Microwaves are electromagnetic waves with a frequency between 300 MHz and 300 GHz that can be used for diathermy therapy. Microwaves are produced using a power supply, magnetron, and emitter/antenna. They are absorbed more by tissues with high water content like muscle and heat the surface more than deeper tissues. Microwaves can be used to treat pain, inflammation and other conditions by increasing blood flow and metabolism through localized heating, but risks include burns if moisture is present or the eyes/testes are exposed directly to the beams. Proper positioning and monitoring of the patient is needed during treatment.
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.
The high voltage pulsed galvanic stimulator (HVPGS) delivers a high voltage, low amperage, short duration electrical current as a twin-peak monophasic waveform up to 300 volts to produce both mechanical muscle contractions and chemical changes in the body. It has been used clinically for over 45 years to treat various musculoskeletal conditions through analgesia, muscle stimulation, and wound healing. The high voltage allows for deep tissue penetration without risk of tissue damage due to its low total current. Typical treatments last 30-40 minutes, 3 times per day.
Ultrasonic therapy uses high-frequency sound waves to treat injuries and conditions. It works by generating ultrasound using piezoelectric crystals that expand and contract in response to an electrical current. This creates alternating compressions and rarefactions that transmit energy into the body. Ultrasound has both thermal and non-thermal physiological effects, such as generating heat in tissues through absorption and cavitation, microstreaming, and mechanical tissue massage. Its heating properties can accelerate healing while its non-thermal effects may increase cell permeability and movement. Ultrasonic therapy is used to reduce pain and swelling and aid in tissue repair by stimulating fibroblasts and collagen production.
Ultraviolet radiation (UVR) lies between visible light and X-rays in the electromagnetic spectrum. The document discusses the different types of UVR (UVA, UVB, UVC), their effects on the skin like sunburn, tanning, and skin cancer. It also summarizes therapeutic uses of UVR for various skin conditions like psoriasis, acne, and wounds. Determining the minimal erythemal dose (MED) through a skin test is described as the basis for calculating safe UVR dosages for patients.
The Rebox device applies specific electric currents transcutaneously to treat pain, immobility, and musculoskeletal and neurological disorders. It works by restoring microcirculation, reducing inflammation, and improving blood and lymph flow. Treatment sessions last 5-10 minutes using different modes and electrode tips. Rebox is used for conditions like back pain, ankle sprains, and knee ligament injuries. Contraindications include open wounds, pregnancy, and use near pacemakers.
Ultrasound therapy uses high-frequency sound waves to treat soft tissue injuries and conditions. The document discusses the production of therapeutic ultrasound using piezoelectric crystals, its physical and physiological effects like thermal heating and non-thermal cavitation. Precautions are needed to avoid overheating tissues. Ultrasound enhances soft tissue repair and reduces pain and inflammation through thermal and non-thermal mechanisms. Common therapeutic uses include fracture healing and wound care. Proper application parameters and coupling agents are required to effectively deliver ultrasound to tissues.
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.
The high voltage pulsed galvanic stimulator (HVPGS) delivers a high voltage, low amperage, short duration electrical current as a twin-peak monophasic waveform up to 300 volts to produce both mechanical muscle contractions and chemical changes in the body. It has been used clinically for over 45 years to treat various musculoskeletal conditions through analgesia, muscle stimulation, and wound healing. The high voltage allows for deep tissue penetration without risk of tissue damage due to its low total current. Typical treatments last 30-40 minutes, 3 times per day.
Ultrasonic therapy uses high-frequency sound waves to treat injuries and conditions. It works by generating ultrasound using piezoelectric crystals that expand and contract in response to an electrical current. This creates alternating compressions and rarefactions that transmit energy into the body. Ultrasound has both thermal and non-thermal physiological effects, such as generating heat in tissues through absorption and cavitation, microstreaming, and mechanical tissue massage. Its heating properties can accelerate healing while its non-thermal effects may increase cell permeability and movement. Ultrasonic therapy is used to reduce pain and swelling and aid in tissue repair by stimulating fibroblasts and collagen production.
Ultraviolet radiation (UVR) lies between visible light and X-rays in the electromagnetic spectrum. The document discusses the different types of UVR (UVA, UVB, UVC), their effects on the skin like sunburn, tanning, and skin cancer. It also summarizes therapeutic uses of UVR for various skin conditions like psoriasis, acne, and wounds. Determining the minimal erythemal dose (MED) through a skin test is described as the basis for calculating safe UVR dosages for patients.
The Rebox device applies specific electric currents transcutaneously to treat pain, immobility, and musculoskeletal and neurological disorders. It works by restoring microcirculation, reducing inflammation, and improving blood and lymph flow. Treatment sessions last 5-10 minutes using different modes and electrode tips. Rebox is used for conditions like back pain, ankle sprains, and knee ligament injuries. Contraindications include open wounds, pregnancy, and use near pacemakers.
Ultrasound therapy uses high-frequency sound waves to treat soft tissue injuries and conditions. The document discusses the production of therapeutic ultrasound using piezoelectric crystals, its physical and physiological effects like thermal heating and non-thermal cavitation. Precautions are needed to avoid overheating tissues. Ultrasound enhances soft tissue repair and reduces pain and inflammation through thermal and non-thermal mechanisms. Common therapeutic uses include fracture healing and wound care. Proper application parameters and coupling agents are required to effectively deliver ultrasound to tissues.
Ultraviolet radiation covers a small part of the electromagnetic spectrum between visible light and X-rays. It is divided into UVA, UVB, and UVC based on wavelength. UV is produced by mercury vapor lamps and fluorescent lamps and can cause both immediate and long term effects on skin like erythema, pigmentation, vitamin D production, and skin cancer. The dosage of UV exposure depends on the lamp output, distance from the skin, exposure time, and individual skin sensitivity. UV therapy is used to treat conditions like psoriasis, acne, and eczema.
Contrast bath therapy involves soaking an injured area in alternating hot and cold water baths to increase blood flow and decrease stiffness and pain. The physiological mechanism is that it induces vasodilation and vasoconstriction through changes in water temperature, pumping edema from the injured area. The procedure involves soaking in warm water for 10 minutes, cold water for 1 minute, repeating warm water for 4 minutes and cold water for 1 minute, ending in warm water for 4 minutes for a total time of 25 minutes. Contrast baths can treat injuries like sprains, strains and bruises by removing edema through changes in blood flow. Certain precautions should be taken for conditions like open wounds, pregnancy and impaired sensation.
The document discusses ultrasound therapy, including its introduction, production, physiological effects, application techniques, methods, indications, and contraindications. Specifically, it explains that ultrasound therapy involves using high-frequency sound waves to treat soft tissue injuries and conditions. It describes how piezoelectric crystals or transducers are used to produce the therapeutic ultrasound and discusses direct contact and indirect immersion and bladder application as methods of delivery. The document also lists common uses of ultrasound therapy such as for soft tissue injuries, sprains, and arthritis, as well as who should avoid it like those with cancer lesions or metal implants.
Cryotherapy involves applying cold to the body for therapeutic purposes. It uses cooling agents like ice, frozen gel, or vapocoolant sprays. The cold induces vasoconstriction which reduces blood flow, lowering metabolic rate and inhibiting inflammation. It also increases pain threshold and reduces muscle spasm. Cryotherapy can relieve pain, reduce swelling and spasticity, facilitate muscle contraction, and promote tissue repair. Contraindications include cardiac conditions, peripheral nerve injury, and cold sensitivity. Common application techniques are ice towels, ice packs, immersion, and ice cube massage.
The document discusses proprioceptive neuromuscular facilitation (PNF), a technique developed by Herman Kabat that uses movements and patterns to improve neuromuscular function. It defines key PNF terms and outlines principles such as motor development occurring from head to toe. The basic procedures are described, including manual contacts, stretch, and maximal resistance. Upper and lower extremity diagonal patterns are explained along with their component motions. Rhythmic initiation is also summarized.
Dr. Shweta Panchbudhe provides a lesson on iontophoresis. The key points are:
1. Iontophoresis is the transfer of ions through the skin using direct current. Positively charged ions migrate to the negative electrode and vice versa.
2. Different ions can be used to treat various conditions like salicylate for pain, chlorine for softening scars, and acetic acid for calcium deposits.
3. Proper application involves cleaning the skin, placing moistened electrodes on the treatment area and indifferent site, and applying a mild current for 15 minutes.
Russian current is a medium-frequency current delivered in bursts at 2500 Hz. It produces strong muscle contractions through synchronous motor nerve depolarization. Key characteristics include a carrier frequency of 2500 Hz, burst frequency of 50 Hz, burst duration of 10 ms, and a 10/50/10 training protocol. Russian current is indicated for muscle strengthening, reducing muscle spasm and edema, such as following knee ligament injuries or surgery.
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
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.
Laser therapy uses low-level lasers that emit coherent light to induce biological effects in tissues. It was first developed in the 1960s and approved by the FDA in 2002 to treat carpal tunnel syndrome. Lasers are classified based on their power output and potential hazards, with classes 1 and 2 being safe for therapeutic use. Common types include helium-neon and gallium arsenide lasers. Physiological effects include reducing pain and inflammation, promoting tissue healing, and recovery from nerve injuries through various cellular mechanisms like increased ATP and growth factor production.
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.
The History of SWD
Production, Generation, Method of Application, Patient Preparation, Physiologcal and therapeutic effects, Indications, Contraindications daners of SWD, and Evidence Based Practice.
Short wave diathermy (SWD) is a therapeutic modality using radiofrequency electromagnetic waves to generate deep heat in body tissues. There are two main types - continuous SWD and pulsed SWD. SWD can be applied using either the capacitive (electric field) method with air plates or pads, or the inductive (magnetic field) method using coils or drums. The appropriate settings are selected based on the treatment area and goals. Precautions must be taken to avoid risks and ensure patient comfort during the procedure. SWD has potential for reducing pain and swelling in conditions like knee injuries.
Sinusoidal current is an alternating current that produces smooth, rhythmic muscle contractions at 50 Hz. It is produced from mains electricity reduced to 60-80 volts using a step-down transformer. This current stimulates both motor and sensory nerves, causing tetanic muscle contraction and tingling sensation. It is often used over large areas to relieve pain through sensory stimulation and reduce edema through rhythmic muscle pumping. Sinusoidal current is similar to faradic current but provides deeper penetration and is less irritating, making it well-suited for nervous clients.
1) Galvanic current is a steady direct current that can have pulse durations between 1-300 ms, though 100 ms is most common, and requires 30 pulses per minute.
2) There are two types - constant galvanic current which moves in one direction at a constant strength, and modified galvanic current which is interrupted direct current.
3) Galvanic current can cause muscle contraction, stimulate sensory and motor nerves, and increase blood flow and skin redness. It is also used in cosmetics for skin cleansing and nourishing through iontophoresis.
This document discusses ultrasound, including its physics, production, effects, and therapeutic uses. It defines ultrasound and discusses how it is produced using the piezoelectric effect. The main physical effects of ultrasound are heating, cavitation, acoustic streaming, and microstreaming. Thermally, ultrasound can increase tissue extensibility and reduce pain and muscle spasm. Non-thermally, it can increase membrane permeability and ion diffusion through cavitation. The document outlines appropriate ultrasound parameters and treatment techniques to maximize benefits and minimize risks.
Electrical stimulation involves using a medium-frequency current to stimulate nerves and muscles. Specifically, it uses a 2500 Hz sinusoidal alternating current delivered in bursts at 50 Hz intervals of 10 ms on and 10 ms off. This Russian current protocol of 10 seconds on, 50 seconds rest, repeated for 10 cycles over 10 minutes was found to be effective for generating muscle fatigue. The stimulation aims to synchronously depolarize sensory and motor fibers, activate fast motor units, and strengthen muscles through electrically evoked contractions against an external load.
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.
This document discusses T.E.N.S. (Transcutaneous Electrical Nerve Stimulation), a non-invasive pain management technique. It stimulates nerves under the skin to reduce pain signals according to the gate control theory. T.E.N.S. has efficacy rates of 50-80% for controlling chronic and acute pain, such as post-surgical or injury pain. Different T.E.N.S. techniques like high frequency, low frequency, and brief intense stimulation are described along with their parameters and applications. Placement of electrodes and contraindications are also covered.
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.
Microwave diathermy (MWD) for physiotherapistsJebarajFletcher
Microwave diathermy uses electromagnetic radiation between 300-3000 MHz to heat tissues for therapeutic purposes. It can penetrate 3 cm deep and is strongly absorbed by water and vascular tissues, heating them. Treatment involves using an applicator shaped to the area at a distance of 10-15 cm, gradually increasing intensity until warmth is felt for 10-30 minutes. Precautions must be taken to avoid overheating and protect eyes from microwaves. It is used to relieve pain and muscle spasms by increasing blood flow.
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
Ultraviolet radiation covers a small part of the electromagnetic spectrum between visible light and X-rays. It is divided into UVA, UVB, and UVC based on wavelength. UV is produced by mercury vapor lamps and fluorescent lamps and can cause both immediate and long term effects on skin like erythema, pigmentation, vitamin D production, and skin cancer. The dosage of UV exposure depends on the lamp output, distance from the skin, exposure time, and individual skin sensitivity. UV therapy is used to treat conditions like psoriasis, acne, and eczema.
Contrast bath therapy involves soaking an injured area in alternating hot and cold water baths to increase blood flow and decrease stiffness and pain. The physiological mechanism is that it induces vasodilation and vasoconstriction through changes in water temperature, pumping edema from the injured area. The procedure involves soaking in warm water for 10 minutes, cold water for 1 minute, repeating warm water for 4 minutes and cold water for 1 minute, ending in warm water for 4 minutes for a total time of 25 minutes. Contrast baths can treat injuries like sprains, strains and bruises by removing edema through changes in blood flow. Certain precautions should be taken for conditions like open wounds, pregnancy and impaired sensation.
The document discusses ultrasound therapy, including its introduction, production, physiological effects, application techniques, methods, indications, and contraindications. Specifically, it explains that ultrasound therapy involves using high-frequency sound waves to treat soft tissue injuries and conditions. It describes how piezoelectric crystals or transducers are used to produce the therapeutic ultrasound and discusses direct contact and indirect immersion and bladder application as methods of delivery. The document also lists common uses of ultrasound therapy such as for soft tissue injuries, sprains, and arthritis, as well as who should avoid it like those with cancer lesions or metal implants.
Cryotherapy involves applying cold to the body for therapeutic purposes. It uses cooling agents like ice, frozen gel, or vapocoolant sprays. The cold induces vasoconstriction which reduces blood flow, lowering metabolic rate and inhibiting inflammation. It also increases pain threshold and reduces muscle spasm. Cryotherapy can relieve pain, reduce swelling and spasticity, facilitate muscle contraction, and promote tissue repair. Contraindications include cardiac conditions, peripheral nerve injury, and cold sensitivity. Common application techniques are ice towels, ice packs, immersion, and ice cube massage.
The document discusses proprioceptive neuromuscular facilitation (PNF), a technique developed by Herman Kabat that uses movements and patterns to improve neuromuscular function. It defines key PNF terms and outlines principles such as motor development occurring from head to toe. The basic procedures are described, including manual contacts, stretch, and maximal resistance. Upper and lower extremity diagonal patterns are explained along with their component motions. Rhythmic initiation is also summarized.
Dr. Shweta Panchbudhe provides a lesson on iontophoresis. The key points are:
1. Iontophoresis is the transfer of ions through the skin using direct current. Positively charged ions migrate to the negative electrode and vice versa.
2. Different ions can be used to treat various conditions like salicylate for pain, chlorine for softening scars, and acetic acid for calcium deposits.
3. Proper application involves cleaning the skin, placing moistened electrodes on the treatment area and indifferent site, and applying a mild current for 15 minutes.
Russian current is a medium-frequency current delivered in bursts at 2500 Hz. It produces strong muscle contractions through synchronous motor nerve depolarization. Key characteristics include a carrier frequency of 2500 Hz, burst frequency of 50 Hz, burst duration of 10 ms, and a 10/50/10 training protocol. Russian current is indicated for muscle strengthening, reducing muscle spasm and edema, such as following knee ligament injuries or surgery.
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
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.
Laser therapy uses low-level lasers that emit coherent light to induce biological effects in tissues. It was first developed in the 1960s and approved by the FDA in 2002 to treat carpal tunnel syndrome. Lasers are classified based on their power output and potential hazards, with classes 1 and 2 being safe for therapeutic use. Common types include helium-neon and gallium arsenide lasers. Physiological effects include reducing pain and inflammation, promoting tissue healing, and recovery from nerve injuries through various cellular mechanisms like increased ATP and growth factor production.
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.
The History of SWD
Production, Generation, Method of Application, Patient Preparation, Physiologcal and therapeutic effects, Indications, Contraindications daners of SWD, and Evidence Based Practice.
Short wave diathermy (SWD) is a therapeutic modality using radiofrequency electromagnetic waves to generate deep heat in body tissues. There are two main types - continuous SWD and pulsed SWD. SWD can be applied using either the capacitive (electric field) method with air plates or pads, or the inductive (magnetic field) method using coils or drums. The appropriate settings are selected based on the treatment area and goals. Precautions must be taken to avoid risks and ensure patient comfort during the procedure. SWD has potential for reducing pain and swelling in conditions like knee injuries.
Sinusoidal current is an alternating current that produces smooth, rhythmic muscle contractions at 50 Hz. It is produced from mains electricity reduced to 60-80 volts using a step-down transformer. This current stimulates both motor and sensory nerves, causing tetanic muscle contraction and tingling sensation. It is often used over large areas to relieve pain through sensory stimulation and reduce edema through rhythmic muscle pumping. Sinusoidal current is similar to faradic current but provides deeper penetration and is less irritating, making it well-suited for nervous clients.
1) Galvanic current is a steady direct current that can have pulse durations between 1-300 ms, though 100 ms is most common, and requires 30 pulses per minute.
2) There are two types - constant galvanic current which moves in one direction at a constant strength, and modified galvanic current which is interrupted direct current.
3) Galvanic current can cause muscle contraction, stimulate sensory and motor nerves, and increase blood flow and skin redness. It is also used in cosmetics for skin cleansing and nourishing through iontophoresis.
This document discusses ultrasound, including its physics, production, effects, and therapeutic uses. It defines ultrasound and discusses how it is produced using the piezoelectric effect. The main physical effects of ultrasound are heating, cavitation, acoustic streaming, and microstreaming. Thermally, ultrasound can increase tissue extensibility and reduce pain and muscle spasm. Non-thermally, it can increase membrane permeability and ion diffusion through cavitation. The document outlines appropriate ultrasound parameters and treatment techniques to maximize benefits and minimize risks.
Electrical stimulation involves using a medium-frequency current to stimulate nerves and muscles. Specifically, it uses a 2500 Hz sinusoidal alternating current delivered in bursts at 50 Hz intervals of 10 ms on and 10 ms off. This Russian current protocol of 10 seconds on, 50 seconds rest, repeated for 10 cycles over 10 minutes was found to be effective for generating muscle fatigue. The stimulation aims to synchronously depolarize sensory and motor fibers, activate fast motor units, and strengthen muscles through electrically evoked contractions against an external load.
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.
This document discusses T.E.N.S. (Transcutaneous Electrical Nerve Stimulation), a non-invasive pain management technique. It stimulates nerves under the skin to reduce pain signals according to the gate control theory. T.E.N.S. has efficacy rates of 50-80% for controlling chronic and acute pain, such as post-surgical or injury pain. Different T.E.N.S. techniques like high frequency, low frequency, and brief intense stimulation are described along with their parameters and applications. Placement of electrodes and contraindications are also covered.
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.
Microwave diathermy (MWD) for physiotherapistsJebarajFletcher
Microwave diathermy uses electromagnetic radiation between 300-3000 MHz to heat tissues for therapeutic purposes. It can penetrate 3 cm deep and is strongly absorbed by water and vascular tissues, heating them. Treatment involves using an applicator shaped to the area at a distance of 10-15 cm, gradually increasing intensity until warmth is felt for 10-30 minutes. Precautions must be taken to avoid overheating and protect eyes from microwaves. It is used to relieve pain and muscle spasms by increasing blood flow.
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
Short Wave Diathermy (SWD) is a treatment that uses electromagnetic energy to produce deep heating in joints and soft tissues. This form of heat can be applied to deeper structures than other forms of heat treatment.
Electrotherapy involves applying electric current to affected body parts to ease pain, swelling, and stiffness. It works by stimulating nerves and muscles. Direct current travels unidirectionally and is used to stimulate muscle contraction or facilitate wound healing. Alternating current changes direction periodically. Safety precautions for all electrotherapy modalities include avoiding contraindicated areas, ensuring equipment electrical safety, providing instructions, maintaining distances, and delivering optimal dosages to prevent burns or other injuries.
Diathermy uses high frequency electric currents to heat tissue for therapeutic purposes. It was coined in 1908 and can be used to warm or destroy tissue. Depending on the frequency used, it is classified as shortwave, ultrasound, or microwave diathermy. The principle involves current density - high density causes heating. Surgical diathermy uses electrosurgery to cut and coagulate tissue using different waveforms. Modern solid state diathermy machines operate at 250 kHz-1 MHz and deliver controlled power for cutting or coagulation modes.
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
Lasers in oral and maxillofacial surgery Jeff Zacharia
This document discusses lasers used in oral and maxillofacial surgery. It begins with an introduction to lasers and their properties. It then covers the history of lasers, the components of a laser unit including the active medium and resonator cavity. It classifies lasers based on their active medium and wavelength and discusses their indications for soft and hard tissue procedures. Examples of surgical uses include cleft surgery, TMJ surgery, intraoral lesions, and implantology. Precautions for safe use and the selection of appropriate lasers are also outlined.
Microwave diathermy is a therapeutic modality that uses electromagnetic waves to generate heat in tissues for treating musculoskeletal conditions. It works by causing movement of ions and water molecules when its high frequency waves are absorbed by tissues. The document discusses the physics behind microwave diathermy, its applications and effectiveness in treating conditions like muscle strains and joint injuries, appropriate treatment parameters, safety considerations and precautions for its use.
Electromagnetic waves include radio waves, microwaves, infrared, visible light, ultraviolet, X-rays, and gamma rays. They are formed by oscillating electric and magnetic fields and travel at the speed of light. Different types of electromagnetic waves interact with matter in different ways depending on their wavelength. Many parts of the electromagnetic spectrum are used in medicine for applications like MRI, infrared therapy, ultrasound, X-rays, and PET scans.
definition, speed, production, properties of electromagnetic waves and electromagnetic spectrum. waves in EM spectrum and their application in daily life.
Low-level laser therapy is a form of medicine that applies low-level lasers or light-emitting diodes to the surface of the body. Whereas high-power lasers are used in laser medicine to cut or destroy tissue, it is claimed that application of low-power lasers relieves pain or stimulates and enhances cell function. There are 4 type of LASER and it’s use in acute and chronic conditions.
Diathermy uses electric currents to generate deep heat within tissues up to 2 inches below the skin's surface. It promotes blood flow and reduces pain and stiffness. Shortwave diathermy specifically uses radiofrequency currents between 10-100 MHz to heat tissues. It can treat musculoskeletal conditions like arthritis as well as injuries and infections by speeding recovery through increased circulation and metabolism. Risks include burns if not properly controlled or applied to people with medical implants. Proper electrode placement and settings are needed to target heating and avoid harming surrounding tissues.
This document discusses various energy sources used in surgery, including electrosurgery, ultrasonic, argon beam, laser, cryotherapy, and infrared coagulation. It provides details on electrosurgery, describing monopolar and bipolar diathermy, tissue effects, and safety precautions. Other technologies like Ligasure, Harmonic Scalpel, Thunderbeat, and argon beam coagulation are also summarized, outlining their advantages and disadvantages. Lasers are discussed in terms of their properties and surgical effects. Cryotherapy and infrared coagulation are briefly described as well.
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Therapeutic ultrasound uses high frequency sound waves to produce effects in the body. It is generated using piezoelectric crystals that vibrate when electric current is applied. Ultrasound has various physiological effects including chemical reactions, increased permeability, cavitation, and heat. It is used clinically by applying ultrasound gel and transducer to the skin to produce effects like reduced edema and increased tendon flexibility. Precautions must be taken with open wounds, impaired sensation, pregnancy, and other conditions. Contraindications include pregnancy, metastasis, and lack of sensation.
This document discusses different types of diathermy used in physical therapy including microwave diathermy, shortwave diathermy, and ultrasound diathermy. Microwave diathermy uses electromagnetic waves between 300-3000 MHz to generate heat in superficial tissues. Shortwave diathermy uses frequencies between 10-100 MHz to produce both deep and superficial tissue heating. Ultrasound diathermy uses sound waves to treat deep tissues by generating heat from tissue vibration. Diathermy provides relief for conditions like arthritis, back pain, and muscle spasms but can cause burns if metal devices are present and should be avoided in certain medical conditions.
Ultrasound therapy uses high frequency sound waves to treat injuries and conditions. It works through both thermal and non-thermal mechanisms in the body. Thermal effects occur through heating tissue, while non-thermal effects include acoustic streaming, microstreaming, and cavitation, which may alter cell membranes. Ultrasound is produced using piezoelectric crystals that expand and contract when electric current is applied. It must be transmitted into the body using a coupling medium like gel or water. Common techniques include direct contact on the skin or using a water bath or water-filled bag for irregular surfaces.
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9. Integrate the respiratory regulatory mechanisms
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1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
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3. MICROWAVES
• The micro waves has high frequency and low wavelength when compared to
SWD.
• Frequency ranges from 300MHz to 300GHz
• Wave length is of 1cm to 1m
• Commonly used frequency and wave length in therapy are
Frequency (MHz) Wave length(cm)
2450 12.2
915
434
32.8
69.1
4. MICROWAVES
• These microwave are also used in microwave ovens (frequency 2450MHz),
telecommunications, radar for tracking ships, aircrafts, rockets and satellites.
• Microwaves also reflect and refract at interfaces and absorption varies on the
degree ,on the nature of material and frequency.
• Microwaves are particularly useful in therapy as they are more rapidly absorbed
in tissue with a high water and ion content, such as in a muscle and less rapidly
absorbed in fatty tissue and bone .
7. MAGNETRON
• It is a special type of thermionic value
• It produce high frequency current required for the production of microwaves
• Centrally placed cathode and surround circular metal anode
8.
9. EMITTER
• It has two parts
• Antenna – it is a metal reflector which radiates the miCrowaves from the high
frequency currents
• Reflector – it is a metal plate which directs the microwaves in only one direction
• The out put of the microwave energy is controlled by varying the power supply
to the magnetron.
10. • The machine have a intensity control and output is indicated on a meter
• Frequency of microwaves depends on the construction of magnetron.
• Delay switch – allows the time for the magnetron to reach its proper working
Temperature
• Standby switch – Successive treatment may be given or adjustment of emitter
made without having switch off the magnetron and wait for it to warm up again
• A means of switching the mains power on and off and suitable indication lights
• Emitter gives a out a beam of microwave which diverges somewhat it is
technically difficult to produce a uniform beam
• Effect of divergence is to decrease the intensity of radiation considerably with
distance
Intensity is inversely proportional to distance square
11.
12. EFFECT OF EMITTER SHAPE
• Emitters are of various sizes and shapes
• Basically emitters are either circular or rectangular In shape
• Circular emitter produce microwaves which are circular in cross sectional and
denser in periphery
• Rectangular emitter produces waves which are oval in cross section and sensor
at centre than at the periphery
13.
14. EFFECT OF DISTANCE BETWEEN THE TISSUE AND
EMITTER
• These are two types
• Distance emitter – distance must be about 10-20 cm.However it can be varied
according to size of the emitter, part to be treated and condition.
• Contact emitter- these are smaller in size (1.5 or 3.5 cm in diameter ) will radiate
microwaves directly into tissues.
• small emitters Can be placed in body cavities such as rectum, vagina and external
auditory meatus - emit radially to heat the walls of the cavity
• Microwaves transmission is better with contact emitter as power input is limited to
low level (25W)
15.
16. MORPHOLOGICAL EFFECT
• Basing on the shape of the tissue to the microwave beam is being applied will have
significant effect due to both reflection and refraction.
• Reflection of microwave radiation from skin which is greater when it is not being applied
perpendicularly to the surface
• Refraction occurs while passing through the tissue, as wave velocity decreases from air
to skin, fat and muscle the beam bents to normal. Hence converging and produce
relatively greater heating at depth.
• Both are greater in small radius curvature tissues like forearm and leg
• This shows that the heating in the tissues depends not only on microwave absorption but
also in the rate of heat transfer within and between the tissues .
17.
18. PHYSIOLOGICAL EFFECTS
• When microwaves radiation is absorbed in tissues it provokes ionic movement,
rotation of dipoles and electron orbit distortion.
• Similar to SWD
• The amount of heating is directly proportional to the amount of absorbed radiation.
• As the microwave strongly absorbed by muscle as it is high water and ion content,
less in fatty tissue and bone which have a lower water and ion content.
• In each tissue heating would be greatest at the surface and diminish exponentially
with depth.
19. PHYSIOLOGICAL EFFECTS
• Effect on metabolism
• Effect on blood supply
• Effect on nervous tissue
• Effect on muscular tissue
• Effect on sweat glands
20. THERAPEUTIC EFFECTS
• Microwaves are suitable for deep heating tissue, both muscle and soft tissue
with high water and ion content.
• Articular structures close to the surface, such as the wrist joint or anterior aspect
of the knee, might also heated effectively, but it is not likely to affect deeply
placed structures covered with muscle tissue like hip joint.
• It should be emphasized that heating patterns are highly irregular and probably
vary considerably along with the individual’s distribution of fat and muscle
21. THERAPEUTIC EFFECTS
• The depth of pentration of microwaves in tissue is less and is ranges between
3mm and 3 cm but SWD pentrate as deep as 6cm
• Other effects are same as SWD in decreasing pain , muscle spasm ,
inflammation, Infection , fibrosis and delay the healing
• It can be used in traumatic and inflammatory conditions, degenerative
arthropathies, enthesopathies, arthritis of joints etc.
• It is useful in treatment of soft tissues and superifical joints because it is generally
possible to irradiate only one aspect of the body at a time.
22. METHODS OF APPLICATION
STAGES
1. PATIENT
Explanation :
• Describe the nature of the treatment to the patient,
• Only small temperature rice will occur, Unlike the situation of a microwave oven in
which the temperature can be made to raise to cooking level,because the heat and
reflected microwave can’t escape.
Examination :
• Test the thermal sensitivity of the skin to which the microwave are to be applied.
• Inspect the skin for evidence of any inflammatory skin conditions as they should be
avoided.
Protection
• Give the patient a pair of microwave goggles as if radiation could enter the eye.
23. 2.Apparatus
• The choice of the emitter is dictated by the size of tissue area to be
treated.
• The power should be switched on and the machine given time to
up, if necessary.
3.Preparation of part
• Position the patient so the part to be treated is comfortably supported
and sufficiently exposed.
• Microwave should not be applied through clothing or where there is
metal in the field.
• Use wooden furniture and take care that the emmiter does not
any large metal surfaces.
24. 4.Setting up
• Position the emitter so that the radiation strikes the surface at right angels,bearing in
mind that the distant emmiters have diverging beams,only the axial radiation will be
striked at right angels,while the peripheral radiation will strike incident angels.
• While this may not make much difference when the writer is ‘square on’,slight angling of
the emitter increase the already considerable reflection from the skin surface,making the
treatment ineffective.
4.Instructions and warnings
• Explain the degree of heating required to the patient.
• The intensity and site of heating in the tissue is based on their sensation.
• As the indicator givens only machines output.patient should be aware of cutanious
thermal sensation.
• They must be warned to call the therapist immediately if the heat becomes more than
comfortable warmth
• If any discomforts or pain and to remain still throughout the application
25. 6.Application
• Switch the microwave output on for the predetermined length of time.
7.Termination
• After switching off and removing the apparatus, the treated area is examined and the
surface temperature and presence of any erythema are noted and recorded.
DOSAGE
• In acute conditions :5-10min
• In chronic condition :15-30min.
• it depends on the condition and type of applicatior used.
• The patient should feel comfortable warmth.
• Power output can be around 200watts so as to raise the body temperature in the
therapeutic range of 40°-45°C.
• Treatment may be given daily or on the alternate days.
26. Potential dangers
1. Burns:
• It can cause burn on the superficial tissues
• Skin must be kept dry to avoid burns.
• Water is heated more rapidly by microwave because of high degree of absorptive power of
theses waves.
• Patient perception of heat is the only guide of the treatment.
2.Effect of metal
• It is strongly reflected from metal surfaces.
• Any metal between the target tissue and the microwave emitter will shield the underlying
tissues from the radiation.
• Metals may also distort and concentrate a microwave field and causes llocal
overheating.which can be dangerous.
Eg:metals embedded in the tissue, either surgicaly or by accident .
• As there are no heat receptors in the deep tissues the patient will Only be aware of deeper
damage if pain occures subsequently, after the damage has occurred.
27. 3.Effect of changed blood flow
• Heating any collection of fluid.,such as an acute haematoma, a tense haemarthrosis,
or joint effusion,may cause considerable pain.
• Applying heat to an area with an acute inflammation increases the risk of causing local
tissue damage.
• Extent of any damage will depend on the extent of inflammation.
4.Effect of surface moisture
• If moisture appears on the surface from any source,
Eg:open wounds of wet dressings,it will absorb radiation.
• So treatment should be stopped and the moisture is removed.
28. 5.Implanted electronic equipment
• Hearing aids or cardiac pacemaker
• Avoided as the equipment might malfunction.
6.Eye
• Avoid exposing the eyes directly to microwave radiation.
• They are reflected from the curved,bony orbit and focused in the eye.
• There may be concentration of heat in the intraocular fluid.
Eg: when treating the anterior aspect of the shoulder goggles should be given which are
impervious to microwaves
29. 7.Testes
• Small temperature rises can interfere with spermatogenesis in mammals because the
testes are located outside the abdominal cavity
• Heating of 100mW-2 could possibly produce testicular damage in humans.
• Direct irradiation of the testes should be avoided and care should be taken to prevent
large amount of radiation.
30. 8.Pregnancy
• In early pregnancy,the risk is possibly considerably lower than with shortwave given the
depth in the pelvic of the uterus and the Specific absorption rate of microwave,
with a frequency of 2450MHz.
• Diathermy should not be applied to the abdomen or pelvis during pregnancy.
9.Tumors
• The treatment could accelerate the growth of the tumor.
• Due to increased circulation metastasis occurs(spreading of tumor).
31. 10.Deep X-ray or cobalt therapy
• Due to this the devitalizatio of tissue occurs
• It leads to further damage due to the application of microwave Diathermy
Other local ppapathologies.
Heat treatments are not advisable for 2reasons
1. The reduced capacity of skin to manage an increased local temperature.
2. A possible effect of local heating on any remaining malignant cells.
32. • Local heating is also not advisable for areas of local infection.
Contraindications and risks
• Defective arterial circulation
• Acute inflammation of area under tension such as
bursitis
Tense haemarthrosis .
Acute haematoma
• Surface moisture increases the extent of skin heating
• Metal in the area under treatment
• Indwelling electronic equipment
Eg:cardiac pacemakers.
33. • Malignancyand skin treated in the past 6 Months with radiotherapy
• Eyes and testes,due to energy concentration and poor heat dissipation.
• Pregnant uterus
• Circulatory defects like hemorrhage, vascular disease, thrombosis
• Children
• Mentally retarded patients
• Uncooperative patients
• Epileptic
• As they can not appreciate the heat required and can’t report overheat.
34. Long wave Diathermy
• LWD is the use of high frequency electromagnetic waves of the frequency 1mhz and
wavelength 300m.
• These devices produce local heating through the application of a pair of metal
electrodes to the skin by using mediater
• Heating occurs throughout the intervening tissues, but is greater close to the elelectres.
• If unequal size electrodes are used, greater heating occurs under the smaller electrodes
35. Advantage
• LWD has less frequency 1MHz than SWD so there is minimal loss of energy
• Power output is 25-75watts only where as in SWD it is 250-1000watts
• LWD does not produce any interference with other equipments
• It can be used even with patients having metal implants
• Portability and affordability of equipment is good in LWD.
36. Pulsed Short wave Diathermy
• Pswd is refered to as pulsed electromagnetic energy or field, dipulse etc.
• Pswd is created simply by interrupting the output of continuous SWD at regular
• Pswd was invented in 1930s but became popular only after 1950s.
• The frequency of Pswd is same as SWD ie.27.12MHZ but interpulse Interval or off-time is
added to it.
• Pulse frequency is between 25 and 600pps.
37. • Pulse width is between 20 and 40ms(65 is most commonly used).
• By adding rest period to the treatment the average power is considerably reduced.
• The heat developed in the tissue is dispersed by the circulation and treatment is thus
referred to as nonthermal treatment.
• Pswd increases the cellular activity.
• It also increases the reabsorption of haematoma.
• It reduces swelling and increases the repair process.
• Treatment duration varies from 15-60min.