7/1/2016 RUSSIAN RUSSIAN CURRENT CURRENT DR/ AMAL ABD EL BAKY & MR. CHANDRASEKAR.L 1 353 RPT Russian Current 2 7/1/2016 Lecture outline Definition of Russian current Indications , contraindications and dangers of Russian current Examples for Russian current application 353 RPT Russian Current 3 7/1/2016 Lecture objectives At the end of lecture the student is able to Define Russian current List the, indications, contraindications and dangers of Russian current Demonstrate how to apply Russian current in cases of muscle spasm and muscle strengthening. 353 RPT Russian Current 4 7/1/2016 353 RPT Russian Current 5 7/1/2016 353 RPT Russian Current 6 7/1/2016 Introduction It also called as TONE – BURST current – was first investigated by – Dr.Y.M.Kots. It is a medium frequency interrupted current – around 2500Hz. It was suggested that this led to significant 30 – 40% gains in muscle strength. Although it is medium current the nerves are stimulated because it is interrupted to give a low frequency stimulation of 50Hz. 353 RPT Russian Current 7 7/1/2016 Definition The Russian current consists of a 2500Hz evenly alternating medium frequency current applied as a series of separate bursts, having a pulse duration of 0.2ms with 10ms inter burst interval, producing 50 bursts per second. (Like L.F. faradic type current pulse at 50Hz) 353 RPT Russian Current 8 7/1/2016 The maximal electrical stimulation can cause nearly all the motor units in a muscle to contract synchronously; which can’t be achieved in voluntary contraction. This produce stronger muscle contraction – greater muscular hypertrophy. Electrodes are applied on the muscle belly 353 RPT Russian Current 9 7/1/2016 Indications Muscle hypertrophy Muscle strength Reduction of muscle spasm 353 RPT Russian Current 10 7/1/2016 CONTRAINDICATIONS Hemorrhage Skin infection Malignancy Deep vein thrombosis Pacemakers Pregnancy Chest wall in patients with cardiac problems 353 RPT Russian Current 11 7/1/2016 Dangers Burn Increased pain General malaise Nausea Dizziness / Faintness Migraines / Headache Neurological effects 353 RPT Russian Current 12 7/1/2016 PROTOCOL FOR MUSCLE STRENGTHENING/HYPERTROPHY Amplitude: Tetanic muscle contraction Pulse rate: 50 – 70 Hz Pulse duration: 150 – 200 μs 353 RPT Russian Current 13 7/1/2016 PROTOCOL FOR SPASM REDUCTION Amplitude: Tetanic muscle contraction up to patient’s tolerance. Pulse rate: 50 – 70 Hz Pulse duration – 50 – 175 μs Muscle contraction: Isometric Exercise mode: Ramped (1-5sec) Interrupted (5-12 seconds ON, 8-15 seconds OFF) 353 RPT Russian Current 14 7/1/2016 Current can be applied during the following volitional activities: 1. Isometric ex’s at several points through ROM 2. Slow isokinetic ex’s, 5-10 degree / second 3. Short arc joint movement when ROM is restricted. 4. Ex’s mode: Ramped (1-5sec) Interrupted (15 seconds ON, 50 seconds OFF) 353 RPT Russian Current 15 7/1/2016 Russian device Quadriceps stimulation 353 RPT Russian Current