Electrotherapy in Physiotherapy| Mini Electrotherapy modalities in Physiotherapy | @Unbox Therapy
Electrotherapy in Physiotherapy| Mini Electrotherapy modalities in Physiotherapy | @Unbox Therapy
Electrotherapy in Physiotherapy| Mini Electrotherapy modalities in Physiotherapy | @Unbox Therapy
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Electrotherapy is the use of electrical energy as a medical treatment.[1] In medicine, the term electrotherapy can apply to a variety of treatments, including the use of electrical devices such as deep brain stimulators for neurological disease. The term has also been applied specifically to the use of electric current to speed wound healing. Additionally, the term “electrotherapy” or “electromagnetic therapy” has also been applied to a range of alternative medical devices and treatments.
Electrotherapy is primarily used in physical therapy for:
relaxation of muscle spasms
prevention and retardation of disuse atrophy
increase of local blood circulation
muscle rehabilitation and re-education
electrical muscle stimulation
maintaining and increasing range of motion
management of chronic and intractable pain including diabetic neuropathy[2]
acute post-traumatic and post-surgical pain
post-surgical stimulation of muscles to prevent venous thrombosis
wound healing
drug delivery[citation needed]
Some of the treatment effectiveness mechanisms are little understood, with effectiveness and best practices for their use still anecdotal.
Musculoskeletal conditionsEdit
In general, there is little evidence that electrotherapy is effective in the management of musculoskeletal conditions.[3] In particular, there is no evidence that electrotherapy is effective in the relief of pain arising from osteoarthritis,[4] and little to no evidence available to support electrotherapy for the management of fibromyalgia.[5]
Neck and back painEdit
A 2016 review found that, “in evidence of no effectiveness,” clinicians should not offer electrotherapy for the treatment of neck pain or associated disorders.[6] Earlier reviews found that no conclusions could be drawn about the effectiveness of electrotherapy for neck pain,[7] and that electrotherapy has limited effect on neck pain as measured by clinical results.[8]
A 2015 review found that the evidence for electrotherapy in pregnancy-related lower back pain is “very limited”.[9]
Shoulder disordersEdit
A 2014 Cochrane review found insufficient evidence to determine whether electrotherapy was better than exercise at treating adhesive capsulitis.[10] As of 2004, there is insufficient evidence to draw conclusions about any intervention for rotator cuff pathology, including electrotherapy;[11] furthermore, methodological problems precluded drawing conclusions about the efficacy of any rehabilitation method for impingement syndrome.[12]
Other musculoskeletal disordersEdit
There is limited, low quality evidence for a slight benefit of noxious-level electrotherapy in the treatment of epicondylitis. [13]
A 2012 review found that “Small, single studies showed that some electrotherapy modalities may be beneficial” in rehabilitating ankle bone fractures. [14] However, a 2008 review found it to be ineffective in healing long-bone fractures.[15]
A 2012 review found that evidence that electrotherapy contributes to recovery from knee conditions is of “limited quality”. [16]
Chronic painEdit
Chronic painEdit
A 2004 Cochrane review found “weaker evidence” that pulsating electromagnetic fields could be effective in treating recurrent headaches.[17] A 2016 Cochrane review found that supporting evidence for electrotherapy as a treatment for complex regional pain syndrome is “absent or unclear.”[18]
Chronic wounds
A 2015 review found that the evidence supporting the use of electrotherapy in healing pressure ulcers was of low quality,[19] and a 2015 Cochrane review found that no evidence that electromagnetic therapy, a subset of electrotherapy, was effective in healing pressure ulcers.[20] Earlier reviews found that, because of low-quality evidence, it was unclear whether electrotherapy increases healing rates of pressure ulcers.[21][22] By 2014 the evidence supported electrotherapy’s efficacy for ulcer healing.[23]
Another 2015 Cochrane review found no evidence supporting the user of electrotherapy for venous stasis ulcers.[24]
Mental health and mood disordersEdit
Since the 1950s, over 150 published articles have found a positive outcome in using cranial electrostimulation (CES) to treat depression, anxiety, and insomnia.[25]
