Electrotherapy is constantly evolving. Consequently, there are studies that validate or invalidate various scientific information, published at a given time. There are also many more and more advanced and technological medical devices. The role of the Physical Medicine and Rehabilitation (MFR) / Recovery, Physical Medicine and Balneology (RMFB) specialist is to first check the package leaflet of the purchased device and use it in accordance with the recommendations of the manufacturer of that device, integrating his knowledge in the field and appealing to the same time, to the specialized studies accessible at that moment.
The second edition is carefully corrected, revised, carefully typed and up to date.
Of course, I recommend replacing "Electrotherapy Practical Principles Edition I" with this edition.
Some problems still remain active, including specific contraindications to electrotherapy in various pathologies, which must be widely developed in another material. Here are just a few examples:
TECAR is a therapy proposed in different ways of operation and application by manufacturing companies. There are special devices, part of this range, which are indicated by the manufacturer to be recommended in fractures with osteosynthesis material, there are others that have this contraindication express in the leaflet. Consequently, it is a clear desideratum to carefully consult the manufacturer's instructions before recommending this therapy, depending on the device purchased and the existing studies at that time. It is, of course, up to the specialist to use each device according to its specifics.
The magnetic field, the electromagnetic field is a therapy generally contraindicated in fractures with osteosynthetic materials. However, there are devices in which the company producing magnetic field variants indicated in fractures with osteosynthesis material are indicated; but there are other devices that have this express contraindication. Consequently, here too I will specify to carefully consult the manufacturer's instructions and to recommend this therapy depending on the device purchased and the existing studies at that time.
Electrostimulation using low frequency current is increasingly used in the international literature in cancer patients. There are no such studies in Romania, known to me, until now, but it is up to the specialist to use them, as he considers.
LASER is not indicated in fractures with osteosynthesis material, but it has begun to be studied by some authors in fractures with osteosynthesis materials in animals, but not yet in humans. Studies do not show destructive local changes, on the contrary improvements, but only further extensive research can confirm and validate these observations.
In our country, the MFR / RMFB specialist is the only one able, after the functional clinical ‑ paraclinical ‑ evaluation to objectify the functional diagnosis of the patient, to compile a complete recovery program, based on objectives, to establish indications, contraindications, application formulas for different procedures: electrotherapy, natural therapeutic physical factors, etc., to establish indications, contraindications, objectives, stage and final, of the physiotherapy program, to indicate or to contraindicate the integration in the program of other interventions for recovery, to supervise and to control the correct development of the indicated program. I strongly believe that without a "physiotherapy card" physiotherapy "initialed by an MFR / RMFB specialist doctor, on which to find the above mentioned, no recovery program for a patient should be started.
The scientific and practical information I have written in this book is not an axiom, it does not come together as a guide to the specialty, moreover, it must be given periodically. I encourage each colleague to check the information in my books in accordance with: the prospectus of the purchased device, corroborating them with personal experience, with the existing studies in the profile literature, at national and international level, at that time. I am also open to any feedback, discussion, suggestion, dating, because only together we can contribute to the scientific development of our specialty.
Dr. Cristina Daia
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