microwave diathermy
TRANSCRIPT
BETWEEN RADIOWAVES AND INFRARED WAVE LENGTHS BETWEEN 1m & 1cm FREQUENCY BETWEEN 300MHz to 30GHz
Frequency (MHz)
Wavelength (cm)
2450 12.245
915 32.79
433.9 69.14
Fan and cathodeHeater control
circuits
Powersupplyfrom
mains
Magnetron
Mains
Intensity control
Reflector
Emitter
Antenna
Coaxial cable
Production of MW Wireless waves are caused by high
frequency currents Special valve called magnetron is
used Standby switch to provide to use
the machine betw patients without disconnect current to the valve intensity
Current from the valve is carried by a coaxial cable which contain a central wire with outer metal sheath separated with a an insulating material
Wire and sheath run parallel Coaxial cable carry current to the aerial from
which the microwave is emitted The aerial is mounted in a reflector which is
packed with some material which transmits the waves into the tissue
Its called the emitter, director ,applicators. Pt does not form a part of the circuit
The physiological effects of Microwaves on the tissues When electromagnetic energy of
Microwave radiation is absorbed in the tissues it provokes ionic movement, rotation of dipoles and electron orbit distortion which leads to heating
The propagation characteristics of microwaves are first determined by the wavelength and frequency of energy
Tissue composition and Microwave Absorption Microwave energy has a tendency to penetrate tissue with low
electrical conductivity and be absorbed in tissues with high conductivity
High electrical conductivity equates with high fluid content (typically blood vessels, muscle, moist skin, internal organs and eyes)
There is greater rise in muscle temperature (muscle tissue) when microwave diathermy is used
Therapeutic microwave radiation is largely absorbed in the first few centimeters of tissue traversed.
The approximate half value depth of penetration is 3cm. The shape and size of the emitter influences the energy
distribution into the tissues Good transmission to the skin can be achieved with contact
emitters. The frequency of the microwaves produced depends on the
structure of the magnetron.
Therapeutic Effect The different effects of heating are
the consequence of such factors as The volume of tissue absorbing the energy The composition of the absorbing tissue The capacity of the tissue to dissipate
heat-largely a factor of blood supply The temperature to tissue is raised. The rate of rise of temperature
Microwave irradiation increases skin and tissue temperature and blood flow
Enhances rate of tissue heating and infection control by increasing the metabolic activity of the phagocytic and reparative cells.
Improves joint range of movement by decreasing stiffness and improving extensibility of contracted soft tissues.
Subacute stage of arthritis- improves circulation and resists the resolution of oedema and hemorrhage
Pain relieving effects Muscle guarding Degenerative joint disease Bursitis Sacroiliac strains Ankylosing spondylitis Increased extensibility of collagen
tissues
Principles of Application
Preparation of patient Preparation of apparatus Preparation of part to be treated Setting up- emitter should be positioned
so that radiations strike the surface at right angles
Instruction and warning Application Termination
Dosage
20 min for vascular adjustment If significant heating required 30
min would be reasonable
Hazards of Microwave
All electrotherapy equipment should be handled with care and be regularly maintained and serviced
Frayed leads and improperly functioning safety leads are not used
Microwave units should be regularly tested by the physiotherapist
The presence and distribution of the microwave field can be tested by using an appropriate fluorescent tube
Contraindications
Diminished thermal sensation Defective arterial circulation Acute inflammation Recent hemorrhage Metal in area under treatment Malignancy Implanted cardiac pacemaker Intrauterine devices Eyes and testes Pregnant uterus
EFFECTS OF METAL EFFECTS OF SURFACE MOISTURE CARDIAC PACEMAKERS EYES TESTES PREGNANCY GENERAL SAFETY WITH MICROWAVE