1. INTRODUCTION TO PHYSIOTHERAPY. GALVANIZATION. ELECTROFORESIS
INTRODUCTION TO PHYSIOTHERAPY. GALVANIZATION. ELECTROFORESIS. FRANCLINIZATION.
Prof. Mysula I.R.

2. Physiotherapy From Greece: physio – nature; therapy – to treat
Field of clinical medicine studying medical properties of physical factors and developing the methods of their application for diseases treatment and prophylaxis, and also for the medical rehabilitation

3. Levels of physiotherapeutic factors influence
- local
- distant (reflex-segment)
- on the whole body

4. Basic principle of treatment
pathogenetic, not etiologic
Therefore the indicate for them are determined by not so much the etiology of illnesses, but its pathogenesis, predominance in pathogenesis the processes of inflammatory or dystrophic character.

5. Common contraindications for using of physiotherapeutic methods
severe exhaustion
difficult condition of patient
risk for bleeding
tumours
blood diseases
cardiovascular and respiratory failure
disorders of liver and kidneys function
atherosclerosis
ІІ-ІІІ stage of arterial hypertension
active tuberculosis

6. Basic effects in tissues
thermal
unthermal

7. Classification of physiotherapy methods
I. After the area of influencing:
1.General (for Wermel, collar for Shcherbac, four chamber galvanic baths, general UFO and others like that).
2. Local (transverse, longitudinal, tangential, focal).
3. Reflex-segmentary.
4. On biologically active points.
ІІ After localization:
1. Superficial (on the scin).
2. Intracavity (nasal, mouth, years, vaginal, rectal).
3. Intravascular (laser).
4. Intraorganic.

8. Classification of physiotherapy methods
ІІІ After the strength of contact:
1. Contact (dense contact).
2. Distance (eluvial).
ІУ After the technique of execution:
1. Immobile.
2. Mobile.

9. GALVANIZATION
Application of constant direct electric current of small force (to 50 мА) and low tension (30-80V) with the medical purpose

11. Cathode (-) excitant, restorative (uses at paresises, paralyses)
secretory, stimulatory (hormones production)
myotonic
hydrotative
metabolic
vasodilatative

12. Anode (+) depress, analgetic (uses at spasms, hypertonus)
hyposecretory
myorelaxatic
dehydratative
metabolic
vasodilatative

13. Local reactions Changes of cells hydration
Changes of protoplasm colloids dispersion
Changes of permeability of cell membranes
Fasting of blood stream
Increase of permeability of vessel wall

14. General reactions
Irritation of peripheral receptors → nervous impulses are passed on afferent ways in the CNS → complex reactions-answers of organs and systems of organism.

15. Indication І-ІІ stage arterial hypertension. Bronchial asthma.
Inflammatory processes of different localization.
Stomach and duodenum ulcerous.
Skin diseases

16. Contra-indication Common Individual high sensitiveness to current
Damage of skin and skin diseases in the place of electrodes application
Acute purulent inflammatory processes
Lack of pain sensitiveness

17. FILM “GALVANIZATION”

18. Placing of electrodes
longitudinal
transversal

19. Medicinal electrophoresis
Introduction of medicines in human body with the help of a direct current
2 factors act:
medicine
galvanic current

20. Causes for skin depot formation
shallow penetration of medications;
high properties of ion changes structural components of skin;
relatively low activity of metabolism;
bad circulation of blood in the upper layers of skin.

21. Advantages of medicinal electrophoresis
Medications are acted on the changed by galvanic current cells and tissues.
Medications enter tissues as ions, that increases their pharmacological activity.
Formation of "skin depot" prolongs duration of medications action.

22. Advantages of medicinal electrophoresis
High concentration of medications is created directly in a place of pathology.
The mucous membranes of gastro-intestinal tract is not irritated.
Possibility of simultaneous using of a few medications is provided (from different poles).

23. FRANCLINIZATION
It is a medical method, in which the electric field of high tension uses.

24. COMMON FRANCLINIZATION
LOCAL FRANCLINIZATION

25. Indication
functional diseases of the central nervous system, especially those that is accompanied by the irritability, disorders of sleeping (migraine, insomnia, asthenic states and others like that)
I-II stages of arterial hypertension
bronchial asthma
trophic ulcers, infected wounds and wounds which are treated difficulty
facial skin and mouth mucous parestesia

26. Contra-indication Common
organic diseases of the central nervous system
low arterial pressure
For local franclinization contra-indication is the state during 2 weeks after the course of rentgenotherapy.

27. Thank you for your attention