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Electrotherapy

Electrotherapy

Electrotherapy can address pain and tissue repair associated with:

  • Musculo-skeletal rehabilitation
  • Neurological rehabilitation
  • Back, neck and joint pain
  • Arthritis
  • Incontinence
  • Sport specific strengthening and recovery

"For individuals suffering from acute or chronic pain, muscle injuries, or those undergoing rehabilitation, our electrotherapy modality offers a clinically proven, non-invasive solution that provides targeted pain relief, reduces inflammation, and stimulates muscle recovery. Unlike oral pain medications that only mask the symptoms or invasive procedures that carry higher risks, our technology uses precise electrical stimulation to promote natural healing processes, enhance muscle strength, and improve mobility—offering a drug-free, long-term approach to wellness."

How does it work?

Electrotherapy involves the introduction of physical energy into tissue to influence a biological effect for therapeutic benefit. There are many ways that this can be achieved, using different electrical waveforms or sound waves, but the underlying principle is to enhance the body's ability to stimulate, direct and control the pain and repair processes

Breakdown of the general mechanisms for the most common electrotherapy modalities:

1. TENS (Transcutaneous Electrical Nerve Stimulation)

Purpose: Pain relief.

Mechanism:

  • Gate Control Theory of Pain: TENS stimulates sensory nerve fibers, which compete with pain signals traveling to the brain. By activating the sensory nerves, TENS "closes the gate" to pain signals, preventing them from reaching the brain.
  • Endorphin Release: Low-frequency TENS can also stimulate the production of endogenous opioids (endorphins) in the body, which act as natural painkillers.

2. NMES (Neuromuscular Electrical Stimulation)

Purpose: Muscle strengthening, re-education, or recovery.

Mechanism:

  • NMES works by sending electrical impulses directly to the motor neurons, which causes the muscles to contract. These contractions mimic voluntary muscle movements, which can help strengthen weak muscles, improve muscle tone, and increase blood flow to the area.
  • Rehabilitation: In patients with muscle atrophy or weakened muscles due to injury or disuse, NMES can help retrain muscles by stimulating contraction without voluntary movement.

3. IFC (Interferential Current Therapy)

Purpose: Pain relief, especially deep tissue pain.

Mechanism:

  • IFC combines two medium-frequency currents that intersect at the treatment area, creating a low-frequency current. This low-frequency stimulation can penetrate deeper into tissues, reducing pain, and improving blood flow.
  • The interference pattern created by the intersecting currents increases stimulation in the targeted area, providing relief for conditions such as deep muscle or joint pain.

4. HVPC (High Voltage Pulsed Current)

Purpose: Helps with stimulating blood flow.

Mechanism:

  • HVPC delivers high-voltage, short-duration electrical pulses that promote tissue healing by stimulating cellular activity. It works by:
    • Improving circulation: Increases blood flow to the area, which helps deliver oxygen and nutrients necessary for tissue repair.

5. Microcurrent Therapy

Purpose: Tissue repair and pain management.

Mechanism:

  • Microcurrent therapy delivers extremely low electrical currents (in the microampere range) that mimic the body’s natural electrical signals.
  • It also improves blood flow contributing to pain relief.

The overall effect of electrotherapy is to enhance the body’s natural healing processes, modulate pain, or improve muscle function depending on the specific treatment modality.

Device Benefits

  • MI technology: Muscle Intelligence™ technology automatically customises the stimulation parameters according to each patient's physiology.
  • Wireless: Eliminate any constraints on use by making it easy for your patient to get settled in, while giving them complete freedom of movement. Wireless technology invites you to combine electrotherapy with active exercises to make your sessions more effective.

WHAT IS VARIABLE MUSCLE STIMULATION (VMS)?

VMS is a symmetric biphasic waveform with a 100μs pause interval. This pause allows the nerve time to recover and allows continuous contractions with less neural fatigue.

INCREASE FORCE OUTPUT

VMS has 14.8% higher force output compared to Russian at the same settings. The patient achieves a stronger muscle contraction at the same level of comfort.

EXPERIENCE LESS DISCOMFORT

Patients experience stronger muscle contractions with 10.3% less current amplitude.

DECREASE FATIGUE

Experience less neural fatigue over the course of 10 repetitions. VMS works the muscle harder than Russian over 10 reps.

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References

Borzuola R, Quinzi F, Scalia M, Pitzalis S, Di Russo F, Macaluso A. (2023), Acute effects of neuromuscular electrical stimulation on cortical dynamics and reflex activation. J Neurophysiol. Jun 1;129(6):1310-1321

Mahmood A, Veluswamy SK, Hombali A, Mullick A, N M, Solomon JM. (2019), Effect of Transcutaneous Electrical Nerve Stimulation on Spasticity in Adults With Stroke: A Systematic Review and Meta-analysis. Arch Phys Med Rehabil. Apr;100(4):751-768

Johnson MI, Paley CA, Jones G, Mulvey MR, Wittkopf PG. (2022), Efficacy and safety of transcutaneous electrical nerve stimulation (TENS) for acute and chronic pain in adults: a systematic review and meta-analysis of 381 studies (the meta-TENS study). BMJ Open. Feb 10;12(2)

Artuç ŞE, Uçkun AÇ, Sivas FA, Yurdakul FG, Bodur H. (2023), Comparison of the effects of transcutaneous electrical nerve stimulation and interferential current therapies in central sensitization in patients with knee osteoarthritis. Korean J Pain. Jul 1;36(3):392-403

Girgis B, Carvalho D, Duarte JA. (2023), The effect of high-voltage monophasic pulsed current on diabetic ulcers and their potential pathophysiologic factors: A systematic review and meta-analysis. Wound Repair Regen. Mar;31(2):171-186.

Finberg M, Braham R, Goodman C, Gregory P, Peeling P. (2013), Effects of electrostimulation therapy on recovery from acute team-sport activity. Int J Sports Physiol Perform. May;8(3):293-9 293

Leonardo K, Seno DH, Mirza H, Afriansyah A. (2022), Biofeedback-assisted pelvic floor muscle training and pelvic electrical stimulation in women with overactive bladder: A systematic review and meta-analysis of randomized controlled trials. Neurourol Urodyn. Aug;41(6):1258-1269

Yoshida Y, Ikuno K, Shomoto K. Comparison of the Effect of Sensory-Level and Conventional Motor-Level Neuromuscular Electrical Stimulations on Quadriceps Strength After Total Knee Arthroplasty: A Prospective Randomized Single-Blind Trial. Arch Phys Med Rehabil. 2017 Dec;98(12):2364-2370.