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Electrotherapy
I. Devreux - Electrotherapy
OBJECTIVES
Review of the Introduction to the Subject
Specify the Characteristics of High Voltage
Galvanic Current
Explain the Physiological Effects
Detail and Summarize the Usage of HVGC:
Indications and Contraindications
I. Devreux - Electrotherapy
Introduction
Previous currents were either not comfortable (as in continuous
currents).
Some were not as effective as needed and only acting
superficially ( as in surged direct current).
I. Devreux - Electrotherapy
I. Devreux - Electrotherapy
Characteristics:
The high-peak intensity produced is of a twin-pulsed
shape.
It is safer and more comfortable to the patient than
faradic current because of its short duration.
It penetrates deeper than that of low-voltage currents.
Direct stimulation of deep nerves and muscles can be
effective.
I. Devreux - Electrotherapy
Characteristics (cont.):
It can stimulate either an isolated muscle or muscle
group according to the appropriate technique.
It does not produce contraction in the denervated muscle
as the pulse duration is too short to depolarize the
muscle membrane.
Partially innervated or totally innervated muscle will
respond well to high-voltage galvanic current.
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Indications:
As a low-frequency current, with the exception of treating
the denervated muscles, it may be used for:
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Indications:
Reduction of pain and muscle spasm (arthritis, sprain
and strain).
Improvement of peripheral circulation.
Healing of ulcers.
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Contraindications:
They are similar to those of the other low
frequency currents:
Skin lesions.
Acute infections and inflammations.
Thrombosis.
Loss of sensation.
Cardiac pacemakers.
Superficial metal
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Dosage:
It is adjusted according to the patients tolerances.
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Cutaneous Pain
Cutaneous pain: This pain is perceived as a result of
stimulation of Pain receptors in the skin.
Pain receptors are slowly adapting receptors, which
continuously inform the CNS about tissue damage.
Thin myelinated Alpha fibers : have a diameter of 1 -5
microns and conduction velocity of 5-15 meters /sec.(fast
pricking pain-reflex)
Non-myelenated C fibers: Having a diameter of less than
1 micron and a conduction velocity of 0.5 meter
/second.(slow burning
pain)
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