- 期刊
水療、蠟療及微粒熱療後上肢腫脹和表皮溫度變化之比較
Comparison of Volume and Skin Temperature Change in Hydrotherapy, Paraffin, and Fluidotherpy
摘要
Superficial heat is applied widely in various clinical conditions. Despite the advantage of superficial heat, there is potential for increasing edema secondary to heat and, therefore, offset treatment effect. Hydrotherapy, paraffin wax and fluidotherapy are currently used thermal agents. Fluidotherapy is a dry heat agent that transfers heat by suspended air-fluidized solid by forced warm air stream, and its entrance sleeve was designed at the lateral side of the container for decreasing secondary edema. The purpose of the study was to compare volume and skin temperature change after three superficial agents application. Fifty-four healthy medical college students were divided into three groups randomly. The temperature of wrist was measured before and after treatment, and the volume change of upper extremity was measured before treatment and 1min, 5min, 10min after heat agents application. The results showed the skin temperature was significantly greater than the pre-treatment temperature (p＜0.05). One-way ANOVA revealed temperature rising after Fluidotherapy was the greatest. Repeated measured ANOVA was used to compare the volume of the upper extremity at pre-test and 1min, 5min, 10min after treatments. Volume was increased after hydrotherapy and fluidotherapy but decreased after paraffin immediately after treatments. Volume increase was still significant 10min after hydrotherapy. There was no correlation between temperature rise and volume change (p＞0.05). The results suggested that the clinical use of superficial heat should consider the factors of heat production and edema secondary to heat.
並列摘要
Superficial heat is applied widely in various clinical conditions. Despite the advantage of superficial heat, there is potential for increasing edema secondary to heat and, therefore, offset treatment effect. Hydrotherapy, paraffin wax and fluidotherapy are currently used thermal agents. Fluidotherapy is a dry heat agent that transfers heat by suspended air-fluidized solid by forced warm air stream, and its entrance sleeve was designed at the lateral side of the container for decreasing secondary edema. The purpose of the study was to compare volume and skin temperature change after three superficial agents application. Fifty-four healthy medical college students were divided into three groups randomly. The temperature of wrist was measured before and after treatment, and the volume change of upper extremity was measured before treatment and 1min, 5min, 10min after heat agents application. The results showed the skin temperature was significantly greater than the pre-treatment temperature (p＜0.05). One-way ANOVA revealed temperature rising after Fluidotherapy was the greatest. Repeated measured ANOVA was used to compare the volume of the upper extremity at pre-test and 1min, 5min, 10min after treatments. Volume was increased after hydrotherapy and fluidotherapy but decreased after paraffin immediately after treatments. Volume increase was still significant 10min after hydrotherapy. There was no correlation between temperature rise and volume change (p＞0.05). The results suggested that the clinical use of superficial heat should consider the factors of heat production and edema secondary to heat.