clinical application of electrotherapy
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Clinical application of ElectrotherapyElectrotherapy
Dr. Mohamed Salah El Dien MohamedDr. Mohamed Salah El Dien MohamedDr. Mohamed Salah El Dien MohamedDr. Mohamed Salah El Dien Mohamed
Assistant Professor of physical therapyAssistant Professor of physical therapyAssistant Professor of physical therapyAssistant Professor of physical therapy
Faculty of Applied medical scienceFaculty of Applied medical scienceFaculty of Applied medical scienceFaculty of Applied medical science
Umm Al Qura universityUmm Al Qura universityUmm Al Qura universityUmm Al Qura university
Lecture content
• Introduction• Therapeutic tools in physical therapy• Classification according to:
•• Usage in stage of illness• Their effect on patients• Tissue involved in the treatment
• Basic techniques for Electrotherapy.
Clinical application of Electrotherapy 2mohsalahpt@hotmail.com
Therapeutic tools in physical therapy
Electro-
magnetic
Light
Magnetic
Mechanical Ultra-Sound
Electrical
Clinical application of Electrotherapy mohsalahpt@hotmail.com 3
Water
Light
Air
Mechanical
waves
Other
Ultra-Sound
Classification
Your Body NeedsMagnetic Energy!
�Each cell has a
positive & a negative
field in the DNA.
�Cell division is a
process responsible
�The proper functionand interaction of all
organs and systems in
the body depend on the
constant presence of
adequate magnetic process responsible
for keeping the body
healthy &
rejuvenated.
�The force which
activates the
formation and division
of cells is magnetic
energy.
constant presence of
adequate magnetic
energy.
�Magnetism is
essential for the
body’s electromagnetic
activity and plays a
major role in health
and disease.Your Body Is An
Electro-Magnetic System
Return
Clinical application of Electrotherapy mohsalahpt@hotmail.com 5Return
Ultrasound Waves
Clinical application of Electrotherapy mohsalahpt@hotmail.com 6Return
Electrotherapeutic modalities Usage in stage of illness
• Acute Stage– Laser– Magnetic therapy–– Ozone therapy– Pulsed SWD, MWD, US.– Electrical stimulation
(Iontophoresis, Wound management)
Clinical application of Electrotherapy 7mohsalahpt@hotmail.com
Electrotherapeutic modalities Usage in stage of illness
• Sub acute stage• SWD, MWD
• IRR
•• US
• Electrical Stimulation
Clinical application of Electrotherapy 8mohsalahpt@hotmail.com
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Electrotherapeutic modalities Usage in stage of illness
• Chronic stage– ALL AVAILABLE
– Not SWD or MWDexcept in:except in:
(Uterine adhesions,Prostatitis)
Clinical application of Electrotherapy 10mohsalahpt@hotmail.com
Electrotherapeutic modalities effects
• NO EFFECT• Laser
• Magnetic
•• Ultrasonic
• Electrical Stimulation
• Ozone therapy
Clinical application of Electrotherapy 11mohsalahpt@hotmail.com
Electrotherapeutic modalities effects
• Thermal Effect– Superficial heat
– Dry heat
–– moist heat
– Deep Heat
– Cold application
Clinical application of Electrotherapy 12mohsalahpt@hotmail.com
Electrotherapeutic modalities effects
• Mechanical effect• Ultrasonic
• Shock wave
•• Intermittent Compression
• Cupping therapy
• Vibratory massage
Clinical application of Electrotherapy 13mohsalahpt@hotmail.com
Electrotherapeutic modalities effects
• Photochemical effect• Laser
• Ultraviolet radiation
•• Electrical stimulation
( iontophoresis)
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Electrotherapeutic modalities effects
• Biological effect• Magnetic effect
• Laser
•• Electrical stimulation
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Biological effect of magnetic fields
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Electrotherapeutic modalities & tissue involved in treatment
• Skin• ( Acne, psoriasis)
» Ultraviolet• ( Wound)
» Electrical stimulation» Electrical stimulation» Ultrasonic» Magnetic»Ozone therapy
– Hypertrophic Scar ( US, Laser )
Clinical application of Electrotherapy 17mohsalahpt@hotmail.com
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Electrotherapeutic modalities & tissue involved in treatment
• Muscle• Stimulation & augmentation of power
» Electrical
•• Repair
» Electrical , US, Magnetic therapy
• Spasticity
» Electrical , Shock wave
Clinical application of Electrotherapy 20mohsalahpt@hotmail.com
Electrotherapeutic modalities & tissue involved in treatment
• Nerve• Evaluation and Stimulation
» Electrical• Alter Conduction velocity• Alter Conduction velocity
» Laser» Electrical» Magnetic» Cold application
Clinical application of Electrotherapy 21mohsalahpt@hotmail.com
Electrotherapeutic modalities & tissue involved in treatment
• Adipose tissue( fat burning equipments)
• Ultrasonic lipolysis
•• Electrolypolysis
• Laser ( lipotherme laser )
Clinical application of Electrotherapy 22mohsalahpt@hotmail.com
Electrotherapeutic modalities & tissue involved in treatment
• Bone• Excessive callus
» Ultrasonic
»» Shock wave
• Healing
» Magnetic
» Electrical
Clinical application of Electrotherapy 23mohsalahpt@hotmail.com
Electrotherapeutic modalities & tissue involved in treatment
• Circulation• Heat
– Superficial and deep heat
»» Magnetic
» Intermittent compression
Clinical application of Electrotherapy 24mohsalahpt@hotmail.com
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Therapeutic tools in physical therapy
Electro-
magnetic
Light
Magnetic
Mechanical
Ultra-Sound
Electrical
Clinical application of Electrotherapy mohsalahpt@hotmail.com 26
Water
Light
Air
Mechanical
waves
Other
Electrical
Clinical Application of Magnetic Therapy
Magnetic Therapy mohsalahpt@hotmail.com 27
Products using Magnets
• Shoe insoles
• Heel inserts
• Mattress Pads
• Bandages
• Belts
• Pillows and Cushions
• Bracelets and other
jewelry• Bandages jewelry
• Headwear
Magnetic Bracelets
Clinical Application of Magnetic Therapy
Magnetic Therapy mohsalahpt@hotmail.com 29
Magnetic Therapy mohsalahpt@hotmail.com 30
Magnetic HairbrushMagnetic Hairbrush Magnetic EarringsMagnetic Earrings
Magnetic Therapy mohsalahpt@hotmail.com 31Return
Application Techniques of Ultrasound
• Moving sound head technique
Ultrasound waves Mohsalahpt@hotmail.com 32
Application Techniques of Ultrasound
2- Under Water Treatment:
Ultrasound waves Mohsalahpt@hotmail.com 33
Application Techniques of Ultrasound
• 3- Stationary technique:-
Ultrasound waves Mohsalahpt@hotmail.com 34
Application Techniques of Ultrasound
• 4- Water pillow (bag) application:
Ultrasound waves Mohsalahpt@hotmail.com 35
Application Techniques of Ultrasound
• Combination therapy
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Clinical application of Electrotherapy 38mohsalahpt@hotmail.com Return
Electrical Stimulation
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Shock Wave
Clinical application of Electrotherapy 40mohsalahpt@hotmail.com
Clinical application of Electrotherapy mohsalahpt@hotmail.com 41Return
Intermittent Compression
Clinical application of Electrotherapy 42mohsalahpt@hotmail.com
Cupping therapy
Clinical application of Electrotherapy mohsalahpt@hotmail.com 43Return
LASER
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Contact techniqueGridding technique
Laser parameters
1) Power Density (W/cm2) = Laser Output Power (W)/
Beam area (cm2)
2) Beam Area (cm2) = Diameter(cm)2 x 0.7854
3) Energy (Joules) = Laser Output Power (Watts) x Time
(Sec)3) Energy (Joules) =
(Sec)
4) Energy Density (Joule/cm2) =
Laser Output Power (Watts) x Time (Sec)/
Beam Area (cm2)
5) Treatment Time (Seconds) =
Energy Density (Joules/cm2)/ Output Power Density (W/cm2)
Clinical application of Electrotherapy mohsalahpt@hotmail.com 45Return
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