pa ahmedabad 2013
DESCRIPTION
Lecture that a delivered in 2013 Gujarat State Conference on whether we need Electrophysical agents?TRANSCRIPT
Physical Agents: Past, Present & Future
Ahmadabad 2013
Dr. Subhash Khatri BPhT (Nagpur), MPT ortho (Kottayam), PhD Physio
(Amritsar),FIAPPRINCIPAL, COPT,PIMS,LONI, MAHARASHTRA
www.pravara.com
(c)Subhash Khatri [email protected]
2
Ahmadabad
• 35,40,000 electrotherapy• 17,90000 physical agents• Spa with electrotherapy
(c)Subhash Khatri [email protected]
3
(c)Subhash Khatri [email protected]
4
(c)Subhash Khatri [email protected]
7
(c)Subhash Khatri [email protected]
8
PHYSICAL AGENTS
1.Thermal
2.Electromagnetic
3.Electrical
4.Mechanical
(c)Subhash Khatri [email protected]
10
(c)Subhash Khatri [email protected]
11
(c)Subhash Khatri [email protected]
12
When do we use physical agents
• Immediately • Through out rehabilitation
(c)Subhash Khatri [email protected]
13
Electrical stimulating currents Commercial radio & TV Short wave diathermy
Microwave diathermy
Infrared rays Visible light
Uoltraviolet Ionizing radiation
LASER{
(c)Subhash Khatri [email protected]
15
Healing ProcessHealing Process
Injury Day 4 Week 6 2-3 Years
Inflammatory PhaseRepair PhaseRemodeling Phase
(c)Subhash Khatri [email protected]
16
(c)Subhash Khatri [email protected]
20
(c)Subhash Khatri [email protected]
21
ELECTRICAL STIMULATION
• Acute & chronic• HVPG• Iontophoresis • Wireless TENS• Russian current
(c)Subhash Khatri [email protected]
22
(c)Subhash Khatri [email protected]
23
(c)Subhash Khatri [email protected]
24
(c)Subhash Khatri [email protected]
25
(c)Subhash Khatri [email protected]
26
Thermotherapy
• Analgesia & muscle relaxation• Dosages • 40-450, 80-120watts
(c)Subhash Khatri [email protected]
27
(c)Subhash Khatri [email protected]
28
(c)Subhash Khatri [email protected]
29
(c)Subhash Khatri [email protected]
30
Ultrasound
• Protein content
• Deep seated• Cortisol level,
membrane stability, presynaptic inhibition
(c)Subhash Khatri [email protected]
31
(c)Subhash Khatri [email protected]
32
Cryotherapy
• Cellular metabolism • Vapocoolant spray• Cryocuff• Cryotur
(c)Subhash Khatri [email protected]
33
Intermittent compression
• Edema • Pressure adjustment• On time
(c)Subhash Khatri [email protected]
35
(c)Subhash Khatri [email protected]
36
(c)Subhash Khatri [email protected]
37
(c)Subhash Khatri [email protected]
38
(c)Subhash Khatri [email protected]
39
(c)Subhash Khatri [email protected]
40
(c)Subhash Khatri [email protected]
41
(c)Subhash Khatri [email protected]
42
(c)Subhash Khatri [email protected]
43
(c)Subhash Khatri [email protected]
44
(c)Subhash Khatri [email protected]
45
(c)Subhash Khatri [email protected]
46
(c)Subhash Khatri [email protected]
47
(c)Subhash Khatri [email protected]
49
Choices
• Choice of variety of agents• Choose to use therapeutic modalities • How you choose is individual decision• Choice must be based on theoretical
knowledge and practical experience
(c)Subhash Khatri [email protected]
50
Regardless of choice, Remember….
Physical agents should only be used as an adjunct to other forms of exercises!
(c)Subhash Khatri [email protected]
52
Losers live in the past. Winners learn from the past and enjoy working in the present toward the future
(c)Subhash Khatri [email protected]
53
(c)Subhash Khatri [email protected]
54