, a clean pressurized rinse is recommended
at the end of treatment and the wound dressing is reapplied.
12) Drain, rinse and clean the whirlpool a per the direction of use.
USES
• 1) open wounds
• 2) to mobilize stiff joints of the extremities
• 3) Pain relief
ADVANTAGES
• 1) can be used for heating effects, exercise as well as for wound
dressing.
• 2) allows patient comfort.
• 3) weaker muscles can be exercised effectively.
• 4) allows movement along with heating unlike other heating
modalities.
Disadvantages
• 1) Size of tank limits its use.
• 2) risk of infection spread in wound treatments
• 3) Cost of cleaning and heating is more.

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