intro to electrotherapy - part 3 Flashcards
what are the 3 main physiologic responses to ES
biological effects
physiological model
physiological correlates
what are the biological effects of ES
electrochemical
electrohphysical
electrothermal
discuss the electrochemical effects
application of faraday’s law - chem reax is proportional to the amount electricity passing
kaya the polarity from residual charge forms chemical compounds
what are the electrophysical effects of ES
causes ionic movements, electrolytes = AP
compare the electrochem effect of symm and assym waves
symm - no residual charge; no effect
assym - depends; AAA or CAB
what are the electrothermal effects of ES
secondary to electrophysical
microvibration + friction = heat
what is joule’s law
heat is proportional to square of current x resistance x time
what are the levels of the physiologic model
cellular
tissue
segmental
systemic
effects of ES on cellular level
excite peripheral nerves
change membrane permeability
modification of fibroblast/clast osteoblast/clast formation
modification of microcirculation and capillary flow
changes in protein and blood cell concentration
alteration of enzymatic activity
enhancement of protein synthesis
modification of mitochondrial size and concentration
effects of ES on tissue level
skeletal muscle contraction
smooth muscle contraction/relax = effect on BF
tissue regeneration
tissue remodelling
changes in tissue thermal and chemical balance
effects of ES on segmental level
muscle group contraction and joint mob and synergistic muscle activity
muscle pumping on macrocirculation
alteration of lymph drainage and arterial BF
effects of ES on systemic level
analgesic effects assoc w endogenous polypeptides
analgesic effects d/t NT
circulatory effects assoc w polypeptides
modulation of internal organ act sa kidney and heart
what are the physiologic correlates of ES
excitatory and non-excitatory
what are the levels of excitatory effects of ES
sensory level
motor level
noxious level
exp sensory level excitation
low intensity - TENS for pain relief