9 electroacupuncture
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9 electroacupuncture



9 electroacupuncture

9 electroacupuncture



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9 electroacupuncture 9 electroacupuncture Presentation Transcript

  • DR. SUBHANJAN DAS, PT Subhanjan_82@yahoo.co.in +91 8967549104 Dry Needling Instructor MPT (Musculoskeletal & Sports) Assoc. Prof., BIMLS, Burdwan
  • Also in the series  http://www.slideshare.net/SubhanjanDas/introduction-to-dry-needling  http://www.slideshare.net/SubhanjanDas/2-brief-hisory-of-needling  http://www.slideshare.net/SubhanjanDas/3-superficial-dry-needling  http://www.slideshare.net/SubhanjanDas/4-indications-of-dry-needling  http://www.slideshare.net/SubhanjanDas/6-dangers-of-dry-needling  http://www.slideshare.net/SubhanjanDas/7-physiologic-background-of-dryneedling  http://www.slideshare.net/SubhanjanDas/8-dn-vs-acupuncture  http://www.slideshare.net/SubhanjanDas/9-electroacupuncture  http://www.slideshare.net/SubhanjanDas/10-legalities-involved-in-dry-needling
  •  One of the advantages of DN is that physical therapists can easily combine the needling procedures with electrical stimulation.  Several terms have been used to describe electrical stimulation through acupuncture needles, including percutaneous electrical nerve stimulation (PENS), percutaneous electrical muscle stimulation, percutaneous neuromodulation therapy, and electroacupuncture (EA)
  •  Electrical stimulation via needle is almost exclusively given for pain relief.  Using the needles as electrodes offers many advantages over more traditional transcutaneous nerve stimulation (TENS)
  • Advantage skin impedence is bypassed Current is directly delivered to exact location of pain Both A delta and A beta system is engaged,giving better analgesia several studies have also demonstrated that PENS provided more pain relief and improved functionality than TENS.
  • parameters Frequencies between 2 and 4 Hz with high intensity are commonly used in nociceptive pain conditions and may result in the release of endorphins and enkephalins. For neuropathic pain, it is recommended to use currents with a frequency between 80 and 100 Hz, which are thought to affect release of dynorphin, GABA, and galanin
  • Electrode placement Many conventions exist.  the negative electrode is usually placed in the MTrP and the positive in the taut band but outside the MTrP  Elorriaga recommended inserting two converging electrodes in the MTrP, while Mayoral del Moral et al suggested inserting the electrodes at both sides of an MTrP inside the taut band
  • Equipment  Specific electroacupuncture machines are available.  A standard battery operated machine can be used with add on crocodile electrode  Chu developed an electrical stimulation modality that automatically elicits LTRs, which she referred to as “electrical twitch-obtaining intramuscular stimulation” or ETOIMS
  • Precaution  Strong responder  Voltage fluctuation