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PHYSICALAGENTS &
ELECTROTHERAPY-1
Dr. Waqas Fayyaz PT
DPT, MSPT(Neurology)*
Lecturer at University of Lahore
drwaqasfayyaz@gmail.com
Lecture 1
COURSE	DETAILS
Physical agents &
Electrotherapy-1
COURSE	
TITLE
Doctor	of	Physical	
Therapy
PROGRAM
5th
SEMESTER
03	(2:1)
 Two Lectures/week
 One Lab/week
CREDIT	
HOURS
COURSE	FACULTY
Course Work
Dr. Waqas Fayyaz PT
Lab Work
Dr. Fariha Zulfiqar PT
Dr. Waqas Fayyaz PT
COURSE OBJECTIVES
Physiological & therapeutic uses,
risks, preventions, indications &
contraindications on the type of
electric current
Demonstrate fundamental skills
used to train in electrotherapy
modalities
端Midterm	examination	=		20	marks
端Final	Examination	=	25	marks
端Viva =	25	marks
端Assignment	/Test/Attendance/Presentation	 	=	30 marks
ASSESSMENT	CRITERIA
1. Savage	B.	Practical	electrotherapy	for	physiotherapists.	
UK:	Faber;	1960.
2. Scott	PM.	Claytons	electrotherapy	and	actinotherapy.	
9th	ed.	USA:	Williams	&	Wilkins:	1980.
3. Watson	T.	Electrotherapy:	evidence-based	practice.	12th	
ed.	Edinburgh:	Churchill	Livingstone;	2008
4. Cameron	MH.	Physical	agents	in	rehabilitation:	from	
research	to	practice.	4th	ed.	St.	Louis:	Elsevier;	2013.
5. Singh	J.	Textbook	of	electrotherapy.	 2nd	ed.	India:	
Jaypee;	2012
REFERENCE	BOOKS
Today	Lecture	Learning	
Objectives
vElectrotherapy Definition
vPhysical agents Definition
vCurrents Basics
vCurrents Classifacition
PHYSICALAGENTS &
ELECTROTHERAPY-1
Introduction
ELECTROTHERAPY
Medical therapy using electric currents.
Also called electrotherapeutics
The use of electric currents passed through the body
to stimulate nerves and muscles, chiefly in the
treatment of various forms of diseases.
PHYSICALAGENTS
There are some physical agents
that can be used by the patient/client on themselves
with instruction and training such as superficial heating
agents or hot packs.
Categories
Thermal (deep-heating agents, superficial heating agents,
cooling agents)
Mechanical (traction, compression )
The movement or flow of charged particles through
a conductor in response to an applied electric field.
Current is noted as I
Measured in Amperes( A).
CURRENTS
Electric current
Current flows out of the positive terminal, through the circuit
and into the negative terminal of the source. This was the
convention chosen during the discovery of electricity.
CURRENTS
Conventional Current
They were wrong!
Electron Flow is what actually happens and electrons flow out
of the negative terminal, through the circuit and into the positive
terminal of the source.
CURRENTS
Conventional Current
One of the basic properties of matter, which either has no
charge( is electrically neutral),
or may be negatively (-)
or positively (+) charged
Charge Is noted as Q and is measured in Coulombs( C).
CURRENTS
Charge
The property of having two oppositely charged
conductors, with the positive called the anode, and the
negative called the cathode.
CURRENTS
Polarity
The electrical force capable of moving charged
particles through a conductor between two regions or
points.
Voltage is also known as the "potential difference
Voltage is noted as V and is Measured in volts (V)
CURRENTS
Voltage
Frequency is the number of complete cycles per second
in alternating current direction. The standard unit of
frequency is the hertz, abbreviated Hz.
If a current completes one cycle per second, then the
frequency is 1 Hz.
60 cycles per second
equals 60 Hz
CURRENTS
FREQUENCY
Larger units of frequency includes
Kilohertz (kHz)
Megahertz (MHz)
Gigahertz (GHz)
Terahertz (THz)
CURRENTS
FREQUENCY
A continuous unidirectional flow of charged particles
is known as direct current (DC).
Direct current is used to for iontophoresis and for
stimulating contraction of denervated muscle and also
occasionally to facilitate wound healing
CURRENTS
Direct Current (DC)
CURRENTS
Direct Current (DC)
A continuous bidirectional flow of charged particles is
known as alternating current (A C)
CURRENTS
Alternating Current (AC)
CURRENTS
DC VS AC
Electrical current can be delivered discontinuously in
a series of pulses separated by periods when no current
flows.
This is known as pulsed or pulsatile current.
CURRENTS
Pulsed Current
A review on the differences
1. High Frequency Currents
2. Medium Frequency Currents
3. Low Frequency Currents
CURRENTS
Classification
1. HIGH FREQUENCY CURRENTS
Frequency is >6000 HZ
Short wavelengths (<10 mm)
Effects occur only at superficial structures
General effect = HEATING
Sample modalities:
US, MWD, SWD, IRR, UVR, LASER
CURRENTS
Classification
2 & 3. MEDIUM and LOW FREQUENCY
CURRENTS
Frequency ranges from 1 to 6000 Hz
Longer wavelengths (>10 mm)
Effects occur at deeper structures
General effects:
MFC: blocks pain
LFC: nerve stimulation
CURRENTS
Classification
2 & 3. MEDIUM and LOW FREQUENCY
CURRENTS
Sample modalities:
Electrical stimulators, Diadynamics, Biofeedback,
Iontophoresis, TENS, IF, Faradic.
CURRENTS
Classification
LOW	FREQUENCY	CURRENT
Superimposed	currents
TENS
Dia-dynamic	current
MEDIUM	FREQUENCY	CURRENTS
INTERFRENTIAL	CURRENT
CURRENTS
Classification
introduction to Electrotherapy

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