Introduction to Electrotherapy Flashcards
Thermal Agents
Cold packs, ice, vapocoolant
cold bath/whirlpool
hot packs, paraffin, fluidotherapy
Mechanical Agents
mechanical traction
compression stockings/bandages
Electromagnetic Agents
TENS , NMES
Electromagnetic & Thermal
UV
IR
Laser
Mechanical and Thermal
Hydrotherapy & Ultrasound
Cathode
gains electrons
- negatively charged
- black cord
Anode
loses electrons
- positively charged
- red cord
polarity
relative charge
voltage
energy associated with movement of charge (volts)
-potential energy b/w 2 points
current
rate of movement of charged particles in a conductor (I or amps)
transfer of energy that causes physiological change
resistance
defines the ease of movement within the conductor
-relationship b/w voltage and current
Ohm’s Law
I = V/R
V= I x R
as R increases, V needs to increase to maintain constant I
good conductors
muscles, nerves, blood
poor conductors
skin, adipose tissue
conductors
allow charged particles to move easily in an electrical field
resistance can be manipulated for our purpose through (decrease)
gels, sponges, wet gauze
resistance can be manipulated for our purpose through (increase)
lotions, oils, dry skin & callus
capacitance
property that allows the ability to store or release a charge
impedance
can be overcome with
takes into account resistance and capacitance
can be overcome with higher frequencies (AC current)
Direct Current
continuous uninterrupted flow of particles
continuous as long as circuit is closed
wound healing
Alternating Current
uninterrupted bi-directional flow of particles
large muscles = russian stim
alternating current effect on polarity
polarity reverses as electrons move in one direction and then in reverse
pulsed current
uni or bi-directional flow interrupted for a period of time
each pulse is an isolated electrical event
pulse
isolated electrical event
can be uni- or bidirectional
pulse duration
time to complete one pulse
which nerve fibers are you trying to stimulate?
interpulse interval
time between pulses
period
pulse duration + interpulse interval duration
frequency
the number of pulses each second
rise time
time for one pulse to reach its peak amplitude
fall time
time for one pulse to return to baseline
ramp up
time across successive pulse to reach a peak
ramp down
returning to baseline
modulation
can take place in amplitude, frequency, or pulse duration
need to modulate in order to do pain treatment (stimulus will start to die off)
duty cycle
(on time / on + off time ) X 100
symmetry
phases must be mirror images of each other
balance of charge
the area under the negative phase = the area under the positive phase
primary parameters
pulse duration: > 400 usec
amplitude: up to 100 mA
frequency: up to 100 pps
TENS
pain
HPVC
wound healing
can be used under water
NMES
stretching, strengthening, ROM
Interferential stimulators
AC frequencies - pain
Diadynamic (AC) stimulators
russian - alternating current
Iontophoresis stimulators
drug delivery
Microcurrent stimulator
low current
mimic body natural’s biopotential (does not stimulate nerve of muscles)
Monopolar placement
return electrode is far away - not apart of activation of muscles
bipolar placement
using both anode and cathode to excite muscle
quadripolar placement
interferential - pain treatment
2 channels / 4 electrode
x pattern - causes new wave form (if you dont cross it is russian)