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Sreeraj S R
Low Frequency Stimulation
Specialized Techniques
Sreeraj S R
Faradic Foot Bath
Sreeraj S R
Bath Method
● Application of faradic current to the body parts in a tub,
tray or tank containing water is termed as bath method of
application
● Depending upon the placement of electrodes bath can be
● Bipolar : both electrodes are kept in the water
● Unipolar : one electrode kept in the water while the
other electrode kept at any convenient part of the body
Sreeraj S R
Bath Method
• Advantage of bath method are:
● Skin resistance is lowered considerably by prolonged soaking in
water
● Water makes perfect contact with the tissues
● Wash of electrolytes formed under the electrodes
• Disadvantages are:
● Current can not be localized
● Superficial muscles contract more than deep muscles due to the
presence of water
● Chances of electric shock is higher

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Frenkels exercise
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Frenkel exercises are a series of movements developed to treat patients with loss of proprioception. The exercises start simple and increase in difficulty, using visual and auditory cues to facilitate restoration of smooth, coordinated movement. Key principles are concentration, precision, and repetition of movements like limb motions and transfers of weight. Exercises progress from lying to sitting to standing positions and incorporate movement of the legs, arms, and whole body. The goal is to improve coordination, balance, proprioception and control through attention to rhythmic counting and placement of limbs in specific positions.

frenkels exercisecoordination trainingsundaraganesh
Galvanic current
Galvanic currentGalvanic current
Galvanic current

This document discusses galvanic current and its use in stimulating denervated muscles. It defines galvanic current as a direct, unidirectional current that can cause pain due to its unidirectional nature. Interrupted galvanic current is introduced to overcome this by providing regular pauses in stimulation. Stimulating denervated muscles with galvanic current can help limit atrophy and edema until reinnervation occurs. Precautions must be taken when applying galvanic current due to potential dangers like burns or electric shock.

ULTRAVIOLET RADIATION THERAPY (UVR)
ULTRAVIOLET RADIATION THERAPY (UVR)ULTRAVIOLET RADIATION THERAPY (UVR)
ULTRAVIOLET RADIATION THERAPY (UVR)

Ultraviolet radiation (UVR) lies between visible light and X-rays in the electromagnetic spectrum. The document discusses the different types of UVR (UVA, UVB, UVC), their effects on the skin like sunburn, tanning, and skin cancer. It also summarizes therapeutic uses of UVR for various skin conditions like psoriasis, acne, and wounds. Determining the minimal erythemal dose (MED) through a skin test is described as the basis for calculating safe UVR dosages for patients.

ultraviolet radiation therapyuvrphysiotherapy
Sreeraj S R
Faradic Foot Bath
● ES by faradic current may be applied in baths.
● Can be used to stimulate
● Lumbricals
● Plantar interrossei
● Abductor hallucis
Sreeraj S R
Lumbricals
Origin Medial borders of long flexor tendons
Insertion Proximal phalanges and extensor tendons of the 4 lateral toes
Nerve Supply medial and lateral plantar nerves (S3)
Actions Flexes metatarsophalangeal joints, extends interphalangeal joints
https://en.wikipedia.org/wiki/Lumbricals_of_the_foot
Sreeraj S R
Plantar interrossei
Origin Metatarsals, long plantar ligament
Insertion Medial side of Proximal phalanges of 3rd to 5th toe
Nerve Supply Lateral plantar nerve
Actions adduct toes
https://en.wikipedia.org/wiki/Plantar_interossei_muscles
Sreeraj S R
Abductor hallucis
Origin Medial process of calcaneal tuberosity, Plantar aponeurosis, Flexor
retinaculum
Insertion Medial aspect of base of 1st phalanx of hallux
Nerve Supply Medial plantar nerve
Actions Abducts hallux
https://www.kenhub.com/en/library/anatomy/abductor-hallucis-muscle

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The document discusses static and dynamic stability of the glenohumeral joint. Statically, the joint is stabilized by the humeral head resting in the glenoid fossa, creating negative pressure. The rotator cuff muscles and deltoid provide a vertical force to counteract gravity. Dynamically, the deltoid, rotator cuff, biceps and scapulohumeral rhythm work together to precisely guide humeral movement and stabilize the joint throughout its range of motion. Scapulohumeral rhythm involves greater scapular movement in the first 90 degrees of arm elevation compared to humeral movement.

SD curve (Strength Duration Curve)
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SD curve (Strength Duration Curve)

a detailed description on theory behind Strength duration curve, along with procedure for plotting SD Curve and measuring the Rheobase and Chronaxie of the plotted graph.

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Contrast bath SRS
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Contrast bath SRS

Contrast bath therapy involves soaking an injured area in alternating hot and cold water baths to increase blood flow and decrease stiffness and pain. The physiological mechanism is that it induces vasodilation and vasoconstriction through changes in water temperature, pumping edema from the injured area. The procedure involves soaking in warm water for 10 minutes, cold water for 1 minute, repeating warm water for 4 minutes and cold water for 1 minute, ending in warm water for 4 minutes for a total time of 25 minutes. Contrast baths can treat injuries like sprains, strains and bruises by removing edema through changes in blood flow. Certain precautions should be taken for conditions like open wounds, pregnancy and impaired sensation.

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Sreeraj S R
Faradic Foot Bath
● Position the patient in high sitting with back well supported
● Position the feet on a stool covered with a plastic sheet
● Place the foot in a bath containing enough warm water to
cover the toes
Sreeraj S R
Faradic Foot Bath
To stimulate the lumbricals
place two electrodes
transversely,
• one under the heel
and the other
• under the metatarsal
heads
Sreeraj S R
Sreeraj S R
Faradic Foot Bath
To stimulate the plantar
interossei place one electrode
on each side of the foot at the
level of metatarsal shafts

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Proprioceptive neuromuscular facilitation

The document discusses proprioceptive neuromuscular facilitation (PNF), a technique developed by Herman Kabat that uses movements and patterns to improve neuromuscular function. It defines key PNF terms and outlines principles such as motor development occurring from head to toe. The basic procedures are described, including manual contacts, stretch, and maximal resistance. Upper and lower extremity diagonal patterns are explained along with their component motions. Rhythmic initiation is also summarized.

Stretching
StretchingStretching
Stretching

Stretching involves applying tension to muscles and connective tissues to increase flexibility and range of motion. There are several types of stretching including static, cyclic, ballistic, PNF, and mechanical. The key factors in stretching are proper alignment, stabilization, low intensity, and long duration to minimize muscle resistance and maximize tissue elongation. Stretching can be done manually, through self-stretching exercises, or using mechanical devices.

Resistance exercises
Resistance exercisesResistance exercises
Resistance exercises

The document defines and describes various aspects of resistance exercises. It discusses types of muscle contractions like isotonic, isometric and eccentric. It explains principles of resistance training like overload and specificity. It describes adaptations to resistance training including neural, muscular and bone changes. Determinants of resistance training programs are outlined including intensity, time, volume and periodization. Guidelines for progressive resistance exercises and precautions are provided.

Sreeraj S R
Sreeraj S R
Faradic Foot Bath
For Abductor hallucis
place
• one electrode under the
heel and
• stimulate the muscle
through the motor point
using a pen electrode
Sreeraj S R
Sreeraj S R
Faradic Foot Bath
● A surged faradic current is used for this
● Surge duration 1 sec.
● Surge interval 3 sec.
● Intensity : enough to produce a visible contraction of the
muscles.
● Treatment time: 15 – 30 minutes

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This document summarizes fluidotherapy, a dry heating modality. It transfers heat to the body through convection using a cabinet containing heated air and finely ground cellulose particles. This creates a fluid-like medium allowing limbs to float and exercises to be performed. Key effects include increased blood flow, pain relief and improved range of motion. It is used to treat distal extremities for conditions like pain, swelling and post-operative rehabilitation. Contraindications include fever, anesthesia or severe circulatory issues. Advantages include ease of use and allowing some active exercise in a comfortable, dry environment.

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Scapulohumeral rhythm ppt
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The document discusses the scapulohumeral rhythm, which is the coordinated movement between the glenohumeral joint and scapulothoracic joint during shoulder movement. Specifically, it notes that for every 2 degrees of shoulder abduction or flexion, the scapula upwardly rotates approximately 1 degree. This ratio maintains proper shoulder range of motion and prevents impingement. Clinical issues like frozen shoulder and scapular winging can result from impairments affecting the scapulothoracic joint.

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Faradic current
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This document provides information about faradic current, including its nature, therapeutic and physiological effects, techniques of application, indications, contraindications, and clinical applications. It describes faradic current as an asymmetrical alternating current with a pulse duration of 0.1-1 ms and frequency of 30-100 Hz. The document discusses the effects of faradic current such as stimulation of sensory and motor nerves and reduction of swelling and pain. It outlines various methods and techniques of faradic current application for diagnostic and therapeutic purposes, as well as precautions and potential dangers of its use.

Sreeraj S R
Faradic Foot Bath
● Rectangular metal or carbon rubber electrodes of 3 X 7 cm
can be used
● No lint pad or coupling medium required
● Encourage the patient to contract the muscle voluntarily
with the current
Sreeraj S R
Faradism Under Pressure
Sreeraj S R
Faradism Under Pressure
● ES of muscle combined with compression and elevation of
the limb can be used to increase venous and lymphatic
drainage and so to relieve edema.
● This technique is known as Faradism Under Pressure
● "Increased venous and lymphatic return is brought about
by the pumping action of the alternate muscle contraction
and relaxation.“ (Clayton, 1959.)
● "The contraction causes an inward pressure on the tissue
spaces and veins and so propels fluid towards the heart.
(Savage,1960.)
Sreeraj S R
Faradism Under Pressure
● Patient in supine position
● The limb is elevated above the heart level using pillows
● The pressure bandage is applied over the electrode, with
maximum pressure distal to proximal
● The skin must be cleaned before treatment

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The Faradic Galvanic (FG) test assesses lower motor neuron problems by stimulating muscles with different electric currents. A brief tetanic contraction indicates intact innervation, while a sluggish response suggests denervation. The test involves using faradic current to search for motor points and elicit fast contractions in innervated muscles. Galvanic current then produces slow contractions in denervated muscles. However, the FG test is inaccurate and unreliable, correctly interpreting muscle reactions in only 50% of cases.

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Whirlpool Bath Dr. Rashi
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Whirlpool Bath Dr. Rashi

This document discusses whirlpool bath therapy. It describes how whirlpool baths combine water temperature and mechanical stimulation from jets of water or air to provide therapeutic benefits. Different types of whirlpool baths are used for specific body parts or full immersion. Benefits include pain relief, relaxation of muscles, improved circulation, and preparation for other treatments. Proper technique and monitoring for safety is important when using whirlpool baths.

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Biomechanics of Posture
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posture analysis and alignment in different views, deformities of different parts of the body segments

Sreeraj S R
Faradism Under Pressure
• Placement of electrode for lower limb:
• Active electrode place over the belly of the calf muscle
• Passive electrode is placed over the sole of the foot
• Placement of electrode for upper limb:
• Active electrode over the flexor aspect of forearm at the
junction of proximal 1/3 and distal 2/3 of the muscle
belly
• The passive electrode over the palm or cubital fossa
Sreeraj S R
Faradism Under Pressure
• A surged faradic current is used for this
• Surge duration 3 sec.
• Surge interval 9 sec.
• Intensity : enough to produce a visible contraction of the
muscles i.e. clenching of toes or fingers.
• Treatment time: 15 – 30 minutes
Sreeraj S R
Faradism Under Pressure
● Rectangular metal or carbon rubber electrodes of 3 X 5
cm. can be used
● Encourage the patient to do active movement along with
the current and relax during surge interval
Sreeraj S R
Faradism Under Tension

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suspension therapy in details with the principles, indications, benefits, advantages and disadvantages, materials required for performing activities using suspension techniques.

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Active movements
Active movementsActive movements
Active movements

This document discusses different types of voluntary movements used in physical therapy exercises. It classifies exercises as free, assisted, assisted-resisted, or resisted based on whether they involve gravity, external assistance, or resistance. Free exercises work against gravity alone and are used to improve relaxation, muscle tone, coordination, and confidence. They can help cure or rehabilitate patients, though some patients may be unable to perform them. The document outlines techniques for free exercises and their effects, including improved relaxation, joint mobility, muscle power, neuromuscular coordination, and confidence. It also describes circulatory and respiratory changes that occur with exercise like increased heart rate, blood flow, and respiration to meet tissue needs and regulate functions.

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Low frequency stimulation, Faradic Foot Bath, Faradism Under Pressure, Faradism Under Tension, stimulation to Pelvic Floor Muscles, physiotherapy

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Sreeraj S R
Faradism Under Tension
● Shortening of contractile soft tissues like muscles can be treated with
Faradism.
● Such contractures develop in major muscle groups like quadriceps
or elbow flexor group
● This is mostly after prolonged immobilization
● These conditions are passively mobilized which can be very painful.
● Titanic contraction by the surged current gradually pulls apart the
shortened myofibrils with less pain.
● So this can be an effective adjunctive with passively mobilization.
Sreeraj S R
● A surged faradic current is used for this
● Surge duration 3 sec.
● Surge interval 9 sec.
● Intensity : enough to produce a visible contraction of the
muscles.
● Treatment time: 15 – 30 minutes
Faradism Under Tension
Sreeraj S R
Faradism Under Tension
● Rectangular metal or carbon rubber electrodes of 5 X 10
cm can be used.
● Encourage the patient to do actively contract the muscle
along with the current and relax during surge interval
Sreeraj S R
Faradism Under Tension
• For quadriceps contracture:
• Patient is positioned on a plinth.
• A roll of towel or pillow is placed below the knee to give a
stretch
• Passive electrode is placed over proximal 1/3 of the
quadriceps
• Active electrode is placed on the junction of proximal 2/3
and distal 1/3 of the belly of the muscle

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This document discusses quadriceps inhibition, including its causes and treatment using electrotherapy. It begins with an overview of quadriceps anatomy. Common causes of quadriceps inhibition include fractures of the femur, meniscal injuries, traumatic knee synovitis, and soft tissue injuries around the knee. The treatment procedure involves examining and preparing the patient, setting up the electrotherapy apparatus, placing electrodes on the thigh, and administering a current to contract the quadriceps muscle and reduce inhibition. The treatment is administered with the patient in a half-lying position with the knee flexed at 15 degrees.

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Traction in Orthopaedic
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The document discusses various types and methods of traction used in orthopedics. It describes skin traction and skeletal traction, indicating skin traction is usually limited to 15 lbs while skeletal traction allows for higher weights. Various traction methods are outlined for specific bone fractures, including Buck's traction for femoral neck fractures and Bryant's traction for femoral shaft fractures in children. Complications of traction like pressure sores, nerve palsies, and prolonged bed rest are also summarized.

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Upper Limb Amputations
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Upper Limb Amputations

Presentation on different levels of amputation of upper limb including hand amputations., thumb reconstructions, kruckenberg amputation, thumb poloicization.

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Sreeraj S R
Faradism Under Tension
Sreeraj S R
Faradism Under Tension
• For elbow flexor contracture:
• Patient is positioned on a plinth.
• A roll is placed under the elbow just proximal to the joint.
• Passive electrode is placed over proximal 1/3 of the elbow
flexor
• Active electrode is placed on distal 1/3 of the belly of the
muscle
Sreeraj S R
ES to Pelvic Floor Muscles
Sreeraj S R
ES to Pelvic Floor Muscles
● ES can be used for reeducating these muscles.
● Indications are;
● Early cases of prolapse of pelvic organs
● Stress incontinence
● Incontinence following prostatectomy

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Tractions in Orthopaedics.ppt
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This document discusses various types of splints and tractions used in orthopedics. It begins by defining a splint and its functions, which include immobilization, pain control, and prevention of further injury. It describes different types of splints like the Thomas splint and Bohler-Braun splint. Traction is defined as a method of restoring bone alignment through gradual neutralization of muscles. Different traction types include skin, skeletal, and pelvic traction. Complications of splinting and traction are also outlined. The document provides detailed information on preparation, applications, and care for a variety of splints and traction techniques.

this is a description of spinal injuries in sports players and this includes ...
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this is a description of spinal injuries in sports players

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Sreeraj S R
ES to Pelvic Floor Muscles
● Position the patient in side lying
● Keep a pillow between the lower legs
● Place a plastic sheet under the patient
● The indifferent electrode to the lumbosacral region
● Insert the Active vaginal or rectal electrode
● Sterilized lubrication jelly should be applied on vaginal or rectal
electrode
● A large button electrode can also be used over the perinea region
Sreeraj S R
ES to Pelvic Floor Muscles
● A surged faradic current is used.
● Surge duration 1 sec.
● Surge interval 3 sec.
● The muscles of pelvic floor fatigue fast, so surge duration should be
short
● Intensity : enough to produce a visible contraction of the muscles.
● Treatment time: 15 – 30 minutes
● Encourage the patient to actively contract the muscles along with the
current and relax during surge interval
Sreeraj S R
References
1. Foster A, Palastanga N. Clayton’s Electroptherapy Theory and
Practice. 9th edition. W B Saunders. 2006;pp 70 – 79
2. Mitra PK. Handbook of Practical Electrotherapy. Jaypee. 2006; pp 44
– 49
3. Khatri S. Basics of Electrotherapy. Jaypee. 2003. pp 28 - 30
Sreeraj S R
THANK YOU

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This document discusses spinal traction, including its definition, types, and applications to the cervical and lumbar spine. Spinal traction involves applying longitudinal forces to separate vertebrae in the spine. It can reduce pressure on discs and nerves, decreasing pain. Traction methods include manual, mechanical, continuous, intermittent, and positional. Precautions are outlined for safe application to the cervical and lumbar regions.

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Radial nerve palsy
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The radial nerve is the largest terminal branch of the posterior cord. It arises from spinal cord segments C5-T1 and innervates all muscles in the posterior arm and forearm compartment as well as skin on the posterior arm and forearm. In the arm, it passes between the triceps muscles before entering the spiral groove on the humerus. It continues down the humerus, piercing the lateral intermuscular septum and supplying muscles of the anterior arm. In the forearm, it divides into superficial and deep branches, with the deep branch becoming the posterior interosseous nerve. Radial nerve injuries are commonly caused by fractures of the humerus. Nonoperative treatment focuses on preventing contract

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Faradic Foot Bath, Faradism Under Pressure, Faradism Under Tension, Stimulation to Pelvic Floor Muscles SRS

  • 1. Sreeraj S R Low Frequency Stimulation Specialized Techniques
  • 3. Sreeraj S R Bath Method ● Application of faradic current to the body parts in a tub, tray or tank containing water is termed as bath method of application ● Depending upon the placement of electrodes bath can be ● Bipolar : both electrodes are kept in the water ● Unipolar : one electrode kept in the water while the other electrode kept at any convenient part of the body
  • 4. Sreeraj S R Bath Method • Advantage of bath method are: ● Skin resistance is lowered considerably by prolonged soaking in water ● Water makes perfect contact with the tissues ● Wash of electrolytes formed under the electrodes • Disadvantages are: ● Current can not be localized ● Superficial muscles contract more than deep muscles due to the presence of water ● Chances of electric shock is higher
  • 5. Sreeraj S R Faradic Foot Bath ● ES by faradic current may be applied in baths. ● Can be used to stimulate ● Lumbricals ● Plantar interrossei ● Abductor hallucis
  • 6. Sreeraj S R Lumbricals Origin Medial borders of long flexor tendons Insertion Proximal phalanges and extensor tendons of the 4 lateral toes Nerve Supply medial and lateral plantar nerves (S3) Actions Flexes metatarsophalangeal joints, extends interphalangeal joints https://en.wikipedia.org/wiki/Lumbricals_of_the_foot
  • 7. Sreeraj S R Plantar interrossei Origin Metatarsals, long plantar ligament Insertion Medial side of Proximal phalanges of 3rd to 5th toe Nerve Supply Lateral plantar nerve Actions adduct toes https://en.wikipedia.org/wiki/Plantar_interossei_muscles
  • 8. Sreeraj S R Abductor hallucis Origin Medial process of calcaneal tuberosity, Plantar aponeurosis, Flexor retinaculum Insertion Medial aspect of base of 1st phalanx of hallux Nerve Supply Medial plantar nerve Actions Abducts hallux https://www.kenhub.com/en/library/anatomy/abductor-hallucis-muscle
  • 9. Sreeraj S R Faradic Foot Bath ● Position the patient in high sitting with back well supported ● Position the feet on a stool covered with a plastic sheet ● Place the foot in a bath containing enough warm water to cover the toes
  • 10. Sreeraj S R Faradic Foot Bath To stimulate the lumbricals place two electrodes transversely, • one under the heel and the other • under the metatarsal heads
  • 12. Sreeraj S R Faradic Foot Bath To stimulate the plantar interossei place one electrode on each side of the foot at the level of metatarsal shafts
  • 14. Sreeraj S R Faradic Foot Bath For Abductor hallucis place • one electrode under the heel and • stimulate the muscle through the motor point using a pen electrode
  • 16. Sreeraj S R Faradic Foot Bath ● A surged faradic current is used for this ● Surge duration 1 sec. ● Surge interval 3 sec. ● Intensity : enough to produce a visible contraction of the muscles. ● Treatment time: 15 – 30 minutes
  • 17. Sreeraj S R Faradic Foot Bath ● Rectangular metal or carbon rubber electrodes of 3 X 7 cm can be used ● No lint pad or coupling medium required ● Encourage the patient to contract the muscle voluntarily with the current
  • 18. Sreeraj S R Faradism Under Pressure
  • 19. Sreeraj S R Faradism Under Pressure ● ES of muscle combined with compression and elevation of the limb can be used to increase venous and lymphatic drainage and so to relieve edema. ● This technique is known as Faradism Under Pressure ● "Increased venous and lymphatic return is brought about by the pumping action of the alternate muscle contraction and relaxation.“ (Clayton, 1959.) ● "The contraction causes an inward pressure on the tissue spaces and veins and so propels fluid towards the heart. (Savage,1960.)
  • 20. Sreeraj S R Faradism Under Pressure ● Patient in supine position ● The limb is elevated above the heart level using pillows ● The pressure bandage is applied over the electrode, with maximum pressure distal to proximal ● The skin must be cleaned before treatment
  • 21. Sreeraj S R Faradism Under Pressure • Placement of electrode for lower limb: • Active electrode place over the belly of the calf muscle • Passive electrode is placed over the sole of the foot • Placement of electrode for upper limb: • Active electrode over the flexor aspect of forearm at the junction of proximal 1/3 and distal 2/3 of the muscle belly • The passive electrode over the palm or cubital fossa
  • 22. Sreeraj S R Faradism Under Pressure • A surged faradic current is used for this • Surge duration 3 sec. • Surge interval 9 sec. • Intensity : enough to produce a visible contraction of the muscles i.e. clenching of toes or fingers. • Treatment time: 15 – 30 minutes
  • 23. Sreeraj S R Faradism Under Pressure ● Rectangular metal or carbon rubber electrodes of 3 X 5 cm. can be used ● Encourage the patient to do active movement along with the current and relax during surge interval
  • 24. Sreeraj S R Faradism Under Tension
  • 25. Sreeraj S R Faradism Under Tension ● Shortening of contractile soft tissues like muscles can be treated with Faradism. ● Such contractures develop in major muscle groups like quadriceps or elbow flexor group ● This is mostly after prolonged immobilization ● These conditions are passively mobilized which can be very painful. ● Titanic contraction by the surged current gradually pulls apart the shortened myofibrils with less pain. ● So this can be an effective adjunctive with passively mobilization.
  • 26. Sreeraj S R ● A surged faradic current is used for this ● Surge duration 3 sec. ● Surge interval 9 sec. ● Intensity : enough to produce a visible contraction of the muscles. ● Treatment time: 15 – 30 minutes Faradism Under Tension
  • 27. Sreeraj S R Faradism Under Tension ● Rectangular metal or carbon rubber electrodes of 5 X 10 cm can be used. ● Encourage the patient to do actively contract the muscle along with the current and relax during surge interval
  • 28. Sreeraj S R Faradism Under Tension • For quadriceps contracture: • Patient is positioned on a plinth. • A roll of towel or pillow is placed below the knee to give a stretch • Passive electrode is placed over proximal 1/3 of the quadriceps • Active electrode is placed on the junction of proximal 2/3 and distal 1/3 of the belly of the muscle
  • 29. Sreeraj S R Faradism Under Tension
  • 30. Sreeraj S R Faradism Under Tension • For elbow flexor contracture: • Patient is positioned on a plinth. • A roll is placed under the elbow just proximal to the joint. • Passive electrode is placed over proximal 1/3 of the elbow flexor • Active electrode is placed on distal 1/3 of the belly of the muscle
  • 31. Sreeraj S R ES to Pelvic Floor Muscles
  • 32. Sreeraj S R ES to Pelvic Floor Muscles ● ES can be used for reeducating these muscles. ● Indications are; ● Early cases of prolapse of pelvic organs ● Stress incontinence ● Incontinence following prostatectomy
  • 33. Sreeraj S R ES to Pelvic Floor Muscles ● Position the patient in side lying ● Keep a pillow between the lower legs ● Place a plastic sheet under the patient ● The indifferent electrode to the lumbosacral region ● Insert the Active vaginal or rectal electrode ● Sterilized lubrication jelly should be applied on vaginal or rectal electrode ● A large button electrode can also be used over the perinea region
  • 34. Sreeraj S R ES to Pelvic Floor Muscles ● A surged faradic current is used. ● Surge duration 1 sec. ● Surge interval 3 sec. ● The muscles of pelvic floor fatigue fast, so surge duration should be short ● Intensity : enough to produce a visible contraction of the muscles. ● Treatment time: 15 – 30 minutes ● Encourage the patient to actively contract the muscles along with the current and relax during surge interval
  • 35. Sreeraj S R References 1. Foster A, Palastanga N. Clayton’s Electroptherapy Theory and Practice. 9th edition. W B Saunders. 2006;pp 70 – 79 2. Mitra PK. Handbook of Practical Electrotherapy. Jaypee. 2006; pp 44 – 49 3. Khatri S. Basics of Electrotherapy. Jaypee. 2003. pp 28 - 30