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

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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)

Clinical application of Electrotherapy 14mohsalahpt@hotmail.com

Electrotherapeutic modalities effects

• Biological effect• Magnetic effect

• Laser

•• Electrical stimulation

Clinical application of Electrotherapy 15mohsalahpt@hotmail.com

Biological effect of magnetic fields

Clinical application of Electrotherapy mohsalahpt@hotmail.com 16

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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Clinical application of Electrotherapy mohsalahpt@hotmail.com 19

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

Clinical application of Electrotherapy mohsalahpt@hotmail.com 25

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

Clinical application of Electrotherapy 36mohsalahpt@hotmail.com

Clinical application of Electrotherapy mohsalahpt@hotmail.com 37

Clinical application of Electrotherapy 38mohsalahpt@hotmail.com Return

Electrical Stimulation

Clinical application of Electrotherapy 39mohsalahpt@hotmail.com

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

Clinical application of Electrotherapy mohsalahpt@hotmail.com 44

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

Clinical application of Electrotherapy mohsalahpt@hotmail.com 46

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