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physiotherapy
dr. ashish gohiya
assistant professor
department of orthopaedics
gandhi medical college bhopal
d
trauma
*physiotherapy during immobilization
*physiotherapy after removal of immobilization.
during immobilization
*to reduce edema – limb elevation, static contraction of the
muscles reduce adhesions.
*maintenance of circulation
*maintain muscle function
*maintain joint range
*maintain optimal function
electrotherapy
*this modality includes use of various methods of heating or
cooling the tissues.
*heating the tissues
*paraffin wax
*ir radiation
*heat pads
*hot moist packs
*short wave diathermy
*cooling the tissues
*ice therapy
paraffin wax
*low melting point 40 oc – 44 oc
*heats slowly but retains heat for long
*wax solidifies on the skin - energy released by the latent heat of
fusion results in - heating of tissues.
*only for distal part of extremities
infra-red radiation
*radiation are absorbed – radiant heat is converted to heat.
*two type of generators
*luminous – penetrates epidermis and dermis
*non luminous – penetrates only sup. epiderm
*rays should strike the part at 90o
infra-red radiation
*effects
*vasodilatation in tissues
*improves nutrition
*removes waste products
*sedative effect on sensory nerve endings
*relaxes muscles
heat pads
*plastic covered pads
*pad has three level of heating
*used for treating neck & back
*pt. lies on it, heat passes by conduction
hot moist packs
*canvas bags filled with hydrophillic substance
*part covered by towels packs applied and moulded to part
heat passes by conduction
*moist heat is conducted more uniformly than dry heat.
short wave diathermy (swd)
*application to tissues an electric field which oscillates at a
frequency of 27.12mhz& have a wave length of 11.06 m.
*the oscillating field produces distortion of molecules which
generates heat.
*the amount of heat depends on the arrangement of field
and electrical impedance of tissues
ice therapy
*when ice applied to skin it melts and removes the heat from
the tissues (the latent heat of fusion)
*application of cold leads to alternate vasoconstriction and
vasodilation, reduced nerve conductivity and reduction of
muscle spasm and spasticity.
ice therapy
*used
*to relieve pain
*reduce muscle spasm
*reduce swelling
*reduce spasticity
*facilitate muscle contraction
*increase muscle endurance
*reduce hematoma formation
*prevent pressure sore
*promote healing of wounds
ultrasound
*production of longitudinal mechanical waves above the
audible range (20khz)
*produced by distortion of quartz crystal by a high frequency
alternating currents.
*longitudinal sound waves cause to-and-fro movement of
particles giving alternate areas of compression and
rarefaction.
ultrasound
*treatment head is applied perpendicular to the surface.
*head continuously moved to prevent concentration to one
tissue site.
*higher the frequency greater the absorption and smaller the
depth of penetration.
*lower frequency deeper penetration
ultrasound
*effects
*release of chemical mediators
*proliferation of granulation tissue
*stimulation of fibroblast
*increased circulation
*increased activity of phagocytes & macrophages
*this results in healing and reduced pain.