Transcript Contra-indication

INTRODUCTION TO PHYSIOTHERAPY.
GALVANIZATION.
ELECTROFORESIS.
FRANCLINIZATION.
Prof. Mysula I.R.
Physiotherapy
From Greece: physio – nature; therapy – to treat
Field of clinical medicine studying
medical properties of physical factors
and developing the methods of their
application for diseases treatment and
prophylaxis, and also for the medical
rehabilitation
Levels of physiotherapeutic factors
influence
- local
- distant (reflex-segment)
- on the whole body
Basic principle of treatment
pathogenetic, not etiologic
Therefore the indicate for them are
determined by not so much the etiology
of illnesses, but its pathogenesis,
predominance in pathogenesis the
processes of inflammatory or dystrophic
character.
Common contraindications for using
of physiotherapeutic methods
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severe exhaustion
difficult condition of patient
risk for bleeding
tumours
blood diseases
cardiovascular and respiratory failure
disorders of liver and kidneys function
atherosclerosis
ІІ-ІІІ stage of arterial hypertension
active tuberculosis
Basic effects in tissues
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thermal
unthermal
Classification of physiotherapy
methods
I. After the area of influencing:
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1.General (for Wermel, collar for Shcherbac, four chamber
galvanic baths, general UFO and others like that).
2. Local (transverse, longitudinal, tangential, focal).
3. Reflex-segmentary.
4. On biologically active points.
ІІ After localization:
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1. Superficial (on the scin).
2. Intracavity (nasal, mouth, years, vaginal, rectal).
3. Intravascular (laser).
4. Intraorganic.
Classification of physiotherapy
methods
ІІІ After the strength of contact:
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1. Contact (dense contact).
2. Distance (eluvial).
ІУ After the technique of execution:
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1. Immobile.
2. Mobile.
GALVANIZATION
Application of constant direct
electric current of small force (to 50
мА) and low tension (30-80V) with
the medical purpose
H2O
H+
+OH-
+
K+
Na+
KCl  K++Cl NaCl  Na++Cl MgSO4  Mg+++SO4-CaCO3  Ca+++CO3--
ClSO4 -2
CO3-2
H2O
H+
+OH-
Катод
Анод
K++OH-  KOH
Na++OH-  NaOH
H++Cl-  HCl
H++SO4 -2  H2SO4
H++CO3 -2  H2CO3
K+Na+
Ca++Mg++
Катод
Na+
K+
K+
Анод
Na+
Cathode (-)
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excitant, restorative (uses at paresises,
paralyses)
secretory, stimulatory (hormones
production)
myotonic
hydrotative
metabolic
vasodilatative
Anode (+)
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depress, analgetic (uses at spasms,
hypertonus)
hyposecretory
myorelaxatic
dehydratative
metabolic
vasodilatative
Local reactions
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2.
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5.
Changes of cells hydration
Changes of protoplasm colloids
dispersion
Changes of permeability of cell
membranes
Fasting of blood stream
Increase of permeability of vessel
wall
General reactions
Irritation of peripheral receptors →
nervous impulses are passed on
afferent ways in the CNS → complex
reactions-answers of organs and
systems of organism.
Indication
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І-ІІ stage arterial hypertension.
Bronchial asthma.
Inflammatory processes of different
localization.
Stomach and duodenum ulcerous.
Skin diseases
Contra-indication
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Common
Individual high sensitiveness to current
Damage of skin and skin diseases in the
place of electrodes application
Acute purulent inflammatory processes
Lack of pain sensitiveness
FILM “GALVANIZATION”
Placing of electrodes
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longitudinal
transversal
Medicinal electrophoresis
Introduction of medicines in human
body with the help of a direct current
2 factors act:
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medicine
galvanic current
Causes for skin depot formation
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shallow penetration of medications;
high properties of ion changes
structural components of skin;
relatively low activity of metabolism;
bad circulation of blood in the upper
layers of skin.
Advantages of medicinal
electrophoresis
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Medications are acted on the changed
by galvanic current cells and tissues.
Medications enter tissues as ions, that
increases their pharmacological activity.
Formation of "skin depot" prolongs
duration of medications action.
Advantages of medicinal
electrophoresis
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High concentration of medications is
created directly in a place of
pathology.
The mucous membranes of gastrointestinal tract is not irritated.
Possibility of simultaneous using of a
few medications is provided (from
different poles).
FRANCLINIZATION
It is a medical method, in which the
electric field of high tension uses.
COMMON FRANCLINIZATION
LOCAL FRANCLINIZATION
Indication
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functional diseases of the central nervous system,
especially those that is accompanied by the
irritability, disorders of sleeping (migraine, insomnia,
asthenic states and others like that)
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I-II stages of arterial hypertension
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bronchial asthma
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trophic ulcers, infected wounds and wounds which
are treated difficulty
facial skin and mouth mucous parestesia
Contra-indication
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Common
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organic diseases of the central nervous
system
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low arterial pressure
For local franclinization contra-indication is
the state during 2 weeks after the course of
rentgenotherapy.