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Low and medium Frequency Electrotherapy - Implox

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13. Dupuytren’s contracture<br />

Objective : introduction of<br />

hyaluronidase by<br />

iontophoresis<br />

Patient position : sitting<br />

Electrode positions : anode on the contracture<br />

cathode (indifferent)<br />

elsewhere on body<br />

Current type : <strong>medium</strong>-frequency<br />

alternating current<br />

Output characteristic : CC<br />

<strong>Frequency</strong> : -<br />

Phase time : -<br />

Burst : -<br />

<strong>Frequency</strong> modulation : -<br />

Sweep mode : -<br />

Amplitude : limit of tolerance<br />

Treatment time : 20 minutes<br />

<strong>Frequency</strong> of treatment : three times weekly<br />

14. Muscle strengthening: quadriceps femoris<br />

Objective : muscle strengthening<br />

Patient position : sitting on treatment couch<br />

Electrode positions : proximal <strong>and</strong> distal on<br />

musculature<br />

Current type : Russian Stimulation<br />

Output characteristic : CC<br />

<strong>Frequency</strong> : 50 Hz<br />

Phase time : -<br />

Burst : -<br />

<strong>Frequency</strong> modulation : -<br />

Sweep mode : -<br />

Amplitude : limit of tolerance<br />

Treatment time : until fatigue occurs<br />

<strong>Frequency</strong> of treatment : daily<br />

Note : ratio between stimulation<br />

<strong>and</strong> pause is 1:2. Training<br />

program: 2/10/1/50<br />

15. Muscle strengthening: serratus anterior<br />

Objective : muscle strengthening<br />

Patient position : sitting<br />

Electrode positions : proximal <strong>and</strong> distal on<br />

musculature<br />

Current type : TENS (biphasic<br />

symmetrical pulse)<br />

Output characteristic : CC<br />

<strong>Frequency</strong> : 50 Hz<br />

Phase time : 75 µs<br />

Burst : -<br />

<strong>Frequency</strong> modulation : -<br />

Sweep mode : -<br />

Amplitude : motor level – limit of<br />

tolerance<br />

Treatment time : until fatigue occurs<br />

<strong>Frequency</strong> of treatment : daily<br />

Note : ratio between stimulation<br />

<strong>and</strong> pause is 1:4. Training<br />

program: 2/7/1/25<br />

46

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