Compatibility of laser therapy with physiotherapy. B. Contraindications Table of compatibility of therapeutic physical factors
Lecture number 2.
Principles for the appointment of physiotherapy treatment. Compatibility, sequence and combination of physical factors in complex treatment.
The rational use of therapeutic physical factors in a particular patient implies compliance with the differentiated selection of the type of energy used and the specific procedure methods. At the same time, the doctor must take into account the syndromic pathogenetic validity of the application of a particular physical factor, the nature of the main clinical manifestations Individual features of the course of the disease, source functional state The body and specificity of therapeutic effect of the chosen factor. On this basis can be formulated general principles their uses in therapeutic and preventive purposes.
1. Principle of unity of etiopathogenetic and symptomatic physiotherapy
It is implemented on the basis of the specific properties of each therapeutic factor and its influence on certain functions of the patient's body. It is also necessary to assign factors that simultaneously eliminated or weakened the etiological agent of this disease, they actively intervened in its pathogenesis and eliminated the manifestations of the main symptoms. Some of therapeutic physical factors can affect the ethiological moment (d'Assonsee, UFO), the overwhelming majority of others on various tracks of pathogenesis and the axis of the symptoms of the disease, which is their indisputable advantage.
In a sharp period of the disease, it is necessary to influence the ethiological agent. With subacute and chronic inflammatory diseases, the procedures should be directed to the permissions of the pathological process, the elimination of its residual manifestations and the normalization of the functions of various organs and systems. This principle also implies the possibility of influencing the therapeutic physical factor directly on the pathological center (locally), reflexogenic zones and areas of segmental-metairene innervation (segmental) and on a holistic organism (generalized).
2. Principles of an individual approach in treating physical factors
This principle comes from the main clinical Tezis S.I. Botkin "Treat is not a disease, but a patient." When prescribing physiotherapy treatment, it is necessary to consider:
age, gender and constitution of the patient.
The presence of concomitant diseases
The presence of individual contraindications for the use of a certain physical factor.
The organism reactors and the exercise degree of adaptation-compensatory mechanisms.
Biorhythmic activity of the basic reactions of the body.
In children from the first days of life, it is permissible to appreciate the elements of massage, hydrotherapy, aerosolterepics, UV irradiation. From 1 month of UHF therapy, from 6 weeks. Medicine electrophoresis, from 14-15 years old microwave therapy, underwater spine pulling.
In senior patients, physical factors are used in gentle mode.
The patient's floor determines its physical characteristics, and the Constitution gives an idea of \u200b\u200btreating the nature of response to a certain physical factor on the part of the central and vegetative nervous system.
When prescribing physiotherapeutic treatment, it is necessary to take into account the presence of concomitant diseases and choose the optimal medical agentsuniversal suitable for both the main and concomitant disease.
In general, along with the choice of physical factor, it has an individual selection of dosages and treatment techniques, for example, the intensity of UV irradiation is determined by biodoximetry, and the method of drinking mineral water - by the ratio and duration of the phases of the secretion of the stomach.
The effectiveness of physiotherapy significantly depends on the biorhythms of the patient. The experience of chronobiological optimization of the effects of therapeutic physical factors suggests that in patients in the morning hours, responses are formed against the background of the prevailing tone of sympathetic NA, and in the afternoon-parasimptomatic. When prescribing therapeutic physical factors, women need to take into account the background hormonal activity in different phases menstrual cycle: In the days of ovulation - gentle treatment regimen, in terms of choosing the intensity factor and duration used (thermal, stimulating blood circulation in a small pelvis factor - contraindicated).
An indispensable condition for individuality of physiotherapy is to create a positive emotional attitude in patients. To do this, compliance with honey. Personnel requirements, delicacy and warns in communication with patients.
3. The principle of coursework physical factors
The most pronounced therapeutic effect of most physical factors occurs as a result of coursework. Its duration is for some diseases 6-8, for others 8-12, less often 14-20 procedures. In this case, morphofunctional changes arising after the initial procedure are deepening and fixed by subsequent. Depending on the dynamics of clinical manifestations, the procedure is carried out daily or every other day. Sum medical effects Physical factors ensures a long-term consequence of the physiotherapy course, which continues and on its completion. It must be borne in mind that the long-term results of the use of some physical factors are more favorable than direct. The periods of the consequences of the majority of electro and crystal factors range from 2 to 4 weeks, and when using natural factors, it is reached from 6 months to 1 year. At the same time, the long use of one physical factor increases adaptation to it and significantly reduces the effectiveness of therapeutic action.
4. The principle of optimal treatment by physical factors
Physical factors have unequal therapeutic efficacy in the treatment of a specific disease. Based on this, the parameters of the therapeutic factor and the methodology of its use must be optimal, i.e. Maximize the character and phase of the pathological process. In the acute period of the disease, predominantly low-intensity physical factors are used directly to the pathological hearth, and high-intensity on segmental and reflex.
In the submembratus and chronic phases of the disease, the intensity of factors acting locally increase. For example, in an alternatively-exetaging phase of inflammation, electricians are prescribed. The UHF field of low intensity (20-30 W0, and in infiltrative-proliferable increases to 50-70W.
In weakened patients, general ultraviolet irradiation is prescribed along a slow motion scheme, in physically strong - according to accelerated, with good patient reactivity - according to the main scheme.
In addition to this clinical practice There are certain contraindications for the use of physical factors. Moreover, contraindications in physiotherapy are common and private. Common contraindications imply diseases and conditions when physiotherapeutic treatment. Not appointed at all:
Acute stage of the disease.
Diseases in decompensation
Systemic blood diseases
Oncological pathology
Infectious diseases (V.T.ch. tuberculosis and venereal diseases)
Bleeding and inclination to them
Cachexia
Unclear diagnosis
Mental diseases
5. Dynamic treatment by physical factors
According to this principle, physiotherapy must comply with the current state of the patient. Its compliance requires constant correction of the parameters of the physical factors applied during the entire period of treatment of the patient. During treatment, the patient may reveal concomitant diseases that may require changes in physiotherapy tactics. This has the ability to change the intensity, and the frequency of the physical factor, localization, area and duration of exposure.
If the imposition of physiotherapy procedures is possible to appear adversely reactions with ... pathologically modified organs. The main sign of the inadequacy of physiotherapy is the aggravation of the pathological process to the formation of the patient's deadaption reaction. Such a reaction may be general (without significant changes in the affected organ or system) or local (focal).
With a general response flowing by the type of vegeto-vascular syndrome, an increase in irritability, fatigue, a decrease in working capacity, sleep disorders, change in temperature curve, sweating, change of pulse, blood pressure. An aggravation of concomitant diseases may be observed.
The focal (local) reaction is characterized by a violation of cerebral hemodynamics, the heads of the patient, dizziness, the enhancement of pain in the focus, edema mucous, hyperemia. During treatment, physical factors need to continuously monitor the responses of the body and their proper clinical assessment.
For timely correction of Piz. Treatment It is necessary to focus on clinical and laboratory indicators of the patient's condition: the frequency and filling of the pulse, the respiratory rate, the condition of the skin and mucous membranes, the temperature curve, ECG, blood test, urine, etc.
6. Principle comprehensive treatment physical factors
Complex treatment is carried out in two forms: combined and combined.
Combined treatment involves simultaneous impact on the pathological focus by several physical factors. In combined treatment, physical factors are used consistently with different time intervals or replacing each other with tumors. High efficiency Complex treatment with physical factors is based on their synergies, potentiation, manifestation of new therapeutic effects, as well as at an increase in the duration of the afteraction.
When prescribing physiotherapy procedures, it is necessary to take into account the compatibility factor. It is not recommended to conduct one day the following procedures:
Causeing a common response of the entire organism (2-bath,)
2 procedures and more types of electrophoresis, galvanization, UFO, thermal effects per reflexogenic zone.
It is impractical to appoint procedures close to their physiological action (DDT and AMT, UHF and microwave, mud, general UFO and)
Procedures having the opposite effect are thermal and cooling, exciting and soothing.
When appointing UFO, electrophoresis, novocaine, diphedrol, infrared irradiation, thermal procedures, massage should not be prescribed to the same zone.
2 Local procedures consistently to potentiate action of each other (UHF, inductothermia, infrared irradiation and medicinal electrophoresis, heat collection and massage)
Massage effective, not a medical method of functional therapy, which is widely used in different areas treatment and restoration of the body.
Massage is used at all stages medical rehabilitation patients. Used in complex replacement treatment of subacters and chronic diseases blood circulation bodies, nervous system, musculoskeletal system, internal organs, as well as in the manifestation of some skin diseases.
Massage well established himself as beautiful tool Prevention and recovery of mental and physical activity. A special place occupies a massage in sports and recreation practices, standing out in a separate view of "sports massage". The widespread use of various massage techniques in cosmetology gives striking results in rehabilitation and rejuvenation.
In application complex therapy With different diseases, in addition to massage, turn on different types Physioprocessed, it is necessary to take into account their compatibility.
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Massage can be combined with various physiothereders, apply "simultaneously" or "combined" to be applied consistently, depending on which the impact must have a massage: relaxing, toning, etc. The purpose of the sequence or a combination of physioprocessed, depends not only on the signs of similarity on their physiological action. It is necessary to take into account the depth and intensity of the impact of procedures, the nature of the pathological process, and the main reaction of the patient himself this procedure And his condition at the time of its purpose. When applying various massage techniques, as well as aligning them with other physiotics, the health, age and reactivity of the nervous system is necessarily taken into account. |
It is not recommended to apply such powerful stimuli in one day such as a common massage and a common light bath, due to the fact that both physical factors have a very energetic effect on the patient's body.
When prescribing a course of treatment with massage and electrophoresis, it is not recommended to massage the skin areas to which the electrodes imposed, but if necessary, massage should be carried out 30-60 minutes to electrophoresis or assign procedures every other day.
A number of physiotherapeutic procedures are incompatible by the nature of those reactions that these procedures cause, for example, common ultraviolet irradiation and massage, Sharcot shower and a common massage.
- It is impossible to massage the bodies subjected to a quartz lamp.
Physiotherapeutic procedures that do not cause long-term consequences and are not heavy load on the cardiovascular and nervous Systemsmay be assigned to the same day, but at different times of the day:
- water bath (short and low temperature) and massage;
- steam bath and massage, mud (local applique) and massage, paraffin appliqué and massage.
Low pressure shower (fan, circular, rain) can be prescribed every other day.
Sharing massage and other physiotherapy.
- one day you can spend massage and inhalation, quartz tube. The sequence of these procedures does not matter.
- with hypertension, massage is prescribed to therapeutic gymnastics.
- effectively combine daily massage with medicinal gymnastics and every other day with ultrasound and coniferous baths.
- the use of preliminary massage in the areas of the body exposed to reflexotherapy (acupuncture) increases its efficiency.
- it is recommended to perform a massage before and after the cold procedure. After challenge measures, the massage should be more intense. Segmental and reflex massage reduces meteo-sensitivity.
- massage with the consequences of injuries of the musculoskeletal system, bruises, stretching, fractures, contractures need to be produced after paraffin and mud appliqués, mud or bath, it contributes to rapid and efficient recovery.
It is believed that mud, leaf and massage are synergistic procedures that must follow each other with minimal intervals.
Massage can be combined with other physical factors in different sequences. N. A. White * recommends ischemic Disease Hearts alternate massage with baths on different days or perform it before receiving the bath.
- with asthenic syndrome and atony of Vessels O. F. Kuznetsov recommends massage, then the healing gymnastics, after it is an oxygen bath, and when the vessel spasme is first an oxygen bath, then therapeutic gymnastics and massage.
- with dermatogenic, desogenous and myogenic batch contractures, L. A. Kutubyov advises first to prescribe a physiotherapeutic procedure (diathermy, paraffin and mud and therapy), and then therapeutic gymnastics, after which massage is carried out.
- it is considered advisable in the injuries of peripheral nerves to assign a massage after medical gymnasticsSince he removes fatigue, or in front of the physiotherapy procedure as preparation (extension of vessels) to it.
- the sequence of appointment of procedures with radiculitis (shain-breast, lumbar-sacrive) depends on the severity of pain syndrome: with severe pain, the massage is made before LG, when the pain is sacred - before and after LH.
- massage is useful before applying an orthopedic product. Pre-massage of the limb and light stroking of the palm surface II or II and III fingers of the muscle, which is reduced when the limb is moving in the movable tire, increases the efficiency of orthopedic measures.
It should be noted that the complex of physiotherapy (treatment with heat, massage, electric trains, photology, reflexology, etc.) is assigned and recommended only by the attending physician. Therapist examining the patient's treatment, applies certain methods of influence based on the pathology of the disease, the susceptibility of the patient to this procedure, and in the patient's condition at the time of the treatment.
* N. A. Belaya - Dr. Med. Nauk, Professor, Consultant of the 4th Moscow Medical Physical Cultural Dispensary.
121 - acute myocardial infarction
182 - Embolia and thrombosis of other veins
000-29 - Pregnancy
Q00 -07 - Congenital Anomalies (Development Vices) of the Nervous System
R50 - fever of unclear origin
R64 - Cachexia
R53 - physical overvoltage
Coo-D48 - benign and malignant neoplasms
D55-59 - hereditary hemolytic anemia
D65 -68 - blood coagulation disorder
D69 - Purpur and other hemolytic states
J84, R04.2 - Pneumosclerosis with inclination to pulmonary bleeding
Appendix 3.
Compatibility and sequence when appointing physical healing agents
There are two main types of combination of physical healing agents: a combination and combination.
Combined physical impacts - the simultaneous use of two or three physical and non-physical healing effects (galvanoindootothermia, vacuum electrophoresis of medicinal substances, etc.).
Combined physical healing effects - consistent purpose of several physical healing agents.
Possible advantages of combined use of physical and drug resources:
Improving the effectiveness of treatment with a smaller addiction of tissues to the action of one factor, synergism and potentiation are more pronounced;
The combination of exposure in weaker dosages with the best tolerance of procedures;
Saving time of the patient and personnel;
Great efficiency of treatment courses.
In addition to the combination of physical factors, it is necessary to take into account the inclusion in the medical complexes of the LFC, massage, climatic medical influences, inhalation, medicine, psychotherapy procedures (autotraining, hypnosis, etc.) and radiotherapy.
It is also necessary to consider various options for combined combination of various physical healing agents:
Combining with the impact on the same skin area, organ or system;
Combination with the impact on different zones, organs or systems (in the treatment of basic and related diseases);
Combination with different time intervals (without a substantial interval, after 1.5-2 hours, daily, after a day, etc.);
Combining physical factors of various effects (two strong, strong and weak or weak);
Combining factors with an unequal directivity of exposure (antagonistic, synergistic, etc.).
Combination options
a) combining physical factors;
b) the combination of physical factors with LFK and massage;
c) combining physical factors with climatotherapeutic procedures;
d) combining physical and drug funds;
e) combining physiotherapy and radiotherapy products:
(e) Combining physiotherapy with psychotherapy (for example, light or other heat with autotraining).
Principles of combination
Absolutely incompatible procedures in physiotherapy are absent. Variating methodological techniques (sequence, intensity, duration, localization) can be reasonably and targeted to prescribe two almost any factor. However, there are physical factors whose combination is simply inappropriate, and they are practically not combined (diadinamic currents and SMT). There are factors, the possibility of combining which is subject to study.
Synergism - Unidirectional impact of physical factors with their application or to the same, or to various zones, organs and systems (synergistic, but different mechanism of therapeutic action).
Sensitization - Preparation of fabric, organ or organism by one therapeutic factor to a more efficient action of another.
Adequacy - Applicable physical factors should not exceed the adaptive capabilities of tissues, organs, organism systems (not overload the body with excessive amounts of impact).
Combining local and common effects (to enhance the local focal reaction). When appointing one day, local procedures are first followed.
Antagonism - Application of multidirectional influences
a) for the weakening by one factor in the unwanted effects of the action of another;
b) to provide training impact (contrasting procedures).
Sinking effect. The purpose of combining certain types of influences may be a decrease in the intensity of each of them, shortening the duration of the procedures, a course of treatment. Terms of Combining
1. If one effect prepares the fabric, the organ (system) to a more efficient effect of the other, the second can be carried out after the first without a substantial interval.
2. The interval between the procedures of this is not envisaged to make up at least 1.5-2 hours.
3. One day is not prescribed two procedures with a common effect on the body, especially if they relate to the number of strong (permissible for weak).
5. Local physiotherapy impacts are usually appointed to general procedures.
6. Local UV irradiations in erytimemary dosages are not prescribed after water procedures (avoiding, in particular, skin macerants 0.
7. The electrophoresis of many medicines in order to more and deeper their introduction immediately after the following local procedures: ultrasound through water (but not oil), microwave, inductothermia, paraffio-ozberite aschtlikations, local baths.
8. The electrophoresis of medicinal substances in order to create a sustainable skin depot of medicines is recommended to be carried out to the specified procedures using adrenaline, cold and preferably in different skin areas.
9. Common physiotherapeutic procedures are not carried out in the days of carrying out load tests of patients.
10. When carrying out comprehensive treatment, physical factors should consider whether it is carried out without exemption from active work or with liberation. In the first case, the 1.5-2 hour interval is set between the end of work and conducting physiotherapy procedures.
Rules for combining climatic and physiotherapy procedures
1. The procedures for hardware physiotherapy should be carried out, as a rule, after climatic (especially local thermal) - the interval is about 2 hours. Water, mud, ozokerite, paraffin, etc. Procedures are also carried out after climatic (after air and solar baths).
2. Solar baths are more often taken to sea and other bathing.
3. On the days of marine (Liman, river) baths are not recommended to carry out heat treatment procedures, or they are conducted after bathing with a multi-hour interval.
4. Climatic impacts are useful combined with LFC (climata-kinesotherapy), they have a high hard-hardy and therapeutic effect.
5. It is advisable to simultaneously carry out mud and climature - "Egyptian" method of mud or mud method of solar heating.
Impacts incompatible in the framework of one procedure
1. Technically incompatible (for example, light and many water procedures).
2. Opposite but mechanisms of action (for example, cold and inductothermia),
3. Causes of tissue overload, organ, system, organism.
One day incompatible procedures
1. Procedures causing a common generalized reaction of the body that affect the overall reactivity, causing noticeable fatigue or excitation of the patient. In particular, the electroson is incompatible with other electrical traders of the overall impact on the body (general franklinization, etc.).
2. Procedures for unidirectional action, but superior adaptation capabilities of the organ or tissue: in particular, erythematic effects and intensive thermal procedures.
3. Metrated by the treatment mechanism of the procedure, not providing for one goal: sedative and exciting, cold and hot procedures,
In the course of treatment do not combine
1. Intense aquatic, mud and electrical trains with acupuncture.
2. Forelling with intense thermotherapy (especially inselling).
3. Aerotherapy with severe cold loads with intense mud.
4. Close in their physical characteristics: solar baths and UV irradiation, two high-frequency procedures (inductothermia and microwaves).
5. Massage and erythemical UV therapy of the same zones.
6. Invisible as a course of treatment are procedures, the result of which there may be damage to the tissue: erytimerapy, galvanization, massage, local darsonvalization in the same skin areas.
The combination of therapeutic physical factors is one of the forms comprehensive application physical factors in the treatment and rehabilitation of patients. It is considered one of the most promising directions for improving therapy efficiency. various diseases. Combined methods are also allowed without prejudice to the patient to reduce the amount of treatment techniques used daily, provide greater savings time spent on separate conduct of several procedures. As a rule, they are well tolerated by patients and do not cause adverse reactions from the most important systems of the body. However, due to technical and methodological difficulties, the combination of therapeutic physical factors is much less common than their combination. True, every year the spectrum of combined physiotherapy methods and their applications are expanding. The potential possibilities of combined physiotherapy gives a submission refined and completed classification of its methods proposed by L.A. Komarova et al. (1994).
Classification of combined physiotherapy methods
1. Combined methods of drug electrophoresis and galvanization:
Vacuum Electrophorenez
Aero Electrophorenez
Electrophophonophoresis
CinoElectrophorosis
Industothermoelectrophorosis
Galvanoindoutothermia
Galvanogryazhelezheti
Hydrogenic baths
Galvanoacapuncture
2. Combined impulse therapy methods:
Electroacapuncture
Diadalimindoutothermia
Vacuumelectropuncture
3. Combined crystration methods:
Combined use of infrared, visible and UV rays
Magnetolaser and therapy
Mile therapy
Lasemorem
Fourball and therapy
Photovacumerapia
4. Combined hydraulic methods:
Vibrating baths
Vortex baths
Underwater Massage
Combined baths (carbon dioxide, pearl-radon, sulphideradone, etc.)
Miserazvodny baths
Laser souls
5. Combined mud methods:
Galvanogryaz
Mussoelectrophoform
Diapidamochildo
Pelonotherapy
Amplipulsgryazheliy
Miserazvodny baths
Gangindotothermia
Mu
6. Combined ultrasound therapy methods:
Electrophophonophoresis
Phonodidadamoforosis
Fonophamplipulsforsterez
Magnetophyphoroforosis
Vacuumonotherapy
7. Combined high-frequency therapy methods:
Vacuum Schools
Gangindotothermia
Industothermoelectrophorosis
8. Combined MagnitTherapy Methods:
Magnetophoresis drugs
Vibromagnetotherapy
Pelomagnetotherapy
Cryomagnetotherapy
Combined physiotherapeutic methods have some features and advantages that largely determine the larger therapeutic efficacy of the combination of therapeutic physiotherapy factors not only before they are separate, but also before the combined application.
With the simultaneous use of physical factors, the mutualation of their physiological and therapeutic action is pronounced more than with the combined (sequential) application of the same factors.
The combined action of therapeutic physical factors is much less and slower and more slowly developing. With compulsible physiotherapy effects, the reaction is more common, the systems are actively involved in it. neurohumoral regulation. Impacts can be carried out at lower intensity and the duration of the procedures, which reduces their load on the body and increases the tolerability of their patients, incl. children and elderly people.
Under the influence of combined physiotherapy procedures (compared to combined effects), general sannel mechanisms and local reactions aimed at combating the pathological process are more significantly intensified.
In combined physiotherapy procedures, the mutual influence of physical factors both on biological and physical and physical and chemical stages of their action, which can initiate new physiological and therapeutic effects.
Combined physiotherapy reduces the therapeutic process in time, makes it less tedious to patients and less labor-intensive for medical personnel. Due to the stated study of various aspects of the combination of physiotherapy methods and the development of appropriate equipment - one of actual problems Modern physiotherapy.
Classification of therapeutic physical factors and methods of physiotherapy
| Physical factors | Methods of physiotherapy |
| I. Artificial physical factors |
|
| 1. Electrician: | |
| Permanent continuous electric current (galvanic) low power and low voltage | Galvanization, medicinal electrophoresis |
| Pulse currents of low power and low voltage | Diad dartimatherapy, SMT therapy, interference, electrosone, transcranial electrolyalgesia, electrical stimulation, short-pulse electrolyalgesia |
| variables electric Toki. high frequency and voltage | Darsonvalization, ultra-thinrapy |
| Variables of electromagnetic fields of high frequency | Industothermia, UHF therapy, UHF-Industothermia, microwave therapy |
| Variables electromagnetic fields of extremely high frequency low intensity | ECF-therapy (information and wave therapy) |
| Permanent and alternating magnetic low frequency field | Magnetotherapy |
| 2. Sleeper | |
| Infrared rays | Phototherapy (infrared irradiation) |
| visible light | Phototherapy (chromotherapy) |
| ultraviolet radiation | Phototherapy (ultraviolet irradiation) |
| Laser radiation | Laser therapy |
| 3. Mechanical | |
| infrase | Vibrotherapy |
| ultrasound | Ultrasound therapy, ultrafonophoresis |
| Negative and positive atmospheric air pressure | Barotherapy, vacuum massage |
| 4. Termologist | |
| Contact coolants | Parafinotherapy, ozokeritotherapy, milateering, psammotherapy (sand Treatment) |
| Clauses | Cryotherapy |
| 5. Hydraulic | |
| pouring, wrapping, souls, bath | Hydrotherapy |
| 6. Artificial Air Wednesday | |
| Medical aerosols | Aerosolherapy (inhalation) |
| ionized air | Aerionotherapy |
| Aerosol of stone salt | Galotherapy |
| II. Natural physical factors |
|
| 1. Climathedral | Climatotherapy |
| air | Aerotherapy |
| the sun | Heliotherapy |
| water | Thalassotherapy |
| 2. Balnesechic | |
| Underground mineral waters | Balneotherapy (outer balneotherapy and drinking mineral waters) |
| 3. Mudsky. | |
| Medicinal dirt (peeloids) | Mud (peloidotherapy) |
Stages and levels of impact of physiotherapy factors on the body
Physiotherapy factors are used taking into account individual phases of inflammation and are directed to certain units of the pathological process.
On the stages of alteration It can be used to obtain an anesthetic effect - electrosone, needleflexotherapy, electrical processherapy, laser and therapy, hydrochief in the form of a bath.
On the stages of exudation In order to the anesthetic effect, improving tissue trophics, enhancing immunobiological processes, bactericidal action, to improve the ripening of abscesses, are shown: UHF, UFO, laser therapy. Waterproofs in the form of rinsing (tinkers, ion solve silver, Mineral water "Borjomi"), in the form of irrigation, these solutions, oxygen foam cocktails. The most rational method of opening the periodontal abscesses is electrosurgical using high-frequency current - diathermocoagulation. Aerosolherapy with any drugs. Moreover, the UFO is combined with hydraulic.
Stage of Proliferation- Full arsenal of physiotherapy methods
Combined and combined use of physical factors. Incompatibility of a number of factors.
Complex treatment is carried out in two forms: combined and combined.
Combined treatment involves simultaneous impact on the pathological focus by several physical factors. In combined treatment, physical factors are used consistently with different time intervals or replacing each other with tumors. The high efficiency of complex treatment with physical factors is based on their synergies, potentiation, the manifestation of new therapeutic effects, as well as to increase the duration of the afteraction. The main condition when applying combined techniques - physical factors must be unidirectional. For example, it is impossible to do cryotherapy, during which the body is cooled, and immediately do the electrocessor, which improves blood supply, causing a common response of the entire body (2-bath,); 2 procedures and more types of electrophoresis, galvanization, UFO, thermal effects per reflexogenic zone. It is impractical to appoint procedures close to their physiological action (DDT and AMT, UHF and microwave, mud, general UFO and).
When prescribing physiotherapy procedures, it is necessary to take into account the compatibility factor. It is not recommended for one day to carry out the following procedures.
Incompatible procedures in the same day
| Assigned procedure | Incompatible procedures on the same day |
| Industothermia | Ultrasound, Mud Appliques of Large Square, Healing Baths, Microwave Therapy, EP UHF Mild and Large Power |
| Low Frequency Pulse Currents (DDT, Electroson) | EP UHF, ultrasound, darsonvalization, inductothermia, four-chamber bath |
| Electrical field UHF high power | All electric trains, ultraviolet irradiation of the same area, medicinal and hygienic baths, mud applications |
| Galvanization (electrophoresis) | Mud appliqués, darsonvalization, soul high pressure, Carbonate, Radon and Sulfide Baths |
| Baths (carbonic, radon, sulfide, etc.) | Industothermia, EP UHF, Electrophoresis, Ozocerto-paraffin, Mud Appliqués, Ultrasound, Four-chamber Baths, Souls, Microwave Therapy |
| General Franklinization | Ultrasound, radiotherapy, all electric trains |
| Darsonvalization | Ultrasound on this area, all electric trains on this area |
| Mud appliqués | Microwave Therapy, Healing Baths, Four-Famine Baths, Ultrasound, Ozocerto-paraffin, Soul, Industothermia, EP UHF, Total Galvanization |
| Ultrasound | Radon, sulfide and vibrating baths, inductothermia, mud appliqués of large square, microwave therapy, EP UHF |
| UV irradiation | Solar baths and all procedures for this area |
4. Common contraindications for the purpose of physiotherapy and harmful factors in Fto
· Slow exhaustion
· Leaning to bleeding
· Malignant neoplasms
· Acute disease phase, high fever
· Psychic I. infectious diseases
· Sharply expressed symptoms of systemic and organic pathology
· Individual intolerance to treatment
· Violation of pain and temperature sensitivityEpilepsy;
· Blood diseases;
· hypertonic disease (individually);
· Veins thrombosis (depending on the type of procedures);
· The condition of alcoholic or drug intoxication.
Physical and harmful production factors:
· - increased temperature air of the working area;
· - elevated level noise in the workplace;
· - Increased vibration level;
· - Increased ultrasound level;
· - Increased infrasound fluctuations;
· - Increased air humidity;
· - increased air ionization;
· - Increased static electricity;
· - Increased electromagnetic emission level;
· - Increased electric field strength;
· - Increased magnetic field strength;
· - Increased level ultraviolet radiation;
· - Increased infrared radiation;
· - Increased level of external gamma radiation;
· - Increased level of laser radiation.
