This procedure describes, how to perform Faradism under pressure for edema control associated with Either lack of muscle activity or due to inflammati...
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PROCEDURE MANUAL –ELECTROTHERAPY 1 Procedure 9
FARADISM UNDER PRESSURE
Aim : To : To perform electrical stimulation for edema control and improve the venous and lymphatic drainage from the edematous area ,associated either with inflammation or lack of muscle contraction. Apparatus : Electrical stimulator with surged faradic facility 1. Skin resistan resistance ce tray tray consi consistin sting g of a) bowl bowl of tap tap wat water er b) soap c) macin acinto tos sh d) kidney kidney tray tray /pla /plast stic ic bowl bowl e) towels towels & tiss tissue ue pape paperr 2. Treatm Treatment ent tray tray cons consist isting ing of of a) Leads b) Elec Electr trod odes es c) Crep Crepe e band bandag ages es d) Cond Conduc ucti tion on gel gel e) 1% saline saline warm water in plasti plastic c bowl bowl . f) Supp Suppor orti ting ng pads pads,p ,pil illo lows ws g) Cotton h) Talc Talcum um powd powder er i) Vaseline j) Towels k) Velcrow Velcrow strap straps s /adhes /adhesive ive plast plaster er .
GOWRISHANKAR GOWRISHANKAR P SUNDARESAN
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PROCEDURE MANUAL –ELECTROTHERAPY 1
Procedure : 1. Gree Greett the the pati patien entt 2. Introduc Introduce e yours yourself elf to the patient. patient. 3. Take prelimin preliminery ery introduc introduction tion and brief brief history history from the the patient. patient. 4. The therapis therapistt must have thorough thorough knowled knowledge ge on present present pathology pathology . 5. Identi Identify fy the the reaso reason n for edema edema . Method of application : Preparation of the apparatus : •
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First an electric stimulator with faradic current facility is selected. Make sure that all the wires from mains to plug box and to the machine are intact and properly insulated Check the leads for any breaks in the insulation Test the machine by attaching leads and electrodes to the terminals and feel the current by switching ‘on’ the machine and increasing the intensity Make sure that before ‘on’ or ‘off’ ‘off’ an apparatus ,all the the knobs of intensity are at ‘zero’ Select the appropriate and suitable electrode The electrodes should be properly applied with conduction gel Electrode placement : For retarding the formation of edema associated with acute inflammation ,the negetive polarity treatment electrodes should be placed directly over the area of oedema,with the dispersive electrode more proximal if possible . To reduce edema associated with lack of muscle activity ,large indifferent electrode is placed over the Lumbosacral junction and two small electrodes(active) electrodes(active) one at neck of fibula and one below the medial malleolus.
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PROCEDURE MANUAL –ELECTROTHERAPY 1
Type
plain faradism
Surged faradism
Frequency
50-100 Hz
50-100Hz
Pulse
Traingular
Traingular
Duration
0.1-1ms
0.1-1ms
On-off time
Continuously
On:1-2sec Off:1-2sec
Amplitude (intensity)
Time
Comfortable sensory level
20-30min once a day
Intensity sufficient for producing small visible contractions 20-30min once a day
Preparation of patients : •
Explain the nature of treatment as well as sensation that will be felt .
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Explain the patient not to touch the apparatus
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Position the patient in supine lying on a couch
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Affected limb should be elevated to nearly 60⁰ with the help of pillows
Technique : •
Place the lectrodes as mentioned above depending upon the condition
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Choose the parameters according to the condition
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After placement of electrodes ,start bandaging with crepe bandage ,over the area firmly from the metatrasel to the femoral traingle ,incase of inflammation inflammation over the area of inflammation
Winding off : Remove the electrodes and clean the area with a tissue or cotton . Check the area for any adverse eefects, if found any document it and report to the HOD or your supervisor
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PROCEDURE MANUAL –ELECTROTHERAPY 1 •
Placing pillows under the lower limb in supine position