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Physical Agents: Past, Present & 
Future 
Ahmadabad 
2013 
Dr. Subhash Khatri 
BPhT (Nagpur), MPT ortho (Kottayam), PhD Ph...
Ahmadabad 
• 35,40,000 electrotherapy 
• 17,90000 physical agents 
• Spa with electrotherapy 
(c)Subhash Khatri 
physiokha...
3 
(c)Subhash Khatri 
physiokhatri@gmail.com
4 
(c)Subhash Khatri 
physiokhatri@gmail.com
5 
Physical Agents 
• Past 
• Present 
• Future..! 
(c)Subhash Khatri 
physiokhatri@gmail.com
6 
Physical agents in Physiotherapy 
•Active 
•Passive 
(c)Subhash Khatri 
physiokhatri@gmail.com
(c)Subhash Khatri 
physiokhatri@gmail.com 
7
8 
PHYSICAL AGENTS 
1. Thermal 
2.Electromagnetic 
3.Electrical 
4.Mechanical 
(c)Subhash Khatri 
physiokhatri@gmail.com
9 
GOAL 
Healing 
 Inflammation 
Pain relief 
Exercises 
(c)Subhash Khatri 
physiokhatri@gmail.com
(c)Subhash Khatri 
physiokhatri@gmail.com 
10
(c)Subhash Khatri 
physiokhatri@gmail.com 
11
12 
When do we use physical agents 
• Immediately 
• Through out rehabilitation 
(c)Subhash Khatri 
physiokhatri@gmail.com
13 
Electrical stimulating currents 
Commercial radio & TV 
Short wave diathermy 
Microwave diathermy 
Infrared rays 
Visi...
14 
FAMOUS KIDNAP 
(c)Subhash Khatri 
physiokhatri@gmail.com
15 
Healing Process 
Inflammatory Phase 
Repair Phase 
Remodeling Phase 
Injury Day 4 Week 6 2-3 Years 
(c)Subhash Khatri ...
16 
(c)Subhash Khatri 
physiokhatri@gmail.com
17 
Inflammatory Phase 
• Cryotherapy 
• Cryocuff 
• ICT 
(c)Subhash Khatri 
physiokhatri@gmail.com
18 
Repair Phase 
• Thermotherapy 
• LIL 
• ES 
(c)Subhash Khatri 
physiokhatri@gmail.com
19 
Remodeling Phase 
• Deep heating 
• SWD 
• MWD 
• Ultrasound 
(c)Subhash Khatri 
physiokhatri@gmail.com
20 
(c)Subhash Khatri 
physiokhatri@gmail.com
21 
ELECTRICAL STIMULATION 
• Acute & chronic 
• HVPG 
• Iontophoresis 
• Wireless TENS 
• Russian current 
(c)Subhash Kha...
22 
(c)Subhash Khatri 
physiokhatri@gmail.com
23 
(c)Subhash Khatri 
physiokhatri@gmail.com
24 
(c)Subhash Khatri 
physiokhatri@gmail.com
25 
(c)Subhash Khatri 
physiokhatri@gmail.com
26 
Thermotherapy 
• Analgesia & muscle relaxation 
• Dosages 
• 40-450, 80-120watts 
(c)Subhash Khatri 
physiokhatri@gmai...
27 
(c)Subhash Khatri 
physiokhatri@gmail.com
(c)Subhash Khatri 
physiokhatri@gmail.com 
28
29 
(c)Subhash Khatri 
physiokhatri@gmail.com
30 
Ultrasound 
• Protein content 
• Deep seated 
• Cortisol level, 
membrane stability, 
presynaptic inhibition 
(c)Subha...
31 
(c)Subhash Khatri 
physiokhatri@gmail.com
32 
Cryotherapy 
• Cellular metabolism 
• Vapocoolant spray 
• Cryocuff 
• Cryotur 
(c)Subhash Khatri 
physiokhatri@gmail....
33 
Intermittent compression 
• Edema 
• Pressure adjustment 
• On time 
(c)Subhash Khatri 
physiokhatri@gmail.com
34 
Phototherapy 
• Laser, IR & UV 
• Treatment time 
(c)Subhash Khatri 
physiokhatri@gmail.com
35 
(c)Subhash Khatri 
physiokhatri@gmail.com
36 
(c)Subhash Khatri 
physiokhatri@gmail.com
(c)Subhash Khatri 
physiokhatri@gmail.com 
37
38 
(c)Subhash Khatri 
physiokhatri@gmail.com
39 
(c)Subhash Khatri 
physiokhatri@gmail.com
40 
(c)Subhash Khatri 
physiokhatri@gmail.com
(c)Subhash Khatri 
physiokhatri@gmail.com 
41
42 
(c)Subhash Khatri 
physiokhatri@gmail.com
43 
(c)Subhash Khatri 
physiokhatri@gmail.com
44 
(c)Subhash Khatri 
physiokhatri@gmail.com
(c)Subhash Khatri 
physiokhatri@gmail.com 
45
46 
(c)Subhash Khatri 
physiokhatri@gmail.com
47 
(c)Subhash Khatri 
physiokhatri@gmail.com
48 
GEM 
Paper correction by Prof. Sardaji 
(c)Subhash Khatri 
physiokhatri@gmail.com
49 
Choices 
• Choice of variety of agents 
• Choose to use therapeutic modalities 
• How you choose is individual decisio...
50 
Regardless of choice, Remember…. 
Physical agents should only be used as 
an adjunct to other forms of exercises! 
(c)...
51 
(c)Subhash Khatri 
physiokhatri@gmail.com
Losers live in the past. Winners learn from the past 
and enjoy working in the present toward the future 
52 
(c)Subhash K...
(c)Subhash Khatri 
physiokhatri@gmail.com 
53
54 
(c)Subhash Khatri 
physiokhatri@gmail.com
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Pa ahmedabad 2013

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Lecture that a delivered in 2013 Gujarat State Conference on whether we need Electrophysical agents?

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Pa ahmedabad 2013

  1. 1. Physical Agents: Past, Present & Future Ahmadabad 2013 Dr. Subhash Khatri BPhT (Nagpur), MPT ortho (Kottayam), PhD Physio (Amritsar),FIAP PRINCIPAL, COPT,PIMS,LONI, MAHARASHTRA www.pravara.com
  2. 2. Ahmadabad • 35,40,000 electrotherapy • 17,90000 physical agents • Spa with electrotherapy (c)Subhash Khatri physiokhatri@gmail.com 2
  3. 3. 3 (c)Subhash Khatri physiokhatri@gmail.com
  4. 4. 4 (c)Subhash Khatri physiokhatri@gmail.com
  5. 5. 5 Physical Agents • Past • Present • Future..! (c)Subhash Khatri physiokhatri@gmail.com
  6. 6. 6 Physical agents in Physiotherapy •Active •Passive (c)Subhash Khatri physiokhatri@gmail.com
  7. 7. (c)Subhash Khatri physiokhatri@gmail.com 7
  8. 8. 8 PHYSICAL AGENTS 1. Thermal 2.Electromagnetic 3.Electrical 4.Mechanical (c)Subhash Khatri physiokhatri@gmail.com
  9. 9. 9 GOAL Healing  Inflammation Pain relief Exercises (c)Subhash Khatri physiokhatri@gmail.com
  10. 10. (c)Subhash Khatri physiokhatri@gmail.com 10
  11. 11. (c)Subhash Khatri physiokhatri@gmail.com 11
  12. 12. 12 When do we use physical agents • Immediately • Through out rehabilitation (c)Subhash Khatri physiokhatri@gmail.com
  13. 13. 13 Electrical stimulating currents Commercial radio & TV Short wave diathermy Microwave diathermy Infrared rays Visible light Uoltraviolet Ionizing radiation LASER{ (c)Subhash Khatri physiokhatri@gmail.com
  14. 14. 14 FAMOUS KIDNAP (c)Subhash Khatri physiokhatri@gmail.com
  15. 15. 15 Healing Process Inflammatory Phase Repair Phase Remodeling Phase Injury Day 4 Week 6 2-3 Years (c)Subhash Khatri physiokhatri@gmail.com
  16. 16. 16 (c)Subhash Khatri physiokhatri@gmail.com
  17. 17. 17 Inflammatory Phase • Cryotherapy • Cryocuff • ICT (c)Subhash Khatri physiokhatri@gmail.com
  18. 18. 18 Repair Phase • Thermotherapy • LIL • ES (c)Subhash Khatri physiokhatri@gmail.com
  19. 19. 19 Remodeling Phase • Deep heating • SWD • MWD • Ultrasound (c)Subhash Khatri physiokhatri@gmail.com
  20. 20. 20 (c)Subhash Khatri physiokhatri@gmail.com
  21. 21. 21 ELECTRICAL STIMULATION • Acute & chronic • HVPG • Iontophoresis • Wireless TENS • Russian current (c)Subhash Khatri physiokhatri@gmail.com
  22. 22. 22 (c)Subhash Khatri physiokhatri@gmail.com
  23. 23. 23 (c)Subhash Khatri physiokhatri@gmail.com
  24. 24. 24 (c)Subhash Khatri physiokhatri@gmail.com
  25. 25. 25 (c)Subhash Khatri physiokhatri@gmail.com
  26. 26. 26 Thermotherapy • Analgesia & muscle relaxation • Dosages • 40-450, 80-120watts (c)Subhash Khatri physiokhatri@gmail.com
  27. 27. 27 (c)Subhash Khatri physiokhatri@gmail.com
  28. 28. (c)Subhash Khatri physiokhatri@gmail.com 28
  29. 29. 29 (c)Subhash Khatri physiokhatri@gmail.com
  30. 30. 30 Ultrasound • Protein content • Deep seated • Cortisol level, membrane stability, presynaptic inhibition (c)Subhash Khatri physiokhatri@gmail.com
  31. 31. 31 (c)Subhash Khatri physiokhatri@gmail.com
  32. 32. 32 Cryotherapy • Cellular metabolism • Vapocoolant spray • Cryocuff • Cryotur (c)Subhash Khatri physiokhatri@gmail.com
  33. 33. 33 Intermittent compression • Edema • Pressure adjustment • On time (c)Subhash Khatri physiokhatri@gmail.com
  34. 34. 34 Phototherapy • Laser, IR & UV • Treatment time (c)Subhash Khatri physiokhatri@gmail.com
  35. 35. 35 (c)Subhash Khatri physiokhatri@gmail.com
  36. 36. 36 (c)Subhash Khatri physiokhatri@gmail.com
  37. 37. (c)Subhash Khatri physiokhatri@gmail.com 37
  38. 38. 38 (c)Subhash Khatri physiokhatri@gmail.com
  39. 39. 39 (c)Subhash Khatri physiokhatri@gmail.com
  40. 40. 40 (c)Subhash Khatri physiokhatri@gmail.com
  41. 41. (c)Subhash Khatri physiokhatri@gmail.com 41
  42. 42. 42 (c)Subhash Khatri physiokhatri@gmail.com
  43. 43. 43 (c)Subhash Khatri physiokhatri@gmail.com
  44. 44. 44 (c)Subhash Khatri physiokhatri@gmail.com
  45. 45. (c)Subhash Khatri physiokhatri@gmail.com 45
  46. 46. 46 (c)Subhash Khatri physiokhatri@gmail.com
  47. 47. 47 (c)Subhash Khatri physiokhatri@gmail.com
  48. 48. 48 GEM Paper correction by Prof. Sardaji (c)Subhash Khatri physiokhatri@gmail.com
  49. 49. 49 Choices • Choice of variety of agents • Choose to use therapeutic modalities • How you choose is individual decision • Choice must be based on theoretical knowledge and practical experience (c)Subhash Khatri physiokhatri@gmail.com
  50. 50. 50 Regardless of choice, Remember…. Physical agents should only be used as an adjunct to other forms of exercises! (c)Subhash Khatri physiokhatri@gmail.com
  51. 51. 51 (c)Subhash Khatri physiokhatri@gmail.com
  52. 52. Losers live in the past. Winners learn from the past and enjoy working in the present toward the future 52 (c)Subhash Khatri physiokhatri@gmail.com
  53. 53. (c)Subhash Khatri physiokhatri@gmail.com 53
  54. 54. 54 (c)Subhash Khatri physiokhatri@gmail.com

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