Contrast Bath

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CONTRAST BATH

• It is an alternative method of applying heat with a certain


amount of cold to aid the normal body temp. regulating
mechanism.
• It is alternate immersion of the part in hot and cold water.
• It causes considerable sensory stimulation due to activation
of cutaneous hot and cold receptors.
• This treatment helps to modulate pain,as the strong sensory
stimulation does it by the pain gate mechanism and it
reduces local edema by the alternative vasoconstriction and
vasodilatation.
METHODS OF APPLICATION
• Select two baths of suitable size depending upon the size of the limb.
• Fill one bath with hot water maintained at a temperature of 40-45°C
and the other with cold water maintained at a temp. of 12-18°C.
• Undress the part,remove the jewelry,check the skin sensation,check
for any contraindication.
• If treatment is for pain relief,it is usual to start and end the treatment
with hot water,where as if treatment is for reducing edema,start and
end the treatment with immersion in cold water.
• Place the limb in hot water for 3-4 mins followed by immediate
immersion in cold water for 1 min.
• Repeat the treatment cycles for 3-4 times so that the treatment time
remains within 15-20 mins.
• The temp. of both hot and cold water should be maintained through
out the treatment session.
INDICATIONS
• Post-traumatic swelling
• Pain due to swelling
• Chronic inflammation

CONTRAINDICATIONS
• Advanced peripheral vascular disease
• Arterial insufficiency
• Diabetes mellitus

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