Interferential


Combination


Back Overview and description of the therapeutic applications

1. Sub-acute per arthritis humero-scapularis

I Interferential (2-pole; AMF 100 HZ; spectrum 100 hz spectrum time 6 s; contour 50%

Treatment time :15 minutes

Suggested 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.

Painful & Stiff Muscle Evaluation


Upper Extremities


Lower Exrremities


Total Hip - Direct Lateral Surgical Approach


General Instructions

Your hip requires special treatment for a limited period of time after surgery, usually about two and a half months. During that time, abide by the following precautions:

Don't cross your legs.
Don't lie on your side unless you keep pillows between your knees.
Don't pivot (turn) on your involved leg.
Don't use any type of exercise equipment except as instructed by your therapist.
Don't roll your involved leg outward except as instructed by your therapist.
Don't bear weight on your involved leg. Until your hip heals, you may only lightly touch your foot to the floor for balance.
Don't slide your involved leg out to the side. Use your hands or have someone else move it for you.
A bit of advice
Before you get out of bed in the morning, it's a good idea to pump your ankles by moving your feet and toes up and down about ten times. This will help prevent swelling and pooling of blood in your legs.

Exercise 1 - Quad Set

1. Sit on a firm, flat surface with the knee of your uninvolved leg bent and your hands behind you for support.
2. Straighten your involved leg as much as possible, tightening the muscles on top of your thigh.
3. Hold for five seconds, then relax.

Exercise 2 - Straight Leg Raise

1. Recline on your back, resting on your elbows.
2. Straighten your involved leg as much as possible, tightening the muscles on the top of your thigh.
3. Raise your heel approximately four inches and hold for five seconds.
4. Slowly return to starting position and relax.

Exercise 3 - Short Arc Quad

1. Sit on a firm, flat surface with your hands behind you for support.
2. Place a rolled towel under your knees to bend it about six inches.
3. Raise the lower part of your leg until your knee is straight.
4. Hold for five seconds, then relax.

Exercise 3 - Short Arc Quad

1. Sit on a firm, flat surface with your hands behind you for support.
2. Place a rolled towel under your knees to bend it about six inches.
3. Raise the lower part of your leg until your knee is straight.
4. Hold for five seconds, then relax.

Exercise 4 - Hip and Knee Flexion

1. Lie on your back with your legs out straight and relaxed.
2. Keep your kneecaps pointed toward the ceiling throughout the exercise.
3. Slide one foot toward your buttocks, bending your knee and hip.
4. Slowly return to the starting position.

Exercise 5 - Hip Adduction

1. Sit on a firm , flat surface with your hands behind you for support.
2. Straighten both legs and place a rolled towel between your knees.
3. Squeeze the towel roll between your legs for five seconds, then relax.

Exercise 6 - Hamstring Sets

1. Recline on your back, resting on your elbows.
2. Keep one leg straight, and bend the other to a height of about six inches.
3. Tighten the bent leg by digging down and back with the heel.
4. Hold for five seconds, then relax.

Exercise 7 - Internal and External Rotation

1. Sit on a firm, flat surface with your hands behind you for support.
2. With your legs straight, turn your legs, from your hips to your feet, inward as far as possible.
3. Next, turn your legs, from your hips to your feet, outward as far as possible.
4. Be sure to move the entire leg, not just the foot.

Exercise 8 - Long Arc Quad

1. Sit on a sturdy surface high enough that your feet don't touch the floor.
2. Grip the sides of the surface for support.
3. Raise one foot until your knee is completely straight.
4. Slowly return to the starting position and relax.

Exercise 9 - Hamstring Curls

1. Lie on your stomach with your arms folded under your head, or stand upright near something that can be used for support.
2. Bend one knee, bringing the heel up toward your buttocks.
3. Slowly return to the starting position and relax.