Application electric current of high-frequency in physiotherapy Prof. Mysula I.R. Prof. Mysula I.R.

Application electric Application electric current of high-current of high-frequency in frequency in physiotherapy physiotherapy

Prof. Mysula Prof. Mysula I.R.I.R.

Methods of physiotherapy in Methods of physiotherapy in which a high-frequency current which a high-frequency current is usedis used

SpectruSpectrumm

LWLW MWMW SWSW USWUSW mm dmdm smsm mmmm

λλ 1000m 1000m and ≥and ≥

1000-1000-100 m100 m

100 -100 -10 m10 m

10-1 m10-1 m 1-0,1m1-0,1m 10-1 sm10-1 sm 10-1 10-1 mmmm

vv 100KHz 100KHz and ≥and ≥

100KH100KHz-z-

3MHz3MHz

3 -30 3 -30 MHzMHz

30-300 30-300 MHzMHz

0,3-3 0,3-3 GHzGHz

3-30 3-30 GHzGHz

30-300 30-300 GHzGHz

The The FT FT methomethodsds

Ultra Ultra tonthetontherapyrapy

DarsoDarsonvalizanvaliza

tiontion

InducInductotertotermiamia

UHF- UHF- therapytherapy

DMWDMW- - therapytherapy

SMW- SMW- therapytherapy

THF- THF- therapytherapy

DarsonvalizationDarsonvalization

Method of electrotherapy, which is Method of electrotherapy, which is based on application of alternating based on application of alternating current of high-frequency, high current of high-frequency, high tension and small strength of tension and small strength of currentcurrent

Frequency - 160-400 kHzFrequency - 160-400 kHz Tension - 10-100 kWTension - 10-100 kW Strength of current - 10-15 mAStrength of current - 10-15 mA


Operating factors:Operating factors:

quiet electric digit (discharge)quiet electric digit (discharge) sparking electric digitsparking electric digit

A leading effect is an oscillatorA leading effect is an oscillator


Therapeutic effects:Therapeutic effects:

vessels tone is normalizedvessels tone is normalized vein stagnation diminishesvein stagnation diminishes tissues trofic gets better tissues trofic gets better bactericidal and bacteriostatical bactericidal and bacteriostatical

actions increasesactions increases anaesthetic effects is activated anaesthetic effects is activated


IndicationsIndications: :

skins trofic violation, hairs fall; skins trofic violation, hairs fall; parodontosis, gingivitis, glosalgia;parodontosis, gingivitis, glosalgia; vasomotorial rinitis, the Reino illness, vasomotorial rinitis, the Reino illness,

initial stage of obliterial endarteriitis;initial stage of obliterial endarteriitis; varicose veins, haemorrhoidal veins varicose veins, haemorrhoidal veins

dilated; dilated; paraestesia, migraine;paraestesia, migraine; wounds which heal over slowly.wounds which heal over slowly.


Contra-indications:Contra-indications: general;general; acute infectious diseases;acute infectious diseases; pregnancy on the second half;pregnancy on the second half; infarct myocardium (to 6 months);infarct myocardium (to 6 months); hysterical neurosis;hysterical neurosis; sensitivity of current.sensitivity of current.


Vacuum glass electrods

Film "Film " Darsonvalization Darsonvalization ""

UltratontherapyUltratontherapy

Application alternating Application alternating sinusoidic current of high-sinusoidic current of high-frequency, high tension with frequency, high tension with initial power to 10 WT with the initial power to 10 WT with the medical purposemedical purpose

Frequency - by 22 kHzFrequency - by 22 kHz Tension - 4-5 kWTension - 4-5 kW


Operating factor:Operating factor:

quiet electric digitquiet electric digit

A leading effect is thermalA leading effect is thermal


Indication: Indication:

acute and chronic inflammatory acute and chronic inflammatory processes in a nonactive phase;processes in a nonactive phase;

pain syndromes (except for pain syndromes (except for contra-indications);contra-indications);

scars, solders.scars, solders.


Contra-indication:Contra-indication:

The same as for The same as for darsonvalizationdarsonvalization

Differences between Differences between darsonvalization and darsonvalization and

ultratontherapyultratontherapy

№№ CriteriaCriteria Name of methodName of method

darsonvalizationdarsonvalization ultratontherapyultratontherapy11 Peculiarity of Peculiarity of

electric electric currentcurrent

current of small current of small

strength (0,02-15 mAstrength (0,02-15 mA))Large power Large power

(to 10 WT)(to 10 WT)

22 Currents Currents modemode

Impulsive (50 Hz)Impulsive (50 Hz) ContinuousContinuous

33 Electric digit Electric digit typestypes

Quiet electr.digit Quiet electr.digit

Sparking electr. digitSparking electr. digit Quiet electr. digitQuiet electr. digit

44 Effect in Effect in tissuestissues

Mainly oscillatorMainly oscillator Mainly thermalMainly thermal

55 MethodMethod Contact, controlled Contact, controlled from distancefrom distance

ContactContact




darsonvalizationdarsonvalization ultratontherapyultratontherapy66 Peculiarity Peculiarity of of

action on a skinaction on a skin Causes the sickly skin Causes the sickly skin irritation (large irritation (large frequency and tension)frequency and tension)

Does not cause the Does not cause the sickly skin irritations sickly skin irritations (less frequency and (less frequency and tension)tension)

77 Peculiarity Peculiarity of of hyperemiahyperemia

Weak (through the Weak (through the weak current thermal weak current thermal effect)effect)

Strong (through the Strong (through the considerable current considerable current thermal effect)thermal effect)

88 Thermal effect Thermal effect in tissuesin tissues

WeakWeak ConsiderableConsiderable

99 EElectrodes lectrodes aamount mount

88 66




darsonvalizationdarsonvalization ultratontherapyultratontherapy1100 PatientsPatients Children after 7 years Children after 7 years

(it is painfulness (it is painfulness method)method)

Children from the Children from the first years of life first years of life (absence of (absence of painfulness)painfulness)

1111 Indication to Indication to applicationapplication

Illnesses in basis of Illnesses in basis of which lie vascular which lie vascular diseases (the Reino diseases (the Reino illness, cardialgia, head illness, cardialgia, head pain), and also wounds, pain), and also wounds, trophic ulcerstrophic ulcers

Acute and chronic Acute and chronic inflammatory inflammatory processes, scars, pain processes, scars, pain syndromessyndromes

Inductotermia Inductotermia

inductio is mean to product;inductio is mean to product;

therme – warmlytherme – warmly

It is high-frequency variable It is high-frequency variable magneticmagnetic field action, which caused field action, which caused warmly production in tissueswarmly production in tissues

Frequency - 13,56 mHzFrequency - 13,56 mHz


A leading effect is thermalA leading effect is thermal

QQ ═ ═ KK∙∙ff22 ∙∙HH22 ∙∙gg

QQ – – is amount of heat;is amount of heat; KK – – is the coefficient of proportion;is the coefficient of proportion; ff –– is frequency of current;is frequency of current; HH – – is tension;is tension; gg – – is specific conductivityis specific conductivity


Indication:Indication:

acute and chronic inflammatory acute and chronic inflammatory diseasesdiseases

breaks of bonesbreaks of bones

sclerodermiasclerodermia

InductotermiaInductotermia


generalgeneral purulent processespurulent processes during 6 months after infarct during 6 months after infarct

myocardium myocardium thyreotocsicosisthyreotocsicosis presence of electrostimulators or metallic presence of electrostimulators or metallic

object in the field of inductor localization object in the field of inductor localization


Inductor-disc, Inductor-cabel


LocalLocal

Reflex-segmentaryReflex-segmentary

GeneralGeneral ( (inductopyrrexiainductopyrrexia))

UHF-Inductotermia UHF-Inductotermia

Influence by the magnetic field Influence by the magnetic field of ultra high frequency on of ultra high frequency on patients tissuespatients tissues

Frequency - 40,68 Mhz. Frequency - 40,68 Mhz. The The ЕВС-1ЕВС-1 Electrode is an inductor Electrode is an inductor

with the adjusted contour. with the adjusted contour.



Acute and sub-acute inflammatory Acute and sub-acute inflammatory diseases, especially, in the face diseases, especially, in the face area (antritis, otitis, neuritis of area (antritis, otitis, neuritis of facial nerve)facial nerve)



The same as for inductotermiaThe same as for inductotermia

UHF-therapyUHF-therapy

Influence by the variable Influence by the variable electric electric field (in a less field (in a less measure magnetic) of measure magnetic) of ultrahigh frequency on the ultrahigh frequency on the patients organismpatients organism

A leading effect is an oscillatorA leading effect is an oscillator Frequency - 40,68 MhzFrequency - 40,68 Mhz


Basic effects:Basic effects:

activates formation of connecting tissue;activates formation of connecting tissue; activates fagocitosis;activates fagocitosis; diminishes the tissues edema;diminishes the tissues edema; extends vessels;extends vessels; activates the metabolism;activates the metabolism; diminishes pain;diminishes pain; multiplies the Саmultiplies the Са++++ level in a blood; level in a blood; takes off the musculature spasm.takes off the musculature spasm.


Indication: Indication:

Acute and chronic inflammatory Acute and chronic inflammatory diseases of internal organs which diseases of internal organs which are accompanied by the edema are accompanied by the edema


Contra-indication: Contra-indication:

generalgeneral processes which are accompanied by grow processes which are accompanied by grow

up of connecting tissues (chronic up of connecting tissues (chronic inflammatory processes, pneumosclerosis, inflammatory processes, pneumosclerosis, pneumofibrosis and other)pneumofibrosis and other)

ischemia of the heart with rhythm violation ischemia of the heart with rhythm violation hypotensiahypotensia presence of electrostimulators or metallic presence of electrostimulators or metallic

object in the field of plates localization object in the field of plates localization pregnancypregnancy


Apparats classification after its initial power :Apparats classification after its initial power :

small power (to 5W) is the ENT apparat (for ENT-small power (to 5W) is the ENT apparat (for ENT-organs diseases treatment, panariciy);organs diseases treatment, panariciy);

middle power (60-80W) are the UHFmiddle power (60-80W) are the UHF -30 -30, UHF, UHF -62 -62, UHF, UHF -66-66 apparats(for treatment of thorax, abdominal apparats(for treatment of thorax, abdominal organs, medium-sized joints diseases);organs, medium-sized joints diseases);

large power (350W) are the UHFlarge power (350W) are the UHF -300 -300, "Экран-1", , "Экран-1", "Экран-2" apparats (for treatment of big sized joints "Экран-2" apparats (for treatment of big sized joints diseases)diseases)

It is necessary to specify the apparatus trade-It is necessary to specify the apparatus trade-mark at procedure settingmark at procedure setting

Film Film ««UHF-therapyUHF-therapy»»

Differences between Differences between inductotermia inductotermia

and UHF -therapy and UHF -therapy

№№ Criteria of Criteria of estimationestimation

Inductotermia Inductotermia UHFUHF-- therapy therapy

1.1. Operating factorOperating factor Variable magnetic Variable magnetic field HF(13,56 mHz)field HF(13,56 mHz)

Variable electric field Variable electric field UHF (40,68 mHz)UHF (40,68 mHz)

2.2. Effect in tissuesEffect in tissues Mainly thermalMainly thermal Mainly oscillatorMainly oscillator

3.3. Category of Category of illnessesillnesses

Chronic inflammatory Chronic inflammatory processesprocesses

Acute inflammatory Acute inflammatory processes with the processes with the

edemaedema

4.4. Amount of platesAmount of plates 1 inductor disk or 1 inductor disk or inductor cableinductor cable

2 condensators plates2 condensators plates

Differences between Differences between inductotermia inductotermia

and UHF -therapy and UHF -therapy

№№ Criteria of Criteria of estimationestimation

InductotermiaInductotermia UHFUHF-- therapy therapy

55.. Depth of field Depth of field penetrationpenetration

5 – 8 sm5 – 8 sm 15 – 20 sm15 – 20 sm

66.. Plates placing Plates placing Contactive through Contactive through lightly dresslightly dress

Distancive on a bald Distancive on a bald bodybody

77.. Duration of Duration of procedureprocedure

15-30 min15-30 min Not more than 15 minNot more than 15 min

88.. Initial of apparatus Initial of apparatus power power

250±50 W250±50 W Portable 1-100 W, Portable 1-100 W, movable ("Экран") movable ("Экран")

300-400 W300-400 W

Microwave therapyMicrowave therapy

Method of electrotherapy, Method of electrotherapy, which is based on influencing which is based on influencing of high-frequency of high-frequency electromagnetic vibrationselectromagnetic vibrations with a wave-length from 1 with a wave-length from 1 mm to 1 mmm to 1 m

Frequency - 300-30000 mHz Frequency - 300-30000 mHz



joints degenerative-distrophy diseases of joints degenerative-distrophy diseases of extremities and spine extremities and spine

chronic and subacute inflammatory chronic and subacute inflammatory processesprocesses

stomach ulcerous illness without propensity stomach ulcerous illness without propensity to bleedingto bleeding

obliterial diseases of extremities vessels obliterial diseases of extremities vessels infiltrate after operationinfiltrate after operation



generalgeneral thyreotoxicosisthyreotoxicosis pregnancypregnancy tissues edema, caused by local disorders of tissues edema, caused by local disorders of

blood circulation blood circulation metallic objects in tissuesmetallic objects in tissues infarct myocardium and state during 6 months infarct myocardium and state during 6 months

after after not more than 2 weeks after the not more than 2 weeks after the

renthentherapy course renthentherapy course

FilmFilm ““Microwave Microwave therapytherapy””

Differences between DMW, Differences between DMW,

SMW and THF therapiesSMW and THF therapies №№ Criteria of Criteria of

estimationestimation Waves typeWaves type

DMWDMW SMWSMW MMWMMW

1.1. Name of methodName of method DMW -therapyDMW -therapy SMW -therapySMW -therapy THF-therapyTHF-therapy

2.2. Frequency of Frequency of el.-mag. el.-mag. vibrationsvibrations

300-3000 mHz300-3000 mHz 3-30 gHz3-30 gHz 30-300 gHz30-300 gHz

3.3. Length of Length of waveswaves

1-10 1-10 dmdm 1-101-10 sm sm 1-101-10 mm mm

4.4. Absorption by Absorption by tissuestissues

WeakWeak StrongStrong Very strongVery strong

5.5. Waves fading Waves fading in tissuesin tissues

WeakWeak Strong (in 2 Strong (in 2 times quickly, times quickly, than DMW)than DMW)

Very strong Very strong (in (in 3 quickly, than 3 quickly, than DMW and SMW)DMW and SMW)

6.6. Depth of Depth of penetration in penetration in tissuestissues

10-1210-12 sm sm 5-65-6 sm sm 0,2-0,60,2-0,6 mm mm

Differences between Differences between DMW, SMW and THF DMW, SMW and THF

therapies therapies

№№ Criteria of Criteria of



7.7. Level of waves Level of waves penetration in penetration in tissuestissues

Deep tissuesDeep tissues Skin, subskin Skin, subskin and adjoining and adjoining tissuestissues

Epidermis and Epidermis and reticular layers reticular layers of skinof skin

8.8. Approaching Approaching of el-mag. of el-mag. frequency frequency vibrations to vibrations to frequency of frequency of lightlight waveswaves



therapiestherapies№№ Criteria of Criteria of



9.9. Acquisition of Acquisition of light light properties properties (reflection (reflection and others and others like that)like that)


10.10. Level of Level of reflection reflection from tissuesfrom tissues

From a skin (to From a skin (to 60 %)60 %)

From the border From the border of subskin fat of subskin fat and muscles (to and muscles (to 75 %)75 %)

From the From the superficial superficial layers of skinlayers of skin





1111 Formation of Formation of standing standing

waveswaves

Not Not

characteristicallycharacteristically CharacteristicallyCharacteristically Not Not

characteristicallycharacteristically

1212 Place of heat Place of heat formationformation

Evenly in upper Evenly in upper and deep tissuesand deep tissues

Upper layers of Upper layers of tissuestissues

Skin and Skin and adjoining tissuesadjoining tissues





1313 Change of Change of tissues tissues temperaturetemperature

+4˚ - +6˚ С+4˚ - +6˚ С +2˚ - +5˚ С+2˚ - +5˚ С +0,1˚ С+0,1˚ С

1414 Irritation of Irritation of

receptorsreceptors The skin receptors The skin receptors do not get do not get irritated, only irritated, only interoreceptors of interoreceptors of muscles, vessels muscles, vessels and internal and internal organsorgans

Skin Skin termoreceptors, termoreceptors, contact and contact and pain receptorspain receptors

The skin The skin receptorsreceptors





15.15. Accordance of Accordance of frequency of frequency of el-mag. el-mag. vibrations with vibrations with the biorhythms the biorhythms of biological of biological substansessubstanses

Strong with Strong with amino acid, amino acid, proteins, proteins, linked waterlinked water

More weak with More weak with amino acid, amino acid, proteins, linked proteins, linked waterwater

Strong with Strong with molecules, molecules, atoms, DNAatoms, DNA

16.16. Biophysical Biophysical and and biochemical biochemical changes in changes in tissuestissues

StrongStrong Not strongNot strong ConsiderableConsiderable

Application electric current of high-frequency in physiotherapy Prof. Mysula I.R. Prof. Mysula I.R.

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