old classificationnew classification reflected - انعكس absorbed - استوعبت penetration...
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Infrared الحمراء تحت = األشعةbelow red.
Infrared light lies between بين the visible and تقع
microwave المرئي portions of the والميكروويفelectromagnetic spectrum.
INFRA RED RADIATION - األشعة اإلشعاع الحمراء INTRODUCTION تحت
All objects in the universe above absolute zero المطلق الصفرemit ينبعث electromagnetic radiation. الكهرومغناطيسي
Infrared wavelengths 710 موجات nm to 1
millimeter.
INFRA RED RADIATION - INTRODUCTION
The rays travel through the ether until they
encounter لقاء some medium which absorbs them & when they are absorbed HEAT is produced. يتم عندما
المنت الحرارة استيعابهاجة
INFRA RED RADIATION - INTRODUCTION
Thermo gram حراري a—مخططpicture that shows regions of different temperatures درجات
المختلفة .in the body الحرارة
Uses: Remote controls (TV/VCR), radiant heaters, grills, optical fibre communication, night vision.
Dangers: Skin burns الجلد حروق
INFRA RED RADIATION - INTRODUCTION
TYPE OF CLASSIFICATIONS من نوعIRR- التصنيفات
OLD CLASSIFICATION NEW CLASSIFICATION
◦Near / Short Infrared - 0.75-1.4 µm in wavelength.
◦Mid Infrared - 3-8 µm.
◦Far / Long Infrared – 15-1,000 µm.
IR-A: 700 nm–1400 nm
IR-B: 1400 nm–3000 nm
IR-C: 3000 nm–1 mm
Any heated material will produce I.R.R.,
The wavelength & frequency are being determined تحديد by the temperature. درجةالحرارة
TYPES OF I.R. – GENERATORS:-
1. Non – Luminous Generator
مضيئ -- مولد غير
2. Luminous Generator مضيئة مولد
PRINCIPLE OF PRODUCTION االنتاج TYPES OF & المبدأ
GENERATORS المولدات أنواع
Reflected - انعكس
Absorbed - استوعبت
Penetration - تغلغل
Refracted - ينكسر
PHYSICAL BEHAVIOUR السلوك البدنيةOF IRR
A coil of wire االسالك من جرح wound لفائفon a cylinder أسطوانة of some insulating material عازلة such as FIRECLAY or موادPORCELAIN. الخزف أو A simple)الصلصالtype for production IRR)
Electric Currentpassed through the wires
Produces Heat
IRR are emitted from the hot wires الساخنة from the fireclay & األسالك
.which is heated by CONDUCTION الصلصال
NON – LUMINOUS (IN VISIBLE) GENERATOR - IRR
1. The emitter باعث2. The metal plate
معدنية صفيحة3. Protective wire mesh.
سلكية شبكات حماية4. Parabolic Reflector.
العاكس مكافئAdjustable Metal stand
الوقوف with المعادنscrews.
Base قاعدة / Wheel.
PARTS OF AN IRR LAMP لمبة اجزاءالحمراء تحت االشعة
Usually the coil of wire is embedded in the fireclay, then the emission of rays (IRR +Some Visible) is then entirely from the fireclay which is commonly painted السوداء .BLACK مطلي
It is placed at the FOCAL POINT االتصال of a PARABOLIC نقطة
REFLECTOR. This set-up is mainly to reflect the radiations into an approximately حوالي uniform
beam. موحدة شعاع
NON – LUMINOUS (IN VISIBLE خفية) GENERATOR - IRR
The beam does diverge انحرف somewhat due to the relatively large size of the EMITTER compared to the reflector & thus reduces the risk خطر من of HOT SPOTS يقلل
الساخنة ا لنقاط
When such lamps are switched ON, they require some time to warm-up because of the THERMAL INERTIA
الحراري الذاتي of the القصورconsiderable mass of metal & insulating material that has to be heated.
NON – LUMINOUS (IN VISIBLE) GENERATOR - IRR
Luminous generators are produced by one or
more INCANDESCENT ساطع LAMPS.
Incandescent lamp consists of a TUNGSTEN
FILAMENT شعيرة in a large التنغستن
envelop which contains INERT GAS غازمنخفض .AT LOW PRESSURE خامل ضغط
LUMINOUS (VISIBLE) - IRR
The inside part of the glass bulb is
often األحيان من كثير فيSILVERED بالفضة to provide REFLECTOR.
This lamp work on the same principle as a SIMPLE ELECTRIC
BULB. بسيطة كهربائية .لمبة
On passing electric current, it gives off a continuous spectrum in the infrared & visible region & a few UVR.
LUMINOUS (VISIBLE) - IRR
These visible & UVR radiations are absorbed by the glass & are not transmitted by the lamp.
The outside glass الزجاج ,is REDDENED خارج
absorbing some of the GREEN & BLUE محمرRAYS to give a RED VISIBLE EMISSION.
مرئية االنبعاثات األحمر
It is important to ensure that all rays fall
PERPENDICULAR عمودي to the surface in-
order to be MAXIMALLY األقصى الحدABSORBED.
The human skin absorbs 95% of the energy if the rays are PERPENDICULAR to the surface.
LUMINOUS (VISIBLE) - IRR
SHORT قصيرة IRR – 1 -3mm
LONG طويل IRR – 0.5 – 1mm
The effect will be marked
heating of the skin. Some of thisملحوظheat will be conducted more deeply into
the SUBCUTANEOUS TISSUE. النسيجالجلد تحت
The sensation to be experienced in only a COMFORTABLE WARM SENSATION
دافئ إحساس which must not مريحة
FEEL HOT. ساخن يشعر ال
PENETRATION نفوذية OF IRR
Metabolic effect: تأثير األيضIncreases metabolic activity.
Circular effect: تأثير التعميمIncreases blood flow superficially. ظاهريا
Neurological effects: التأثيراتالعصبيةIncreases nerve conduction velocity.
العصب توصيل سرعة
Sweating: تعرقThere is increased activity of sweat glands by reflex stimulation from heat regulating centre.
Physiological Effects of IRR:
Blood Pressure: الدم ضغطIf the heating is given to a large area of the body for a prolonged period, there will be FALL in B.P.
Pigmentation: اصطباغExcessive & prolonged IRR application can cause the destruction of ERYTHROCYTES, الكريات تدمير PIGMENTS إطالق releasing الحمراء causing brown discoloration of & أصباغskin.
Decreased Viscosity & Increased Collagen Extensibility
Physiological Effects of IRR:
Pain ألم– Stimulation of Sensory heat receptor – Pain Gate Mechanism.
Muscle spasm العضالت –تشنجSecondary afferent muscle spindle
Joint stiffness المفصل –تيبسThe viscosity decrease & Increased collagen extensibility
Therapeutic Effects of IRR:
Tissue healing األنسجة –شفاءIncreased Metabolic rate, Cell activity & Local blood flow.
Edema وذمة– Increased fluid exchange & Increased reabsorption of exudates.
Skin lesion الجلد .Psoriasis – آفة
Sedation سكون– Reflex phenomenon.
As a precursor السالئف to other treatment.
Pain ألم & Muscle Spasm العضالت تشنج
Chronic Inflammatory state – Edema -- األوديما الدولة مزمن التهابي
Pressure sore الضغط Healing –قرحةof wounds
Psoriasis – Skin Condition الجلد -- حالة الصدفية
Joint stiffness – Sub & Chronic stage تيبس
والمزمن -- الفرعية المرحلة المفصلة
Indications (DWAYAI)of IRR:
Impaired Sensation اإلحساس ضعف: Not able to determine if the excessive heat is occurring.
Impaired Circulation التداول : ضعف(Atherosclerosis, DVT, Beurger’s disease) – Not able to dissipate heat & will lead to BURNS.
Dermatological Conditions األمراضشروط Fungus, Dermatitis – الجلدية
& Eczema.
Contraindications االستعمال :of IRR موانع
Analgesic مسكن & Narcotic drugs It will raise the pain –المخدراتthreshold.
Deep x-ray therapy األشعة العالج العميقة Past 3 –السينية
months – it reduces sensory appreciation.
Topical creams الموضعية الكريمات& Oils زيوت– It will cause burns
Contraindications of IRR:
Metal المعادن– It retains the heat & will lead to a burn.
Eyes عيون– The radiations can cause CATARACTS. العين عدسة إعتام
Age – Elderly patients generally have impairment of sensation & circulation. (lack of normal CVS may lessen the tolerance of thermal stress)
Contraindications of IRR:
Acute Infections الحادة It –االلتهاباتwill increase the infection processes.
Severe cardiac conditions ظروفالقلب Heating a large area –قاسية
will cause An Increase in cardiac output & the same may not be tolerated with severe cardiac patients.
Contraindications of IRR:
It can be used to treat large area.
Patient may be taught to apply IRR for home use.
Advantages مزايا of IRR:
1. Explanation to the patient للمريض شرح
2. Testing of thermal sensation الحراري اإلحساس اختبار
3. Preparation of the patient المريض إعداد
4. Preparation of the Equipment / Selection of the equipment / إعداد
للمعدات معدات االختيار
Skills of Application of IRR
5. Preparation of the part to be treated الجزء بإعداد يعامل أن
6. Instructions & warning to the patient للمريض وتحذير تعليمات
7. Method of Application – Setting up -- إعداد التطبيق طريقة
8. Duration & Frequency of treatment للعالج والتردد المدة
9. Termination اإلنهاء
10. Documentation / Recording تسجيل / وثائق
1.If SEDATIVE EFFECT مهدئ is needed then تأثير
– NON LUMINOUS مضيئة IRR LAMP is غير
selected
2.If COUNTER IRRITATION تهيج is needed then عداد
– LUMINOUS مشرق IRR LAMP is chosen.
Selection اختيار of the Equipment
1. Instruct the patient that he/she should feel only a COMFORTABLE WARMTH.
مريحة الدفء سوى يشعر
2. Ask the patient to inform immediately if the treatment part becomes very HOT
جدا or if the pain حارINCREASES to avoid .BURNSتجنب
Instructions & Warnings to the Patient
3. Advice the patient NOT TO MOVE, التحرك عدم NOT TO TOUCH لمس عدمthe LAMP or NOT TO LOOK
تبدو .at the GENERATOR ال
4. Advice the patient NOT to SLEEP تنام or READ الduring the treatment.
Instructions & Warnings to the Patient
1.Never أبدا position the lamp directly over the patient.
المريض على .مباشرة
2.Lamp position should be positioned perpendicular
عمودي وضع to the وينبغيarea of treatment to obtain MAXIMUM ABSORPTION.
األعظم االمتصاص
Setting up the lamp
3. The distance between بين & the patient المسافة
the lamp (Emitter) usually should be in the range
50 cm - 75 cm.
4. Protect the eyes العينين from the rays حماية
by wearing GOOGLES جوجل or covering the eyes with PADS OF COTTON WOOL.
Setting up the lamp
5. Check the knobs & screws of the lamp that control the height & angle of the reflector.
6. Only switch ON the heating element of the lamp prior to positioning if the element takes longer than 5min to reach its maximum output of IRR.
Setting up the lamp
1. Radiation (lamp to body)2. Convection and conduction ( through the body)
Dosage جرعةSensory report of the patientِºAdjusted by:
Changing power output of the lamp
Distance of lampAngle of incidence
Modes of Heat Transfer from IRR
1.At the end of the treatment time switch of the lamp & remove it.
2.Inspect the area for any excessive erythema & for relief of symptoms.
Termination
1. The area & side of the treatment
2. Type of generator used
3. Duration & Frequency of treatment
4. Any adverse reactions
5. Patients response.
Documentation & Recording
1. IR A – Penetrate to the level of DERMIS األدمة & SUBCUTANEOUS TISSUES.
2. IR B – penetrate only to the EPIDERMIS LEVEL.
المستوى البشرة
3. It is useful method of superficial vigorous heating for larger areas.
NOTE:-