Trends in the availability and usage of electrophysical agents in physiotherapy practices from 1990 to 2010: A review

This is the Pre-print version of the Article. The official published version can be accessed from the link below - Copyright @ 2012 Maney PublishingBackground: The use of electrophysical agents has a historically important role in physiotherapy practice. There are anecdotal reports that the availability and usage of electrotherapy modalities are declining, which may have implications for physiotherapy practice. The aim of this literature review was to provide scientific evidence on electrotherapy usage in the last 20 years by identifying trends in availability, use, and non-use of nine electrotherapeutic modalities in physiotherapy practices during 1990s and 2000s. Methods: Review of empirical studies published in the English language from 1990 to 2010 and identified through searching online bibliographic databases, which included: Medline/OvidSP, PubMed Central, CINAHL/EBSCOhost, ScienceDirect, Scopus, ISI Web of Science, and Google Scholar. Findings: In the last 20 years, ultrasound availability and usage show increasing trends in several countries. The availability and use of pulsed shortwave diathermy and laser have shown steady trends. Transcutaneous electrical nerve stimulation, interferential, and biofeedback availability and usage have shown increasing trends in the UK and decreasing trends in Australia and the Republic of Ireland. Trends of continuous shortwave diathermy availability and use are declining irrespective of the country of the study. The availability and usage of microwave diathermy and H-wave show steeply declining trends, while there is a sharp rise in their non-availability over the last several years. Conclusions: The availability and use of electrophysical agents have greatly changed in the last 20 years. Declining trends in the availability and usage along with increasing trend of non-availability of electrotherapy modalities may have implications for electrotherapy education, training, and practice in the coming years.This study was funded by Health & Safety Executive, UK (grant no. 4371/R47.022)

Pengaruh Pemberian Transcutaneous Electrical Nerve Stimulation (TENS) Terhadap Penurunan Nyeri Menstruasi Primer Pada Usia 18-25 Tahun

Background: Dysmenorrhea is defined as pain during menstruation. Primary dysmenorrhea is pain that occurs with normal pelvic anatomy. Pain in primary dysmenorrhea and other systemic symptoms caused by high levels of prostaglandins.Transcutaneous electrical nerve stimulation (TENS) is one of the physiotherapyintervention that uses low-voltage electrical current for pain relief. Objectives: Aim of this study to know TENS can release of endorphins to reduce pain of primary menstruation on age 18-25 years. Methods:A quasy experiment with non randomized control group pre post design was used in this study. The sample were 30 santriwati students at PESMA and marching band women player with dysmenorrhea pain. Taking sample with purposive sampling technique.The pain was measured by Visual Analog Scale (VAS). Intervention using with andinterferential current. Data were analyzed using Wilcoxon Signed Rank Test and Mann Whitney. Research result:Indicates the effect of Transcutaneous Electrical Nerve Stimulation (TENS) on the decrease of primary menstrual pain with p = 0.000. There is effect of giving interferential current to decrease of primary menstruation pain with p = 0.000. There is an influence between the effect of TENS and interferential current on the decrease of Primary menstruation pain with p = 0.000. Conclusion:The result of study that there was influence TENS to reduction of dysmenorrhea pain. there was influence interferential current to reduction of Dysmenorrhea pain. There difference from TENS with and interferential current to reduction of Dysmenorrhea pain Keyword: Transcutaneous electrical nerve stimulation (TENS), interferential current, Dysmenorrhea pai

Availability and use of electrotherapy devices: a survey

This item is published and the copyright holder of this article is the International Journal of Therapy and Rehabilitation © 2010 MA Healthcare Limited, http://www.ijtr.co.uk/. The article is available here with the permission of the copyright holder. Any use of the article from this site for personal use is permitted; however, if it is to be used for any other purpose, or reproduced in part or in full, the copyright holder must be contacted.Electrophysical agents such as radiofrequency electromagnetic fields (shortwave and microwave), ultrasound, laser and electrical stimulation are used for therapeutic purpose in physiotherapy departments. They are primarily used for treating a wide range of musculoskeletal injuries. This study investigated the availability and use of therapeutic diathermy, ultrasound, laser, transcutaneous electrical nerve stimulation (TENS) and interferential equipment in 46 physiotherapy departments in NHS hospitals in the south of England, using a self-administered questionnaire. Results indicated that therapeutic ultrasound was the most commonly available and most often used modality by surveyed departments. Pulsed shortwave diathermy, interferential, and laser were available to a lesser degree and also used less often. Continuous shortwave diathermy was used rarely and only in larger departments. Microwave diathermy was not available in any of the surveyed departments. The level of non-use of equipment despite availability was highest for continuous shortwave diathermy followed by pulsed shortwave diathermy and then laser. The rare use and total non-use of some of the modalities, despite availability of equipment, may have implications for purchasers of this expensive equipment. While the findings of this study show a regional trend in NHS physiotherapy departments, this may not be generalizable to a national level.This study was funded by the Health and Safety Executive, UK, (Grant No. 4371/R47.022

On-glass optoelectronic platform for on-chip detection of DNA

Lab-on-chip are analytical systems which, compared to traditional methods, offer significant reduction of sample, reagent, energy consumption and waste production. Within this framework, we report on the development and testing of an optoelectronic platform suitable for the on-chip detection of fluorescent molecules. The platform combines on a single glass substrate hydrogenated amorphous silicon photosensors and a long pass interferential filter. The design of the optoelectronic components has been carried out taking into account the spectral properties of the selected fluorescent molecule. We have chosen the [Ru(phen)2(dppz)]2+ which exhibits a high fluorescence when it is complexed with nucleic acids in double helix. The on-glass optoelectronic platform, coupled with a microfluidic network, has been tested in detection of double-stranded DNA (dsDNA) reaching a detection limit as low as 10 ng/μL

Boosting the performance of the ASTRI SST-2M prototype: reflective and anti-reflective coatings

ASTRI is a Flagship Project of the Italian Ministry of Education, University and Research, led by the Italian National Institute of Astrophysics, INAF. One of the main aims of the ASTRI Project is the design, construction and verification on-field of a dual mirror (2M) end-to-end prototype for the Small Size Telescope (SST) envisaged to become part of the Cherenkov Telescope Array. The ASTRI SST-2M prototype adopts the Schwarzschild-Couder design, and a camera based on SiPM (Silicon Photo Multiplier); it will be assembled at the INAF astronomical site of Serra La Nave on mount Etna (Catania, Italy) within mid 2014, and will start scientific validation phase soon after. The peculiarities of the optical design and of the SiPM bandpass pushed towards specifically optimized choices in terms of reflective coatings for both the primary and the secondary mirror. In particular, multi-layer dielectric coatings, capable of filtering out the large Night Sky Background contamination at wavelengths $\lambda \gtrsim 700$ nm have been developed and tested, as a solution for the primary mirrors. Due to the conformation of the ASTRI SST-2M camera, a reimaging system based on thin pyramidal light guides could be optionally integrated aiming to increase the fill factor. An anti-reflective coating optimized for a wide range of incident angles faraway from normality was specifically developed to enhance the UV-optical transparency of these elements. The issues, strategy, simulations and experimental results are thoroughly presented.Comment: 4 pages, 6 figures. In Proceedings of the 33rd International Cosmic Ray Conference (ICRC2013), Rio de Janeiro (Brazil). All ASTRI contributions at arXiv:1307.463

Efeitos da estimulação elétrica nervosa transcutânea (TENS) e da corrente interferencial (CI) em pacientes com lombalgia crônica não específica: ensaio clínico randomizado

CONTEXT AND OBJECTIVE: Transcutaneous electrical nerve stimulation (TENS) and interferential current are the most used electrotherapy methods, although there is little scientific evidence to support their use. The aim of this study was to compare the effects of TENS and interferential current among patients with nonspecific chronic low back pain. DESIGN AND SETTING: Single-blind randomized controlled trial in the Department of Physiotherapy, Centro Universitário de Maringá. METHODS: One hundred and fifty patients were randomly divided into three groups: TENS (group 1), interferential current (group 2) and controls (group 3). The patients designated for electrotherapy received ten 30-minute sessions, while the control group remained untreated. All patients and controls were evaluated before and after treatment using a visual analog scale and the McGill Pain and Roland Morris questionnaires, and regarding their use of additional medications. RESULTS: There was a mean reduction on the visual analog scale of 39.18 mm with TENS, 44.86 mm with interferential current and 8.53 mm among the controls. In the Roland Morris questionnaire, group 1 had a mean reduction of 6.59; group 2, 7.20; and group 3, 0.70 points. In group 1, 84% of the patients stopped using medications after the treatment; in group 2, 75%; and in group 3, 34%. There was no statistically significant difference between the TENS and interferential current groups (P > 0.05); a difference was only found between these groups and the controls (P 0,05), apenas quando comparados estes grupos com o controle (P < 0,0001). CONCLUSÕES: Não há diferença entre TENS e corrente interferencial no tratamento de pacientes com lombalgia crônica. REGISTRO DE ENSAIO CLÍNICO: NCT01017913.Centro Universitário de MaringáUniversidade Federal de São Paulo (UNIFESP) Escola Paulista de MedicinaUNIFESP, EPMSciEL