Physiotherapy

Ift In Physiotherapy

Ift In Physiotherapy

São Paulo State University
Universidade Estadual Paulista “Júlio de Mesquita Filho”

Logo Unesp.svg
Other name
UNESP
Type
Public university

system
Established 1976
Budget
R$

1.496 billion


[1]


Rector
Pasqual Barretti (2021-2025)


[2]

Academic staff
3,316


[1]

Administrative staff
7,138


[1]

Students 47,917


[1]


Undergraduates
35,284


[1]


Postgraduates
12,633


[1]

Location

,

,






22°49′02″S


47°04′10″W




 / 



22.8172°S 47.0694°W


 /

-22.8172; -47.0694








Coordinates

:




22°49′02″S


47°04′10″W




 / 



22.8172°S 47.0694°W


 /

-22.8172; -47.0694






Affiliations
Compostela Group of Universities
Website
unesp.br

ift in physiotherapy

Case Presentation

The patient was aged 69. His left shoulder was severely injured by a fall onto concrete. He had his arm extended and his elbow bent. After the fall, he received treatment at A&E. No fractures were found or any medical issues were diagnosed.

A month later, he was seen by the physiotherapy department. The left shoulder was in severe pain. He reported constant pain in his left shoulder and that he was constantly moving to aggrave the problem. Examination revealed some remarkable findings: rupture of the longhead of biceps; pain in the active range, empty feeling at the end and weakness throughout all the muscle groups surrounding the glenohumeral. These subjective and objective findings indicated that the left shoulder was in severe pain. There were also injuries to the rotator-cuff muscles and the long head of the biceps.

It was remarkable to see his medical history. The medical history of this man was extraordinary. He is suffering from pain due to the degenerative changes that have occurred in his entire spine. After the fall, he reported that his neck and spinal symptoms did not worsen.

As a result of severe gastric irritation he found it difficult to take non-steroidal, anti-inflammatory medication. So he switched to tramadol HCl tab as a permanent pain reliever. He reported no unwanted side effects from the tramadol prior to IFT sessions.

The main concerns were pain relief and maintaining range of motion. IFT was applied to his back while awaiting an MRI.

For treatment

Tramadol HCl 75 mg was being taken daily by the patient for pain relief. The patient was taking non-steroidal anti-inflammatory painkillers that weren’t steroidal. This increased his gastric irritation. His physiotherapy visits were every 4 to 5 hours postmedication.

The physiotherapist treated him with an interferntial current modality, range of motion exercise and a range-of-motion program.

An Enraf Nonius Sonopulse 492 machine was used for IFT. Anterior and posterior shoulder joints were scanned with four electrodes in a crisscross pattern. The parameters used were: 0-100Hz beat frequency; intensity 25-30mA, for 20 minutes each.

He participated in four IFT sessions and was available for one week.

ift in physiotherapy

Type and depth of tissue

Most machines involved in physiotherapy use ultrasound therapy to treat various ailments. For sound wave the intensity, decreases exponentially with the distance travelled. Different kinds of tissue absorb different amounts. Absorption levels increase in the order of fat (lowest), skin (highest), tendon (highest), cartilage (highest), and muscle (highest). Infrared ultrasound has a high incidence rate in the bones.

SWD therapy involves the application of electromagnetic energies at shortwave frequencies that ensures thermal energy generation by the induction and maintenance of circulating electrons in the tissues. Shortwave therapy is normally applied to encourage healing, pain relief, reduction of muscle spasm, increase in mobility etc.

If however deeper penetration is required to heal bones and tissues closer to bones, IFT is a popular treatment. Interferential Therapy affects deep muscles and nerves. It stimulates voluntary muscle, increases peripheral blood flow, speeds up bone healing, as well as reduces the pain.

The application of electric stimulation therapy to muscle spasms or pain can relieve tension. A TENS machine provides short-term pain relief by stimulating the nerves through an electrical current.

.Ift In Physiotherapy

 

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