This document discusses interferential therapy (IFT), including its history, principles, instrumentation, applications, effects, and precautions. Some key points:
- IFT was developed in the 1950s and involves applying two medium frequency alternating currents slightly out of phase to produce a low frequency effect for therapeutic purposes.
- The interference of the currents produces an amplitude-modulated frequency that can stimulate tissues in a manner similar to low frequency electrotherapy.
- IFT is used for pain relief, muscle stimulation, increasing blood flow, and reducing edema through its physiological effects on tissues from 10-150 Hz.
- Proper electrode placement and current parameters are important to achieve the intended effects while avoiding contraindic
a detailed description on theory behind Strength duration curve, along with procedure for plotting SD Curve and measuring the Rheobase and Chronaxie of the plotted graph.
Goniometry is the measuring of angles created by the bones of the body at the joints.1, 2, 3
The term goniometry is derived from two Greek words, gonia meaning angle and metron, meaning measure. 1, 2, 3, 4, 5,
System to measure the joint ranges in each plane of the joint is termed goniometry. 4
These measurements are done with instrument such as goniometer, a tape measure, inclinometers or by visual estimate.
a detailed description on theory behind Strength duration curve, along with procedure for plotting SD Curve and measuring the Rheobase and Chronaxie of the plotted graph.
Goniometry is the measuring of angles created by the bones of the body at the joints.1, 2, 3
The term goniometry is derived from two Greek words, gonia meaning angle and metron, meaning measure. 1, 2, 3, 4, 5,
System to measure the joint ranges in each plane of the joint is termed goniometry. 4
These measurements are done with instrument such as goniometer, a tape measure, inclinometers or by visual estimate.
The manual muscle testing procedure was described in this power point, indications, contraindications, limitations of MMT was included. the MMT grading system (scale) was explained well in this PPT.
Short wave diathermy (s.w.d) electro therapyÂbhìšhék Singh
Electrotherapy topic shot wave diathermy ppt (physics)
Bachelor of physiotherapy topic swd . Swd introduction, and range of swd , indications and contraindications of swd
Joint mobilization refers to a technique of manual therapy by which a therapist applies a brief stretch of 30s or less through traction and gliding along a joint surface.
This Presentation is about Mitchell relaxation technique also known a physiological relaxation technique Mitchell’s physiological relaxation technique is based on reciprocal inhibition and involves diaphragmatic breathing and a series of ordered isotonic contractions.
Rebox electrotherapeutic method is based on non-invasive transcutaneous application of specific electric currents to a living tissue. Main indications for using the Rebox include treatment of acute and chronic pain, immobility, musculoskeletal and neurological disorders and oedema.
The manual muscle testing procedure was described in this power point, indications, contraindications, limitations of MMT was included. the MMT grading system (scale) was explained well in this PPT.
Short wave diathermy (s.w.d) electro therapyÂbhìšhék Singh
Electrotherapy topic shot wave diathermy ppt (physics)
Bachelor of physiotherapy topic swd . Swd introduction, and range of swd , indications and contraindications of swd
Joint mobilization refers to a technique of manual therapy by which a therapist applies a brief stretch of 30s or less through traction and gliding along a joint surface.
This Presentation is about Mitchell relaxation technique also known a physiological relaxation technique Mitchell’s physiological relaxation technique is based on reciprocal inhibition and involves diaphragmatic breathing and a series of ordered isotonic contractions.
Rebox electrotherapeutic method is based on non-invasive transcutaneous application of specific electric currents to a living tissue. Main indications for using the Rebox include treatment of acute and chronic pain, immobility, musculoskeletal and neurological disorders and oedema.
IFT which stands for Interferential Therapy is one of the types of electrotherapy used for the management of pain. The principle of interferential therapy is to cause two medium frequency currents of slightly different frequencies to interfere with one another. For example, if circuit A carries a current with the frequency of 4000Hz and Circuit B carry a current with a frequency of 3980 Hz, then the low frequency produced will be 20 Hz and this frequency is very useful in pain modulation. A new low-frequency current known as the beat frequency is equal to the difference in frequencies between the two medium frequency currents produced in the tissues at the point where the two currents cross.
It is basically used for the treatment of Chronic, Post Traumatic, and Post-surgical pains. The basic principle involves the utilization of effects of low frequencies (<250pps) without painful or unpleasant side effects. The major advantage of IFT is that it produces effects in the tissue, exactly where required without unnecessary and uncomfortable skin stimulation. This technique is widely used to elicit muscle contraction, promote healing and reduce edema.
Vector effect: The interference field is rotated to an angle of 450 in each direction, the field thus covers a wider area. This is useful in diffuse pathology or if the site of the lesion cannot be accurately localized.
Frequency swing: Some equipment allows a variation in the speed of the frequency swing. A rhythmic mode may be a continuous swing from 0 to 100 Hz in 5-10s and back in similar time or it may hold for 1-6s at one frequency followed by 1-6s at another frequency with a variable time to swing between the two.
Constant frequency: Some treatments may be carried out with the interference fixed at a certain frequency. Rhythmic frequency is useful if several types of tissues are to be treated at once. A variation in the frequency also overcomes the problem of tissue accommodation where the response of a particular tissue decreases with time.
WORKING PRINCIPLE: Interferential current therapy works by sending small amounts of electrical stimulation to damaged tissues in the body. The therapy is meant to boost the body's natural process of responding to pain, by increasing circulation thus produces hormones that promote healing. IFT delivers intermittent pulses to stimulate surface nerves and block the pain signal, by delivering continuous deep stimulation into the affected tissue. IFT relieves pain, increases circulation, decreases edema, and stimulates the muscles. A frequency of 100Hz may stimulate the large diameter A-beta fibers, which have an effect on the pain gate, and inhibit the transmission of small-diameter nociceptive traffic ( C and A-delta fiber), which effectively closes the gait to painful impulses. Interferential current Increases the circulation of blood thus reduces swelling.
TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION IS A ROUTINELY USED ELCTRICAL TREATMENT MODALITY IN PHYSIOTHERAPY DEPARTMENT FOR PAIN RELIEF. IN THIS PRESENTATION THE ILLUSTATION IS GIVEN ON THE TENS, ITS TYPES, AND PAIN GATE MECHANISM.
With advances in cardiology and cardiothoracic surgery, several newer implantable cardiac devices have become common in the surgical population. Multichamber pacemakers, implanted cardiac defibrillators and ventricular assist devices are frequent in current day practice. Many of the newer implantable cardiac electronic devices are targeted at managing heart failure. While managing such patients for non-cardiac surgeries, specific issues related to equipment characteristics and troubleshooting should be a priority for the anaesthesiologists. There is a possibility of malfunction of the devices resulting in catastrophic outcomes. Therefore, it is imperative to understand the pathophysiology, device characteristics and troubleshooting before embarking on anaesthetising patients with implantable cardiac electronic devices
Morality and Ethics in Physiotherapy ProfessionSreeraj S R
As health care is considered divine and moral activity, physiotherapy professionals too are held to moral standards with expectations of ethical conduct.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
2. Sreeraj S R
DEFINITION
Developed by Dr. Hans Nemec of Vienna,
Austria in the early 1950’s
It may be described as the transcutaneous
application of alternating medium
frequency electrical currents, amplitude
modulated at low frequency for therapeutic
purposes.
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Why IFT?..
MF currents associated with a lower skin resistance
(impedance),
more comfortable than low frequency currents
more tolerable penetration of current through the skin
is possible
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SKIN IMPEDANCE
The word impedance comes from the Latin impedire
meaning to prevent, to stop from going on.
Impedance signifies the resistance of a conductor
when an electric current passes.
Conventionally speaking, the term resistance refers
to the obstacle to the direct current, and it is
represented by the letter R.
The terms impedance refers to the obstacle to the
alternating current and it is represented by the
letter Z.
Impedance Z, as resistance R, is expressed in ohms.
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SKIN IMPEDANCE
SKIN IMPEDANCE is calculated as Z = ½ π f C
Where,
Z = skin resistance
f = frequency in Hertz (Hz)
C = capacitance of skin in microfarads
From above formula, skin impedance is inversely
proportional to frequency and capacitance of the
skin.
Capacitance of the skin cannot be changed; hence by
increasing the frequency the skin impedance can be
lowered.
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SKIN IMPEDANCE
It is assumed that a capacitance of 1 microfarad.
For a 50-Hz alternating current we obtain:
Z = 1/2π x 50x 10-6 = 3200 Ω
For a 4,000-Hz alternating current this means:
Z = 1/2π x 4000x 10-6 = 39,8 Ω
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PRINCIPLE
The principle of IFT is to pass two Medium
Frequency Alternating Currents which are
slightly out of phase, through the tissues,
where the currents intersect to produce a
low frequency effect.
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Principles of wave interference: Combined Effects
Constructive, Destructive, & Continuous
Constructive interference: when two sinusoidal waves
that are exactly in phase or one, two or three
wavelengths out of phase, the waves supplement each
other in constructive interference
+
=
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Principles of wave interference: Combined Effects
Destructive interference: when the two waves are
different by 1/2 a wavelength (of any multiple) the
result is cancellation of both waves
+ =
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Principles of wave interference: Combined Effects
Continuous Interference: Two waves slightly out of
phase collide and form a single wave with progressively
increasing and decreasing amplitude
=
+
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WORKING
In the interferential therapy method, two medium-
frequency alternating currents that interact with each
other are used.
One of the alternating currents has a fixed frequency
of 4,000 Hz while the frequency of the other
alternating current can be set between 4,000 and 4,250
Hz.
The superimposition of one alternating current on the
other is called interference
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WORKING
The frequency of the new medium-frequency
alternating current can be calculated as follows:
f1 + f2 /2 where
Example:
f1 = 4,000 Hz
f2 = 4,150Hz
f1 + 1/2Δf = 4,000 + 75 = 4,075 Hz (Resultant Carrying
Frequency)
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WORKING
The frequency with which the amplitude varies is
referred to as the amplitude modulation frequency
(AMF).
In interferential therapy the AMF (treatment
frequency) corresponds to frequencies which are used
in low-frequency electrotherapy.
The AMF has a value of f1 – f2
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WORKING
The AMF has a value of f1 – f2
Example:
f1 = 4,000 Hz
f2 = 4,150 Hz
f 1 - f2 = 4,000 - 4,150 = 150 Hz (AMF or treatment
frequency)
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Why Amplitude modulation?
Synchronous depolarization
Asynchronous depolarization
Gildemeister effect/summation principle
Wedensky inhibition
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SWEEP
The principle of using the sweep is that the machine is
set to automatically vary the effective stimulation
frequency using either pre-set or user set sweep ranges.
Such sweep prevents accommodation of nerves.
Example:
An AMF of 20 Hz is set and a 50 Hz spectrum is added.
The current begins with an AMF of 20 Hz and passes
successively through all frequencies up to 70 Hz, after
which it decreases gradually to 20 Hz.
This process is repeated automatically.
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Triangular sweep pattern Rectangular Sweep Pattern
Trapezoidal Sweep Pattern 21
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INSTRUMENTATION
AMF PARAMETER To choose the basic value of the LF
modulation that is desired.
SPECTRUM PARAMETER to set the range of variation in
the AMF value that is desired; for ex. AMF at 100Hz and
spectrum at 50Hz will give an AMF variation from 100hz up
to 150Hz and back to 100Hz.
SWEEP TIME PARAMETER sets the time period for the
AMF to change from base to peak frequency. Faster sweep
is used for less painful stimulation and for strong muscle
contraction or sensory input, sweep must be slow, to ensure
aggressive stimulation.
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INSTRUMENTATION…
CONTOUR PARAMETER sets the rate of change
of the AMF from the base to peak frequency.
ROTATION PARAMETER is applicable in case of
vector currents only and sets the rate of rotation
and the direction change of the AMF field within
the tissues.
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APPLICATION
Methods of applications are:
1. Static interference
2. Dynamic interference
3. Bipolar interference
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STATIC INTERFERENCE
Here the area in
which IFT is set up
remains stationary.
This area of static
interference gives an
appearance of
‘clover leaf ’.
It lies to 45°angles
to the perpendicular
lines from each
electrode.
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DYNAMIC INTERFERENCE
This is moving the area
of interference current in
a to and fro manner
through 45°.
It is obtained by varying
the current intensity
from 50 to 100%.
The dynamic area of
interference is also called
as vector sweep, vector
scan, rotating vector, etc.
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BIPOLAR INTERFERENCE
Here pre-modulated IFT
are applied through 2
surface electrodes.
IFT is generated inside
the equipment and is
delivered to the patient
through 2 electrodes.
Useful for smaller areas.
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PHYSIOLOGICAL EFFECTS
This depends upon:
1. Magnitude of current
2. Type of mode used i.e. Rhythmic or
constant
3. The frequency range used
4. Accuracy of electrode positioning
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PHYSIO.EFFECTS (CONT…)
Main clinical applications are :
1. Pain relief
2. Muscle stimulation
3. Increased local blood flow
4. Reduction of edema
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PAIN RELIEF
Believed that this may be achieved by
stimulation of the reticular formation at
frequencies of 10-25Hz or by blocking ‘c’
fiber transmission at > 50Hz.
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MUSCLE STIMULATION
For patients who can not generate useful
voluntary contraction, IFT may be
beneficial.
Most effective motor nerve stimulation
range is between 10-25Hz
When employing IFT it is possible to
continue to stimulate the muscle beyond its
point of fatigue. Some machines employ a
‘surged’ mode to overcome this.
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BLOOD FLOW
Experimentation demonstrated vascular
changes at 10-25Hz.
Effects of blood flow is believed to be due to:
1. Effects of suction electrodes on tissues
2. Effects of muscle stimulation on circulation.
3. Deep tissue penetration stimulates
parasympathetic nerve fibers for increased
blood flow.
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OEDEMA
Local muscle contraction combined with its
local vascular changes encourages the
reabsorbtion of tissue fluid.
The use of suction electrodes may also be
beneficial.
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CONTRAINDICATIONS
1. Cardiac pacemaker
2. Advanced cardiac disease
3. Hypertension
4. Thrombosis
5. Hemorrhage
6. Pregnancy
7. Neoplasm
8. T b
9. Fever
10. Infections
11. The eyes
12. Skin disorders
13. Epiphyseal region in children
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PRECAUTIONS
IFT apparatus must be at least 6 meters
away from SWD machine
Patients with febrile conditions
Epileptic patients
Over anterior chest wall
Position suction electrode below the level of
damage or discomfort.
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Plate Electrodes
Made of conducting rubber which are
comfortable and long lasting
larger plates electrodes give more comfortable
treatment and deeper effect
Smaller electrodes are used for a localized
effect, but this effect is more superficial
Attached to the patient by means of straps to
assure a good contact and greater tolerance of
treatment
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Vacuum Electrodes
made from a vacuum unit plug into a rubber suction
cup connected to a machine capable of producing a
vacuum,
suction should not be constant because it can be
uncomfortable and causes bruising
wet sponges are placed in the cups and moisten the
edges of the cups for better adherence,
excellent for treating flat smooth areas for example
back or a plump knee
not indicated for treatment of the hairy areas because
can’t get an airtight seal