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Electrotherapy Explained E-Book

Electrotherapy Explained E-Book

Val Robertson | Alex Ward | John Low | Ann Reed

(2006)

Abstract

Electrotherapy Explained is an excellent research-based exploration of the major types of electrophysical agents used in clinical practice, particularly human and also animal. For the fourth edition, two new authors join the writing team, presenting the latest information for today's clinicians. The text has been completely updated with a major rewrite of the material, particularly that on electrical stimulation. This book continues to focus on evidence: clinical and biophysical evidence that affects how and which electrotherapies may be of use clinically and when. The inclusion of biophysics as well as clinical evidence and principles of application, enables clinicians to move away from traditional ‘recipe-based' approaches and rely more on their own clinical reasoning. The focus remains on humans but the relevance of the principles for using and applying different modalities is explained clearly, providing guidelines for clinicians across disciplines and specialties.

  • Up to date research detailing the evidence both supportive and deprecatory for the use of each modality
  • Written by experts from biophysics and the clinical domains
  • Comprehensive and well referenced
  • Clear and well chosen illustrations elucidate the text
  • Text boxes and summary sections help to break down what is sometimes a complex subject into manageable and memorable chunks
  • Contraindications and risks have been updated in light of the most recent research
  • Three books for the price of one - the website (http://booksite.elsevier.com/9780750688437) contains the entire texts of 'Physical Principles Explained' by Low and Reed, and 'Biophysical Bases of Electrotherapy' by Ward. The text directs readers to the website for further reading at relevant points


Table of Contents

Section Title Page Action Price
Front Cover Cover
Electrotherapy Explained: Principles and Practice iii
Copyright Page iv
Table of Contents v
Foreword vii
Preface to the fourth edition ix
Preface to the first edition xi
Chapter 1. Introduction 1
WHAT IS ELECTROTHERAPY? 1
EXOGENOUS ENERGY AND THE SKIN 3
CHAPTER OUTLINES 4
GENERAL STRUCTURE OF MOST CHAPTERS AND COMMON ISSUES 5
EVALUATING EPAS 10
ISSUES IN OBTAINING EVIDENCE 13
COMPARISONS 13
THE FUTURE FOR EPAS 13
References 14
Chapter 2. Background biophysics and physiology 17
THE SKIN AS A BARRIER 18
CELLS 18
THE NERVE IMPULSE OR ACTION POTENTIAL 20
ACTIVATION OF MUSCLE FIBRES 25
ELECTRICAL POTENTIALS OF OTHER CELLS AND TISSUES 25
THE HEALING PROCESS 27
HEALING OF AVASCULAR TISSUES 34
THE APPLICATION OF ENERGY TO THE BODY FOR THERAPY 37
ASSUMED KNOWLEDGE 41
References 42
Chapter 3. Electrical stimulation – currents and parameters 45
USING ELECTRICAL STIMULATION CLINICALLY 47
ELECTRODES 50
EFFECTS OF DIFFERENT PARAMETERS 62
DIFFERENT TYPES OF CURRENTS 72
TENS 80
FES 85
References 87
Chapter 4. Effects of electrical stimulation 89
VOLUNTARY VERSUS ELECTRICALLY INDUCED CONTRACTIONS 89
TYPE OF CURRENT AND IMPLICATIONS OF DIFFERENT PARAMETERS 95
CURRENT FLOW IN TISSUE 112
References 115
Chapter 5. Motor electrical stimulation 119
MOTOR STIMULATION 120
ELECTRICAL STIMULATION OF INNERVATED MUSCLE 126
CLINICAL APPLICATIONS OF MOTOR STIMULATION 133
FUNCTIONAL ELECTRICAL STIMULATION (FES) 138
ELECTRICAL STIMULATION OF DENERVATED MUSCLE 144
METHODS OF APPLICATION OF ELECTRICAL STIMULATION AND DOSAGE 154
References 160
Chapter 6. Sensory stimulation and other uses 167
SENSORY STIMULATION 167
CENTRAL EXCITABILITY 168
PAIN 168
PAIN CONTROL WITH ELECTRICAL STIMULATION 177
REAL AND EXPERIMENTAL PAIN 179
CLINICAL STUDIES AND EXPERIMENTAL TRIALS 180
SPASTICITY 192
IONTOPHORESIS 193
OTHER 196
THE FUTURE 202
References 202
Chapter 7. Risk management 209
RISKS WITH DIFFERENT EPAS 209
USING MAINS-POWERED EPA EQUIPMENT 211
INFECTION CONTROL WITH EPAS 218
References 220
Chapter 8. Biofeedback 221
SIGNALS USED CLINICALLY FOR BIOFEEDBACK 223
PRINCIPLES OF USING BIOFEEDBACK CLINICALLY 224
USES OF BIOFEEDBACK 229
MECHANISMS OF BIOFEEDBACK 238
BIOFEEDBACK EQUIPMENT 239
EMG AND ELECTRICAL STIMULATION 245
CONCLUSION 246
References 247
Chapter 9. Ultrasound 251
THE NATURE OF SONIC WAVES 252
PRODUCTION OF THERAPEUTIC ULTRASOUND 254
TRANSMISSION OF SONIC WAVES 258
PULSED ULTRASOUND 265
PHYSICAL AND PHYSIOLOGICAL EFFECTS OF ULTRASOUND 266
DISCUSSION OF THERAPEUTIC USES 272
PRINCIPLES OF APPLICATION 277
DOSAGE 284
CONTRAINDICATIONS AND RISKS 291
PHONOPHORESIS 295
LONGWAVE ULTRASOUND 297
COMBINATION THERAPY 298
DIAGNOSTIC ULTRASOUND 298
References 305
Chapter 10. Heat and cold 313
GENERAL PRINCIPLES 313
THERMAL REGULATORY MECHANISMS 319
THERMAL REGULATION 324
PHYSIOLOGICAL EFFECTS OF TEMPERATURE CHANGE ON BODY TISSUES 328
THERAPEUTIC EFFECTS OF LOCAL TISSUE HEATING 332
SITES OF TISSUE HEATING 336
TISSUE DAMAGE DUE TO EXCESS LOCAL HEAT – BURNS 337
References 339
Chapter 11. Therapeutic conduction heating 341
THE EFFECTS OF CONDUCTION HEATING 341
PARAFFIN WAX BATHS 344
HOT PACKS 347
HYDROCOLLATOR PACKS 348
CONTRAST BATHS 348
HYDROTHERAPY 349
WHIRLPOOL BATHS 350
CONSIDERATIONS AND CONTRAINDICATIONS TO TREATMENTS WITH HOT WATER 350
HEATED AIR TREATMENT 351
ELECTRIC HEATING PADS 352
HEATING AND COOLING APPARATUS 352
THE EFFECTS OF SUPERFICIAL HEAT ON TISSUES 352
THE THERAPEUTIC USES OF SUPERFICIAL HEATING 354
References 355
Chapter 12. Cold therapy 357
EFFECTS OF COOLING THE SKIN 357
PHYSIOLOGICAL CHANGES 359
THERAPEUTIC USES OF COOLING 365
METHODS OF APPLYING COLD THERAPY 370
CHOOSING BETWEEN HEAT AND COLD 377
DANGERS AND CONTRAINDICATIONS 378
References 380
Chapter 13. Electromagnetic fields: shortwave 385
NATURE 386
SHORTWAVE DIATHERMY APPARATUS 387
INDUCTION OF HIGH-FREQUENCY CURRENTS IN TISSUES 389
PHYSIOLOGICAL EFFECTS AND THERAPEUTIC USES OF SHORTWAVE DIATHERMY 391
PRINCIPLES OF APPLICATION 393
DOSAGE 402
POTENTIAL DANGERS 403
CONTRAINDICATIONS TO SHORTWAVE DIATHERMY 407
PULSED SHORTWAVE 408
PHYSIOLOGICAL EFFECTS OF PULSED SHORTWAVE 411
THERAPEUTIC USES 413
APPLICATION OF PULSED SHORTWAVE 413
DOSAGE 414
CONTRAINDICATIONS 414
LOW-POWER PULSED HIGH-FREQUENCY ENERGY 415
KILOHERTZ FREQUENCY DEVICES 415
THE USE OF MAGNETISM IN THERAPY 417
References 420
Chapter 14. Electromagnetic radiation 425
NATURE 425
FEATURES OF ELECTROMAGNETIC RADIATION 430
INTERACTIONS OF RADIATION WITH MATTER 432
PENETRATION DEPTH 437
Further reading 440
Chapter 15. Microwave diathermy 441
PRODUCTION OF MICROWAVES 442
THE PHYSIOLOGICAL EFFECTS OF MICROWAVES ON THE TISSUES 443
THERAPEUTIC USES 448
DOSAGE 451
POTENTIAL DANGERS 451
References 456
Chapter 16. Infrared and visible radiation 459
INTRODUCTION 459
PRODUCTION OF INFRARED 461
ABSORPTION AND PENETRATION OF INFRARED AND VISIBLE RADIATION 464
PHYSIOLOGICAL EFFECTS 467
THERAPEUTIC USES OF INFRARED 469
EFFECTS AND USES OF VISIBLE RADIATION 469
CHOICE OF LUMINOUS (RADIANT HEAT) OR NON-LUMINOUS SOURCES 470
POTENTIAL DANGERS WITH INFRARED TREATMENT 472
CONTRAINDICATIONS 473
LASERS 473
LASER CLASSIFICATION 477
MEASUREMENT OF LASER ENERGY 478
EFFECTS OF LASER RADIATION ON THE TISSUES 478
THERAPEUTIC USES OF LASERS 481
EFFECTIVENESS OF LOW-INTENSITY LASER THERAPY 486
PRINCIPLES OF APPLICATION 487
DOSAGE 489
DANGERS AND CONTRAINDICATIONS 492
References 494
Chapter 17. Ultraviolet radiation 499
THE NATURE OF ULTRAVIOLET RADIATION 500
PRODUCTION OF UVR 501
MEASUREMENT OF UVR 506
NORMAL SKIN – A REVIEW OF STRUCTURE AND ACTIVITY 506
PHYSIOLOGICAL EFFECTS OF ULTRAVIOLET 509
THERAPEUTIC USES AND INDICATIONS 512
SKIN RESPONSES TO TREATMENT USING UVR 515
TREATMENT PRINCIPLES USING UVR 519
PRINCIPLES OF UVR APPLICATION 524
DANGERS 530
CONTRAINDICATIONS 530
HELIOTHERAPY 531
SUNBEDS 531
References 532
APPENDIX: Some ‘basic science’ ideas 535
Index 543