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]
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Ahmadabad
• 35,40,000 electrotherapy• 17,90000 physical agents• Spa with electrotherapy
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Physical Agents
• Past• Present
• Future..!
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Physical agents in Physiotherapy
•Active •Passive
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PHYSICAL AGENTS
1.Thermal
2.Electromagnetic
3.Electrical
4.Mechanical
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GOALGOAL
Healing
Inflammation
Pain relief
Exercises
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When do we use physical agents
• Immediately • Through out rehabilitation
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Electrical stimulating currents Commercial radio & TV Short wave diathermy
Microwave diathermy
Infrared rays Visible light
Uoltraviolet Ionizing radiation
LASER{
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FAMOUS KIDNAP
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Healing ProcessHealing Process
Injury Day 4 Week 6 2-3 Years
Inflammatory PhaseRepair PhaseRemodeling Phase
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Inflammatory Phase
• Cryotherapy• Cryocuff• ICT
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Repair Phase• Thermotherapy • LIL• ES
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Remodeling Phase
• Deep heating• SWD• MWD• Ultrasound
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ELECTRICAL STIMULATION
• Acute & chronic• HVPG• Iontophoresis • Wireless TENS• Russian current
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Thermotherapy
• Analgesia & muscle relaxation• Dosages • 40-450, 80-120watts
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Ultrasound
• Protein content
• Deep seated• Cortisol level,
membrane stability, presynaptic inhibition
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Cryotherapy
• Cellular metabolism • Vapocoolant spray• Cryocuff• Cryotur
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Intermittent compression
• Edema • Pressure adjustment• On time
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Phototherapy
• Laser, IR & UV • Treatment time
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GEM
Paper correction by Prof. Sardaji
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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
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Regardless of choice, Remember….
Physical agents should only be used as an adjunct to other forms of exercises!
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Losers live in the past. Winners learn from the past and enjoy working in the present toward the future
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