SINUSOIDAL CURRENT Dr. Amal Abd El Baky, LOGANATHAN CHANDRASEKAR 353 RHPT – 1435 – 1436H – 1st SEM Lecture outline 2 Physics and principles of sinusoidal current Characteristics, Physiological & Therapeutic effects of sinusoidal current Uses and dangers of sinusoidal current Parameters &technique of application of sinusoidal current 353 RHPT Sinusoidal Current 7/1/2016 Lecture objectives 3 At the end of lecture the student is able to Define and outline the principle & production of sinusoidal current. List the Characteristics, physiological &Therapeutic effects, uses & dangers of sinusoidal current. Select the appropriate sinusoidal current dose. Demonstrate the Parameters & application of sinusoidal current. 353 RHPT Sinusoidal Current 7/1/2016 Definition & Physics 4 Definition: A sinusoidal current is an evenly alternating sine wave low frequency current with a frequency of 50 HZ It can be produced from the mains by reducing the voltage to 60-80 V with a step down transformer. Patient feel tingling sensation 353 RHPT Sinusoidal Current 7/1/2016 Sine waves Sine waves are characterized by the amplitude and period. The amplitude is the maximum value of a voltage or current; the period is the time interval for one complete cycle. 20 V The amplitude (A) of this sine wave is 20 V The period is 15 V 0V 50.0 s A 10 V t (s) 25 0 -10 V -15 V T -20 V 5 353 RHPT Sinusoidal Current 7/1/2016 37.5 50.0 6 It can be used as surged or unsurged currents. It is usually surged to cause a RHYTHMICAL MUSCLE CONTRACTION. Surged sinusoidal current Sinusoidal current 353 RHPT Sinusoidal Current 7/1/2016 Characteristics of a Sine Wave The length of time it takes to complete one cycle or conversely the number of cycles that occur in one second. The maximum and minimum voltage or current swing 7 Period Frequency Amplitude Peak-to-peak amplitude 353 RHPT Sinusoidal Current 7/1/2016 Period, T The period of a sine wave can be measured between any two corresponding points on the waveform. 8 353 RHPT Sinusoidal Current 7/1/2016 Frequency, f Frequency ( f ) is the number of cycles that a sine wave completes in one second. Frequency is measured in hertz (Hz). If 3 cycles of a wave occur in one second, the frequency is 3.0 Hz 9 1.0 s 353 RHPT Sinusoidal Current 7/1/2016 Amplitude, A The amplitude of a sine wave is only measured from the center to the maximum point. 10 Peak amplitude 353 RHPT Peak-to-Peak amplitude Sinusoidal Current 7/1/2016 Generation of a sine wave Sinusoidal voltages are produced by ac generators and electronic oscillators. When a conductor rotates in a constant magnetic field, a sinusoidal wave is generated. C N D B S A B C D A Motion of conductor 11 Conduc tor B - When the loop is moving perpendicular to the lines of flux, the maximum voltage is induced 353 RHPT A - When the conductor is moving parallel with the lines of flux, no voltage is induced. Sinusoidal Current 7/1/2016 12 Physiological & Therapeutic effects of sinusoidal current Tetanic muscle contraction and tingling sensation due to motor & sensory nerve stimulation Rhythmic muscle contraction by surged mode helps in edema reduction Enhance blood flow and intramuscular 353 RHPT Pain relief via sensory stimulation by the same mechanisms of TENS Reduction of edema and inflammatory exudate by unsurged mode Sinusoidal Current 7/1/2016 Dangers 13 Burn: a. Overdose( high intensity, long duration) b. Bare metal electrode on the skin. c. Metal in the path of the current. 353 RHPT Sinusoidal Current 7/1/2016 14 Shock: Sudden Increase or decrease of the current intensity. 353 RHPT Sinusoidal Current 7/1/2016 15 Pain : a. Overdose. b. Small raised edge. c. Tiny cut not insulated. 353 RHPT Sinusoidal Current 7/1/2016 Technique of application 16 Sinusoidal current can be applied in the same way as other low-frequency currents by means of electrodes and pads. However, because of the marked sensory stimulation this current is often applied to large areas and rarely used for local muscle stimulation. So it is applied either through large pads or water baths. 353 RHPT Sinusoidal Current 7/1/2016 For pain it can be used in continuous mode at intensities close to the limit of tolerance and increase the current with accommodation. Application will be done for 5 min and repeated with insufficient response. For reduction of oedema and to increase the limb circulation surged sinusoidal current is suggested. causing regular rhythmical muscle pumping actions. 17 353 RHPT Sinusoidal Current 7/1/2016 Application – Procedure / Method 18 Put the patient in a comfortable position. Explain the patient the purpose of the treatment. Select the setting on the machine for a sinusoidal current with a pulse duration of 10 ms, and a frequency of 50 Hz. 353 RHPT Sinusoidal Current 7/1/2016 19 Connect the leads to the metal electrode and to the machine. The pads should be moistened evenly. Explain the sensation to the patient “tingling sensation” Examine the area under both active and indifferent electrodes for any cut and if insulate with Vaseline. 353 RHPT Sinusoidal Current 7/1/2016 20 Bandage the active electrode on the target tissue with indifferent one on the foot. Increase the intensity gradually till the patient experiences tinging sensation under the active electrode. The response decreases slowly after2030 sec then increase the intensity gradually. 353 RHPT Sinusoidal Current 7/1/2016 21 Continue this. After 4 minutes see if the stinging is adequate there is immediate marked numbness to touch and pressure, and all pain in the treated area is lost. If there is no numbness or partial, repeat for 4 min. The erythema and numbness persists for about 1 h. 353 RHPT Sinusoidal Current 7/1/2016