The document describes an electromagnetic stimulator of the microcirculation called ESTMCTM Technology. It uses radiofrequency signals applied through electrodes to increase temperature, blood flow, and microcirculation in tissues for therapeutic purposes. The technology is used to treat conditions like inflammation, pain, edema and for tissue repair in sports medicine applications. It works by applying electromagnetic waves through capacitive or resistive electrodes to mobilize electrical charges and modify temperature in tissues.
SHM by Human Tecar ® Treatment of ITB syndromeMarc MICHNOWSKI
The document describes the Synergistic Healthcare Methodology (SHM) for treating IT band syndrome. SHM combines an electromagnetic microcirculation stimulator, functional ingredients, and manual techniques. It aims to regain balance in tissues, create new balances, and restore balance before pathology occurs. The methodology has been used for 10 years in high-level sports. It helps accelerate repair processes and control pain without inhibiting necessary inflammation. Treatment for IT band syndrome decreases muscle tone and increases structure elasticity around various joints to restore mobility and prepare for strengthening. A combination of manual therapy and electrodes is used to address specific areas.
Laser therapy involves using concentrated light from lasers to treat various medical conditions. Key points:
- Lasers emit coherent, monochromatic light that can be used for both therapeutic and surgical purposes.
- Low-level lasers are used therapeutically to reduce pain and inflammation and promote tissue healing through photobiomodulation.
- The physiological effects of low-level laser therapy include reducing pain by increasing endorphins and serotonin, reducing inflammation by enhancing ATP and stabilizing cell membranes, and promoting tissue healing by increasing macrophage and fibroblast activity.
- Common indications are dermatological disorders, musculoskeletal pain, and neurogenic pain. Lasers are classified based on power output and safety, with classes 1
Short wave diathermy uses electromagnetic waves between 107-108 Hz to induce heating in tissues. It has both thermal and non-thermal physiological effects and can be used to treat inflammatory conditions, infections, muscle injuries and more. The document describes the production of short wave diathermy through an oscillating circuit, and discusses methods of application including capacitor and cable techniques which create electric and magnetic fields. Precautions are outlined to avoid risks like burns. In summary, it provides an overview of short wave diathermy including its mechanisms, effects, indications and application methods.
This document provides an introduction to NAGS (Natural Apophyseal Glides) and SNAGS (Sustained Natural Apophyseal Glides), manual therapy techniques developed by Brian Mulligan. It discusses Mulligan's background and credentials. The document describes the techniques, including that NAGS involve oscillatory glides along facet joints from C2-T3, while SNAGS involve sustained glides combined with symptomatic movements. Examples provided are cervical rotation, side bend, and traction SNAGS as well as NAGS techniques for the cervical and thoracic spine.
This document discusses ultrasound and electrotherapy. It describes how ultrasound uses mechanical vibration to generate heat in tissues. Different coupling methods like gels or immersion can be used depending on the treatment area. Electrotherapy can stimulate muscles or nerves to help with conditions like pain, edema, or muscle atrophy. Electrical currents are used to induce muscle contraction or stimulate sensory nerves according to the gate control or descending pain theories of treatment. Placement of electrodes can target specific tissues or structures.
Low-level laser therapy (LLLT), also known as cold laser therapy, uses low-power lasers or light-emitting diodes to reduce pain and inflammation and stimulate healing. LLLT works by stimulating cellular functions through photobiomodulation. The document discusses the mechanisms through which LLLT provides therapeutic effects such as reducing pain, decreasing inflammation, and improving wound healing. It provides information on appropriate dosages, wavelengths, application techniques, indications, contraindications, and safety precautions for LLLT.
This document summarizes neuromuscular electrical stimulation (NMES). NMES involves sending electrical impulses to nerves via electrodes placed on the skin to cause muscle contraction. It is used to improve muscle strength and range of motion, reduce spasticity and spasms, and increase cardiovascular function. Proper electrode placement and stimulation parameters are described. Contraindications include pacemakers, infected skin, and pregnancy. NMES sessions should be 20-30 minutes, 3 times per week for strengthening effects.
What is ESWT:
Shockwave Therapy is a noninvasive method that uses acoustive waves to treat varies musculoskeletal conditions.
Extracorporeal = outside body.
Shockwave = intense, short energy wave travelling faster than speed of sound.
Well-controlled mechanical insult to tissue.
Fast pain reliever and restore mobility.
SHM by Human Tecar ® Treatment of ITB syndromeMarc MICHNOWSKI
The document describes the Synergistic Healthcare Methodology (SHM) for treating IT band syndrome. SHM combines an electromagnetic microcirculation stimulator, functional ingredients, and manual techniques. It aims to regain balance in tissues, create new balances, and restore balance before pathology occurs. The methodology has been used for 10 years in high-level sports. It helps accelerate repair processes and control pain without inhibiting necessary inflammation. Treatment for IT band syndrome decreases muscle tone and increases structure elasticity around various joints to restore mobility and prepare for strengthening. A combination of manual therapy and electrodes is used to address specific areas.
Laser therapy involves using concentrated light from lasers to treat various medical conditions. Key points:
- Lasers emit coherent, monochromatic light that can be used for both therapeutic and surgical purposes.
- Low-level lasers are used therapeutically to reduce pain and inflammation and promote tissue healing through photobiomodulation.
- The physiological effects of low-level laser therapy include reducing pain by increasing endorphins and serotonin, reducing inflammation by enhancing ATP and stabilizing cell membranes, and promoting tissue healing by increasing macrophage and fibroblast activity.
- Common indications are dermatological disorders, musculoskeletal pain, and neurogenic pain. Lasers are classified based on power output and safety, with classes 1
Short wave diathermy uses electromagnetic waves between 107-108 Hz to induce heating in tissues. It has both thermal and non-thermal physiological effects and can be used to treat inflammatory conditions, infections, muscle injuries and more. The document describes the production of short wave diathermy through an oscillating circuit, and discusses methods of application including capacitor and cable techniques which create electric and magnetic fields. Precautions are outlined to avoid risks like burns. In summary, it provides an overview of short wave diathermy including its mechanisms, effects, indications and application methods.
This document provides an introduction to NAGS (Natural Apophyseal Glides) and SNAGS (Sustained Natural Apophyseal Glides), manual therapy techniques developed by Brian Mulligan. It discusses Mulligan's background and credentials. The document describes the techniques, including that NAGS involve oscillatory glides along facet joints from C2-T3, while SNAGS involve sustained glides combined with symptomatic movements. Examples provided are cervical rotation, side bend, and traction SNAGS as well as NAGS techniques for the cervical and thoracic spine.
This document discusses ultrasound and electrotherapy. It describes how ultrasound uses mechanical vibration to generate heat in tissues. Different coupling methods like gels or immersion can be used depending on the treatment area. Electrotherapy can stimulate muscles or nerves to help with conditions like pain, edema, or muscle atrophy. Electrical currents are used to induce muscle contraction or stimulate sensory nerves according to the gate control or descending pain theories of treatment. Placement of electrodes can target specific tissues or structures.
Low-level laser therapy (LLLT), also known as cold laser therapy, uses low-power lasers or light-emitting diodes to reduce pain and inflammation and stimulate healing. LLLT works by stimulating cellular functions through photobiomodulation. The document discusses the mechanisms through which LLLT provides therapeutic effects such as reducing pain, decreasing inflammation, and improving wound healing. It provides information on appropriate dosages, wavelengths, application techniques, indications, contraindications, and safety precautions for LLLT.
This document summarizes neuromuscular electrical stimulation (NMES). NMES involves sending electrical impulses to nerves via electrodes placed on the skin to cause muscle contraction. It is used to improve muscle strength and range of motion, reduce spasticity and spasms, and increase cardiovascular function. Proper electrode placement and stimulation parameters are described. Contraindications include pacemakers, infected skin, and pregnancy. NMES sessions should be 20-30 minutes, 3 times per week for strengthening effects.
What is ESWT:
Shockwave Therapy is a noninvasive method that uses acoustive waves to treat varies musculoskeletal conditions.
Extracorporeal = outside body.
Shockwave = intense, short energy wave travelling faster than speed of sound.
Well-controlled mechanical insult to tissue.
Fast pain reliever and restore mobility.
Winback Tecartherapy has been enormously successful since launhing in the UK.
Winback Tecartherapy offers rapid recovery from acute, sub acute and chronic injuries through using the latest dynamic manual therapy techniques and a unique radiofrequency technology delivered in combination. We operate at 3 frequencies – 300 khz, 500 khz and 1 mhz. Each of these frequencies have different effects on the body.
Tecartherapy has been widely used in Europe over the past 12 years by many of the top football clubs. Since launching in the UK we have been enormously successful with prestigious private physio practices across the UK, premier league football and rugby. Over the past four years WINBACK have significantly developed the TECAR concept and now have over 3,000 clinicians. WINBACK tecartherapy is now more dynamic in its delivery with treatment delivered both on and off the bed.
Why WINBACK Tecartherapy?
• Delivers Rapid Pain Relief, Leading to faster restoration of function and ultimately a faster restoration to full fitness.
• A Dynamic therapy approach enabling the athlete to mobilise whilst treatment is being given to the affected area.
• Normally we’d expect the injury recovery period to be 2X faster than with manual therapy alone with a better initial healing to prevent re-injury.
• Offers ongoing professional free training programmes along with a closed peer to peer information exchange programme enabling physiotherapists across the world to share best practice, difficult cases and obtain advice and guidance for best treatment modalities.
Benefits to YOU as a physiotherapist
Reduces treatment time to 20 minutes - more patients without compromise
A relaxing and comfortable treatment for you and your patient
Difficult to treat injuries are less labour intensive to treat, with greater results
Dynamic range treatments and modalities delivered off the bed
FREE peer to peer training and support - ongoing
Membership to our global elite Academy of over 1500 physiotherapists sharing best practice in an interactive closed exchange forum
Marketing platform to launch your clinic as a Winback centre
Opportunity to earn if you became an Academy Training Centre
Training:
Winback provide comprehensive training on how to combine your own manual therapy techniques with our Tecartherapy modality. You will soon be achieving greater results, increased customer satisfaction and repeat custom. Our training comprises 3 x 2-hour training sessions: “My Start”, “My Practice” and “My Expert” usually 2-4 months apart.
There are two devices the WINBACK 1S ideal for taking on the road and offers most of the treatment options of the larger WINBACK 3SE machine and weighs 4kg and fits in the overhead lockers. The larger machine weighs 5 kg and is also portable.
Contact: Debbie@winback.com or Paul@winback.com for more information
Concept given by Shacklock (modern concept) and Butler (old concept), a method of assessment as well as treatment of peripheral neurological system by physiotherapists.
Part-I: The current slideshow: theoretical aspect of neurodynamics.
Part-II: Assessment of peripheral nervous system on the basis of neurodynamic concepts: Date: 01/04/2020
Part-III: treatment part: Date: 03/04/2020
Part-IV: Self neurodynamics: 05/04/2020
High voltage pulsed galvanic stimulation (HVPGS) is a form of electrical stimulation using very brief high voltage pulses to stimulate nerve and muscle fibers. HVPGS uses pairs of pulses lasting 0.1 milliseconds with peak currents of 2-2.5 amps applied at a frequency of 2-100 Hz. The brief pulses allow the current to pass easily through tissue. HVPGS is used to strengthen muscles, reduce pain, and aid wound healing by increasing blood flow and reducing edema. The document provides details on the parameters and generator of HVPGS and discusses its various applications.
1. The document summarizes principles of electrode application, including electrode-tissue interface, tissue impedance, types of electrodes, and current flow in tissues.
2. Key points covered include how electrical current transitions from wires to tissues, factors that determine tissue impedance, types of electrodes like metal and carbon rubber electrodes, and how changing electrode size and spacing alters current density.
3. The document also discusses unipolar and bipolar systems, how current flow depends on tissue impedance, and methods for lowering skin resistance like washing, warming, and wetting the skin.
Electromagnetic spectrum & laws of radiation and its application in physiothe...Dr. Rushikesh K. Joshi, PT
The document discusses the electromagnetic spectrum and electromagnetic waves. It begins by defining electromagnetic waves and listing some common experiences with EM waves like radio, phones, light, and X-rays. It then discusses the different types of EM waves ordered from gamma to radio waves based on wavelength. It explains properties of all EM waves including being transverse waves that travel at light speed and obey the wave equation. Applications of different wavelengths are provided such as uses of gamma rays, X-rays, UV light, visible light, infrared, microwaves, and radio waves. Laws of reflection, refraction, absorption, and the inverse square law are also summarized.
This document discusses pulsed shortwave therapy (PSWT), which delivers pulsed electromagnetic energy in short pulses with time gaps between. PSWT uses a similar 27.12MHz frequency as traditional shortwave diathermy but with lower mean power of 2-5W. It results in non-thermal tissue heating through effects on cell membranes and ion transport. PSWT is shown to increase healing factors like white blood cells in wounds and reduce edema and inflammation. Treatment doses and contraindications are provided. PSWT is compared to traditional shortwave diathermy, with PSWT having non-thermal rather than thermal effects.
This document discusses microwave diathermy, which uses electromagnetic radiation between shortwave and infrared waves to generate heat deep in tissues for therapeutic purposes. It notes that microwave diathermy does not penetrate as deeply as shortwave diathermy due its higher frequency and shorter wavelength. The document provides details on microwave generators using 2450MHz frequency, applicators, absorption and penetration in different tissues, therapeutic effects, common applications for pain relief and increased circulation, as well as contraindications and treatment parameters.
This document provides an introduction and training on the Myolift microcurrent device. It begins with an agenda and background on microcurrent technology. It then covers how microcurrent works on a cellular level to boost collagen production and skin health. The document reviews safe and effective protocols for using the Myolift to lift and tighten facial muscles through microcurrent stimulation. It includes guidance on customizing treatments for different skin conditions, taking before and after photos, and expected treatment schedules and results. Contraindications and potential side effects are also summarized.
Shockwave therapy involves using pressurized acoustic shockwaves to treat musculoskeletal conditions. There are two main types - focused shockwaves concentrate energy at a target depth while radial shockwaves disperse energy over a wider area. The shockwaves cause mechanical deformation and possible damage of cells through cavitation. This stimulates tissue healing through inflammation. Evidence supports shockwave for chronic tendinopathies like lateral elbow and Achilles tendon. Contraindications include active infection or bone growth areas.
Presentation on SHOCKWAVE THERAPY.
What is ESWT Or Shockwave Therapy.
MECHANISM OF ACTION Shockwave Therapy.
MEDICAL EFFECTS of Shockwave Therapy.
INDICATIONS and CONTRAINDICATIONS of Shockwave Therapy.
Some of the benefits of shockwave therapy treatment.
HOW SUCCESSFUL IS SHOCKWAVE?
This document discusses high volt pulsed galvanic stimulation (HVPGS), a type of neuromuscular stimulator that uses high voltage, low amperage, short pulses to penetrate deep tissues. HVPGS can produce muscle contractions and chemical changes, and is used for analgesia, wound healing, and other clinical applications. It allows for deep penetration without risk of tissue damage. Physiological effects include increased range of motion, edema reduction, and accelerated wound healing. Common indications are adhesive capsulitis, bursitis, cervical sprain, and post-operative conditions. Treatment involves 30-40 minute sessions 3 times per day.
Diadynamic currents, High Voltage Galvanic Stimulation, Micro current, Träber...Sreeraj S R
This document discusses several types of low-frequency electrical stimulation techniques including diadynamic currents, high voltage pulsed galvanic stimulation, microcurrent, and Trabert current. It provides details on the waveform characteristics, physiological effects, indications, contraindications and application parameters for each technique. Diadynamic currents have five classic types that use rectified alternating current to produce monophasic pulses. High voltage galvanic stimulation uses twin peak monophasic pulses of short duration and low duty cycle. Microcurrent uses even lower intensities in the microampere range to stimulate tissue healing. Trabert current is a direct current with a 2 ms pulse and 5 ms interval, producing a frequency of around 143 Hz.
Electrical modalities use different forms of energy to penetrate tissues and provide relief from pain, swelling, and promote healing. Common modalities include TENS, which uses electrical stimulation to modulate pain, NMES which causes muscle contraction, and iontophoresis which delivers medication transdermally using low-level electrical currents. Occupational therapists are trained to appropriately apply modalities like these to address goals like pain management, increased range of motion, and wound or fracture healing as part of a client's occupational therapy program. Precautions and contraindications must be considered for safe application of each modality.
Micro-current is a treatment that uses a very small electrical current to stimulate cellular activity and speed up metabolism in tissues. It can tighten skin, reduce wrinkles and lines, and lift sagging muscles. A full course of micro-current treatments involves 10-12 sessions over 5-6 weeks, with different wave forms and programs targeting circulation, lymph drainage, lifting, and firming. Regular micro-current can help delay the signs of aging by promoting collagen and elastin production.
Microwave diathermies (MWDs) are electromagnetic (EM) radiation emitting systems that are used by physiotherapists for thermotherapy treatment. This presentation will give an overview about Microwave diathermy to all physiotherapy clinicians, students & teaching faculties
Therapeutic Ultrasound for Physiotherapy studentsSaurab Sharma
This lecture intends to provide general outline about the uses, parameters, precautions and contraindications of therapeutic ultrasound for undergraduate physiotherapy students at Kathmandu University School of Medical Sciences, Nepal. After the lecture, students will explore the evidences about current practices of therapeutic ultrasound in various musculoskeletal pain conditions, critically appraise them and present the evidences to the class.
This document discusses laser therapy, including its production, types, effects, applications, and techniques. It begins by defining laser as light amplified by stimulated emission of radiation. It then describes the key properties of lasers as monochromaticity, coherence, and collimation. It discusses the different types of lasers based on lasing medium (ruby, HeNe, diode) and intensity (high power, low power). The physiological and therapeutic effects of lasers are outlined, including effects on wound healing, pain relief, and inflammation. Applications such as wound healing and reducing pain and inflammation are indicated. The document concludes by describing techniques for laser application and important parameters like wavelength, energy density, and dosage.
Contrast bath therapy involves alternating immersion of a body part in cold then warm water. It treats soreness, swelling, and inflammation from injuries or conditions like sprains or carpal tunnel by increasing blood circulation and lymph flow through vasodilation and vasoconstriction induced by temperature changes.
Electrosurgery uses high-frequency alternating electrical current to cut, coagulate, or vaporize tissue. It allows for precise cuts with limited blood loss. The current is delivered via an electrosurgery generator to an active electrode and returns through the patient to a neutral electrode. Different waveforms and modes, such as cut, coagulate, and blend, are used depending on the desired tissue effect. Safety features monitor for excess heat buildup and electrode detachment to prevent patient injury.
Winback Tecartherapy has been enormously successful since launhing in the UK.
Winback Tecartherapy offers rapid recovery from acute, sub acute and chronic injuries through using the latest dynamic manual therapy techniques and a unique radiofrequency technology delivered in combination. We operate at 3 frequencies – 300 khz, 500 khz and 1 mhz. Each of these frequencies have different effects on the body.
Tecartherapy has been widely used in Europe over the past 12 years by many of the top football clubs. Since launching in the UK we have been enormously successful with prestigious private physio practices across the UK, premier league football and rugby. Over the past four years WINBACK have significantly developed the TECAR concept and now have over 3,000 clinicians. WINBACK tecartherapy is now more dynamic in its delivery with treatment delivered both on and off the bed.
Why WINBACK Tecartherapy?
• Delivers Rapid Pain Relief, Leading to faster restoration of function and ultimately a faster restoration to full fitness.
• A Dynamic therapy approach enabling the athlete to mobilise whilst treatment is being given to the affected area.
• Normally we’d expect the injury recovery period to be 2X faster than with manual therapy alone with a better initial healing to prevent re-injury.
• Offers ongoing professional free training programmes along with a closed peer to peer information exchange programme enabling physiotherapists across the world to share best practice, difficult cases and obtain advice and guidance for best treatment modalities.
Benefits to YOU as a physiotherapist
Reduces treatment time to 20 minutes - more patients without compromise
A relaxing and comfortable treatment for you and your patient
Difficult to treat injuries are less labour intensive to treat, with greater results
Dynamic range treatments and modalities delivered off the bed
FREE peer to peer training and support - ongoing
Membership to our global elite Academy of over 1500 physiotherapists sharing best practice in an interactive closed exchange forum
Marketing platform to launch your clinic as a Winback centre
Opportunity to earn if you became an Academy Training Centre
Training:
Winback provide comprehensive training on how to combine your own manual therapy techniques with our Tecartherapy modality. You will soon be achieving greater results, increased customer satisfaction and repeat custom. Our training comprises 3 x 2-hour training sessions: “My Start”, “My Practice” and “My Expert” usually 2-4 months apart.
There are two devices the WINBACK 1S ideal for taking on the road and offers most of the treatment options of the larger WINBACK 3SE machine and weighs 4kg and fits in the overhead lockers. The larger machine weighs 5 kg and is also portable.
Contact: Debbie@winback.com or Paul@winback.com for more information
Concept given by Shacklock (modern concept) and Butler (old concept), a method of assessment as well as treatment of peripheral neurological system by physiotherapists.
Part-I: The current slideshow: theoretical aspect of neurodynamics.
Part-II: Assessment of peripheral nervous system on the basis of neurodynamic concepts: Date: 01/04/2020
Part-III: treatment part: Date: 03/04/2020
Part-IV: Self neurodynamics: 05/04/2020
High voltage pulsed galvanic stimulation (HVPGS) is a form of electrical stimulation using very brief high voltage pulses to stimulate nerve and muscle fibers. HVPGS uses pairs of pulses lasting 0.1 milliseconds with peak currents of 2-2.5 amps applied at a frequency of 2-100 Hz. The brief pulses allow the current to pass easily through tissue. HVPGS is used to strengthen muscles, reduce pain, and aid wound healing by increasing blood flow and reducing edema. The document provides details on the parameters and generator of HVPGS and discusses its various applications.
1. The document summarizes principles of electrode application, including electrode-tissue interface, tissue impedance, types of electrodes, and current flow in tissues.
2. Key points covered include how electrical current transitions from wires to tissues, factors that determine tissue impedance, types of electrodes like metal and carbon rubber electrodes, and how changing electrode size and spacing alters current density.
3. The document also discusses unipolar and bipolar systems, how current flow depends on tissue impedance, and methods for lowering skin resistance like washing, warming, and wetting the skin.
Electromagnetic spectrum & laws of radiation and its application in physiothe...Dr. Rushikesh K. Joshi, PT
The document discusses the electromagnetic spectrum and electromagnetic waves. It begins by defining electromagnetic waves and listing some common experiences with EM waves like radio, phones, light, and X-rays. It then discusses the different types of EM waves ordered from gamma to radio waves based on wavelength. It explains properties of all EM waves including being transverse waves that travel at light speed and obey the wave equation. Applications of different wavelengths are provided such as uses of gamma rays, X-rays, UV light, visible light, infrared, microwaves, and radio waves. Laws of reflection, refraction, absorption, and the inverse square law are also summarized.
This document discusses pulsed shortwave therapy (PSWT), which delivers pulsed electromagnetic energy in short pulses with time gaps between. PSWT uses a similar 27.12MHz frequency as traditional shortwave diathermy but with lower mean power of 2-5W. It results in non-thermal tissue heating through effects on cell membranes and ion transport. PSWT is shown to increase healing factors like white blood cells in wounds and reduce edema and inflammation. Treatment doses and contraindications are provided. PSWT is compared to traditional shortwave diathermy, with PSWT having non-thermal rather than thermal effects.
This document discusses microwave diathermy, which uses electromagnetic radiation between shortwave and infrared waves to generate heat deep in tissues for therapeutic purposes. It notes that microwave diathermy does not penetrate as deeply as shortwave diathermy due its higher frequency and shorter wavelength. The document provides details on microwave generators using 2450MHz frequency, applicators, absorption and penetration in different tissues, therapeutic effects, common applications for pain relief and increased circulation, as well as contraindications and treatment parameters.
This document provides an introduction and training on the Myolift microcurrent device. It begins with an agenda and background on microcurrent technology. It then covers how microcurrent works on a cellular level to boost collagen production and skin health. The document reviews safe and effective protocols for using the Myolift to lift and tighten facial muscles through microcurrent stimulation. It includes guidance on customizing treatments for different skin conditions, taking before and after photos, and expected treatment schedules and results. Contraindications and potential side effects are also summarized.
Shockwave therapy involves using pressurized acoustic shockwaves to treat musculoskeletal conditions. There are two main types - focused shockwaves concentrate energy at a target depth while radial shockwaves disperse energy over a wider area. The shockwaves cause mechanical deformation and possible damage of cells through cavitation. This stimulates tissue healing through inflammation. Evidence supports shockwave for chronic tendinopathies like lateral elbow and Achilles tendon. Contraindications include active infection or bone growth areas.
Presentation on SHOCKWAVE THERAPY.
What is ESWT Or Shockwave Therapy.
MECHANISM OF ACTION Shockwave Therapy.
MEDICAL EFFECTS of Shockwave Therapy.
INDICATIONS and CONTRAINDICATIONS of Shockwave Therapy.
Some of the benefits of shockwave therapy treatment.
HOW SUCCESSFUL IS SHOCKWAVE?
This document discusses high volt pulsed galvanic stimulation (HVPGS), a type of neuromuscular stimulator that uses high voltage, low amperage, short pulses to penetrate deep tissues. HVPGS can produce muscle contractions and chemical changes, and is used for analgesia, wound healing, and other clinical applications. It allows for deep penetration without risk of tissue damage. Physiological effects include increased range of motion, edema reduction, and accelerated wound healing. Common indications are adhesive capsulitis, bursitis, cervical sprain, and post-operative conditions. Treatment involves 30-40 minute sessions 3 times per day.
Diadynamic currents, High Voltage Galvanic Stimulation, Micro current, Träber...Sreeraj S R
This document discusses several types of low-frequency electrical stimulation techniques including diadynamic currents, high voltage pulsed galvanic stimulation, microcurrent, and Trabert current. It provides details on the waveform characteristics, physiological effects, indications, contraindications and application parameters for each technique. Diadynamic currents have five classic types that use rectified alternating current to produce monophasic pulses. High voltage galvanic stimulation uses twin peak monophasic pulses of short duration and low duty cycle. Microcurrent uses even lower intensities in the microampere range to stimulate tissue healing. Trabert current is a direct current with a 2 ms pulse and 5 ms interval, producing a frequency of around 143 Hz.
Electrical modalities use different forms of energy to penetrate tissues and provide relief from pain, swelling, and promote healing. Common modalities include TENS, which uses electrical stimulation to modulate pain, NMES which causes muscle contraction, and iontophoresis which delivers medication transdermally using low-level electrical currents. Occupational therapists are trained to appropriately apply modalities like these to address goals like pain management, increased range of motion, and wound or fracture healing as part of a client's occupational therapy program. Precautions and contraindications must be considered for safe application of each modality.
Micro-current is a treatment that uses a very small electrical current to stimulate cellular activity and speed up metabolism in tissues. It can tighten skin, reduce wrinkles and lines, and lift sagging muscles. A full course of micro-current treatments involves 10-12 sessions over 5-6 weeks, with different wave forms and programs targeting circulation, lymph drainage, lifting, and firming. Regular micro-current can help delay the signs of aging by promoting collagen and elastin production.
Microwave diathermies (MWDs) are electromagnetic (EM) radiation emitting systems that are used by physiotherapists for thermotherapy treatment. This presentation will give an overview about Microwave diathermy to all physiotherapy clinicians, students & teaching faculties
Therapeutic Ultrasound for Physiotherapy studentsSaurab Sharma
This lecture intends to provide general outline about the uses, parameters, precautions and contraindications of therapeutic ultrasound for undergraduate physiotherapy students at Kathmandu University School of Medical Sciences, Nepal. After the lecture, students will explore the evidences about current practices of therapeutic ultrasound in various musculoskeletal pain conditions, critically appraise them and present the evidences to the class.
This document discusses laser therapy, including its production, types, effects, applications, and techniques. It begins by defining laser as light amplified by stimulated emission of radiation. It then describes the key properties of lasers as monochromaticity, coherence, and collimation. It discusses the different types of lasers based on lasing medium (ruby, HeNe, diode) and intensity (high power, low power). The physiological and therapeutic effects of lasers are outlined, including effects on wound healing, pain relief, and inflammation. Applications such as wound healing and reducing pain and inflammation are indicated. The document concludes by describing techniques for laser application and important parameters like wavelength, energy density, and dosage.
Contrast bath therapy involves alternating immersion of a body part in cold then warm water. It treats soreness, swelling, and inflammation from injuries or conditions like sprains or carpal tunnel by increasing blood circulation and lymph flow through vasodilation and vasoconstriction induced by temperature changes.
Electrosurgery uses high-frequency alternating electrical current to cut, coagulate, or vaporize tissue. It allows for precise cuts with limited blood loss. The current is delivered via an electrosurgery generator to an active electrode and returns through the patient to a neutral electrode. Different waveforms and modes, such as cut, coagulate, and blend, are used depending on the desired tissue effect. Safety features monitor for excess heat buildup and electrode detachment to prevent patient injury.
Physical Therapies in Management of Sports InjuriesSushmita Kushwaha
The document discusses various physical modalities used in sports medicine and rehabilitation, including cryotherapy, superficial heat therapy, ultrasound, TENS, interferential therapy, galvanic current, laser therapy, and iontophoresis. It provides details on the mechanisms of action, clinical indications, contraindications, and proper application of each modality.
Synergistic Healthcare Methodology for ankle sprain and sports recoveryMarc MICHNOWSKI
1. The document discusses a methodology for using high-frequency current (HCR) and Synergy Mats to treat lateral ankle ligament sprains.
2. HCR is applied at different intensities and locations over time to stimulate microcirculation, reduce edema, enhance vasodilation, and increase internal tissue temperature during the acute, inflammatory, and remodeling phases of healing.
3. Synergy Mats with different surfaces are used for proprioceptive rehabilitation exercises to reactivate the neuromuscular system and prevent future sprains. The document also notes that recovery time is needed after exertion to allow regeneration of joints, muscles and tendons.
PHYSIOTHERAPY IN VETERINARY SURGERY AND RADIOLOGYDrKanteshkumarMJ
• The growing interest in physiotherapy and rehabilitation within small animal practice presents a few challenges for the veterinary surgeon.
• There is an expectation among the public, and within veterinary law, that veterinary practitioners should be the experts on physiotherapy and rehabilitation for animals, but current training does not prepare them for this role.
• While the non-specialist vet and nurse can easily and effectively provide simple physiotherapy modalities with just basic training, qualified veterinary physiotherapists can offer a new dimension to the small animal practice and bring additional expertise and skills to the veterinary team.
• The integration of physiotherapy in practice can help to improve outcomes and promote a positive, caring image to clients.
• Hopefully, when the established post-graduate programs of study begin to produce quality research the scientific evidence base for animal physiotherapy will broaden and strengthen, ultimately enhancing the quality of overall veterinary care.
• Physiotherapy has immense potential as an alternative treatment. It is cost effective and nowadays, this important branch is also rapidly becoming recognized tool in the prevention, cure and rehabilitation of many equine, canine and feline injuries.
This document discusses various electrotherapy modalities used in physical therapy including galvanic current, Faradic current, shortwave diathermy, interferential therapy, and TENS. Galvanic current uses direct current to promote ion transfer and blood flow, while Faradic current uses pulses to cause muscle contraction. Shortwave diathermy uses electromagnetic waves to produce deep heating for pain relief and increased range of motion. Interferential therapy and TENS use electrical currents to reduce pain, inflammation, and accelerate healing for conditions like chronic pain, post-surgical recovery, and muscle injuries. These electrotherapy modalities are commonly used in physical therapy to aid muscle healing, increase blood flow, reduce pain, and improve range of
This document provides an overview of various physical therapy methods, focusing on thermotherapy and electrotherapy. It discusses using heat/cold through conduction (packs/compresses), convection (hydrotherapy/baths), and radiation (saunas). Electrotherapy techniques covered include direct current, low-frequency alternating current for stimulation, and high-frequency currents for diathermy. Safety aspects of electric currents and their effects on tissue are also summarized.
This document summarizes various therapeutic methods in medicine, dividing them into non-invasive and invasive categories. Non-invasive methods include mechanical techniques like extracorporeal shock wave lithotripsy and laser lithotripsy for kidney stone removal. Other non-invasive options covered are electrostimulation, magnetic therapy, thermotherapy using heat/light sources, and ionizing radiation therapy. Invasive methods discussed are mechanical/chemical procedures, ultrasound technologies, electric methods, and vital organ support like artificial respiration and heart pumps.
This document discusses the history and applications of oral physiotherapy as a non-surgical approach for maxillofacial disorders. It outlines that physiotherapy has its origins in ancient Greek medicine and the first modern school was established in 1913. The document details several physiotherapy modalities used in dentistry including massage, exercises, electrotherapy like TENS and laser therapy, and thermal modalities. It argues that physiotherapy provides an effective non-surgical option for treating dental issues and maxillofacial disorders by reducing pain and inflammation and improving mobility.
- Muscle strength is directly proportional to muscle cross-sectional area and is affected by factors like muscle length, velocity of contraction, and the type of contraction (eccentric, concentric, isometric).
- Common techniques to increase strength include progressive resistance exercise programs (DeLorme, Oxford) and exercising to muscle fatigue with both high and low weight.
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This document discusses the principles and techniques of physiotherapy, with a focus on its applications in orthopedics. It outlines the aims of physiotherapy to treat, correct, and prevent disability and deformity. A variety of physical therapy techniques are described, including heat therapy, cold therapy, electrical stimulation, therapeutic exercises, and aquatic physiotherapy. Heat therapy is used to reduce pain and stiffness, while cold therapy aims to reduce pain, swelling, and muscle spasm after injury. Different types of exercises like range of motion, strengthening, functional, and conditioning exercises are covered. The document emphasizes the role of physiotherapy in rehabilitation after fractures and injuries to help restore full function.
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2. Electromagnetic Stimulator of the Micro Circulation "
§
Uses an electromagnetic signal 485 Mhz (intermediate
frequency radio wave) produced by a generator
§
Applied directly to human tissues without space propagation
by two differents types of conducing electrodes
§
Mobilizes electrical charges into tissues and creates a deep
high or low modification of the temperature and
conseguently an increase of the microcirculation
§
For different therapeutical effects
3.
4. Using RadioFrequency (RF) in medicine: a bit of history"
§ Introduced in 1920: Bovie and Gusting for
electro cauterization
§ 1950: in neuro surgery to create localized
lesions of the central nervous system
§ 1960: in cardiac surgery to remove nodules
5. RF used to treat tumour masses"
Leveen et al, 1976"
creating hyperthermia in order to destroy
central cells (wich have less active
metabolism and are less vascularized)
Ley et al, 1992"
show central necrosis and reduction of
peripheral edema of carcinomatous mass
suggested possibility to use RF for other
tissues
6. Using RF in tissues subject to inflammatory reactions"
§
with appropriate proportions of intensity and time
§
to not reach temperature who leads to cellular necrosis
observed in tumour therapy
"
§ 1953 Lehmann: "
40-45 °C have therapeutic effects in various
pathological conditions
➜ NON-INVASIVE Therapeutic RadioFrequency
7. Other uses: dermatology and aesthetic"
§
Heat the deep dermis and subcutaneous tissue
§ Treat
the sagging skin of face and body
§ Reduce
§ Acne
local fat and cellulitis
8. Physical Principles. Electromagnetic wave."
§
Product of an electrostatic field and
a magnetic field produced by an
alternating electrical current.
§ Transport
energy and is not
perceptible by senses
All conductive structure subjected
to electromagnetic wave will undergo
an energy increase as an increase of
the ion movements
§
§ Temperature
increases where the
wave condenses
9. The HCR 1001 generator of ESTMC™ Technology "
§
Signal is trasmitted to the human body by 2 different
electrodes
§
High impedance or capacitive (lympho dynamic or thermo
dynamic)
§
Low impedance or resistive
§
A metal conductor sheet closes the circuit
10. Electricity"
Capacitor: elementary electrical component
constituted of two conductive frames
(electrodes) separated by a dielectric polarizable
insulator
Property: to store opposite electrical charges
on their frames by electrostatic effect
Capacitive effect
11. High Impedance (Capacitive) effect"
Capacitor is made up of:
§
one frame - a metal electrode
with an insulating layer placed
on tissue surface
§
one other frame - the metal
conductor sheet which closes
the circuit with the human
tissues as insulator
12. §
Charges tend to condense mainly
around the insulated electrode
§
Energy tend to increase gradually
around it with subconsequence
increase the microcirculaton and
temperature (if desidered)
The energy depends on the voltage
applied by the generator (Volts) and the
size of the electrode. The movement
changes the endothermic response.
13. High impedance electrodes Lympho or Thermo dynamic
(Capacitive)"
§
The electrodes are constituted by:
§
inside different type of conductive metallic
material,
outside biocompatible insulating material
applied with a technique of overlap.
§
The geometry : flat or convex
§
Two different models:
§
Lymphodynamic : allows action to low
intensity and causes small temperature
variations ➞ lymphatic system;
Thermodynamic allows action to high
intensity and causes higher temperature
variations ➞ other fluidic components
14. Electrical Resistance"
Property of a conductive material to slow
down the passage of an electrical current
Responsible for energy dissipation as heat
Certain materials are offering more or less
resistance
Resistive effect
15. Low impedance electrode (Resistive):"
• Within
the structures subjected to
the radio frequency signal
comprises a movement of ions
• Where
the waves condense
(bones, ligaments, tendons …)
energy increase, temperature and
microcirculation too (if desired)
16. §
The RF signal produced by
HCR 1001 is administered to
the tissues through a manual
therapy
§
The conductive electrolyte
emulsion between electrodes
and the skin reduces the skin
resistance
§
hydrates tissues and
facilitates electrode sliding
§
Facilitates a deep action
17. Technology’s actions"
Action on the tissue’s temperature
either superficial or deep on a localized
or larger area.
HCR 1001 induces an important or
very small temperature variation
depending on the delivered intensity
Objectives:
- to increase the vasodilatation
- to increase the blood microcirculation
- to increase the tissue metabolism
- to cause biological reactions
- =>to stimulate mechanisms of repair
18. In combination with a manual therapy and in
rehabilitation programs"
§
Increase extensibility of collagen tissue by the
modification of viscosity
§
Reduce pain and release endorphins
§
Reduce muscle spasms and contractures
§
Help the reduction of edema and hemorrhagic
collections
22. Healing"
§
“Good orthopeadic health” is a
state of balance of our systems
§
Under various aggression effects
(intrinsec or extrinsec) trauma, over
uses, sport training, ageing, fatigue,
stress…
§
Balance changes ➞system
adaptations to new balance until a
decompensation ➞ pathology ➞
inflammation ➞ healing process ➞
same or new system balance
24. Inflammation = usefull for healing
Physiological response to aggression,
Necessary to lead to tissue reconstruction and healing
2 phases"
§
Vascular : vasodilatation and vascular permeability increase
release of molecules, activation of proteines, secretion of chemical mediators
§
Cellular : local vasodilatation to increase blood flow to:
# evacuate dead cells and toxins
#
#
bring necessary elements for reconstruction
§
Clinic :
vasodilatation ➞ redness and heat
aqueous fluid from blood plasma
by osmosis to tissues ➞ edema
edema ➞ nerves compression ➞pain
25. Synergistic Healthcare Methodology"
§
Use of this technique since 10 years in high level
sports (football, tennis, motorsports, athletics….) has
helped us to develop a method of treatment called
SHM
§
Athletes need fast recovery, precision and security
from physiotherapy to treat and prevent imbalances
§
SHM helps us to accelerate bio repairing processes,
control pain without inhibiting inflammation often
necessary
26. SHM combines the action of :
technologies
products with functional ingredients
special manual techniques
Rehabilitation programs
To assist therapist’s and give their
hands power to help tissues to :
§ regain a new balance initially
lost"
"
§ create other balance if it
permanently lost (rheumatology)"
"
§ restore a balance before
pathology occurring (prevention)"
28. Trauma "
• London
2012 , women pault vault qualification
• Athlete
felt acute pain on heel during impulse
• Clinical
exam :
pain on manual pressure of posterior and lateral
heel area
pain on plantar fascias stretching / contraction
walking difficulties
Athlete wants to try to compete the olympic
final 36 hours later
29. US (3h) : fat lesion with sub cutaneous edema "
no visible strain on plantar fascias"
30. Treatment with ESTMC"
• Low
Impedance electrode application with high intensity on calf
and popliteal area to :!
-
Create important temperature variation up the heel !
-
Stimulate blood flow increase, relax calf muscles and help
drainage!
• High
Impedance electrode application with really low intensity on
heel area to : !
Analgesie and drain edema!
Others : Ice applications / compressive bandage!
30 minutes treatment 3 times a day!
32. conclusion"
• Clinical
exam :
Pressure pain was less
No pain during stretching / contraction / walking
Running 60 % result :
Treatment with SHM help for analgesic and edema resorbtion
No enough time for healing
34. Acute occuring during running or
jumping
Pain and oedema
US ➞ oedema in sheath / fibre
thickening or strains
Fonctionnal disability: fast walking /
stairs / foot impulse
35. Clinical examination"
• Tendon
palpation to evaluate where is the most painfull
area ( lateral, medial side, depth or superficial …) and
oedema tonicity
• Calf
palpation to research muscle spasm : soleus +++
• Evaluate
the ankle, subtalar and foot join motions
• Evaluate
the stretch range before onset of pain
36. Preparation"
Mild application of lymphoarticular oil on
popliteal area, on achilles tendon and on
ankle and foot joins
application of thermoactivante oil on the calf
muscles
➞
lymphatic stimulation and reduce
resistances
application of dermopurifiante solution to
cleansing the skin
38. 1/ Thermodynamic High Impedance Electrode"
High intensity, cranially, on calf muscles and
poplitéal area :
➞ Creating signifiant temperature difference
between 2 areas
➞ Improving lymphatic drainage
➞ Increasing blood circulation in muscles to
relief tensions and relax
➞ Application associated with massage and
slow and soft stretching if possible
39. 2/ Low Impedance Electrode "
Low intensity on tendon, paratenon,
ankle, foot joints :
➞ Inducing a small increase in
temperature
➞ Associated with massage (Cyriax)
stretching or eccentric techniques
➞ Manual therapy for joint loss of
mobility
40. 3/ Convex Lymphodynamic High Impedance Electrode"
Low intensity"
➞ inducing a minimal temperature variation to
activate lymphatic drainage
➞ mild massage to reduce space between
tendon and sheath
42. Clinical examination"
§
Cartilage and meniscus degeneration of
patellofemoral and/or tibiofemoral joint(s)
§
Beside inflammatory phase where pain can
be severe if sub chondral achievement
§
Fibrosis synovial / flexum / ligament stifness
§
Thigh muscular stiffening
§
Muscle atrophy / loss of strengh and
elasticity
43. Treatment "
Thermodynamic High Impedance"
Electrode"
"
High intensity on the thigh muscles for
increasing blood flow to
➞ Reduce spasms
➞ Prepare to strecthing and
strenghtening
44. Low Impedance Electrode "
Low to medium intensity on the knee
and caudally to:"
➞ concentrate action on joint elements
for flexibility
➞ prepare manual therapy treatment
§ Patellar movements
§ Specific minor mouvements
➞ Followed by rehabilitation
exercises
45. Conclusion "
• ESTMC TM
is a valuable tool to
empower physiotherapist’s hands
• Indicated
for many orthopedics and
sports pathology
• Manual
treatments depend on the
specific training and experience of
operator who stay the central actor of
the therapeutic program