How to electrical stimulation Of physiotherapists
E-Stim used in physiotherapy
Electrical stimulation is one of the treatment guidelines for comprehensive physical therapy. There are many types of electrical stimulation, also known as E-stim. Different types of stimulation are used for different purposes in physiotherapy plans.
If you have movement problems after an injury or illness You may benefit from physiotherapy in order to return to normal movement again. Your physical therapist may choose to use electrical stimulation to help you move better or to feel better.
Here are some examples of using a physical therapist's electrical stimulation. If you already have a basic understanding of the electrical stimulation that your physical therapist uses to achieve the desired results You will not hesitate to take the time to do physical therapy at all.
First thing: electrical stimulation for pain relief
TENS to control chronic and sudden pain
(Physical therapists may use electrical stimulation on your muscles and nerves to help them function better).
Electrical stimulation of muscles and nerves through the skin. (Transcutaneous electrical neuromuscular stimulation or TENS)
It is a form that physical therapists use to control pain. The electrical current stimulates the nerve endings in the skin which transmit pain signals to the brain. These signals can be blocked to help reduce the pain you feel.
Warning: TENS is a passive therapy. (Note: Translators: Direct treatment, such as heat, electrical stimulation, etc., without stretching the muscles.)
And effective physical therapy is exercise primarily You need to make sure you use TENS as a pain control, which is part of physical therapy that requires exercise.
NMES for improved muscle function
Electrical stimulation can be used to improve muscle function.
Your physiotherapist may use electrical stimulation to help your muscles contract. This may be especially important after surgery, injury, or inactivity for a long time.
Russian Stimulation or electrical stimulation of muscles and nerves Neuromuscular electrical stimulation (NMES) is often used to help your muscles to contract again.
In an NMES, a physical therapist may attach an electrode to the muscles that are not well contracted. From then, stimulated by electric current to cause the muscles to contract During the electrical stimulation of your muscles You may exert yourself with stimulation to help with the integration of the muscles and nerves of the injured muscles.
A group of experts in stimulation, such as Bioness, use functional NMES, which has a small switch. Added to the circuit which can be opened and closed while the muscles are active, such as walking or reaching Which allows patients to return to use the muscles on their own after paralysis Or have an injury that causes muscle weakness or atrophy
E-stim for controlling urinary incontinence
A physical therapist can help you if you have problems with urinary incontinence.
If you have problems with urinary incontinence Physical therapists may use electrical stimulation to help you use the muscles that help hold your urine.
Physical therapists may use electrical stimulation as a biofeedback treatment, which involves using electrical current to monitor muscle contractions.
To see if you use the muscles properly or not Which may be difficult to examine with the naked eye or with a finger due to the position of the muscles that control the excretion
Electrical stimulation to reduce trigger points
A physical therapist may handle your sore points with electrical stimulation.
If you feel that the muscles are contracting and have sore points Physical therapists may use electrical stimulation such as alternating current. interferential current to reduce your symptoms Electric current can cause the muscles to contract and relax. And can help reduce that muscle tension
Remember that stretching the muscles after electrical stimulation is necessary to help prevent sore points. And most research indicates that even electricity can reduce your symptoms. But the sore point on your muscles may remain
Dosing together with electrical stimulation
Physical therapists may use electrical stimulation called iontophoresis to give medication
Iontophoresis Is a form of electrical stimulation that your physical therapist uses to make medicine Electric current will inject the drug through the skin and into your injured tissue.
Iontophoresis Often used to give anti-inflammatory drugs such as dexamethasone And may also be used to reduce muscle spasms Or dissolving calcium that may accumulate in muscles or tendons as well
Electrical stimulation for wound healing
Physical therapists may use electrical stimulation to heal your wound.
Some physical therapists are specialists in wound healing. And they may use electrical stimulation to help the wounds heal
High-voltage electrical stimulation shows that it is beneficial to hard-to-treat wounds that do not heal normally. Electric current increases the flow of blood to the edge of the wound to help the wound heal.
Physical therapists are experts in body movement. Which can manage workouts and treatment at home to help you move better and feel better Sometimes, aid and treatment devices, such as electrical stimulation, may be used to help with exercise from your physical therapy.
Q&A on Electrical Stimulation (ES)
1. Q: Electrotherapy Can be divided into how many categories
A: 3 types, including
1.Electrotherapy Is the group that uses electricity for treatment of diseases
2. Electrodiagnosis is the use of electrical stimulation for diagnosis. By interpreting results from nerve responses And muscles
3. Electromyography (EMG) is a recording of the response from the motor unit out in the form of electricity.
2. Q: In physical therapy How will electricity techniques be used to treat electricity?
A: Transmit electrical current through the skin, known as Transcutaneous. Is a stimulation without piercing through the skin
3. Q: Types of electrical stimulation therapy in physical therapy (Electrical Stimulation or ES)
Divided into how many types
A: divided into 6 types together By dividing according to the purpose or goal of treatment
- Electrical muscle stimulation (EMS) is an electrical stimulation device used to treat denevated muscle in order to maintain muscle condition. Delay muscle atrophy (Delayed muscle atrophy) or to achieve new learning. (Re-education) in the muscles that lack the nerve to support some (partial denevated muscle)
- Electrical stimulation for tissue repaired (ESTR) uses electrical current to reduce edema, improvement of circulation and wound management or wound healing
-Neuromuscular electrical stimulation (NMES) is the use of electrical stimulation of the innervated muscle in order to maintain the restore muscle function, including muscle strengthening. ), The reduction of muscle spasms (spasm reduction), slowing atrophy Or to prevent muscle atrophy due to disuse (disuse atrophy prevention) and muscle re-edu4cation is often used in cases where the tendons or muscles are moved (tendon transfer)
: Note that in the muscles that lack the nerve to feed. Will use the term to delay atrophy of muscles But there is no word to prevent atrophy The muscles that have normal nerves Can be used as protection And delay atrophy of muscles
-Functional electrical stimulation (FES) is the use of electrical stimulation to guide the desired movement. Is the use of electric current as an orthotic to achieve the desired muscle function
-TENS or Trancutaneous electrical nerve stimulation uses electrical stimulation to reduce pain (pain control). In addition to using the TENS current, there are other currents that are used to reduce pain such as Interference Current, Diadynamic Current, High Voltage Galvanic Current etc.
-Iontophoresis is an electrical technique for driving certain drugs. That has the property of discharging into charges When in solution Often used for local pain relief Reduce the contraction of the local muscles And used in the treatment of certain skin diseases etc.
4. Q: TENS and (Electrical) What is the difference between Stimulation or ES)?
A: ES is used to treat muscle groups that have nerve endings and those that don't have nerve endings. Which can be treated in various ways such as Increasing the strength of the muscles, reducing swelling, slowing atrophy of the muscles, etc. TENS helps to reduce pain only.
5. Q: How does muscle stimulation using physical therapy ES help to reduce swelling?
A: Using electrical stimulation to stimulate the muscles to contract, resulting in increased circulation of black and lymph, causing swelling to decrease.
6. Q: What can be combined with the use of electric currents to reduce edema?
A: Can be combined with positioning and bandage to help accelerate swelling.
7. Q: Can TENS be used to reduce acute pain?
A: It can be treated as Hi-TENS because this type of current will prevent the pain spasm in the pain cycle. Mostly used in minor sport injuries such as mild shoulder contusion, rib contusion, mild ankle sprains.
8. Q: What are the precautions of using TENS in reducing acute pain?
A: Rheumatoid patients and injuries in athletes due to pain may be helpful in preventing certain parts of the body from being overused. Therefore, the TENS stimulation should be used after a period that prevents the part from moving or overuse
9. Q: Precautions of using TENS What is the purpose of reducing chronic pain?
A: Patients who rely on drugs, such as those with psychiatric problems Or have behavioral problems, insomnia, lack of appetite, some people may have a decrease in pain tolerance
10. Q: What chronic diseases can be treated with TENS?
A: Low back pain, Rheumatiod arthritis, Degenerative joint disease, Causalgia, Peripheral nerve neuropathy, pain in the limb pain, obstetric pain pain, Cardiopulmonary pain), Neurological pain
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