Physiotherapy in Dermatology various conditions

dermatology

1. Assessment of Dermatology

2. Patient Information- Name: _______________ Age: _______________ Date of Birth: _______________ Contact Information: _______________ Referral Information Referring Physician: _______________ Reason for Referral: _______________ Medical History- Relevant medical conditions: _______________ Allergies: _______________ Medications: _______________ Allergies

3. Dermatological History Condition being treated (e.g., psoriasis, vitiligo, acne): _______________ Duration of condition: _______________ Previous treatments: _______________ Physiotherapy Assessment Range of motion (ROM)- Power-

4. Wound assessment Size - Depth - Drainage - Scar assessment Size – Texture Mobility - Skin integrity( skin ulcers, pressure sores, skin tear, cellulitis, dermatitis)-

5. Objective Measures- Pain level (0-10)- Wound surface area (cm²)- Scar thickness (mm)- Range of motion (degrees) Subjective Measures- Patient-reported pain and discomfort- Quality of life (QoL) assessment- Patient goals and expectations Physiotherapy Diagnosis- Impaired skin integrity- Impaired wound healing- Impaired range of motion- Impaired strength-

6. Dermatology life quality index score with grading DLQI Score Severe grading 0-1 No effect on patients life 2-5 Minimal effect on patients life 6-10 Moderate effect on patients life 11-20 Very large effect 21-30 Extremely Large effect

7. Treatment Plan- Goals- Interventions (e.g., wound care, scar management, exercise)- Frequency and duration of treatment- Outcome measures Progress Notes- Date- Treatment provided- Patient response- Progress toward goals Discharge Summary- Summary of treatment- Outcome measures- Recommendations for future care Signature Physiotherapist's signature Date

8. Hyperhydrosis

9. Definition : Hyperhidrosis is excessive sweating affecting 3% of the population. - Impact: Emotional distress, social anxiety, and impaired daily activities.

10. Faradic foot bath Definition: A non-invasive, electrical treatment using iontophoresis. - Principle: Interrupts sweat gland function using mild electrical currents. - Electrical currents passed through water - Ions absorbed through skin, blocking sweat glands - Reduced sweat production

11. Mechanism of Faradic Foot Bath The treatment uses iontophoresis, passing mild electrical currents through water to: 1. Block Sweat Glands: Temporarily inhibits sweat gland function. 2. Reduce Sweat Production: Decreases excessive sweating. Process: Electrical currents create ions in water. Ions absorbed through skin, targeting sweat glands. Sweat gland function interrupted, reducing sweat production.

12. Benefits - Reduced sweating (up to 90%) Non-invasive and pain-free No side effects or scarring Long-term results

13. Treatment Procedure Duration: 20-30 minutes per session Frequency: 2-3 times a week for 2-4 weeks - Maintenance: Monthly sessions for sustained results

14. Steps: 1. Preparation: Clean and dry feet 2. Electrode placement: In water bath 3. Treatment: Mild electrical currents passed through water 4. Post-treatment: Moisturizer application

15. Indications- Palmar hyperhidrosis (hand sweating)- Plantar hyperhidrosis (foot sweating)- Axillary hyperhidrosis (underarm sweating)

16. Contraindications- Pacemakers or implantable cardioverter-defibrillators Metal implants or joint replacements Pregnancy or breastfeeding Epilepsy or seizure disorders

17. UVR Therapy in Dermatology Treating Skin Conditions with Ultraviolet Radiation

18. UVR therapy uses specific wavelengths of ultraviolet light to treat skin conditions. - History: Used for centuries, with modern advancements in technology.

19. Types of UVR Therapy- UVB (Broadband and Narrowband)- UVA- PUVA (Psoralen + UVA)

20. Mechanism of Action- UV radiation affects skin cell growth and inflammation.- Immunomodulation and anti-inflammatory effects.

21. Indications - Psoriasis - Vitiligo - Atopic dermatitis - Acne - Eczema

22. Psoriasis - UVB and PUVA effective in reducing symptoms. - Improved skin clearance and quality of life.

23. Atopic Dermatitis- UVB and UVA reduce inflammation and itching. Improved skin hydration and quality of life. Acne- Blue light therapy targets acnes bacteria Reduced inflammation and acne lesions. Eczema- UVB and UVA reduce inflammation and itching. Improved skin hydration and quality of life.

24. vitiligo Vitiligo is an acquired, pigmentary anomaly of the skin characterized by depigmented white patches surrounded by a normal or a hyperpigmented border. Melanogenesis can be controlled by UVR Narrowband UVB stimulates repigmentation . Combination therapy with topical treatments. Treatment protocol: Frequency: 2-3 times/week Duration: 15-30 min/session Treatment course: 6-12 months

25. pigmentation Pigmentation is the colouring of hair, eyes, skin due to the presence of melanin, a pigment produced by cells called melanocytes. Causes: Genetics Hormonal changes Sun exposure Medications Skin conditions

26. Treatment Laser, UVR

27. Side Effects and Risks Phototoxicity Photoallergy Skin cancer risk (long-term) Precautions and Contraindications Pregnancy and breastfeeding History of skin cancer Medications increasing photosensitivity

28. MASSAGE MANEUVERS FOR SKIN

29. Facial Massage Effleurage: Gentle, gliding strokes to relax facial muscles. Petrissage: Light, lifting movements to stimulate collagen. Tapotement: Gentle tapping to increase circulation. Kneading: Soft, rhythmic movements to reduce tension.

30. Body Massage Effleurage: Long, flowing strokes to improve skin elasticity. Rolling: Gentle, circular movements to break down cellulite. Petrissage: Deep, lifting movements to sculpt muscles. Friction: Focused pressure to reduce scar tissue.

31. Cosmetic Benefits Improved skin elasticity Reduced fine lines and wrinkles Enhanced collagen production Improved circulation and lymphatic drainage Reduced appearance of cellulite and scars