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Thermal Modalities

Thermal Modalities. General Principles. Physical Laws. Cosine Law Inverse Square Law Arndth-Schultz Principle Law of Grotthus-Draper. Cosine Law. Angle of incidence: The angle at which radiant energy strikes the body.

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Thermal Modalities

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  1. Thermal Modalities General Principles

  2. Physical Laws Cosine Law Inverse Square Law Arndth-Schultz Principle Law of Grotthus-Draper

  3. Cosine Law • Angle of incidence: The angle at which radiant energy strikes the body. • As the angle of incidence changes from 90º, the less effective the transmission. • Based on the cosine of the angle of incidence: • Effective energy = Energy * Cosine (angle) • Radiant energy should be ±90º

  4. Inverse Square Law • Intensity of radiant energy depends on the distance between the source and the target. • Changing the distance changes the intensity • Change is proportional to the square of the distance.

  5. Inverse Square Law • Formula: E = Es/D2 E – energy received by the tissue Es – energy produced by the source D2 – Square of the distance between the target and the source • Doubling the distance between the tissues and the target decreases the intensity by a factor of four.

  6. Arndth-Schultz Principle • Energy must be absorbed by the tissues • Must be sufficient to stimulate a physiological response • Too little stimulus: no effect • Too much stimulus: injury

  7. Grotthus-Draper • Inverse relationship between absorption and penetration of energy. • Energy absorbed by one tissue layer is not passed along to deeper layers. • The more energy absorbed in superficial layers, the less available for deeper layers.

  8. General Physiology

  9. Metabolic Changes • Heat increases metabolism • Cold decreases metabolism • A 1.8ºF (1ºC) change in tissue temperature = 13% change in metabolism

  10. Tissue Properties • Deeper tissues have higher temperatures • Different tissues have different conductivity properties Thermal Conductivity • Skinc 0.96 • Adipose Tissuei 0.19 • Musclec 0.64 c – conductor i - insulator

  11. Thermoreceptors • Cold-responsive receptors • Heat-responsive receptors • More cold receptors than heat receptors

  12. Physics

  13. General Principles • Exchange of kinetic energy (heat) • Transfer of energy is based on a gradient between two points • The greater the gradient, the more energy that is transferred • Energy always moves from a high concentration to a low concentration • Moist heat pack to the skin • Skin to an ice pack

  14. Transfer of Thermal Energy Conduction Convection Radiation Evaporation Conversion

  15. Conduction • Objects are touching each other • Conductors • Skin • Muscle • Insulators • Adipose tissue • Terrycloth towels

  16. Convection • Involves the circulation of air or water • One object is cooled • Another object is heated • Example: • Whirlpool

  17. Radiation • No medium is required • Examples: • LASER • Infrared light • Ultraviolet light • Thermal modalities provide radiant energy • But is not the primary form of heat exchange

  18. Evaporation • Change from liquid to gaseous state • Draws heat from the body • Cools superficial tissues • Examples: • Sweating • Vapocoolant sprays

  19. Conversion • Change of one form of energy to another • Electromagnetic energy to heat • Acoustical energy to heat • Examples: • Short wave diathermy • Ultrasound

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