电磁波谱-仁济临床医学院.ppt

Physical therapy （physical medicine) 仁济临床医学院 康复医学教研室 王颖 reviews definition: physical agents,treatment origin advance: field: Mechanism： fields electrotherapy phototherapy ultrasonic therapy magnetical therapy heat cold mechanotheropy Theraputic exercise others 电磁波谱 electrotherapies Direct current (DC) Low frequency current Intermediate frequency High frequent (shortwave diathermy,SWD) Microwave diathermy, MWD)  Galvanic current（ DC）Galvanization Theory： Effect: Positive pole Negative pole Acid Attracts oxygen Dehydrates tissues Vasoconstrictor Causes ischemia Stops bleeding More germicidal Sedative Corrodes metals by oxidation Relieves pain Alkaline Attracts hydrogen Liquefies tissues Vasodilator Causes hyperemia Causes bleeding Less germicidal Stimulant Does not corrode metals Causes pain Iontophoresis Theory：attract , repel Specialty： Drugs ion Local concentration? Superficial and slow Double effect specialty of the Low and intermediate frequency current cause muscle contract circulation? Stimulat N.T.—spinal—the gate theory N.T.--endorphins ? Pallium—inhibit Reduces dorsal horn cell activity Low frequency current Transcutaneous electric nerve stimulation (TENS) Neuromucular electrical stimulation (NMES) Functional electical stimulation (FES) Functional electrical stimulation(FES) Theory： Specialty： Intermediate frequency Undamped medium frequency electrotherapy Modulated medium frequency electrothrapy Interferential therapy High frequent electrotherapies Theory： Specialty： phototherapy infrared visible light ultraviolet laser therapeutic Heat method：conduct、diathermy effect： indication： effect of therapeutic Heat Indication of the therapeutic Heat Acceleration of metabolic processes Pain Contracture Muscle spasm Hematoma resolution Tension myalgia Production of hyperemia others ultrasonic therapy theory Effect Indication magnet therapy theory effect Hydrotherapy Theory（temperature、press、chemistry） effect Paraffin