13. ELECTRICAL CAPACITIVE TRANSFERENCE AND ULTRA HIGH FREQUENCY 23-24.pdf

HIGH FREQUENCY: ELECTRICAL CAPACITIVE TRANSFERENCE (ECT) AND ULTRA HIGH FREQUENCY (UHF) ELECTROPHYSICAL AGENTS Grade of Physiotherapy San Pablo-CEU University 2023-2024 OUTLINE ELECTRICAL CAPACITIVE TRANSFERENCE 1. ECT THERAPY - NEED CREAM TO APPLY Physiological Effects. Electrodes. 2 Treatment’s protocol. Dosage Contraindications. TECAR THERAPY Ultra high frequency 2. UHF THERAPY - Characteristics. 2 ELECTRIC CAPACITIVE TRANSFERENCE (ECT) • High Frequency Current (0’448 MHz) • Electric Capacitive Transference • Electric Resistive Transference • Direct contact: Current passes through tissues and deepens completely (conductive cream) PUT OVER BOTH ELECTRODES • Electrodes: • Active: Therapist hand (manual therapy) • Neutral: Passive (lumbar or limb) PASSIVE, USED TO CLOSE THE CIRCUIT ACTIVE 3 PHYSIOLOGICAL EFFECTS • 1 INCREASES MICROCIRCULATION: • Without thermal effect, Bioenergetic effect (MECHANIC EFFECT FOR ANKLE SPRAIN) • Acute conditions • Facilitates the drain of liquids. • 2 CAPILLARY AND PRECAPILLARY VASODILATION: • Thermal effect (oxygen and nutrients increase): comfortable heat • Extra oxygen in subacute and muscle conditions but never in muscle’s tear. • 3 HYPERTHERMIA (tolerance level): • Thermal effect is very important. • Metabolism is increased, no pain, no burn. • Chronic conditions (no acute), fibrosis, keloids, capsulitis 4 ELECTRODES • CAPACITIVE: • • Soft-tissues, high water-content and superficial tissues, A CAGE AND IS NOT IN more conductive tissues. Passive treatment. HAS DIRECT CONTACT RESISTIVE: • HAS NO CAGE, ONLY METAL Osteo-articular tissues, less water-content, less conductive tissues. Active treatment (Manual Therapy) FOR DEEPER STRUCTURES, USED WITH STRETCHING BONE SUPERFICIAL BONE DEEP 5 CAPACITIVE SYSTEM INSULATED MATERIAL CERAMIZED ACTIVE ELECTRODE SOFT TISSUES BONE NEUTRAL ELECTRODE ELECTROLYSIS UNDER THE ACTIVE ELECTRODE; NO MATTER WHERE THE NEUTRAL ELECTRODE IS 6 CAPACITIVE SYSTEM BONE 7 ELECTRODES • CAPACITIVE: • Increase electrical energy closed to the active electrode. • Soft tissues: • muscle, • Fluid tissues: venous-lymphatic system. • High water-content and superficial tissues. 8 ELECTRODES • CAPACITIVE: • Passive Treatment (massage to release tension and increase movement) • Superficial muscles • Edema • Muscle Fibrosis • Muscle spasm • Pain • Edema 9 RESISTIVE SYSTEM METALIC NO ISOLATED ACTIVE ELECTRODE SOFT TISSUE BONE NEUTRAL ELECTRODE ELECTROLYSIS BETWEEN ELECTRODES; WORK WITH BOTH ELECTRODES; NEUTRAL ELECTRODE OVER TARGET AREA 10 11 RESISTIVE SYSTEM 12 ELECTRODES • RESISTIVE: • Osteoarticular tissues • Bone • Cartilage • Tendon • Ligament • Fibrosis • MTP • Elongated-contracted tissue • Less water-content (resistance is increased). • Active treatment with Manual Therapy 13 TREATMENT’S PROTOCOL CAN LAST UP TO 40MIN BUT CAN ALSO BE LESS • • • 1ST. CAPACITIVE TREATMENT (10-15 minutes). • Initial heating to prepare tissues. • Vasodilation in surrounding muscles. 2ND. RESISTIVE TREATMENT (10-15 minutes). CHANGE ELECTRODES • Combined with Manual Therapy (passive or active mobilizations, stretchings) • Fixed electrode and less power. 3RD. LOW ENERGY CAPACITIVE TREATMENT (5-10 minutes). • Like 1st phase, buy without thermal feeling • Drainage, cool down. 14 TREATMENT PROTOCOL 15 DOSAGE CAPACITIVE RESISTIVE STATIC MEDIUM SIZE ELECTRODE BIG SIZE ELECTRODE DYNAMIC SMALL SIZE ELECTRODE STATIC DYNAMIC -------------- -------------- DRAINAGE -------------- 5-12% MICROCIRCULATION -------------- 15-20% 3% 5% VASODILATION -------------- 40% 10% 20% HYPERTERMY -------------- 70% 20% 40% DRAINAGE -------------- 5-12% -------------- -------------- 10% 15% BIG SIZE ELECTRODE MICROCIRCULATION -------------- 30% VASODILATION -------------- 60% 30% 40% HYPERTERMY -------------- 100% 50% 100% PROTOCOL TREATMENT: CAPACITIVO-RESISTIVE-CAPACITIVE LAST CAPACITIVE APPLICATION LOOKS FOR A FINAL DRAINAGE AND COOLING TO AVOID RESIDUAL PAIN: 5-9%. IF THERE IS NO CORRECT CONTACT, INCREASE UP TO 12% (MAXIMUM) Microcirculation Tension 0-30% Scale from 0 to 10 2/3 Vasodilation 30-60% 4/7 Hyperthermia 60-100% 8/10 Sensation Seems to feel/Maybe I feel/ Slightly Comfortable/good/right If you stop, it burns/ intense heat/ it boils 16 CONTRAINDICATIONS • • Total: • Pacemakers. • Pregnancy. Relative: • Thermal sensitivity disorders. • Pain sensitivity disorders. • No hyperthermia in visceral disorders(ulcers, inflammations), (reduce temperature). • Menstruation. • Small osteosynthesis material, staples (check contact) • No contraindication in tumours (Ministry of Health) 17 ULTRA HIGH FREQUENCY (UHF) • • • • • Ultra High Frecuency 434 MHz. λ=69 cm. Non-contact therapy. Thermal effects like high frequency currents. • More deeper therapy 18 UHF- DEEPENING SWD: 1’6 cm without  skin temperature MWD: 1’85 cm with important  skin temperature (up to 45º). UHF: 1-6 cm without  skin temperature 19 UHF PHYSIOLOGICAL EFFECTS • TEMPERATURE INCREASE IN TARGET TISSUES: • INCREASE TISSUE METABOLISM TO ENABLE DEGENERATIVE PROCESSES RESOLUTION • ARTERIAL AND VENOUS INCREASE • TO IMPROVE TISSUE’S TROPHISM • TO REDUCE PAIN • TO RELAX MUSCLES • TO IMPROVE COLLAGEN’S ELASTICITY 20 CONCLUSIONS • HIGH FREQUENCY APPLICATION include new treatments for treating deeper structures. Electrical çapacitive transference • ECT uses the combination of high frequency with manual therapy. • UHF heats tissues up to 6 cm. 21 BIBLIOGRAPHY • Zauner Gutmann A. Recientes avances en Fisioterapia. Jims. Barcelona: 1993. • Albornoz M, Maya J, Toledo JV. Electroterapia Práctica. Avances en Investigación clínica. Madrid: Elsevier.2016 • Valera Garrido F, Minaya Muñoz F, Veiga Monasterioguren X, Melián Ortiz A, Ortega Orejón C, Saavedra Hernández P, Benito Domingo A. Efectividad de la diatermia UHF 434 MHz en el tratamiento tras movilización bajo anestesia de la artrofibrosis glenohumeral. Fisioterapia. 2009; 31(05) :20312. 22

13. ELECTRICAL CAPACITIVE TRANSFERENCE AND ULTRA HIGH FREQUENCY 23-24.pdf

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