Interferential
Combination
Back Overview and description of the therapeutic applications
1. Sub-acute per arthritis humero-scapularisI Interferential (2-pole; AMF 100 HZ; spectrum 100 hz spectrum time 6 s; contour 50%
Treatment time :15 minutesSuggested advice : intensity pleasantly noticeable
Treatment frequency : 5x per week.
2 Chronic lumbago
Interferential (2-pole); AMF 10 Hz; spectrum 90 hz spectrum time 6 s; Contour 100%
Treatment time : 10 minutes
Suggested advice : intensity strongly noticeable.
Treatment frequency ; 3x per week
3 Arthrosis
Interferential (2- pole); AMF 50 Hz, spectrum 50 Hz spectrum time 6s; contour 1 %)
Treatment time; 12 minutes
suggested advice; intensity well noticeable.
Treatment frequency; 3x per week.
4 Contractures after immobilization
Interferential (2- pole); AMF 2 Hz, spectrum 10 Hz spectrum time 6s; contour 100 %)
Treatment time; 15 minutes
suggested advice; intensity to be increased until rhythmic contraction occur
Treatment frequency; daily
5 Post-operative pain
Tens continuous (Pulse duration 50 ms; pulse frequency 100 hz; spectrum 50 hz; spectrum time 6 s; contour 50%
Treatment time ; 15 minutes.
suggested advice : intensity just noticeable.
Treatment frequency; daily
6 Neuralgia
Tens continuous (Pulse duration 50 ms; pulse frequency 75 hz; spectrum 50 hz; spectrum time 6 s; contour 50%
Treatment time ; 20 minutes.
Suggested advice : intensity just noticeable.
Treatment frequency; daily
7 Herpes zoster
Tens continuous (Pulse duration 50 ms; pulse frequency 75 hz; spectrum 50 hz; spectrum time 6 s; contour 50%
Treatment time ; 10 minutes.
suggested advice : intensity just noticeable.
Treatment frequency; daily
8 Epicondylitis humeri lateralis- manifesting radiation in extensors
Tens continuous (Pulse duration 200 ms; pulse frequency 80 hz;spectrum 50 hz; spectrum time 6 s; contour 100%
Treatment time ; 10 minutes.
suggested advice : intensity just noticeable.
Treatment frequency; daily
9 Actual segmental disarticulations
Tens continuous (Pulse duration 80 ms; pulse frequency 50 hz; spectrum 100 hz; spectrum time 6 s; contour 100%
Treatment time ; 25 minutes.
suggested advice : intensity just noticeable/ pleasant tingling sensation
Treatment frequency; 5 x per week
10 Tension headache
Tens continuous (Pulse duration 100 ms; pulse frequency 100 hz; burst frequency 2 hz)
Treatment time ; 15 minutes
suggested advice : intensity well noticeable.
Treatment frequency; 3 x per week
11 Circulation-disorders - calf- muscles
Tens continuous (Pulse duration 200 ms; pulse frequency 100 hz; burst frequency 2 hz)
Treatment time ; 15 minutes.
suggested advice : intensity well noticeable.
Treatment frequency; 3 x per week
12 Acute muscle rupture
Ultrasound therapy (treatment head 4 cm2; 1 MHZ; duty-cycle 1:4;intensity 0.8 w/cm2
Treatment time : 7 minutes .
Suggested advice: intensity just noticeable
Treatment frequency; 3x per week.
13 Epicondylitis laterals - low actually
Ultrasound therapy ( treatment head 4 cm2; 1 MHZ; duty-cycle 1:1;intensity 0.4 W/cm2)
Treatment time : 7 minutes.
suggested advice: intensity just noticeable.
treatment frequency :3x per week.
14 Injury medical collateral ligament art. Genus
Ultrasound therapy (treatment head 4 cm2; 1 MHz; duty-cycle 1:4 ;intensity 1.5 W/cm2)
intensity time :20 minutes.
suggested advice : intensity just noticeable.
Treatment frequency : 3x per week
15 Detection of pain-points
Combination therapy: interferential (AMF 100 Hz; spectrum 0hz)and Ultrasound therapy (treatment head 4 cm2 , 1 MHZ;duty-cycle 1;1 intensity 1.0 W/cm2)
Treatment time : 20minutes
Treatment advice: intensity well noticeable. The treatment time depends on the size of the body area to be treated.
16 chronic lumbago
Interferential (2-pole); AMF 10 Hz; spectrum 90 hz spectrum time 6 s; Contour 100%
Treatment time : 10 minutes
Suggested advice : intensity strongly noticeable.
Treatment frequency ; 3x per week
17 Gonarthrosis
Combination therapy: interferential (AMF 100 Hz; spectrum 50 hz; spectrum time 6 s; contour 1%) and ultrasound therapy (treatment head 4 cm2 1 MHZ; duty-cycle 1;4; intensity 0.5 W/cm2)
Treatment time : 7 minutes.
suggested advice : intensity well noticeable.
Treatment frequency: 3x per week
18 Chronic distortion pedis
combination therapy: tens continuous (pulse duration 50 ms; pulse frequency 100 hz; contour 1%) and ultrasound therapy (treatment head 4cm2, ! MHz; duty-cycle 1:4; intensity 0.5 W/cm2
Treatment time :7 minutes.
Suggested advice: Intensity well noticeable.
Treatment frequency: 3x per week
19 Ischialgy
combination therapy; tens continuous (pulse duration 50 ms; pulse frequency 100 hz; contour100%) and ultrasound therapy (treatment head 4 cm2 1 MHz; duty-cycle 1:1; intensity 0.5 W/cm2)
Treatment time : 10 minutes
suggested advice: Intensity noticeable
treatment Frequency; daily
20 Acute subluxation humeri
Combination therapy; tens continuous (pulse duration 50 ms; pulse frequency 100 hz; contour100%) and ultrasound therapy (treatment head 4 cm2 1 MHz; duty-cycle 1:1;intensity 1.0 W/cm2)
Treatment time : 5 minutes
suggested advice: Intensity just noticeable
treatment Frequency; daily
Ultrasonic
Triggerpoint
Physiotherapy staffing
Staffing of Physiotherapy Department
PHYSIOTHERAPY MANAGER OR DIRECTOR.is
SENIOR PHYSIOTHERAPIST (To supervise basic P. T & reports to Manager). PHYSIOTHERAPIST (To supervise physiotherapy assistant maintenance of record). PHYSIOTHERAPY ASSISTANT.(To supervise helper& Pt. Communication feedback to Physiotherapist).
HELPERS (Pt. Communication feed back to Physiotherapist).
UP GRADATION OF PHYSIOTHERAPY
Once pt. Is being admitted in the hospital it means his physical condition deteriorated day by day. So every pat. Before discharge from the hospital must have physiotherapy advice including home exercise prong. Once pat. Is being referred in Physiotherapy department he must be evaluated documented properly purely in professional manner than treated, progress, follow up and record must be maintained.
Physiotherapy does not mean simply exercises and operation of machine that can be done by Physiotherapy assistant, they are especially trained in various exercises and operation of machines, they must work under supervision of qualified Physiotherapist trained in various specialty.
Qualified Physiotherapist means to advice, explain patient problem, disability to discuss physical complication related to patients medical hindrance, to evaluate patient physical disability to monitor progress.
INVOLVEMENT OF PHYSIOTHERAPIST
Evaluate patient professionally.
Plan & implement physiotherapy treatment.
Provide home exercise program.
Monitor progress of pat.
Supervise & educate Physiotherapy Assistant.
PHYSIOTHERAPY INVOLVEMENT WITH HOSPITAL STAFF
To arrange courses for Nursing staff.
Lifting & transfer pat. Which makes nursing staff affective with minimal Physical strain to their body.
To organize various ergonomically meetings with various staff to make hospital staff members less Physically strained.
Monitor progress of pat.
Supervise & educate Physiotherapy Assistant.
DUTIES OF SENIOR PHYSIOTHERAPIST
To arrange meetings with patients family if needed to educate physical disability, documents and maintain record meetings.
Provide guidelines to basic Physiotherapist in their respective fields. Rotate physiotherapist monthly in various field.
Provide unto update knowledge about know how in the world of physiotherapy by the help of Internet.
Maintain discipline in the dept.
Maintain standard & behavior with staff and patient.
Solve various complains related to staff, Patient and physiotherapy Assistant.
To monitor and supervise relations of patients those who are not satisfied with the treatment.
DUTIES OF PHYSIOTHERAPY DIRECTOR/MANAGER
Look after welfare of organization.
Submit reports of Physiotherapy department monthly.
Maintain relation with various consultants.
Answerable to various consultants.
Look after hazards in departments & discuss with legal advisor .Upgrade standard.
Concentrate marketing of Physiotherapy departments.
To improve economy of department.
Discuss departmental problems with Senior Physiotherapist.
Supervise planning of Physiotherapy departments.
To upgrade unto International standard & concentrate on International market.
TO UPGRADE PHYSIOTHERAPY IN THE FIELD OF
Psychiatry
Gynecological conditions
Geriatric conditions
Burns
Urology
Wheel chair and ADL standard
Ergonomically evaluation of various companies senior executives to decrease physical strain.
Lower Back
General Instructions
Exercise are best done on a firm surface such as the floor or a very firm bed.
When Standing
Keep your head level and your chin slightly tucked in.
Stand tall, stretching the top of your head toward the ceiling.
Relax your shoulders.
Tighten your stomach muscles to tuck in your stomach. This will help prevent excessive swayback, or lordosis, in the lower part of your back.
When Sitting
Keep your head level and chin up.
Keep your buttocks to the back of the chair and maintain a slight inward curve in your lower back. Sometimes a small pillow or rolled towel in the small
of the back helps. Do not slouch.
Keep your feet comfortably apart and supported so that your knees are level with your hips.
When lying
Use a firm mattress.
Lie on your side with your hips and knees slightly bent and with a pillow between your legs.
Lie on your stomach with a pillow under your head and one under your ankles.
If you find you are able to sleep only on your back, a pillow under your knees may take the strain off your lower back.
When lifting
Keep your head level and chin up.
Keep your back straight, bend your knees and squat as low as possible, keeping your feet apart.
Lift with the strength of your legs.
Never twist or turn while lifting.
Once you've picked up the object, hold it close to you.
1. Lie on your back, with your hands on your stomach.
2. Bend your knees and place your feet flat on the floor or bed.
3. Tighten your stomach muscles to flatten your lower back against the
floor or bed.
4. Hold for five seconds, then relax.
1. Lie on your back.
2. Tuck your chin to your chest. With your hands stretched out in
front of you, curl your upper body forward until your shoulders clear
the floor or bed.
3. Hold for five seconds, breathing normally, and relax.
4. Do not perform this exercise if it is painful to your lower back.
1. Lie on your back with your legs bent.
2. Using both hands, grasp one leg behind the knee and pull your
knee to your chest.
3. Hold for five seconds, then relax, slowly lowering your leg.
4. Repeat for your other leg.
1. Lie on your back.
2. Using both hands, grasp your right leg behind the knee and pull your
knee to your chest.
3. Keeping your right knee up, repeat the procedure for your left knee.
4. Hold for five seconds and relax.
5. Lower your right leg, then your left leg.
1. Stand with your back to a wall, about one foot away.
2. Position your feet slightly apart and gently lean back against the wall.
3. Slide to a sitting position as far down as comfortable, flattening your back against the wall.
4. Hold this position for as long as possible.
.
1. Stand upright with your feet slightly apart.
2. Place your hands on your lower back.
3. Bend backward as far as comfortable.
4. Hold for five seconds, then relax.
1. Stand facing a wall, about one foot away.
2. Move your feet slightly apart.
3. Place your hands on the wall and lean your upper body toward
the wall by arching your back.
4. Hold for five seconds. Relax.
1. Lie on your stomach on a firm surface.
2. Place your hands slightly in front of your shoulders, palms down.
3. Keeping your hips down and using only your arm muscles,
push your upper body up.
4. Extend only to the point of pain.
5. Hold for five seconds and relax.
1. Sit on the edge of a bed or sturdy table with your uninvolved leg on the floor.
2. Turning sideways, place your other leg straight out along the edge of the bed or table.
3. Keep your toes pointed up toward your knee and your back straight.
4. Lean forward to touch your toes with your fingertips.
5. Hold for ten seconds and relax.
1. Lie on your back with a pillow under your head.
2. Grasp one knee from behind with bothhands, and pull it toward your chest.
3. Straighten your leg to the point of tightness.
4. Hold for ten seconds and relax.
1. Lie on your back.
2. Grasp one knee from behind and pull it to your chest.
3. Using your hands, move your knee over toward the opposite hip,
rotating your involved hip inward.
4. As you move your knee, straighten your leg, pointing your toes
toward the floor.
5. Hold for 10 seconds and relax.
1. Face a wall, about two paces away.
2. Place your hands against the wall.
3. Step forward with one leg, keeping your heels flat on the floor.
4. Lean your hips toward the wall while keeping the back leg straight
to stretch your calf.
5. Hold for ten seconds and relax.
6. Repeat the procedure, this time keeping your back leg slightly bent
at the knee.
7. Hold for ten seconds and relax.
1. Stand with your arms relaxed at your sides and feet slightly part.
2. Slowly bend to the left to the point of pain, sliding your hand down the
side of your left leg.
3. Do the same on the right side.
1. Lie on your back.
2. Grasp the involved leg underneath the knee with both hands and
pull it toward your armpit.
3. Hold for ten seconds.
4. Slowly lower the leg, gently pushing the knee toward the other leg while straightening.
1. Stand in front of a solid (immovable) chair or stool.
2. Put your foot on the seat.
3. Keeping your back straight, lean your body into your leg.
4. Hold for 10 seconds.
1. Lie on your back with your knees bent over the edge of a sturdy table or bed.
2. Grasp one knee with both hands and pull it toward your chest as far as possible.
3. Keep the other thigh pressed down onto the table or bed.
4. Hold for ten seconds, then relax.