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Diadynamic Current

Diadynamic current is a type of electrotherapy that uses mixed currents to provide analgesic and spasmolytic effects. It results in the combined effects of galvanic and faradic/impulse-like currents, inducing hyperaemia and analgesia. There are five classic diadynamic current types characterized by different waveforms that are used for pain relief, increased circulation, and muscle effects. High volt pulsed galvanic stimulation is a type of neuromuscular stimulator that uses high voltage, low current pulses to enable deep tissue penetration without damage, facilitating wound healing and pain relief.

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2K views30 pages

Diadynamic Current

Diadynamic current is a type of electrotherapy that uses mixed currents to provide analgesic and spasmolytic effects. It results in the combined effects of galvanic and faradic/impulse-like currents, inducing hyperaemia and analgesia. There are five classic diadynamic current types characterized by different waveforms that are used for pain relief, increased circulation, and muscle effects. High volt pulsed galvanic stimulation is a type of neuromuscular stimulator that uses high voltage, low current pulses to enable deep tissue penetration without damage, facilitating wound healing and pain relief.

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partizan_bl
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DIADYNAMIC

CURRENT

Diadynamic is one of the most


common devices of electro-therapy,
which uses a low current for its
analgesic and spasmolytic effect.
Diadynamic currents are mixed
currents, which use effects of the
concurrent application of galvanic
and faraday, or other impulse-like
currents.
This results in combined effects of
both types of currents, especially
induction of hyperaemia and
analgesia. The galvanic current

Sinusoid-like impulse currents


have inhibitory or facilitation effect,
which depends on the frequency,
intensity and other parameters. The
current with predominantly
inhibitory effect has the frequency
100 Hz, current with frequency 50
Hz acts rather dynamogenically, i.e.
causing excitation, facilitation and
supporting muscle tone, it eliminates
oedema around the nerve envelope,
reducing pain and supporting

Two main types which are


characterized by the different types
of waveforms produced by the
device.
Half-wave rectification
(single phase or monophas fixe
(MF))
Eliminates the second
half of each AC cycle to produce a
monophasic pulsed current with a
pulse duration equal to the
interpulse interval and a frequency
equal to that of the original AC

Full-wave rectification (double


phase or diphas fixe (DF))
Produces a
monophasic pulsed current with no
interpulse internal at twice the
original AC frequency

DIADYNAMIC CURRENT
Diadynamic

currents are
basically a variation of
sinusoidal current. They
are monophasic sinusoidal
currents (rectified
alternating current) with
duration of 10 ms

Types of diadynamic
current
It has five classic current
types:
1- DF (diphase Fixe)
2- MF (monophase Fixe)
3-CP (Courtes Periodes),
4- LP (Longues Periodes)
5-RS( Syncopal Ryhthm)

1- DF (diphase Fixe):
- Full wave rectified alternating
current
Frequency 100 Hz
The patient feels tickling
sensation and muscle
contraction occurs only at high
intensities
Used for initial treatment and
has analgesic effect

2- MF (monophase Fixe)
- Half wave rectified alternating current

Frequency 50 Hz
The patient feels strong vibration
sensation
It is used in treatment of pain without
muscle spasm
MF current can cause muscle stimulation
at lower intensity then with DF.

3-CP (Courtes Periodes, short


periods)
Rapid alternation between
one second of MF current
and one second of DF without
interval pauses.

4- LP (Longues Periodes, long


periods)
Slow alternation between six
seconds of MF current and
six seconds DF phase in
which a peak intensity is
varied.
CP

and LP are used to prevent


accommodation.
CP and LP currents has analgesic
effect and used in treatment of

5. RS (Syncopal Rhythm):

It comprises 1-sec phase of MF,


followed by a 1-sec rest phase.

Physiological effect
1- Relief of pain due to
Direct mechanism
Stimulation of sensory nerves
leading to pain relief through
stimulation of pain gate mechanism
Indirect mechanism
Improving circulation through
pumping action of muscle
contraction with subsequent removal
of irritant wastes
2- Increase local circulation due to

3- Decrease inflammation and


swelling
Due

to increased local circulation


and change of cell membrane
permeability

4- Muscle re-education due to


stimulation of motor nerves but
it is not the current of choice for
muscle strengthening

Electrochemical effect of
diadynamic current

Diadynamic current has relative


high DC amplitude, so that there
is a significant chance of skin
damage occurrence.
Skin damage is due to
electrochemical changes and
changes in the pH value of the
skin.
To keep the risk of skin damage
to minimum, treatment time
should be limited to ten minutes.

Indications

Soft tissue injury as sprains,


contusions and epicondylitis
Treating pain especially in
small joints.
Sudecks atrophy.
Peripheral nerve disorders as
neuralgia, radiculopathy and
herpes zoster.

Contraindications

Open skin as the current tend to


concentrate
Bony areas
Loss of sensation
Infection
Unreliable patients
Superficial metals
Thrombosis.
Cardiac pace makers.

Dosage
Intensity: It should be increased
gradually until definite vibration or
prickling sensation occurs.
Duration: Not more than 12 minutes;
each type for 3 minutes.
Frequency: Daily or every other day
for 12 sessions.

DF: It is used for the initial treatment


and before application of other
currents. The patient feels a
prickling sensation, which subsides
after a short time.
MF: The patient feels a strong
vibration for longer time than the
sensation of DF. It is used for
treatment of pain without muscle
spasm.

CP: In DF phase, there are fine


tremors in MF phase (strong and
constant vibration). There are
rhythmic contractions, being used
for treatment of traumatic pain.
LP: It has a long-lasting analgesic
effect. It is used with combination of
CP in treatment of neuralgia.
RS: It can be used for faradic
stimulation of the muscle and as a
test for motor nerve excitability.

HIGH VOLTAGE PULSED


GALVANIC
STIMULATION

The high volt pulsed galvanic


stimulator (HVPGS), a type of
neuromuscular stimulator is a
short duration
(microsecond),microamperage
current driven by a high voltage
current (up to 300 volts) that is
delivered as a twin-peak
monophasic waveform of fixed
duration (100 microseconds).
This direct current can produce
both a mechanical contraction

High Volt Pulsed Galvanic Current


(HVPGC) General Explanation:

While used clinically over the


last 45 years, this type of
stimulation and its applications
have received much more
attention in the last five years.
Typical indications for use
include a wide range of clinical
problems where high voltage may
be applied alone or in
combination with other

HVPGS is the use of a high


driving voltage (up to 500V) to
produce analgesia, muscle
contractions, and to facilitate
wound healing.
Galvanic stimulation combines
very short pulse duration (of
constant intensity) and high peak
voltage, yet low total current per
second, to give relative comfort
and avoid tissue damage while
stimulating deep tissues. It is
also an efficient means of

It allows for deeper penetration.


It does not burn (low amps).
It flows between each pad and
dispersive pad (usually placed on
large muscle group).
It can be used in water. It has
the ability to move fluids. Is used
for open wounds, burns and over
scar tissue. Can be used on metal
implants.

Physiological effects

Maintaining or increasing range


of motion.
Re-educating muscles.
Edema/swelling/inflammation
reduction.
Reducing motor spasticity.
Increasing local blood
circulation to injured area and
promoting fluid movement to and
from treatment area.

Preventing or retarding muscle


disuse atrophy.
Managing chronic/posttraumatic/post-surgical pain
conditions allowing patient to
participate in their pain
management program.
Stimulation and acceleration of
wound healing by promoting
blood circulation to wound.

INDICATIONS

Adhesive Capsulitis ,Bursitis


Wound Healing,Odema
Cervical Sprain/Spasm
Degenerative Disc,Sciatica
Epicondylitis
Lumbosacral Sprain
Shoulder Subluxation,TMJ
PostOperative conditionsArthroscopy,Discectomy,Spinal
Fusion

Duration

Minimum of 30-40 mins /3xday

Application

The positive pad is like ice, tending


to reduce circulation to the area
under the pad and reduction in
swelling. The negative pad is like
heat, promoting increased
circulation, reportedly speeding
healing.

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