06-06: Interferential Current Flashcards
Interferential Current (IFC)
- Combines 2 medium fequency alternating waveforms that are biphasic that interfere with each other in the tissue
- Reaches deeper tissue because of higher frequency and shorter pulse width
TENS vs. IFC
- TENS is lower frequency; IFC is medium current
- Less accommodation with IFC than TENS
- IFC is 1) more comfortable, 2) reaches deeper tissue, 3) avoids accommodation
Primary applications
- Pain Management
- Muscle Contraction
Pain Management - Parameters
- Beat Frequency: 50-120 pps
- Pulse Width: 50-150 microsec
Muscle Contraction - Parameters
- Beat Frequency: 20-50 pps
- Pulse Width: 100-200 microsec
Vector Scan
- Automatic: allows interference of the 2 medium frequency waves to encompass a larger area
- Manual: allows PTA to more precisely pinpoint the treatment area
Sweep
- Helps to avoid accommodation
- Off: Set Beat Frequency (one number)
- On: Set Beat High and Beat Low; machine will modulate the current between these 2 numbers
Beat Frequency
Resultant frequency that is delivered to the tissue after the two medium frequency waves destructively interfere with each other
Carrier Frequency
Lower of the two medium frequency waves that are generated by the the machine; other frequency wave is the sum of the carrier frequency and the beat frequency
Indications for IFC
- Pain management
- Urinary Incontinence
- Edema Management
- Osteoarthritic pain
- Migraines
Contraindications for IFC
- Malignancy
- All types of electronic implants
- 1st trimester of pregnancy
- Over pregnant uterus
- Over anterior transcervical area
Delivery Methods (3)
- Bipolar (Pre-modulation)
- Quadripolar
- Quadripolar with automatic vector scan
Bipolar delivery
- Allows IFC to be modulated prior to delivery of current (“Pre-modulated” or “Pre-Mod”)
- 2 electrodes connected to same channel with 2 medium sinusoidal currents
- Interference of 2 currents occurs in the machine and creates an amplitude modulation with a beat frequency that is delivered to tissue
- Ex: one current is 3,000 Hz (carrier frequency), second is 3,050 Hz; Beat frequency is 50 Hz
Quadripolar delivery
- Interference of the currents, and thus moduation, occurs in tissue
- Electrodes #1 and #2 connected to one channel, #3 and #4 connected to another
- Electrode placement is criss-cross pattern surrounding treatment area, current forms a cloverleaf pattern
- Target area is in the center of the electrodes
Quadripolar with Automatic Vector Scan Delivery
- Used when increasing the size of the current field
- Machine allows you to move current field around after the set up to focus field over the target area
- Field is circular rather than cloverleaf