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Physical therapy ( physical medicine)

Physical therapy ( physical medicine)

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Physical therapy ( physical medicine)

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  1. Physical therapy (physical medicine) 仁济临床医学院 康复医学教研室 王颖

  2. reviews • definition: physical agents,treatment • origin & advance: • field: • Mechanism:

  3. fields • electrotherapy • phototherapy • ultrasonic therapy • magnetical therapy • heat & cold • mechanotheropy • Theraputic exercise • others

  4. 电磁波谱 -ray X-ray Infrared ray UHF High frequency Intermediate frequency Low frequency DC

  5. electrotherapies • Direct current (DC) • Low frequency current • Intermediate frequency • High frequent (shortwave diathermy,SWD) Microwave diathermy, MWD)

  6. Galvanic current( DC)Galvanization • Theory: • Effect:

  7. Positive pole Negative pole Acid  Acid  Protein  Protein  Positive ion Negative ion

  8. Acid Attracts oxygen Dehydrates tissues Vasoconstrictor Causes ischemia Stops bleeding More germicidal Sedative Corrodes metals by oxidation Relieves pain Alkaline Attracts hydrogen Liquefies tissues Vasodilator Causes hyperemia Causes bleeding Less germicidal Stimulant Does not corrode metals Causes pain Positive pole Negative pole

  9. Iontophoresis • Theory:attract , repel • Specialty: Drugs ion Local concentration Superficial and slow Double effect

  10. specialty of the Low and intermediate frequency current • cause muscle contract • circulation • Stimulat N.T.—spinal—the gate theory • N.T.--endorphins  • Pallium—inhibit • Reduces dorsal horn cell activity

  11. Low frequency current • Transcutaneous electric nerve stimulation (TENS) • Neuromucular electrical stimulation (NMES) • Functional electical stimulation (FES)

  12. Functional electrical stimulation(FES) • Theory: • Specialty:

  13. Intermediate frequency • Undamped medium frequency electrotherapy • Modulated medium frequency electrothrapy • Interferential therapy

  14. High frequentelectrotherapies • Theory: • Specialty:

  15. phototherapy • infrared • visible light • ultraviolet • laser

  16. therapeutic Heat • method:conduct、diathermy • effect: • indication:

  17. effect of therapeutic Heat

  18. Indication of the therapeutic Heat • Acceleration of metabolic processes • Pain • Contracture • Muscle spasm • Hematoma resolution • Tension myalgia • Production of hyperemia • others

  19. ultrasonic therapy • theory • Effect • Indication

  20. magnet therapy • theory • effect

  21. Hydrotherapy • Theory(temperature、press、chemistry) • effect

  22. Paraffin therapy • Theory (warm、press、embellish) • effect

  23. Hypothermia(cold therapy) • blood vessel – contract • nerve - excitability

  24. Mechanotheropy • Traction • Manipulation • Massage

  25. Theraputic exercise(kinesithrapy) • medical gymnastics • ROM exercise • others

  26. watch-musicotherapy • 音乐治疗 + 视觉治疗 • 现实视听世界 + 虚幻视听世界 大脑中枢 • 听觉和视觉有机结合,使音色,旋律,节奏,色彩,形状的变幻融为一体, • 通过感官刺激,最大限度发掘大脑潜能 • 具唤醒,催进,激励或安宁,抚慰,宣泄等精神心理作用

  27. 原理 • 音高的临床含义 • 音量的临床含义 • 音色的临床含义 • 节奏的临床含义 • 旋律的临床含义

  28. 可视音乐疗法

  29. summary • commonness • characteriatic

  30. Problem • Theory about DC? Specialty? • Low frequent? Specialty? • What is the phototherapy? • Theory about megnit-therapy? • What is the ultrasound-therapy? Specialty?