Physical therapy （ physical medicine) 仁济临床医学院 康复医学教研室 王颖

reviews     definition: physical agents,treatment origin & advance: field: Mechanism ：

fields         electrotherapy phototherapy ultrasonic therapy magnetical therapy heat & cold mechanotheropy Theraputic exercise others

 -ray X-ray Infrared ray UHF High frequency Intermediate frequency Low frequency DC 电 磁 波 谱

electrotherapies

 Direct current (DC)   Low frequency current Intermediate frequency  High frequent (shortwave diathermy,SWD) Microwave diathermy, MWD)

Galvanic current （ Galvanization DC ）   Theory ： Effect:

Positive pole Negative pole Acid  Protein  Positive ion Acid  Protein  Negative ion

Positive pole Negative pole           Acid Attracts oxygen Dehydrates tissues Vasoconstrictor Causes ischemia Stops bleeding More germicidal Sedative Corrodes metals by oxidation Relieves pain           Alkaline Attracts hydrogen Liquefies tissues Vasodilator Causes hyperemia Causes bleeding Less germicidal Stimulant Does not corrode metals Causes pain

Iontophoresis  Theory ： attract , repel  Specialty ： Drugs ion Local concentration  Superficial and slow Double effect

specialty of the Low and intermediate frequency current       cause muscle contract circulation  Stimulat N.T.

— spinal — the gate theory N.T.--endorphins  Pallium — inhibit Reduces dorsal horn cell activity

Low frequency current    Transcutaneous electric nerve stimulation (TENS) Neuromucular electrical stimulation (NMES) Functional electical stimulation (FES)

Functional electrical stimulation(FES)   Theory ： Specialty ：

Intermediate frequency    Undamped medium frequency electrotherapy Modulated medium frequency electrothrapy Interferential therapy

High frequent electrotherapies   Theory ： Specialty ：

phototherapy

    infrared visible light ultraviolet laser

therapeutic Heat    method ： conduct 、 diathermy effect ： indication ：

effect of therapeutic Heat

Indication of the therapeutic Heat         Acceleration of metabolic processes Pain Contracture Muscle spasm Hematoma resolution Tension myalgia Production of hyperemia others

ultrasonic therapy    theory Effect Indication

magnet therapy

  theory effect

Hydrotherapy   Theory （ temperature 、 press 、 chemistry ） effect

Paraffin therapy   Theory (warm 、 press 、 embellish ） effect

Hypothermia(cold therapy)   blood vessel – contract nerve - excitability 

Mechanotheropy    Traction Manipulation Massage

Theraputic exercise (kinesithrapy)    medical gymnastics ROM exercise others

watch － musicotherapy      音乐治疗 ＋ 视觉治疗 现实视听世界 ＋ 虚幻视听世界 大脑中枢 听觉和视觉有机结合，使音色，旋律， 节奏，色彩，形状的变幻融为一体， 通过感官刺激，最大限度发掘大脑潜能 具唤醒，催进，激励或安宁，抚慰，宣 泄等精神心理作用

原理  音高的临床含义  音量的临床含义  音色的临床含义  节奏的临床含义  旋律的临床含义

可视音乐疗法

summary   commonness characteriatic

Problem      Theory about DC ？ Low frequent ？ Specialty?

Specialty?

What is the phototherapy?

Theory about megnit-therapy?

What is the ultrasound-therapy? Specialty?