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- One of the initial treatments used by reconstruction aides in WWII
- Oldest form of wound care but rarely used today
- In 1998, the use of hydrotherapy was included in US Department of Health and Human Services Agency for Health Care Policy and Research pressure Ulcer Treatment Clinical Practice Guideline
- As of 1994, 92% of North American burn centers used hydrotherapy as part of their wound care protocol.
- Can prolong closure of a wound (should only be used short term)- don't leave patient unattended secondary to possible lethargy (patient could faint or drown)
- Clean tank before and after treating patients with infections wounds
- Keep clothing and bandages out of whirlpool
- Don't let whirlpool treatment substitute for a more beneficial treatment
- Temperature Precautions
- Should not exceed local skin temperature (93.2 F) with patients who have PVD
- Should not exceed 100.4 F in patients who have CVD or pulmonary disease
- 89.6 F increases blood flow 2.3 mL/dL of limb volume but will chill the wound and slow clotting
- Extreme temperatures should be avoided in patients with sensory loss
Bohannon, Richard W. (1982). Whirlpool versus whirlpool and rinse for removal of bacteria from a venous stasis ulcer. Journal of American Physical Therapy Association. 62: 304-308.
Burke, D., Ho, C., Saucier, M., & Stewart, G. (1998). Effects of Hydrotherapy on Pressure Ulcer Healing. American Journal of Physical Medicine & Rehabilitation, 77(5), 394-398.
Gogia, Prem P. (1988). Wound management with whirlpool and infrared cold laser treatment: a clinical report. Journal of American Physical Therapy Association. 68: 1239-1242.
Meeker BJ (1998). Whirlpool therapy on postoperative pain and surgical wound healing: an exploration. Patient Education and Counseling. 33: 39-48.
Puliti, B. (2012). Helping them Heal: The Physical Therapist's Role in Wound Care Management. Physical Therapy & Rehab Medicine, 23(2), 24.
Sussman, C., & Bates-Jensen, B. (2007). Whirlpool. In Wound care: a collaborative practice manual for health professionals (3ed ed., pp. 644-661). Philadelphia: Wolters Klewer/Lippincott Williams & Wilkins Health.
Tao, H., Butler, J., & Luttrell, T. (2012). The Role of Whirlpool in Wound Care. Journal of the American College of Clinical Wound Specialists, 4(1), 7-12.
Therapeutic Modalities. (n.d.). http://www.physio-pedia.com/Therapeutic_Modalities Retrieved November 3, 2014.
http://www.apta.org/PTinMotion/News/2014/9/15/ChoosingWiselyRelease/
Full Body Submersion
Question = In patients ages 25-75 years old, what is the effectiveness of whirlpool therapy in the treatment of wounds?
All research found was at least 15 years old.
Only articles that included "whirlpool OR hydrotherapy AND wounds" were included.
1. Patient with bilateral pressure ulcers on posterior heels with no signs of infection
2. Patient with a chronic venous stasis ulcer contaminated by pathogenic bacteria on the proximal medial malleolus
3. Patient with an open wound secondary to blunt trauma on the left lateral tibial surface
4. Patient with a abdominal surgical incision resulting in a wound