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Fardaic Current

Faradic current is a type of interrupted direct current used in electrotherapy with a pulse duration of 0.1-1 milliseconds and a frequency of 50-100 Hz. It stimulates sensory nerves, causing a prickling sensation, and motor nerves, producing muscle contractions. Faradic current is not suitable for stimulating denervated muscles. It can be applied using methods like motor point stimulation, nerve conduction, bath, or under pressure to facilitate muscle contraction, re-educate muscles, improve blood supply and lymphatic drainage. Contraindications include pacemakers and recent wounds or infections. Proper preparation of equipment and patient positioning is important when applying faradic current treatment.

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502 views

Fardaic Current

Faradic current is a type of interrupted direct current used in electrotherapy with a pulse duration of 0.1-1 milliseconds and a frequency of 50-100 Hz. It stimulates sensory nerves, causing a prickling sensation, and motor nerves, producing muscle contractions. Faradic current is not suitable for stimulating denervated muscles. It can be applied using methods like motor point stimulation, nerve conduction, bath, or under pressure to facilitate muscle contraction, re-educate muscles, improve blood supply and lymphatic drainage. Contraindications include pacemakers and recent wounds or infections. Proper preparation of equipment and patient positioning is important when applying faradic current treatment.

Uploaded by

lecturio
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ELECTROTHERAPY

FARADIC CURRENT :
‘ It is a short duration, interrupted direct current with pulse duration of
0.1 to 1 m/sec and a frequency of 50 to 100 Hz’’

➢Physiological Effects
​ Physiological effects of original faradic and faradic type of currentare
stimulation of sensory nerves, stimulation of motor nerves, effect of muscle
contraction, increased metabolism, effect on denervated muscle and chemical
effect
1. Stimulation of Sensory Nerves

When faradic type of current is applied to the body, then there is a feeling of
mild prickling sensation as a result of stimulation of sensory nerves. Stimulation
of sensory nerves also causes reex vasodilation of supercial blood vessel
leading to reddening of the skin or erythema.

2. ​Stimulation of Motor Nerves

Faradic type of current stimulates motor nerves that will cause contraction of
muscles supplied by it. As stimulations are repeated 50 times per second or more,
it produces tetanic contraction. If this type of contraction is continued for more
than a short period of time, then muscle fatigue is produced and hence the
current is surged or interrupted in order to give relaxation. Advantage of surging
is that the strength of contraction increases gradually in such a manner that it is
similar to voluntary contraction.

3. ​Effect on Denervated Muscle

Faradic current is never used for stimulation of denervated muscle.Since the


intensity of current required producing a contraction of denervated muscle with
a faradic current is usually too great to be tolerable for treatment purposes.
Therefore, faradic current is not satisfactory for stimulation of denervated
muscles.
4. ​Effect of Muscle Contraction

Electrical stimulation of muscles by faradic current increases metabolism and


pumping effect of muscles.
​Metabolism​ ‘‘is a collective process, which consists of physical, chemical,
anabolic and catabolic changes in the body tissues by which living state of body
is maintained’’

As a result of muscle contraction due to electrical stimulation, metabolism is


increased. Increased metabolism increases demand for oxygen and foodstuff and
as a result of it, there is an increase in the output of waste products including
metabolites. These metabolites cause dilation of capillaries and arterioles and
increase the blood supply to the muscle.

Pumping action of muscles:

As the muscle contracts and relaxes, it exerts a pumping action on veins and
lymphatic vessels lying within and around them. The valves in this vessel direct
the uid towards the heart. If muscle contraction is strong and joint movement is
also there then, both of these exert a pumping effect on vessels leading to
increased venous and lymphatic return.

➢Chemical Effect
Very negligible amount of chemicals are formed when faradic current is
applied, as the pulse duration is too small.

➢Therapeutic Indications
1.​ Facilitation of Muscle

Muscle contraction can be facilitated by faradic type of current. The


facilitation effect of faradic current can be used when a patient is unable to
produce a muscle contraction or nds difficulty in doing so. Muscle contraction
may be inhibited as a result of trauma,inammation, pain and surgery, etc. Here,
faradic current stimulation is used in assisting voluntary contraction, for
example, faradic stimulation of the quadriceps following meniscectomy.
The patient should be encouraged to attempt voluntary contraction at the same
time so as to get voluntary control by minimizing inhibition.

2. ​ Muscle Re-education

Muscle action can be re-educated, if voluntary muscle action is lost as a


result of prolonged disuse or incorrect use. For instance, re-education of

abductor hallucis in hallux valgus. Here, the current is applied in such a way
that it produces the abduction of the great toe.

4.​ New Muscle Action

After tendon transplantation or other reconstruction operations,faradic


current can be used for training of new muscle action.Muscle is stimulated so as
to produce new action or movement.During stimulation, the patient should
attempt to perform voluntary contraction. Once the patient is able to perform
new movement actively without electric stimulation, then electric stimulation is
discontinued.

5. ​Effects on paralyzed muscle

Faradic stimulation to the paralyzed muscles can be applied following


neuropraxic lesion of the motor nerve(​ neuropraxia: is a disorder of the
peripheral nervous system in which there is a temporary loss of motor and
sensory function due to blockage of nerve conduction, usually lasting an average
of six to eight weeks before full recovery)​ Electrical stimulation can be given till
voluntary control is developed. However, electrical stimulation may not be
needed in neurapraxia as recovery takes place without any marked changes in
the muscle tissue.

​ lood Supply
6. B

Faradic current can cause reex vasodilation and hence, can be used for
increase in blood supply in conditions where heat treatment may not be a safe
choice. For this purpose, sensory level intensity is applied with bath method of
application.

7. ​ Effect on Edema
Faradic current can be used in the treatment of edema for improving venous and
lymphatic drainage. Faradism under pressure method of faradic current
application can be used for this purpose.

➢Methods of Application
Faradic current can be applied by various methods such as motorpoint
stimulation, nerve conduction method, bath method, under pressure faradism,
etc.

A. Motor Point Stimulation

Motor point stimulation involves stimulation of individual muscle.In this


method, an indifferent electrode is placed at the origin of muscle and an active
disk electrode (handle/pen electrode) is placed at motor point. With this method
almost each and every muscle can be stimulated and thus effect of passive
exercise can be given to each and every muscle.

Advantages o​ f this method are:


1. contraction of individual muscle can be obtained
2. each and every muscle can be stimulated
3. isolated muscle contraction can be obtained in the treatment of various
conditions, for example,stimulation of abductor hallucis in hallux valgus.
disadvantages​ of this method is it is:
1. Time-consuming
2. it is difficult to stimulate deeply situated muscles

B. ​ Nerve Conduction Method

In nerve conduction method, an indifferent electrode is placed at convenient


area and an active electrode to a point at which the nerve trunk is supercial. It
will stimulate motor nerve trunk and will cause contractions of all the muscles
that it supplies beyond the point of stimulation. This method is used when it is
not possible to use other methods conveniently, for example, in case of wound,
splint and edema.

C.​ Bath Method

Application of faradic current to the body parts in a tub, tray or tank containing
water is termed as bath method of application.Depending upon the placement of
electrodes, bath can be of bipolar or unipolar type. In bipolar, both electrodes are
kept in the bathand in case of unipolar, only one electrode is kept in the bath
while the other one is kept at any convenient part of the body, which is not
immersed in the water. Bath method is commonly used for the application of
faradic current to the foot and which is often termed as faradic footbath.
Advantages​ of bath method are that
1. skin resistance is lowered considerably by water
2. water makes perfect contact with the tissues
​Disadvantages​ of this method is
1. the current cannot be localized
2. supercialmuscles contract to a greater extent than deeper ones due to the
presence of water
3. chances of electric shock is greater as water can make earthing easily
available.
D. ​ Faradism Under Pressure

Faradism under pressure method is used in the treatment of edema to increase


the venous and lymphatic drainage from the edematous area. Here, the faradic
current is applied along with an elastic bandage such as elastocrepe bandage
and the body part, which is to be treated, is kept elevated during treatment. This
form of treatment is applied for 15 to 20 minutes only

​ aradism to Pelvic Floor Muscles


E. F

Here, the active electrode is placed in the perineal region or rectum or vagina
and an indifferent electrode over lumbosacral region. This method of application
can be used in prolapse of pelvic organs,stress, incontinence, etc.

➢ CONTRAINDICATIONS :
➔ Pacemaker
➔ Non-union fracture
➔ Recent scar
➔ hemorrhagic site
➔ Skin lesions
➔ Thrombosis
➔ Skin infections

➢ TREATMENT TECHNIQUES:​
◆ Preparation of Apparatus
1. Select and collect necessary equipment and accessories like
electrodes, leads, straps, electrode gel/water or normal saline
and draping material.
2. Inspect all wires and plugs for frayed or broken
connections
3. turn on and check for leakage of current with current
tester.
4. turn on equipment and check to see that all components are
working properly.

◆ Preparation of Patient
1. Explain the procedure
2. Expose the body part
3. Check for sensation and contraindications
4. Position the patient appropriately.

​ pplication of Treatment
◆ A
1. While using a stimulus intensity that is both comfortable for
the patient and adequate to produce a motor response
2. nd the optimal stimulation point for the targeted muscle
3. Determine the appropriate stimulation parameters like
frequency, intensity, time
4. Begin the procedure
 

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