electrotherapy

1. QUADRICEPS
INHIBITION
k.soundararajan
K. Soundararajan, SRIHER 1

2. Objectives
• Anatomy
• Quadriceps inhibition
• Causes
• Procedure for electrotherapy
treatment
K. Soundararajan, SRIHER 2

3. Quadriceps femoris
K. Soundararajan, SRIHER 3

4. Quadriceps femoris
K. Soundararajan, SRIHER 4

5. Quadriceps inhibition
• Due to fear of pain
the patient cannot
contract the
quadriceps. Hold
the muscle in a
tensed position;
extension of knee
is limited
K. Soundararajan, SRIHER 5

6. Causes
• Fracture shaft of femur
• Menisectomy
• Traumatic synovitis of knee
• Surgical intervention
• Soft tissue injury around knee
• Post operative (i.e.) after arthroscopy
K. Soundararajan, SRIHER 6

7. METHOD OF TREATMENT
Procedure
• Receiving the patient
• History
• Examination
• Check for contraindication
• Preparation tray
K. Soundararajan, SRIHER 7

8. Procedure
• Preparation of apparatus
• Self testing
• Skin resistance lowering
• Position of patient
• Position of therapist
K. Soundararajan, SRIHER 8

9. Procedure
• Placement of electrode
• Selection Current
• Instruction to patient
• Regulating current
• Check for erythema
K. Soundararajan, SRIHER 9

10. Procedure
• Appointment
• Recording of treatment
• Other special points
• Home program
• Winding up
K. Soundararajan, SRIHER 10

11. Electrode position
1. Inactive - femoral triangle
Active - junction of
upper 2/3 rd & lower 1/3 rd
of thigh
2. Inactive - lumbar spine
Active - junction of
upper 2/3 rd & lower 1/3 rd
of thigh
3. Inactive - junction of
upper 1/3 rd & lower 1/3 rd
of thigh
Active - junction of upper
2/3 rd & lower 1/3 rd of
thigh K. Soundararajan, SRIHER 11

12. Treatment
• Position of patient: Half lying
with knee supported in 15
degree flexion
• Current parameter: FTC (8-10
surge/min)
Intensity : max intensity to
produce muscle contraction
Duration : 10 minutes ( until
muscle get fatigue)
K. Soundararajan, SRIHER 12

13. Electrode position
( carbonized rubber electrode)
Active : middle 1/3 rd of thigh
Inactive : lower 1/3 rd of thigh
K. Soundararajan, SRIHER 13

14. Quadriceps inhibition reduction
K. Soundararajan, SRIHER 14

15. Reference
• Text book of Electrotherapy ;Jagmohan Singh; 2nd
edition; page no: 112 to 113
• Physical therapy manual for students; faculty of
physiotherapy SRU; page no: 21
• Text book of human osteology; Inderbir Singh; 3rd
edition; page no: 272
• Human anatomy; B.D.Chaurasia’s; 6th edition; page
no:40 to 57
K. Soundararajan, SRIHER 15