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- Electro-Therapy
Definitions:
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- Electro-Acupuncture:
- Characterized by
applying to specific acupuncture or trigger points on
the body small electrical impulses (milli amp/micro
amp) through acupuncture needles or with electro-stim
hand held cutaneous probes. The frequency of
stimulation may vary from 1 to 1,000 Hz. Lower
frequencies (1 to 20) are tonifying, whereas, the
higher frequencies (i.e.. greater than 50) are more
sedating in nature. How it differs from TENS:
TENS uses higher voltage cutaneous
stimulation.
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- High
Voltage Pulsed Galvanic Therapy:
- Characterized by high
volt, pulsed galvanic stimulation, used primarily for
local blood flow stimulation through muscle pumping
and through the "polarity effect." Excessive fluid is
comprised of negatively charged plasma proteins, which
leak into interstitial spaces. By placing a negative
electrode over the site and a positive electrode at a
distant site, the mono phasic high voltage stimulus
applies an electrical potential, which disperses the
negatively charged proteins away from the site,
thereby helping move the excess fluid. Common uses:
Maintain or increase range of motion of small muscles,
prevent disuse atrophy and muscle reeducation of small
muscles, increase circulation and prevent venous
thrombosis. Carpal Tunnel Syndrome, Diabetic Foot,
post-op orthopedic surgery, pain control, sprains and
strains and degenerative joint disease are other
common indications. How it differs from TENS: Pulsed
direct current vs. alternating current; able to use in
water bath (immersion technique) and increases local
blood flow.
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- Interferential
Therapy:
- Characterized by the
crossing of two medium, independent frequencies which
work together to effectively stimulate large impulse
fibers. These interfere with the transmission of pain
messages at the spinal cord level. Because of the
frequency, the IF wave meets low impedance when
crossing the skin to enter underlying tissue. This
deep tissue penetration can be adjusted to stimulate
parasympathetic nerve fibers for increased blood flow.
Common uses: Pre and post-orthopedic surgery, joint
injury syndrome, cumulative trauma disorders,
increasing circulation and pain control of various
origins. How it differs from TENS: Deeper penetration
with more comfort (compliance) and increased
circulation.
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- Micro
Current Therapy:
- Characterized by sub
sensory current that acts on the body's naturally
occurring electrical impulses to decrease pain and
help facilitate the healing process. Common uses:
Chronic and acute pain, swelling, TMJ dysfunction's;
post-op care, sports injuries and arthritis. How it
differs from TENS: Uses current at a millionth of an
amp (micro amp). TENS uses milli amps and "blocks"
pain, while micro amps act on the naturally occurring
electrical impulses to decrease pain.
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- Neuromuscular
Stimulation Therapy:
- Characterized by a
low volt stimulation targeted at motor nerves to cause
a muscle contraction. Contraction/relaxation of
muscles has been found to effectively treat a variety
of musculoskeletal and vascular conditions. Common
uses: Prevent or retard disuse atrophy, reeducate
muscles, post-op orthopedic surgery, joint
replacement, strengthening programs, gait training,
shoulder subluxation and reduction of muscle spasms.
How it differs from TENS: Stimulates motor nerves to
contract muscles and increases circulation through
muscle pumping, while TENS stimulates sensory nerves
to help block pain.
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- TENS:
- (Transcutaneous
Electrical Neural Stimulation) Characterized by
biphasic current and selectable parameters. Stimulates
sensory nerves to block pain signals, stimulate
endorphin production to help normalize sympathetic
function distal to the electrodes. Common uses: Acute
and chronic pain, back and cervical muscular and disc
syndromes, RSD, arthritis, shoulder syndromes,
neuropathies, and many other painful
conditions.
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