infrared rays for 3rd year bpt

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  • 8/13/2019 Infrared Rays for 3rd Year BPT

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    05-Jan-

    Infrared radiations are produced in allmatter by various kinds of molecular

    vibration.Any object emits infrared radiations and

    material that is at temperature aboveabsolute zero emits infrared.

    Infrared radiations gives rise to heatingwhen absorbed by matter.

    Longer than visible red light extending tothe microwave region, i.e., from 760 nmto 1 mm.

    Dr.Mittul Patel

    Dr.Mittul Patel

    The frequencies of radiation isproportional to temperature. Thus thehigher the temperature the higher thefrequency and hence the shorter thewavelength.

    The shorter, visible radiations not onlycause molecular and atomic motion butcan also break chemical bonds when theyare absorbed.

    Dr.Mittul Patel

    1. Luminous and non-luminous.

    2. Subdivided :- A, B, C

    - (A and B ) utilized therapeutically

    IRA - 760 nm to 1400 nm

    IRB - 1400 nm to 3000 nm

    IRC - 3000 nm to 1 mm

    3. Former Classification

    Near or Short IR - 760 nm to 1500 nm

    Far or Long IR - 1500 nm to 15000 nm

    Any heated material will produce infrared

    radiations, the wavelength beingdetermined by the temperature.

    The most convenient method is to heat aresistance wire by passing an electriccurrent through it.

    Dr.Mittul Patel

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    1. a coil of suitable resistance wire, wound ona ceramic insulator.(glows red)

    2. wire embedded in the insulating ceramic sothat no visible radiations are given out.

    3.The heater wire can also be mountedbehind a metal plate or inside a metal tube,

    which does not become red-hot but emitsinfrared in the same way.

    Dr.Mittul Patel

    When such lamps are switched on theyrequire some time to reach a stable, peak

    level of heat emission as the molecularoscillation causing heating spreads slowlythrough the body of the heater.

    Dr.Mittul Patel

    Consist of a tungsten filament in a large glassenvelope, which contains inert gas at low

    pressure.

    Oxidation of the filament does not occurbecause there is no oxygen present, only atrace of some inert gas.

    The peak emission occurs at near 1000 nm butlong infrared ,visible rays and ultraviolet arealso produced. UVR are absorbed by the glassand are not therefore transmitted by the

    lamp. Sometimes the glass is reddened, to give a red

    visible emission.

    Dr.Mittul Patel

    Large lamps are fitted with wire-meshscreens over the front of the reflector to

    prevent accidental contact with the hotemitter. The screen will also diminish any

    remote risk of the hot emitter elementfalling out.

    Stand

    Caster

    Dr.Mittul Patel

    Non luminous:

    Mainly 3000 4000 nm (long IR),

    with about 10% between 1500 nm and visible(short IR)

    Luminous:

    Peak emission at 1000 nm and below

    Approximately 70% short IR ,5% visible, 24%long IR, 1% UVR absorbed by glass of bulb

    Dr.Mittul Patel

    Radiations striking the surface may be:

    1. Reflected or

    2. Transmitted : scattered, refracted, andultimately absorbed in the tissues.

    Close to 95% of the radiation appliedperpendicular to the skin is absorbed.

    Skin (epidermis & dermis) is nothomogeneous tissue but a complicatedmultilayered structure full of irregular forms,

    such as hair follicles and sweat glands.

    Dr.Mittul Patel

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    Therefore, it is difficult to determinepattern of penetration and absorption of

    infrared radiation in the skin. In general, water and proteins are strong

    absorbers of infrared.

    Dr.Mittul Patel

    The long infrared used therapeutically isabsorbed at the surface, much of it by the

    water on the skin surface. Because the energy penetration decreases

    exponentially with depth, most heatingdue to infrared will occur superficially.

    Dr.Mittul Patel

    At around 3000 nm, penetrating depth isabout 0.1 mm.

    From here there is increasing penetrationwith decreasing wavelengthin the shortinfrared region, to maximum penetrationdepth of about 3 mm around the 1000 nmwavelength region.

    Dr.Mittul Patel

    Cutaneous Vasodilatation:

    - As a consequence of heating with infraredradiations local cutaneous vasodilatationwill occur which leads to erythema.

    - The local erythema lasts for about 30minutes after irradiation has stopped.

    Dr.Mittul Patel

    Sweating:

    With prolonged or intense heating,sweating will start to occur.

    Sensation:

    Thermal heat receptors will be stimulatedin the skin so that the patient is aware ofthe heating.

    Dr.Mittul Patel

    Increase in Metabolism:

    Due to increase in temperature there willbe an increase in the rate of metabolism.

    Chronic Changes:

    Excessive and prolonged infraredapplication can cause the destruction oferythrocytes, releasing pigments andcausing brown discoloration of the skin.

    This rarely occurs as a sequel to normal

    treatment; it usually results from prolongedexposure of the legs to domestic fires.

    Dr.Mittul Patel

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    Relief of Pain:

    Mild heat has sedative effect on the

    superficial sensory nerve endings. Stronger heating irritates the superficial

    sensory nerve endings, and so relievespain by counter-irritation.

    An increased flow of blood through thepart removes nociceptive substances andso relieves pain.

    When pain is due to lesions of a more chronictype, stronger heating is required.

    Dr.Mittul Patel

    Muscle Relaxation:

    Muscles relax most readily when the tissues

    are warm, and the relief of pain alsofacilitates relaxation.

    Infrared radiation is thus of value inhelping to achieve muscular relaxationand for the relief of muscle spasmassociated with injury or inflammation.

    Dr.Mittul Patel

    Increased Blood Supply:

    This effect is most marked in the superficialtissues, and may be used in the treatment ofsuperficial wounds and infections.

    Good blood supply is essential for healing totake place, and if there is infection theincreased number of white blood cellsand theincreased exudation of fluid are of assistancein destroying the bacteria.

    Infrared treatment is frequently used forarthritic joints and other inflammatorylesions, and for the after-effects of injuries.

    Dr.Mittul Patel

    Pressure Sores:

    Infrared has also been suggested for the

    prophylaxisof pressure sores, to promotea greater blood flow in the skin.

    Dr.Mittul Patel

    Oedema:

    Infrared is sometimesused for surfaceheating of a part in elevation in order tohasten reabsorption of oedema.

    This effect is limitedbecause infrared heatsthe superficial tissues and because it is

    usually only applied to one aspect at a time.

    Dr.Mittul Patel

    Prior to other Treatments:

    Infrared is sometimes chosen as a form ofheat prior to stretching, mobilization,traction, massage and exercise therapy.

    It may also be used prior to electricalstimulation to warm the skin, making it

    more vascular and hence a better conductor.This is done before wetting the skin to lowerits electrical resistance further.

    Dr.Mittul Patel

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    Burns:

    defective sensation or reduced

    consciousness.mentally retarded.

    Occasionally patients accidentally touch thehot element if there is no protective guard.

    These dangers can be avoided by:

    Careful application

    Adequate warnings to the patient

    Checking the effects on the skin severaltimes during the application

    Dr.Mittul Patel

    Skin Irritation:

    Some chemical irritants on the skin have

    their effects increased by heating sometimesto the point of irritation or inflammation.

    For this reason liniments should be removedprior to treatment.

    Eye Damage:

    Long-term irradiation can cause corneal andretinal damage leading to cataract.

    Protect eyes form irradiation.

    Dr.Mittul Patel

    Lowered Blood Pressure:

    As infrared treatment causes marked

    cutaneous vasodilatation it may lead totemporary lowering of blood pressure,particularly in elderly people who have less

    effective vasomotor control.

    This may lead tofaintnessespecially onstanding up immediately after treatment. It

    may also cause headache.

    Dr.Mittul Patel

    Areas of Defective Arterial Blood Flow:

    Areas in which the arteries and arterioles

    cannot respond by adequate vasodilatationto the demands of additional heating shouldnot be treated(atherosclerosis, arterialinjury or after skin grafting).

    The possible result of heating such tissuewould be tissue necrosis (gangrene).

    Dr.Mittul Patel

    Impaired cutaneous thermal sensation

    Defective arterial cutaneous circulation Patients whose level of consciousness is markedly

    lowered by drugs or diseaseAcute skin disease, e.g., dermatitis or eczema Skin damage due to deep X-ray therapy or other

    ionizing radiation Defective blood pressure regulationAcute febrile illness additional heating is not

    helpful and possibly dangerous to patients whoseheat regulation system is under stress.

    Tumours of the skin may be stimulated to increasegrowth

    Testes Subjects with advanced cardiovascular disease

    Dr.Mittul Patel

    THANK YOU

    Dr.Mittul Patel