Physics · MU Sofia

21. Physical basis of electrotherapy

Introduces electrotherapy as the medical use of electrical energy and walks through the frequency bands in order: low, mid, high and ultra-high frequency, with the techniques and effects tied to each. It then covers cardiac devices such as pacemakers and defibrillators, electric muscle stimulation, and drug electrophoresis, also called iontophoresis. Figures for currents, voltages and pulse rates are given for the devices.

Inside: 6 sections · 5 labelled pictures · 7 flashcards · 2 min

Topic 22 of 42 in the MU Sofia syllabus for Physics (Medicine, Year 1). The free AceMed note covers it in 6 sections, about 267 words (2 min of reading), with 7 flashcards.

In this note

  1. Physical Basis of Electrotherapy
  2. Definition
  3. Types of Electrotherapy by Frequency
  4. Cardiac Electrotherapy Devices
  5. Electric Muscle Stimulation (EMS)
  6. Drug Electrophoresis

Definition

Electrotherapy is the use of electrical energy as a medical treatment.

  • It employs controlled electrical currents of various frequencies.
  • Used for neurological diseases, muscle rehabilitation, pain suppression, improved circulation, and surgical procedures.
  • Delivered through devices such as brain stimulators, muscle stimulators, pacemakers, and defibrillators.

Types of Electrotherapy by Frequency

1. Low Frequency (< 800 Hz)

  • Used for muscle stimulation and pain modulation.
  • Techniques:
  • Triangle currents (< 100 Hz, t = 1 ms): induce muscle contraction.
  • TENS (Transcutaneous Electrical Nerve Stimulation):
  • Small impulse durations (< 0.5 ms, 80–250 Hz).
  • Modulates pain via stimulation of sensory nerves.
  • Diadynamic currents:
  • Monopolar impulses (50 Hz) or double rectified bursts (100 Hz).
  • Cause ion shifts and alter cell membrane permeability.

2. Mid Frequency (800 – 5000 Hz)

  • Penetrates deeper into tissues without causing pain.
  • Main effects:
  • Improved blood circulation.
  • Suppression of pain signals.

3. High Frequency (500 – 600 kHz, V ≈ 15 kV)

  • Used in electrosurgery:
  • Cutting and coagulating tissues.
  • Achieves minimal blood loss.
  • Provides simultaneous thermal sterilization of the surgical field (electrotomy).

4. Ultra-High Frequency (Inductothermy)

  • Uses a magnetic field to induce harmonic vibrations in blood electrolytes.
  • Acts most strongly on body fluids and internal organs.
  • Effects:
  • Enhances blood supply.
  • Boosts metabolic processes.
  • Provides pain relief.

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