Low and medium Frequency Electrotherapy - Implox

C. Muscle strengthening (ID-FC-IF-RS-TENS):
The therapeutic objectives include:
• restoration of the sensation of muscle tension (post-operative or post-traumatic);
• revalidation – increasing the muscle strength in atrophy in order to improve the (active) stability of a joint;
• maintaining the condition of a muscle (prevention of atrophy) in immobilization or partial or complete denervation;
• muscle stimulation in paresis/paralysis (hemi-, quadri- or paraplegia) (ID-FC);
• stimulation of the internal and external sphincters in faecal and urinary incontinence (IF-TENS).
D. Muscle stretching (IF-TENS):
• muscle shortening due to hypertonia;
• muscle shortening due to connective tissue stiffness.
E. Iontophoresis (D-DI)
• scars;
• neuralgia;
• subcutaneous fibrosis (Dupuytren’s contracture);
• tendinitis;
• wounds;
• fungal infections;
• injection site infiltrations;
• arthrosis.
F. Wound healing (D-DI-TENS):
• poor healing of skin lesions due to peripheral circulation disorders;
• post-operative and post-traumatic wounds.
Notes:
1. For the majority of these indications it is possible to select either single- or two-channel treatment.
Two-channel treatment can be applied for:
• pain reduction;
• segmental application;
• bilateral conditions;
• diagnosis and treatment of trigger points;
• combined treatment – local pain suppression and treatment of the associated trigger points;
• muscle stimulation.
2. Where several current types are shown, it can be assumed that a given indication can be treated with more than
one type of current. In general, the current characteristics should be in accordance with the acuteness of the
condition. ‘Mild’ current types such as interferential current and two-phase compensated alternating current are
suitable for acute conditions, while Burst TENS or MF diadynamic current may be used for less acute or chronic
conditions.
9.2 Contra-indications
General contra-indications:
• pyrexia;
• tumours;
• tuberculosis;
• patient’s unwillingness.
Absolute contra-indication:
• loss of sensitivity in the region to be treated (due to warning function of pain).
Relative contra-indications:
• skin defects and sensitivity disorders;
• localized inflammatory processes;
• thrombosis (due to the risk of embolism);
• pregnancy (lumbar or abdominal application);
• tendency to bleeding;
• pacemakers*;
• metallic implants (if the patient experiences unpleasant sensations).
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