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

电磁波谱

DCLow frequency

Intermediate frequencyHigh frequency

UHFInfrared ray

X-ray-ray

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

Galvanic current （ DC ）Galvanization

Theory ： Effect:

Positive pole Negative pole Acid Acid Protein Protein

Positive ion

Negative ion

Positive pole Negative pole Acid Attracts oxygen Dehydrates tissues Vasoconstrictor Causes ischemia Stops bleeding More germicidal Sedative Corrodes metals by oxi

dation Relieves pain

Alkaline Attracts hydrogen Liquefies tissues Vasodilator Causes hyperemia Causes bleeding Less germicidal Stimulant Does not corrode metal

s Causes pain

Iontophoresis Theory ： attract ,

repel Specialty ：Drugs ionLocal

concentrationSuperficial and slowDouble 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 stimula

tion (TENS) Neuromucular electrical stimulation

(NMES) Functional electical stimulation (FES)

Functional electrical stimulation(FES)

Theory ： Specialty ：

Intermediate frequency Undamped medium frequency electro

therapy Modulated medium frequency electro

thrapy 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 ？ Specialty? Low frequent ？ Specialty? What is the phototherapy? Theory about megnit-therapy? What is the ultrasound-therapy? Speci

alty?