Introduction to the Program

Update yourself with this Hybrid Master's Degree and become a great physiotherapist specialized in electrotherapy"

At present, there are constant scientific and sanitary discoveries and advances that improve existing treatments and techniques. In the field of physiotherapy new procedures are being incorporated into this professional practice and one of the most important is electrotherapy, which is a very useful tool in addressing various injuries and pathologies. 

It is therefore advisable to specialize in this area in order to be able to offer patients the most advanced techniques with which to heal all types of locomotor system disorders within the scope of physiotherapy. This Hybrid Master's Degree in Electrotherapy in Physiotherapy is the perfect Certificate to deepen in this area and get an update of knowledge and skills that make professionals are updated on all developments in this field. 

In addition, this program has a special feature that makes it unique and very valuable. In addition to its specialized syllabus, taught online, it offers a practical and face-to-face stay in a prestigious institution specialized in electrotherapy for physiotherapists. This stay lasts 3 weeks and follows an intensive schedule from Monday to Friday, 8 hours a day. In this way, students will be able to receive continuous education that will help them improve their skills as physiotherapy professionals.  

Therefore, thanks to the combination of innovative and novel theoretical contents and a practical stay in a high-level institution, it is guaranteed that the students of this program will acquire everything they need to perform in their practices with all the guarantees. This way they will be able to increase their reputation as professionals, having access to new patients who will want to enjoy the new services they will be able to offer them in the field of electrotherapy. 

You will be a physiotherapist of enormous prestige when you complete this program" 

This Hybrid Master's Degree in Electrotherapy in Physiotherapy contains the most complete and updated scientific program on the market, with the most outstanding features:

  • Development of more than 100 clinical cases presented by physiotherapy professionals specialized in electrotherapy
  • The graphic, schematic, and practical contents with which they are created, provide scientific and practical information on the disciplines that are essential for professional practice
  • An algorithm-based interactive learning system for decision-making in the clinical situations presented throughout course
  • Practical clinical guides on approaching different pathologies
  • With a special emphasis on evidence-based physical therapy and research methodologies in this field
  • All of this will be complemented by theoretical lessons, questions to the expert, debate forums on controversial topics, and individual reflection assignments
  • Availability of content from any fixed or portable device with an Internet connection
  • In addition, you will be able to perform a clinical internship in one of the best hospitals in the world 

You will be a great specialist in electrotherapy thanks to the on-site stay offered by this Certificate. Don't miss this opportunity and enroll now” 

In this Professional Master's Degree proposal, of professional nature and blended learning modality, the program is intended to update physiotherapy professionals who require a high level of qualification. Contents are based on latest scientific evidence, and oriented in a didactic way to integrate theoretical knowledge of the physiotherapy's practice, and theoretical-practical elements will facilitate updating of knowledge and will allow decision making in patient management. 

Thanks to its multimedia content developed with latest educational technology, they will allow physiotherapy professionals a situated and contextual learning, that is to say, a simulated environment that will provide an immersive learning programmed to train in real situations. This program's design is based on Problem Based Learning, by means of which the student must try to solve different professional practice situations that will be presented throughout the program. For this purpose, the student will be assisted by an innovative interactive video system created by renowned experts. 

This Hybrid Master's Degree will allow you to update your skills and offer the best services to your patients"

You will get new patients thanks to your mastery of the electrotherapy technique"

Syllabus

The syllabus of this Hybrid Master's Degree in Electrotherapy in Physiotherapy has been designed by leading specialists in the field and contains all the essential elements necessary to obtain updated knowledge in this type of procedure. Therefore, this Syllabus has been designed with professional practice in mind at all times, so that everything students learn here can be directly applied in their own practices. 

hybrid learning electrotherapy physiotherapy TECH Global University

This educational program will expand your knowledge and professional horizons with the support of innovative didactic methods such as Relearning"

Module 1. High Frequency Electrotherapy

1.1. Physical Fundamentals of High Frequency
1.2. Physiological Effects of High Frequency

1.2.1. Athermal Effects
1.2.2. Thermal Effects

1.3. Therapeutic Effects of High Frequency

1.3.1. Athermal Effects
1.3.2. Thermal Effects

1.4. Shortwave Fundamentals

1.4.1. Shortwave: Capacitive Application Mode
1.4.2. Shortwave: Inductive Application Mode.
1.4.3. Shortwave: Pulsed Emission Mode

1.5. Practical Applications of Shortwave

1.5.1. Practical Applications of Continuous Shortwave
1.5.2. Practical Applications of Pulsed Shortwave
1.5.3. Practical Shortwave Applications: Pathology Phase and Protocols

1.6. Contraindications of Shortwave

1.6.1. Absolute Contra-indications
1.6.2. Relative Contra-indications
1.6.3. Precautions and Safety Measures

1.7. Practical Applications of the Microwave

1.7.1. Microwave Basics
1.7.2. Practical Microwave Considerations
1.7.3. Practical Applications of Continuous Microwave
1.7.4. Practical Applications of Pulsed Microwave
1.7.5. Microwave Treatment Protocols

1.8. Contraindications of the Microwave

1.8.1. Absolute Contra-indications
1.8.2. Relative Contra-indications

1.9. Fundamentals of Techartherapy

1.9.1. Physiological Effects of Techarterapy
1.9.2. Dosage of Tecartherapy Treatment

1.10. Practical Applications of Techartherapy

1.10.1. Arthrosis
1.10.2. Myalgia
1.10.3. Muscle Fibrillar Rupture
1.10.4. Post-puncture Pain of Myofascial Trigger Points
1.10.5. Tendinopathy
1.10.6. Tendon Rupture (Post-Surgical Period)
1.10.7. Wound Healing
1.10.8. Keloid Scars
1.10.9. Edema Drainage
1.10.10 Post-Exercise Recovery

1.11. Contraindications of Techartherapy

1.11.1. Absolute Contra-indications
1.11.2. Relative Contra-indications

Module 2. Ultrasound Therapy in Physiotherapy

2.1. Physical Principles of Ultrasound Therapy

2.1.1. Definition of Ultrasound Therapy
2.1.2. Main Physical Principles of Ultrasound Therapy

2.2. Physiological Effects of Ultrasound Therapy

2.2.1. Mechanisms of Action of Therapeutic Ultrasound
2.2.2. Therapeutic Effects of Ultrasound Therapy

2.3. Main Parameters of Ultrasound Therapy
2.4. Practical Applications

2.4.1. Ultrasound Treatment Methodology
2.4.2. Practical Applications and Indications of Ultrasound Therapy
2.4.3. Ultrasound Therapy Research Studies

2.5. Ultrasonophoresis

2.5.1. Definition of Ultrasonophoresis
2.5.2. Mechanisms of Ultrasonophoresis
2.5.3. Factors on Which the Effectiveness of Ultrasonophoresis Depends
2.5.4. Ultrasonophoresis Considerations to Take into Account
2.5.5. Research Studies on Ultrasonophoresis

2.6. Contraindications to Ultrasound Therapy

2.6.1. Absolute Contra-indications
2.6.2. Relative Contra-indications
2.6.3. Precautions
2.6.4. Recommendations
2.6.5. Contraindications to Ultrasonophoresis

2.7. High Frequency Ultrasound Therapy. High Frequency Pressure Waves (HFPW)

2.7.1. Definition of HFPW Therapy
2.7.2. Parameters of HFPW Therapy and HIFU Therapy

2.8. Practical Applications of High Frequency Ultrasound Therapy

2.8.1. Indications for HFPW and HIFU Therapy
2.8.2. HFPW and HIFU Therapy Research Studies

2.9. Contraindications to High Frequency Ultrasound Therapy

Module 3. Other Electromagnetic Fields

3.1. Laser. Physical principles |

3.1.1. Laser. Definition
3.1.2. Laser Parameters
3.1.3. Laser. Classification
3.1.4. Laser. Physical principles |

3.2. Laser. Physiological Effects

3.2.1. Interrelationship between Laser and Living Tissues
3.2.2. Biological Effects of Najar and Medium Power Lasers
3.2.3. Direct Effects of Laser Application

3.2.3.1. Photothermal Effect
3.2.3.2. Photochemical Effect
3.2.3.3. Photoelectric Stimulus

3.2.4. Indirect Effects of Laser Application

3.2.4.1. Microcirculation Stimulation
3.2.4.2. Trophism Stimulus and Repair

3.3. Laser. Therapeutic Effects

3.3.1. Analgesia
3.3.2. Inflammation and Edema
3.3.3. Reparation
3.3.4. Dosimetry

3.3.4.1. Recommended Treatment Dose in Low Level Laser Therapy Application according to WALT Guidelines

3.4. Laser. Clinical Applications

3.4.1. Laser Therapy in Osteoarthritis
3.4.2. Laser Therapy in Chronic Low Back Pain
3.4.3. Laser Therapy in Epicondylitis
3.4.4. Laser Therapy in Rotator Cuff Tendinopathy
3.4.5. Laser Therapy in Cervicalgias
3.4.6. Laser Therapy in Musculoskeletal Disorders
3.4.7. Other Practical Laser Therapy Applications
3.4.8. Conclusions

3.5. Laser. Contraindications

3.5.1. Precautions
3.5.2. Contraindications

3.5.2.1. Conclusions

3.6. Infrared Radiation. Physical principles |

3.6.1. Introduction

3.6.1.1. Definition
3.6.1.2. Classification

3.6.2. Infrared Radiation Generation

3.6.2.1. Luminous Emitters
3.6.2.2. Non-Luminous Emitters

3.6.3. Physical Properties

3.7. Infrared Physiological Effects

3.7.1. Physiological Effects on the Skin
3.7.2. Infrared and Chromophores in Mitochondria
3.7.3. Radiation Absorption in Water Molecules
3.7.4. Infrared at the Cell Membrane
3.7.5. Conclusions

3.8. Therapeutic Effects of Infrared

3.8.1. Introduction
3.8.2. Local Effects of Infrared

3.8.2.1. Erythematous
3.8.2.2. Anti-inflammatory
3.8.2.3. Scarring
3.8.2.4. Sweating
3.8.2.5. Relaxation
3.8.2.6. Analgesia

3.8.3. Infrared Systemic Effects

3.8.3.1. Cardiovascular System Benefits
3.8.3.2. Systemic Muscle Relaxation

3.8.4. Dosimetry and Infrared Application

3.8.4.1. Infrared Lamps
3.8.4.2. Non-Luminous Lamps
3.8.4.3. Luminous Lamps
3.8.4.4. Monochromatic Infrared Energy (MIRE)

3.8.5. Conclusions

3.9. Practical Applications

3.9.1. Introduction
3.9.2. Clinical Applications

3.9.2.1. Osteoarthritis and Infrared Radiation
3.9.2.2. Lumbago and Infrared Radiation
3.9.2.3. Fibromyalgia and Infrared
3.9.2.4. Infrared Saunas in Cardiopathies

3.9.3. Conclusions

3.10. Infrared Contraindications

3.10.1. Precautions/Adverse Effects

3.10.1.1. Introduction
3.10.1.2. Consequences of Poor Infrared Dosing
3.10.1.3. Precautions
3.10.1.4. Formal Contraindications

3.10.2. Conclusions

Module 4. General Principles of Electrotherapy

4.1. Physical Basis of Electric Current

4.1.1. Brief Historical Recollection
4.1.2. Definition and Physical Basis of Electrotherapy

4.1.2.1. Potential Concepts

4.2. Main Parameters of the Electric Current

4.2.1. Pharmacology / Electrotherapy Parallelism
4.2.2. Main Parameters of the Waves: Waveform, Frequency, Intensity, and Pulse Width.
4.2.3. Other Concepts: Voltage, Current and Resistance

4.3. Frequency-Dependent Classification of Currents

4.3.1. Classification according to Frequency: High, Medium and Low
4.3.2. Properties of Each Type of Frequency
4.3.3. Choice of the Most Suitable Current in Each Case

4.4. Waveform-Dependent Current Classification

4.4.1. General Classification: Direct and Alternating or Variable currents
4.4.2. Classification of the Variable Currents: Interrupted and Uninterrupted
4.4.3. Spectrum Concept

4.5. Current Transmission: Electrodes

4.5.1. General Information on Electrodes
4.5.2. Importance of Tissue Impedance
4.5.3. General Precautions

4.6. Types of Electrodes

4.6.1. Brief Recollection of the Historical Evolution of Electrodes
4.6.2. Considerations on Maintenance and Use of Electrodes
4.6.3. Main Types of Electrodes
4.6.4. Electrophoretic Application

4.7. Bipolar Application

4.7.1. Bipolar Application Overview
4.7.2. Electrode Size and Area to be Treated
4.7.3. Application of More Than Two Electrodes

4.8. Four-pole Application

4.8.1. Possibility of Combinations
4.8.2. Application in Electrostimulation
4.8.3. Tetrapolar Application in Interferential Currents
4.8.4. General Conclusions

4.9. Importance of Polarity Alternation

4.9.1. Brief Introduction to Galvanism
4.9.2. Risks Derived from Load Accumulation
4.9.3. Polar Behavior of Electromagnetic Radiation

Module 5. Electrostimulation for Muscle Strengthening

5.1. Principles of Muscle Contraction

5.1.1. Introduction to Muscle Contraction
5.1.2. Types of Muscles
5.1.3. Muscle Characteristics
5.1.4. Muscle Functions
5.1.5. Neuromuscular Electrostimulation

5.2. Sarcomere Structure

5.2.1. Introduction
5.2.2. Sarcomere Functions
5.2.3. Sarcomere Structure
5.2.4. Sliding Filament Theory

5.3. Motor Plate Structure

5.3.1. Motor Unit Concept
5.3.2. Concept of Neuromuscular Junction and Motor Plate
5.3.3. Structure of the Neuromuscular Junction
5.3.4. Neuromuscular Transmission and Muscle Contraction

5.4. Type of Muscle Contraction

5.4.1. Concept of Muscle Contraction
5.4.2. Types of Contraction
5.4.3. Isotonic Muscle Contraction
5.4.4. Isometric Muscle Contraction
5.4.5. Relationship between Strength and Endurance in Contractions.
5.4.6. Auxotonic and Isokinetic Contractions

5.5. Types of Muscle Fibers

5.5.1. Types of Muscle Fibers
5.5.2. Slow-Twitch Fibers or Type I Fibers
5.5.3. Fast-Twitch Fibers or Type II Fibers

5.6. Main Neuromuscular Injuries

5.6.1. Concept of Neuromuscular Disease
5.6.2. Etiology of Neuromuscular Diseases
5.6.3. Neuromuscular Junction Injury and NMD
5.6.4. Major Neuromuscular Injuries or Diseases

5.7. Principles of Electromyography

5.7.1. Electromyography Concept
5.7.2. Development of Electromyography
5.7.3. Electromyographic Study Protocol
5.7.4. Electromyography Methods

5.8. Main Excitomotor Currents. Neo-Faradic Currents

5.8.1. Definition of Excitomotor Current and Main Types of Excitomotor Currents
5.8.2. Factors Influencing the Neuromuscular Response
5.8.3. Exitomotor Currents Most Commonly Used Neo-Faradic Currents

5.9. Excitomotor Interferential Currents. Kotz Currents

5.9.1. Kotz Currents or Russian Currents
5.9.2. Most Relevant Parameters in Kotz Currents
5.9.3. Strengthening Protocol Described with Russian Current
5.9.4. Differences between Low Frequency and Medium Frequency Electrostimulation

5.10. Electrostimulation Applications in Uro-Gynecologic

5.10.1. Electrostimulation and Urogynecology
5.10.2. Types of Electrostimulation in Urogynecology
5.10.3. Placement of Electrodes
5.10.4. Mechanism of Action

5.11. Practical Applications

5.11.1. Recommendations for the Application of Excitomotor currents
5.11.2. Techniques of Application of Excitomorphic Currents
5.11.3. Examples of Work Protocols Described in Scientific Literature

5.12. Contraindications

5.12.1. Contraindications for the Use of Electrostimulation for Muscle Strengthening
5.12.2. Recommendations for Safe Electrostimulation Practice

Module 6. Electrostimulation in the Neurological Patient

6.1. Assessment of Nerve Injury. Principles of Muscle Innervation
6.2. Intensity/Time (I/T) and Amplitude/Time (A/T) Curves
6.3. Main Trends in Neurological Rehabilitation
6.4. Electrotherapy for Motor Rehabilitation in the Neurological Patient
6.5. Electrotherapy for Somatosensory Rehabilitation in the Neurologic Patient
6.6. Practical Applications
6.7. Contraindications

Module 7. Electrotherapy and Analgesia

7.1. Definition of Pain. Concept of Nociception

7.1.1. Definition of Pain

7.1.1.1. Characteristics of Pain
7.1.1.2. Other Concepts and Definitions Related to Pain
7.1.1.3. Types of Pain

7.1.2. Concept of Nociception

7.1.2.1. Peripheral Part Nociceptive System
7.1.2.2. Central Part Nociceptive System

7.2. Main Nociceptive Receptors

7.2.1. Nociceptor Classification

7.2.1.1. According to Driving Speed
7.2.1.2. According to Location
7.2.1.3. According to Stimulation Modality

7.2.2. Nociceptor Functioning

7.3. Main Nociceptive Pathways

7.3.1. Basic Structure of the Nervous System
7.3.2. Ascending Spinal Pathways

7.3.2.1. Spinothalamic Tract (STT)
7.3.2.2. Spinoreticular Tract (SRT)
7.3.2.3. Spinomesencephalic Tract (SRT)

7.3.3. Trigeminal Ascending Pathways

7.3.3.1. Trigeminothalamic Tract or Trigeminal Lemniscus

7.3.4. Sensitivity and Nerve Pathways

7.3.4.1. Exteroceptive Sensitivity
7.3.4.2. Proprioceptive Sensitivity
7.3.4.3. Interoceptive Sensitivity
7.3.4.4. Other Fascicles Related to Sensory Pathways

7.4. Transmitter Mechanisms of Nociceptive Regulation

7.4.1. Transmission at the Spinal Cord Level (PHSC)
7.4.2. APME Neuron Characteristics
7.4.3. Rexed Lamination
7.4.4. Biochemistry of Transmission at the PHSC Level.

7.4.4.1. Presynaptic and Postsynaptic Channels and Receptors
7.4.4.2. Transmission at the Level of Ascending Spinal Tract
7.4.4.3. Spinothalamic Tract (STT)
7.4.4.4. Transmission at the Level of the Thalamus
7.4.4.5. Ventral Posterior Nucleus (VPN)
7.4.4.6. Medial Dorsal Nucleus (MDN)
7.4.4.7. Intralaminar Nuclei
7.4.4.8. Posterior Region
7.4.4.9. Transmission at the Level of the Cerebral Cortex
7.4.4.10. Primary Somatosensory Area (S1)
7.4.4.11. Secondary Somatosensory or Association Area (S2)

7.4.5. Gate Control

7.4.5.1. Modulation Segmental Level
7.4.5.2. Suprasegmental Modulation
7.4.5.3. Considerations
7.4.5.4. Gate Control  Theory Review

7.4.6. Descending Routes

7.4.6.1. Brainstem Modulatory Centers
7.4.6.2. Diffuse Noxious Inhibitory Control (DNIC)

7.5. Modulatory Effects of Electrotherapy

7.5.1. Pain Modulation Levels
7.5.2. Neuronal Plasticity
7.5.3. Sensory Pathway Theory of Pain
7.5.4. Electrotherapy Models

7.6. High Frequency and Analgesia

7.6.1. Heat and Temperature
7.6.2. Effects
7.6.3. Application Techniques
7.6.4. Dosage

7.7. Low Frequency and Analgesia

7.7.1. Selective Stimulation
7.7.2. TENS and Control Gate
7.7.3. Post-Excitatory Depression of Orthosympathetic Nervous System
7.7.4. Theory of Endorphin Release
7.7.5. TENS Dosage

7.8. Other Parameters Related to Analgesia

7.8.1. Electrotherapy Effects
7.8.2. Dosage in Electrotherapy

Module 8. Transcutaneous Electrical Nerve Stimulation (TENS)

8.1. Fundamentals of Current Type used in TENS

8.1.1. Introduction

8.1.1.1. Theoretical Framework: Neurophysiology of Pain

8.1.1.1.1. Introduction and Classification of Nociceptive Fibers
8.1.1.1.2. Characteristics of Nociceptive Fibers
8.1.1.1.3. Stages of the Nociceptive Process

8.1.2. Anti-Nociceptive System: Gate Theory

8.1.2.1. Introduction to Current Type used in TENS
8.1.2.2. Basic Characteristics of TENS Type of Current (Pulse Shape, Duration, Frequency and Intensity)

8.2. Classification of Current Type used in TENS

8.2.1. Introduction

8.2.1.1. Types of Electrical Current Classification
8.2.1.2. According to Frequency (Number of Pulses Emitted per Second)

8.2.2. Classification of Current Type used in TENS

8.2.2.1. Conventional TENS
8.2.2.2. TENS-Acupuncture
8.2.2.3. Low-Rate Burst TENS (Low-Rate Burst)
8.2.2.4. Brief or Intense TENS (Brief Intense)

8.2.3. Mechanisms of Action of the TENS Current Type

8.3. Transcutaneous Electrical Nerve Stimulation (TENS)
8.4. Analgesic Effects of High-Frequency TENS

8.4.1. Introduction

8.4.1.1. Main Reasons for the Wide Clinical Application of Conventional TENS

8.4.2. Hypoalgesia Derived from Conventional/High Frequency TENS

8.4.2.1. Mechanism of Action

8.4.3. Neurophysiology of Conventional TENS

8.4.3.1. Gate Control
8.4.3.2. The Metaphor

8.4.4. Failure of Analgesic Effects

8.4.4.1. Main Mistakes
8.4.4.2. Main Problem of Hypoalgesia by Conventional TENS

8.5. Analgesic Effects of Low-Frequency TENS

8.5.1. Introduction
8.5.2. Mechanisms of Action of TENS-mediated Hypoalgesia Acupuncture: Endogenous Opioid System
8.5.3. Mechanism of Action
8.5.4. High-Intensity and Low-Frequency

8.5.4.1. Parameters.
8.5.4.2. Fundamental Differences from Conventional TENS Current

8.6. Analgesic Effects of Burst-Type TENS

8.6.1. Introduction
8.6.2. Description

8.6.2.1. Burst-Type TENS Current Details
8.6.2.2. Physical Parameters
8.6.2.3. Sjölund and Eriksson

8.6.3. Summary so far of the Physiological Mechanisms of both Central and Peripheral Analgesia

8.7. Importance of Pulse Width

8.7.1. Introduction

8.7.1.1. Physical Characteristics of Waves

8.7.1.1.1. Definition of a Wave
8.7.1.1.2. Other General Characteristics and Properties of a Wave

8.7.2. Impulse Shape

8.8. Electrodes. Types and Application

8.8.1. Introduction

8.8.1.1. The TENS Current Device

8.8.2. Electrodes

8.8.2.1. General Characteristics
8.8.2.2. Skin Care
8.8.2.3. Other Types of Electrodes

8.9. Practical Applications

8.9.1. TENS Applications
8.9.2. Impulse Duration
8.9.3. Impulse Shape
8.9.4. Intensity
8.9.5. Frequency (F)
8.9.6. Electrode Type and Placement

8.10. Contraindications

8.10.1. Contraindications to the use of TENS Therapy
8.10.2. Recommendations for Safe TENS Practice

Module 9. Interferential Currents 

9.1. Fundamentals of Interferential Currents

9.1.1. Interferential Current Concept
9.1.2. Main Properties of Interferential Currents
9.1.3. Characteristics and Effects of Interferential Currents

9.2. Main Parameters of Interferential Currents

9.2.1. Introduction to the Different Parameters
9.2.2. Types of Frequencies and Effects Produced
9.2.3. Relevance of Application Time
9.2.4. Types of Applications and Parameters

9.3. Effects of High Frequency

9.3.1. Concept of High Frequency in Interferential Streams
9.3.2. Main Effects of High Frequency
9.3.3. Application of High Frequency

9.4. Concept of Accommodation. Importance and Adjustment of the Frequency Spectrum

9.4.1. Low-Frequency Concept in Interferential Currents
9.4.2. Main Effects of Low Frequency
9.4.3. Low-Frequency Application

9.5. Electrodes. Types and Application

9.5.1. Main Types of Electrodes in Interferential Currents
9.5.2. Relevance of Electrode Types in Interferential Currents
9.5.3. Application of Different Types of Electrodes

9.6. Practical Applications

9.6.1. Recommendations for the Application of Interferential Currents
9.6.2. Techniques for the Application of Interferential Currents

9.7. Contraindications

9.7.1. Contraindications to the Use of Interferential Currents
9.7.2. Recommendations for Safe Practice Using Interferential Currents

Module 10. Invasive Application of Current

10.1. Invasive Treatment in Physical Therapy for Analgesic Purposes

10.1.1. General Aspects
10.1.2. Types of Invasive Treatment
10.1.3. Infiltration Versus Puncture

10.2. Fundamentals of Dry Needling

10.2.1. Myofascial Pain Syndrome
10.2.2. Myofascial Trigger Points
10.2.3. Neurophysiology of Myofascial Pain Syndrome and Trigger Points

10.3. Post-puncture Treatments

10.3.1. Adverse Effects of Dry Needling
10.3.2. Post-puncture Treatments
10.3.3. Combination of Dry Needling and TENS

10.4. Electrotherapy as an Adjunct to Dry Needling

10.4.1. Non-Invasive Approach
10.4.2. Invasive Approach
10.4.3. Types of Electropuncture

10.5. Percutaneous Electrical Nerve Stimulation: PENS

10.5.1. Neurophysiological Fundamentals of PENS Application
10.5.2. Scientific Evidence for the Application of PENS
10.5.3. General Considerations for PENS Implementation

10.6. Advantages of PENS Over TENS

10.6.1. Current Status of PENS Implementation
10.6.2. Application of PENS in Lower Back Pain
10.6.3. Application of PENS in Other Regions and Pathologies

10.7. Use of Electrodes

10.7.1. General Information on the Application of Electrodes
10.7.2. Variations in the Application from of Electrodes
10.7.3. Multipole Application

10.8. Practical Applications

10.8.1. Justification for the Implementation of the PENS
10.8.2. Applications in Lower Back Pain
10.8.3. Upper Quadrant and Lower Limb Applications

10.9. Contraindications

10.9.1. Contraindications Derived from TENS
10.9.2. Contraindications Derived from Dry Needling
10.9.3. General Considerations

10.10. Invasive Treatments for Regenerative Purposes

10.10.1. Introduction

10.10.1.1. Electrolysis Concept

10.10.2. Intratissue Percutaneous Electrolysis

10.10.2.1. Concept
10.10.2.2. Effects
10.10.2.3. Review of the State-of-the-Art
10.10.2.4. Combination with Eccentric Exercises

10.11. Physical Principles of Galvanism

10.11.1. Introduction

10.11.1.1. Physical Characteristics of Direct Current

10.11.2. Galvanic Current

10.11.2.1. Physical Characteristics of Galvanic Current
10.11.2.2. Chemical Phenomena of Galvanic Current
10.11.2.3. Structure

10.11.3. Iontophoresis

10.11.3.1. Leduc's Experiment
10.11.3.2. Physical Properties of Iontophoresis

10.12. Physiological Effects of Galvanic Current

10.12.1. Physiological Effects of Galvanic Current
10.12.2. Electrochemical Effects

10.12.2.1. Chemical Behavior

10.12.3. Electrothermal Effects
10.12.4. Electrophysical Effects

10.13. Therapeutic Effects of Galvanic Current

10.13.1. Clinical Application of Galvanic Current

10.13.1.1. Vasomotor Action
10.13.1.2. Effect on the Nervous System

10.13.2. Therapeutic Effects of Iontophoresis

10.13.2.1. Penetration and Elimination of Cations and Anions
10.13.2.2. Drugs and Indications

10.13.3. Therapeutic Effects of Intratissue Percutaneous Electrolysis

10.14. Types of Percutaneous Application of Galvanic Currents

10.14.1. Introduction to Application Techniques

10.14.1.1. Classification According to Electrode Placement

10.14.1.1.1. Direct Galvanizing

10.14.2. Indirect Galvanizing
10.14.3. Classification According to the Technique Applied

10.14.3.1. Intratissue Percutaneous Electrolysis
10.14.3.2. Iontophoresis
10.14.3.3. Galvanic Bath

10.15. Application Protocols

10.15.1. Galvanic Current Application Protocols
10.15.2. Intratissue Percutaneous Electrolysis Application Protocols

10.15.2.1. Procedure

10.15.3. Iontophoresis Application Protocols

10.15.3.1. Procedure

10.16. Contraindications

10.16.1. Contraindications of Galvanic Current
10.16.2. Contraindications, Complications and Precautions of Galvanic Current

Module 11. Magnetotherapy in Physiotherapy

11.1. Physical Principles of Magnetotherapy

11.1.1. Introduction
11.1.2. History of Magnetotherapy
11.1.3. Definition
11.1.4. Principles of Magnetotherapy

11.1.4.1. Magnetic Fields on Earth
11.1.4.2. Physical principles |

11.1.5. Biophysical Interactions with Magnetic Fields

11.2. Physiological Effects of Magnetotherapy

11.2.1. Effects of Magnetotherapy on Biological Systems

11.2.1.1. Biochemical Effects
11.2.1.2. Cellular Effect

11.2.1.2.1. Effects on Lymphocytes and Macrophages
11.2.1.2.2. Effects on the Cell Membrane
11.2.1.2.3. Effects on the Cytoskeleton
11.2.1.2.4. Effects on Cytoplasm

11.2.1.3. Conclusion on the Effect on the Cell
11.2.1.4. Effect on Bone Tissue

11.3. Therapeutic Effects of Magnetotherapy

11.3.1. Introduction
11.3.2. Inflammation
11.3.3. Vasodilatation
11.3.4. Analgesia
11.3.5. Increased Calcium and Collagen Metabolism
11.3.6. Reparation
11.3.7. Muscle Relaxation

11.4. Main Magnetic Field Parameters

11.4.1. Introduction
11.4.2. Magnetic Field Parameters

11.4.2.1. Intensity
11.4.2.2. Frequency (F)

11.4.3. Dosimetry of Magnetic Fields

11.4.3.1. Frequency of Application
11.4.3.2. Application Time

11.5. Types of Emitters and Their Application

11.5.1. Introduction
11.5.2. Electromagnetic Fields

11.5.2.1. Total Body Application
11.5.2.2. Regional Application

11.5.3. Local Magnetic Fields Induced with Magnets

11.5.3.1. Conclusions

11.6. Clinical Applications

11.6.1. Introduction
11.6.2. Arthrosis

11.6.2.1. Electromagnetic Fields and Chondrocyte Apoptosis
11.6.2.2. Early-Stage Knee Osteoarthritis
11.6.2.3. Advanced Stage Osteoarthritis
11.6.2.4. Conclusion on Osteoarthritis and Pulsed Electromagnetic Fields

11.6.3. Bone Consolidation

11.6.3.1. Review of Literature on Bone Consolidation
11.6.3.2. Bone Consolidation in Long Bone Fractures
11.6.3.3. Bone Consolidation in Short Bone Fractures

11.6.4. Shoulder Pathology

11.6.4.1. Shoulder Impingement
11.6.4.2. Rotator Cuff Tendinopathy

11.6.4.2.1. Rheumatoid Arthritis.
11.6.4.2.2. Conclusions

11.7. Contraindications

11.7.1. Introduction
11.7.2. Possible Adverse Effects Studied
11.7.3. Precautions
11.7.4. Formal Contraindications
11.7.5. Conclusions

Module 12. Non-Invasive Brain Stimulation

12.1. Non-Invasive Brain Stimulation: Introduction

12.1.1. Introduction to Non-Invasive Brain Stimulation
12.1.2. Transcranial Magnetic Stimulation

12.1.2.1. Introduction to Transcranial Magnetic Stimulation
12.1.2.2. Mechanisms of action
12.1.2.3. Stimulation Protocols

12.1.2.3.1. Transcranial Magnetic Stimulation with Single and Paired Pulses
12.1.2.3.2. Location of the Stimulation Site Hot Spot
12.1.2.3.3. Repetitive Transcranial Magnetic Stimulation
12.1.2.3.4. Simple Repetitive Pattern Stimulation
12.1.2.3.5. Theta-Burst Stimulation (TBS)
12.1.2.3.6. Quadripulse Stimulation (QPS)
12.1.2.3.7. Paired Associative Stimulation (PAS)
 

12.1.2.4. Security/Safety
12.1.2.5. Therapeutic Applications

12.1.3. Conclusions
12.1.4. Bibliography

12.2. Transcranial Direct Current

12.2.1. Transcranial Direct Current

12.2.1.1. Introduction to Transcranial Direct Current
12.2.1.2. Mechanism of Action
12.2.1.3. Security/Safety
12.2.1.4. Procedures
12.2.1.5. Applications
12.2.1.6. Other Forms of Transcranial Electrical Stimulation

12.2.2. Transcranial Neuromodulation Combined with other Therapeutic Interventions
12.2.3. Conclusions
12.2.4. Bibliography

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