PROCEDURE MANUAL ELECTROTHERAPY 1

Procedure 9 FARADISM UNDER PRESSURE

Aim : 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 resistance tray consisting of a) bowl of tap water b) soap c) macintosh d) kidney tray /plastic bowl e) towels & tissue paper 2. Treatment tray consisting of a) Leads b) Electrodes c) Crepe bandages d) Conduction gel e) 1% saline warm water in plastic bowl . f) Supporting pads,pillows g) Cotton h) Talcum powder i) Vaseline j) Towels k) Velcrow straps /adhesive plaster .

GOWRISHANKAR P SUNDARESAN

PROCEDURE MANUAL ELECTROTHERAPY 1

Procedure : 1. Greet the patient 2. Introduce yourself to the patient. 3. Take preliminery introduction and brief history from the patient. 4. The therapist must have thorough knowledge on present pathology . 5. Identify the reason for edema . Method of application : Preparation of the apparatus : 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 an apparatus ,all 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) one at neck of fibula and one below the medial malleolus. Parameters Parameter Edema due to inflammation Edema due to lack of muscle activity

GOWRISHANKAR P SUNDARESAN

PROCEDURE MANUAL ELECTROTHERAPY 1

Type Frequency Pulse Duration On-off time plain faradism 50-100 Hz Traingular 0.1-1ms Continuously Surged faradism 50-100Hz Traingular 0.1-1ms On:1-2sec Off:1-2sec Amplitude (intensity) Time Comfortable sensory level Intensity sufficient for producing small visible contractions 20-30min once a day

20-30min once a day

Preparation of patients : Explain the nature of treatment as well as sensation that will be felt . Explain the patient not to touch the apparatus Position the patient in supine lying on a couch Affected limb should be elevated to nearly 60 with the help of pillows Technique : Place the lectrodes as mentioned above depending upon the condition Choose the parameters according to the condition After placement of electrodes ,start bandaging with crepe bandage ,over the area firmly from the metatrasel to the femoral traingle ,incase of 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 Home advice : Periodic ankle toe movements

GOWRISHANKAR P SUNDARESAN

PROCEDURE MANUAL ELECTROTHERAPY 1

Placing pillows under the lower limb in supine position Self bandaging

GOWRISHANKAR P SUNDARESAN