Pa ahmedabad 2013

Physical Agents: Past, Present &
Future
Ahmadabad
2013
Dr. Subhash Khatri
BPhT (Nagpur), MPT ortho (Kottayam), PhD Physio (Amritsar),FIAP
PRINCIPAL, COPT,PIMS,LONI, MAHARASHTRA
www.pravara.com

Ahmadabad
• 35,40,000 electrotherapy
• 17,90000 physical agents
• Spa with electrotherapy
(c)Subhash Khatri
physiokhatri@gmail.com
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Physical Agents
• Past
• Present
• Future..!
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Physical agents in Physiotherapy
•Active
•Passive
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PHYSICAL AGENTS
1. Thermal
2.Electromagnetic
3.Electrical
4.Mechanical
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GOAL
Healing
 Inflammation
Pain relief
Exercises
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When do we use physical agents
• Immediately
• Through out rehabilitation
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Electrical stimulating currents
Commercial radio & TV
Short wave diathermy
Microwave diathermy
Infrared rays
Visible light
Uoltraviolet
Ionizing radiation
LASER{
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FAMOUS KIDNAP
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Healing Process
Inflammatory Phase
Repair Phase
Remodeling Phase
Injury Day 4 Week 6 2-3 Years
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Inflammatory Phase
• Cryotherapy
• Cryocuff
• ICT
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Repair Phase
• Thermotherapy
• LIL
• ES
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Remodeling Phase
• Deep heating
• SWD
• MWD
• Ultrasound
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ELECTRICAL STIMULATION
• Acute & chronic
• HVPG
• Iontophoresis
• Wireless TENS
• Russian current
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Thermotherapy
• Analgesia & muscle relaxation
• Dosages
• 40-450, 80-120watts
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Ultrasound
• Protein content
• Deep seated
• Cortisol level,
membrane stability,
presynaptic inhibition
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Cryotherapy
• Cellular metabolism
• Vapocoolant spray
• Cryocuff
• Cryotur
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Intermittent compression
• Edema
• Pressure adjustment
• On time
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Phototherapy
• Laser, IR & UV
• Treatment time
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GEM
Paper correction by Prof. Sardaji
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Choices
• Choice of variety of agents
• Choose to use therapeutic modalities
• How you choose is individual decision
• Choice must be based on theoretical
knowledge and practical experience
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Regardless of choice, Remember….
Physical agents should only be used as
an adjunct to other forms of exercises!
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Losers live in the past. Winners learn from the past
and enjoy working in the present toward the future
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Pa ahmedabad 2013

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Pa ahmedabad 2013