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FARADIC FOOT BATH
DR. SYED ZUBAIR
DEFINITION Application of faradic current to the body parts in a tub, tray or tank containing water is termed as bath method of application. INTRODUCTION Electrical Stimulation by Faradic Current may be applied in baths. Can be used to stimulate, 1.Lumbricals 2.Plantar interossei 3.Abductor hallucis 1.Lumbricals Lumbrical muscles flex and adduct the lateral four toes at the metatarsophalangeal joints and extend them at the interphalangeal joints. These actions contribute to the biomechanical balance of the foot during walking. 2. Plantar Interossei The plantar interossei are innervated by the lateral plantar nerve. They function as adductors of the third, fourth and fifth toes and are responsible for the flexion at the metatarsophalangeal joints and extension at the interphalangeal joints of the lateral three digits. These actions are crucial when the push-off phase of running or walking begins, because they keep the third to fifth toes in place and stop them from spreading apart once the body weight is absorbed into the forefoot. 3. Abductor Hallucis Abductor Hallucis flexes and abducts the large toe at the metatarsophalangeal joint. TYPES OF FFB Depending upon the placement of electrodes bath can be 1. BIPOLAR: Both electrodes are kept in the water 2. UNIPOLAR: one electrode kept in the water while the other electrode kept at any convenient part of the body. ADVANTAGES 1. Skin resistance is lowered considerably by prolonged soaking in water. 2. Water makes the perfect contact with the tissues. 3. Wash of electrolytes formed under the tissue. 4. No lint pad or coupling media required. DIS-ADVANTAGES 1.Current is not localized. 2.Superficial muscles contract more than deep muscles due to the presence of water. 3.Chances of electric shock is higher. PARAMETERS 1. A Rectangular Metal or Carbon Rubber Electrodes of 3x7 cm can be used. 2. A Surge Faradic current is used for this. 3. The Surge Duration: 1 sec. 4. The Surge Interval: 3 sec. 5. Intensity: enough to produce a visible contraction of muscles. 6. Treatment time: 15-20 minutes. METHOD OF APPLICATION 1. Position the patient in high sitting with back well supported. 2. Position the feet on a stool covered with a plastic sheet. 3. Place the foot in a bath containing enough warm water to cover the toes. 4. Encourage the patient to contract the muscle voluntarily with the current PLACEMENT OF ELECTRODES TO STIMULATE LUMBRICALS 1. Place two electrodes transversely, 2. One under the heel and other 3. Under the metatarsal heads PLACEMENT OF ELECTRODES TO STIMULATE PLANTAR INTEROSSEI 1. Place one electrode on each side of the foot at the metatarsal shaft. PLACEMENT OF ELECTRODES TO STIMULATE ABDUCTAR HALUCIS Place one electrode under the heel and stimulate the muscles through the motor point using a pen electrode.