Heat transfer by three types of hot pack and its implication on the flexibility of the lower back: a randomized, controlled trial

Authors

  • Paulina Fuentes-León Catholic University of Maule; Faculty of Health Sciences; School of Kinesiology
  • Natalia Jara-Poblete Catholic University of Maule; Faculty of Health Sciences; School of Kinesiology
  • Pía Bastías-Sánchez Catholic University of Maule; Faculty of Health Sciences; School of Kinesiology
  • Kaio Fernando Vitzel Massey University; Massey Institute of Food Science and Technology; College of Health
  • Gabriel Nasri Marzuca-Nassr University of São Paulo; Institute of Biomedical Sciences; Department of Physiology and Biophysics

DOI:

https://doi.org/10.1590/1809-2950/15088923022016

Abstract

The use of hot pack is a common superficial thermotherapy strategy and one of its benefits is the increase of muscle flexibility. However, there is a lack of information about the effects of the heat pack alone, without being used in association with other therapeutic interventions, in the flexibility of the lumbar region. The aim of this study was to compare the effects generated by the application of three different pack on the flexibility of the lower backs of healthy students. Three sessions of 15 minutes of superficial heat through a hot pack (moist heat pack-MHP, seed pack-SP or gel pack-GP) were applied to the lower back. Pack and lower back temperatures and erythema were registered every 5 minutes. A Schober test was performed before the first session and after the third session. After 15 minutes of treatment, pack temperature was higher in the SP group. At the same time, lumbar temperature was lower in the GP group. The heat treatment also increased erythema in the lower back for all three groups. There was a significant increase in intragroup flexibility as assessed by the Schober Test for all groups. There are significant differences in the effect generated between the three types of pack on the flexibility of the lower back. The MHP was able to transfer more heat to the lumbar area and provided a more pronounced increase in the flexibility of lower back tissues.

Downloads

Download data is not yet available.

References

Tagawa T, Imaizumi T, Endo T, Shiramoto M, Harasawa Y, Takeshita A. Role of nitric oxide in reactive hyperemia

in human forearm vessels. J Am Heart Assoc. 1994;90(5):2285-90.

Jerrold S, Petrofsky S, Lohman E, Jin H, García J, Anders A, et al. Determination of the conductive heat exchange of the

skin in relation to environmental temperature. J Appl Res Clin Exp Ther. 2006;6(2):157-69.

Funk D, Swank A, Adams K, Treolo D. Efficacy of moist heat pack application over static stretching on hamstring

flexibility. J. Strength Cond Res. 2001;15(1):123-6.

Matsumoto S, Kawahira K, Etoh S, Ikeda S, Tanaka N. Shortterm effects of thermotherapy for spasticity on tibial

nerve F-waves in post-stroke patients. Int J Biometeorol.

;50(4):243-50.

Leung M, Cheing G. Effects of deep and superficial heating

in the management of frozen shoulder. J Rehabil Med. 2008;40(2):145-50.

Sreniawski S, Cordova M, Ingeroll C. A comparison of hot packs and light or moderate exercise on rectus femoris

temperature. J Athl Train. (Suppl.). 2002;37(2S):S-104.

Pavez F. Superficial physical agents and pain: analysis of its effectiveness in the light of scientific evidence. Rev Soc Esp

Dolor. 2009;16(3):182-9.

Silva S, Oliveira D, Jaques M, Araújo R. Effects of cryotherapy

and thermotherapy associated with static stretching

on the flexibility of hamstring muscles. Motricidade.

;6(4):55-6.

Lin Y. Effects of thermal therapy in improving the passive

range of knee motion: comparison of cold and superficial

heat applications. Clin Rehabi. 2003;17(6):618-23.

Bleakley CM, Costello AJ. Do thermal agents affect range

of movement and mechanical properties in soft tissues? A

systematic review. Arch Phys Med Rehabil. 2013;94:149-63.

Cameron MH. Thermal agents: cold and heat. In: Cameron

MH. Physical agents in rehabilitation. 3rd ed. St. Louis:

Elsevier Saunders; 2009. p. 124-8.

GraphPad Software [homepage on the internet][cited

Jun 4]. Disponível em: http://www.graphpad.com/

quickcalcs/index.cfm

Miot HA. Tamanho da amostra em estudos clínicos e

experimentais. J Vasc Bras. 2011;10(4):275-8.

Knight CA, Rutledge CR, Cox ME, Acosta M, Hall SJ. Effect of

superficial heat, deep heat, and active exercise warm-up on the

extensibility of the plantar flexors. Phys Ther. 2001;81:1206-14.

French S, Cameron M, Walker B, Reggars J, Esterman A.

A Cochrane review of superficial heat or cold for low back

pain. Spine. 2006;20(31):998-1006.

Middelkoop M, Rubinstein S, Kuijpers T, Verhagen A, Ostelo

R, Koes B, et al. Review on the effectiveness of physical and

rehabilitation interventions for chronic non-specific low

back pain. Eur Spine J. 2011;20(1):19-39.

Hoeger W, Hoeger S. Muscular Flexibily. In: Hoeger W, Hoeger

S. Lifetime physical fitness and wellness: a personalized

program. 10. ed. Belmont: Wadsworth; 2011. p. 255-75.

Myrer J, Measom G, Durrant E, Fellingham G. Cold- and hotpack contrast therapy: subcutaneous and intramuscular

temperature. J Athl Train. 1997;32(3):238-41.

Davis P, Gaborski T, Pardo J, Patcha P, Whitman K. The

effects of topical heating for therapeutic uses. eCommons@

Cornell. [homepage on the Internet]. Cornell University,

[updated 2004 Nov 12; cited 2012 Dic 4]. Available

from: http://ecommons.cornell.edu/handle/1813/210.

Okada K, Yamaguchi T, Minowa K, Inoue N. The influence of

hot pack therapy on the blood flow in masseter muscles. J

Oral Rehabil. 2005;32(7):480-6.

Nozaki S, Kawai M, Shimoyama R, Futamura N, Matsumura

T, Adachi K, et al. Range of motion exercise of temporomandibular joint with hot pack increases occlusal force in

patients with Duchenne muscular dystrophy. Acta Myol.

;29(3):392-7.

McLean D. The use of cold and superficial heat in

the treatment of soft tissue injuries. Br J Sports Med.

;23(1):53-4.

Ramesh G, Prabhu NK. Review of thermo-physical

properties, wetting and heat transfer characteristics of

nanofluids and their applicability in industrial quench heat

treatment. Nanoscale Res Lett. 2011;6(1):1-15.

Fuentes-León et al. Effect of hot pack on lower back flexibility

Kim J, Lee L, Lee W, Lee J, Kim M, Kim B, et al. Temporal

changes in skin temperature caused by wet and dry heat

in healthy volunteers. J Phys Ther Sci. 2012;24(12):1209-13.

Strax T, Gonzalez P, Cuccurullo, S. Chapter 8. Physical

Modalities, Therapeutic Exercise, Extended Bedrest, and

Aging Effects. In: Cuccurullo, S, editor. Physical Medicine

and Rehabilitation Board Review. 2. ed. New York: Editorial

Demos Medical; 2004. p. 553-84.

Lee G, Ng G. Effects of stretching and heat treatment on

hamstring extensibility in children with severe mental

retardation and hypertonia. Clin Rehabil. 2008;22(9):771-9.

Wiwatkul W, Tasana-anunchai S, Phanich-attra W. A

comparison of hot pack with stretching exercise and

Thai massage to myofascial pain syndrome in neck and

upper back pain. J Prapokklao Hosp Clin Med Educ Centr.

;25(2):114-23.

Patel H, Desai D, Soni H, Soni K, Shah C. A comparative

study of effectiveness between superficial heat and

deep heat along with static stretching to improve

the plantar flexors flexibility in females wearing high

heel foot wears. Indian J Physiother Occup Ther.

;7(1):58-64.

Robertson J, Ward R, Jung P. The effect of heat on tissue

extensibility: a comparison of deep and superficial heating.

Arch Phys Med Rehabil. 2005;86(4):819-25.

Mayer J, Ralph L, Look M, Erasala G, Verna J, Matheson L, et

al. Treating acute low back pain with continuous low-level

heat wrap therapy and/or exercise: a randomized controlled

trial. Spine J. 2005;5(4):395-403.

Fernández C, Blanco C, del Amo A, Miangolarra J.

Relationship among mobility, functionality and quality

of life in subjects presenting with ankylosing spondylitis.

Fisioterapia. 2006;28(3):143-5.

Guede D, González P, Caeiro J. Biomechanics and bone (I):

Basic concepts and classical mechanical tests. Miner Metab

Rev Osteoporos. 2013;5(1):43-50.

Downloads

Published

2016-06-06

Issue

Section

Original Research

How to Cite

Heat transfer by three types of hot pack and its implication on the flexibility of the lower back: a randomized, controlled trial . (2016). Fisioterapia E Pesquisa, 23(2), 201-209. https://doi.org/10.1590/1809-2950/15088923022016