DE LASALLE MEDICAL AND HEALTH SCIENCES INSTITUTE PAM220: PHYSICAL AGENTS AND MODALITIES COLLEGE OF REHABILITATION SCIENCES – DEPARTMENT OF PHYSICAL THERAPY DIATHERMY DEFINITION: EFFEC - - - - Use of Electromagnetic waves from the radio frequency or microwave frequency ranges 27.12 Hz = Most commonly used aka Shortwave Diathermy (SWD) Microwave diathermy = 2,450 Hz Can be delivered continuously or through regular pulses Devices that deliver radio frequency waves to the patient at a very low intensity are known as pulsed electromagnetic fields (PEMF) or pulsed radio frequency can affect deeper tissues of the body than superficial modalities, such as hot packs minimal reflection of waves at tissue interfaces and on bone SHORTWAVE DIATHERMY INDUCTIVE: Requires an inductive applicator that creates an oscillating magnetic field that induces ”eddy” currents in body tissues Two types of inductive coil applicator: Drums or Sleeves SHORTWAVE DIATHERMY: • 2 Types: - - Electric Field (capacitive method) Magnetic Field (inductive method) Uses an applicator system that requires the patient tissues to be part of the capacitor Can be applied contraplanar or coplanar X.G.C BSPT2023 Page | 1 DE LASALLE MEDICAL AND HEALTH SCIENCES INSTITUTE PAM220: PHYSICAL AGENTS AND MODALITIES COLLEGE OF REHABILITATION SCIENCES – DEPARTMENT OF PHYSICAL THERAPY 1. Drum applicators – contain a coil-shaped cable contained within a rigid plastic insulator housing 2. Sleeves - designed to fit around a body part, such as the elbow and forearm, providing a circumferential treatment effect. - - Inductive SWD and PSWD will more effectively elevate the temperature of deep tissues than capacitive SWD. Reduction of pain Increase tissue elasticity and facilitate connective tissue flexibility and joint ROM promote healing of soft tissues and bone CONTRAINDICATIONS: Requires a device called a magnetron - PRECAUTIONS: generates alternating current at a high power level, which is transmitted to an antenna housed inside an emitter (drum or applicator) that directs the electromagnetic field to the body part to be treated. EFFECTS OF DIATHERMY THERMAL: - - Goal of most diathermy treatments is to increase the temperature of body tissues One key difference is the greater depth of heating that occurs with diathermy compared to superficial thermal modalities X.G.C BSPT2023 Page | 2 DE LASALLE MEDICAL AND HEALTH SCIENCES INSTITUTE PAM220: PHYSICAL AGENTS AND MODALITIES COLLEGE OF REHABILITATION SCIENCES – DEPARTMENT OF PHYSICAL THERAPY END X.G.C BSPT2023 Page | 3