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Electrical Stimulation
Electrical stimulation (E-stim) is used to
rehabilitate muscles affected by injury or disease and to help increase the
localized blood flow.
E-stim can be used to maintain or increase range of motion, prevent disuse
atrophy, re-educate muscles, relax muscle spasms, increase blood circulation,
wound care and/or pain management. E-stim should not be used with individuals
who have cardiac pacemakers or those who are pregnant.
Electrodes are applied to the area to be treated. We use disposable multi-day
electrodes which use a solid polymer gel and a built-in tape patch.
Properly caring for the skin prior
to the application of the electrodes will allow more stimulation to reach the
targeted tissue, and reduces the risk of skin irritation. Treatment sessions
last approximately 15 minutes.
E-stim is helpful in muscle re-education, wound care, and pain management.
Ultrasound
Ultrasound therapy is the use of acoustic energy that penetrates the skin
for both its deep heating and non-thermal deep soft tissue stimulation effects.
Ultrasound is applied over the skin's surface using a hand-held transducer. The
soundwaves then penetrate to the deep soft tissues and muscles. Benefits of
ultrasound include: pain relief, decreased contracture, decreased edema, wound
healing, increased soft tissue extensibility, and increased circulation.
Ultrasound should not be applied to areas of infection, thrombophlebitis, or
over a known tumor.
The ultrasound sends the voltage through the soundhead to the crystal. This
energy is transformed into sound energy causing the crystal to vibrate at a
specific frequency. Two commonly used frequencies are 1 and 3 MHz.
Ultrasound usually penetrates 1 to 5 cm depending on the frequency. An
ultrasound set at 1 MHz will penetrate to 5 cm, while 3 MHz will penetrate 1-2
cm. Therefore, the frequency will be determined by the depth of the tissues
being treated.
There are many benefits to using
ultrasound. This modality allows the heat to reach the deep tissue structures.
By heating the tendon, ligament, and articular capsule, it increases the
elasticity of those structures. Heating with ultrasound can also increase
circulation. Ultrasound provides direct stimulation to the peripheral nerves
which may aid in pain relief. It is also beneficial in edema reduction.Click
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