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What makes the physiotherapeutists when they practise a treatment of electrotherapy?

Which is our goal?

Our objective is to apply a current, by means of electrodes, in the body of the patient and this through the skin.

This banal question can seem alleviating. It is perhaps significant to visualize the whole operations well :

  • We install the patient.
  • We position a first electrode on the skin.
  • Then a second on another place of the skin.
  • We connect the first electrode to the generator.
  • Then the second.
  • We parameterize the generator.
  • The treatment is launched.
  • The power is on by a wire.
  • Then through the first electrode.
  • Then through the skin.
  • In the tissues of the patient.
  • Arises by the skin.
  • With through the second electrode.
  • And finally by the second wire, to the generator.

Out we let us know that the various crossed elements have resistances, different impedances;

  • The wire is purely resistive and of low resistance and negligible.
  • The electrode is practically resistive and of low resistance, fixed.
  • The skin is strongly capacitive, its resistance is variable.
  • The crossed tissues are purely resistive and of low resistance, fixed.
  • The skin is strongly capacitive, its resistance is variable.
  • The electrode is practically resistive and of low resistance, fixed.
  • The wire is purely resistive and of low resistance and negligible.

If we want to be rather precise, it is necessary to take account of 5 impedances. We limited our approach to this form:

simplified human impedance

This system is simplified too much to understand how is distributed the current in the various elements.

This system is however in conformity with our observations ;

  • The impedance is maximum for the D.C. current.
  • It decreases with the frequency, to arrive at a minimum.

     

 
     updated 07/07/2003