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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).
The Farradic Current gave more effects but on superficially innervated muscles ( as in alternated surged currents).
The High Voltage Current has been designed as an new alternative to be reaching deeper layers of the muscles.
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: Facilitation of muscle contraction inhibited by pain. Re-education of weak muscles. Reduction of post-traumatic edema. Mobilization of joint stiffness.
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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. In cases of edema, muscle spasm and stiff joint, the dose must be high enough to produce muscle contraction:
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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) I. Devreux - Electrotherapy 20
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