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THERAPEUTICAL PROTOCOLS Dr Carlo Morelli

Diathermy by Radiofrequency. THERAPEUTICAL PROTOCOLS Dr Carlo Morelli. Diathermic energy transfer.

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THERAPEUTICAL PROTOCOLS Dr Carlo Morelli

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  1. DiathermybyRadiofrequency THERAPEUTICAL PROTOCOLSDr Carlo Morelli

  2. Diathermicenergy transfer • Despite the massive use of this technique, and the significant amount of work in the field of the physiological effects of heat on biological tissues, diathermy therapy has often been applied in a naive way, with total absence of measurable physiological parameters that would allow an objective assessment of therapeutic efficiency.

  3. CERVICOBRACHIAL PAIN(ACUTE PHASE) • RESISTIVE FOR 15’ ON INTERESTED AREA (PARACERVICAL MUSCLES, SCAPULARS AND TRAPEZIUS) WITH VIBRO-PERCUSSION. TSL G1, POWER 10%-20%. • CAPACITIVE FOR 10’ ON THE SAME AREA AS A REGENERATING ACTION, WITH VIBRATION, POWER 20%-40%. • T-POINT ON ACTIVE TRIGGER POINTS FOR 2’ PER POINT. • REFERENCE ELECTRODE ON THE UPPER FRONT AREA OF THE CHEST OR CERVICAL BASE. • NUMBER OF SESSIONS DEPENDING ON THE INDIVIDUAL AND STAGE OF PATHOLOGY, FREQUENCY THREE TIMES A WEEK OR DAILY.

  4. CERVICOBRACHIAL PAIN(SUBACUTE PHASE) • RESISTIVE FOR 15’-20’ ON THE INTERESTED AREA (PARACERVICAL MUSCLE, SCAPULARS AND TRAPEZIUS AND ALONG THE ARM), WITH VIBROPERCUSSION. TSL G2, POWER 20%-35%. • CAPACITIVE FOR 10’ ON THE INTERESETED AREA WITH VIBROPERCUSSION, POWER 30%-50 %. • T-POINT CAN BE USED FOR TREATING ACTIVE TRIGGER POINTS FOR 2’ PER POINT. • REFERENCE ELECTRODE ON THE UPPER FRONT ZONE OF THE CHEST OR CERVICAL BASE • NUMBER OF SESSIONS DEPENDING ON THE INDIVIDUAL AND STAGE OF PATHOLOGY. FREQUENCY TWO/THREE TIMES A WEEK.

  5. SCAPULOHUMERAL PERIARTHRITIS(ACUTE PHASE) • PERIARTICULAR AND CAPSULAR AREA. • CAPACITIVE CONVEX FOR 8’-12’, TSL G1, POWER 20%-30%, WITH VIBRATION FOR 6’. • RESISTIVE CONVEX FOR 10’-15’ ON THE SAME AREA POWER 10%-30%, WITH VIBROPERCUSSION. • REFERENCE ELECTRODE ON TRICEPS BRACHIALIS OR SUPERIOR TRAPEZIUS. • SESSIONS THREE TIMES A WEEK OR DAILY, NUMBER DEPENDING ON THE INDIVIDUAL.

  6. SCAPULOHUMERAL PERIARTHRITIS(SUBACUTE PHASE) • PERIARTICULAR AND MUSCULAR AREA OF: DELTOID, SUPRASPINATUS, TRAPEZIUS, TRICEPS AND BICEPS BRACHIALIS. • CAPACITIVE FOR 10’, TSL G2 , POWER 30%-50%. • RESISTIVE CONVEX FOR 12’, POWER 20%-40%, WITH VIBRATION. • FIXED ADHESIVE ELECTRODES IN ARTICULAR POSITION, IN CASE OF ARTICULAR LIMITATION, WITH ARTICULAR MOBILIZATION AT THE SAME TIME. • REFERENCE ELECTRODE ON TRICEPS BRACHIALIS OR SUPERIOR TRAPEZIUS. • SESSIONS TWO/THREE TIMES A WEEK, NUMBER DEPENDING ON THE INDIVIDUAL.

  7. EPICONDYLITIS and MEDIAL EPICONDYLITIS • PAINFUL ARTICULAR POINT AND PERIARTICULAR ZONE • CAPACITIVE CONVEX FOR 8’ , TSL G1-G2°, POWER 30%-40%. • RESISITVE CONVEX FOR 15’, POWER 20%-30%. • 3D ADHESIVE ELECTRODES POSITIONED FRONTALLY AND SIDEWAYS TO THE JOINT, POWER 15%. • REFERENCE ELECTRODE ON TRICEPS OR BICEPS BRACHIALIS. • SESSIONS THREE TIMES A WEEK, NUMBER DEPENDING ON THE INDIVIDUAL.

  8. METACARPOPHALANGEAL ARTHROSIS • METACARPOPHALANGEAL ZONE PAINFUL AND BACK SIDE • CAPACITIVE CONVEX FOR 15’, TSL G1-G2, POWER 30%-40%. • REFERENCE ELECTRODE ON THE FOREARM. • 3D ADHESIVE ELECTRODES ON THE ARTICULAR AREA PAINFUL AND BACK SIDE OF THE HAND AND BOTTOM PART OF PULSE-HAND FOR 15’, POWER 15%-25%. • MINIMUM 8 SESSIONS WITH A TWO TIMES A WEEK FREQUENCY.

  9. CARPAL TUNNEL SYNDROME • PAINFUL ZONE HAND AND PULSE • CAPACITIVE, CONVEX FOR 5’. TSL G1-G2, POWER 20%-30%, WITH VIBRATION. • RESISTIVE, CONVEX FOR 15’ , POWER 10%-20%, WITH VIBRATION. • REFERENCE ELECTRODE ON THE FOREARM. • 10 SESSIONS WITH A THREE TIMES A WEEK FREQUENCY.

  10. LUMBAR SCIATICA • RESISTIVE FOR 20’ LUMBAR ZONE, PARAVERTEBRAL AND GLUTEUS ON PAINFUL SIDE, POWER 15-25 %, TSL G1-G2. WITH VIBROPERCUSSION. • CAPACITIVE FOR 10’ LUMBAR ZONE AND FOR 5’ TRANSSCIATIC POINT (GLUTEUS-THIGH-LEG) POWER 30-50%, WITH VIBRATION. • REFERENCE ELECTRODE ON THE ABDOMEN. • T-POINT CAN BE USED ON ACTIVE TRIGGER POINTS, FOR 2’ PER POINT. • OR FIXED ADHESIVE ELECTRODES ON LUMBAR AREA AND GLUTEUS FOR 15’, POWER 20%-30%, IN ANTALGIC POSTURE. • SESSIONS THREE TIMES A WEEK FOR 8 SESSIONS.

  11. ACUTE LUMBAGO WITH SCIATIC IRRADIATION • CAPACITIVE LUMBAR ZONE FOR 10’ , POWER 30-50%, TSL G2. WITH VIBROPERCUSSION. • RESISTIVE LUMBAR AND GLUTEAL ZONE FOR 15’, POWER 15%-40%, WITH VIBROPERCUSSION. • REFERENCE ELECTRODE ON THE ABDOMEN. • FIXED ELECTRODES ON LUMBAR AREA FOR 20’, POWER 15%-30% AND CONTEMPORARLY RELAXING AND MOBILIZING POSTURES. • SESSIONS TWO/THREE TIMES A WEEK FOR 6 SESSIONS.

  12. CHRONIC LUMBAGO • CAPACITIVE CONVEX IN LUMBAR AREA FOR 10’ POWER 40%- 60% , TSL G2-G3 WITH VIBROPERCUSSION • RESISITVE CONVEX FOR 12’ POWER 30%-40% WITH VIBROPERCUSSION. • REFERENCE ELECTRODE ON THE ABDOMEN. • FIXED ELECTRODES MEDIUM SIZE IN LUMBAR AREA FOR 20’, POWER 15%-25% WITH MANIPULATION AND TILTING AT THE SAME TIME IN THE LUMBOSACRAL REGION. • SESSIONS TWICE A WEEK FOR SIX SESSIONS INTEGRATED IN A POSTURAL PROGRAM.

  13. SENILE OSTEOPOROSIS • RESISTIVE ON PARAVERTEBRAL ZONES FOR 20’ WITH VIBRO-PERCUSSION, POWER 30-40% , TSL G2. • REFERENCE ELECTRODE ON ABDOMEN. • CAPACITIVE SAME AREA FOR 10’ WITH VIBROPERCUSSION, POWER 60%. • FIXED ADHESIVE ON PARAVERTEBRAL POSITION POWER 20%-30% • SESSIONS THREE TIMES A WEEK FOR 12 – 15 SESSIONS IN TOTAL.

  14. SPINE CONTRACTURES - ALONG THE MUSCLE CONTRACTURE • CAPACITIVE CONVEX, POWER 20%-30% , TSL G2 FOR 10’, WITH VIBROPERCUSSION • RESISITVE CONVEX, POWER 20%-30%, FOR 15’, WITH VIBROPERCUSSION • REFERENCE ELECTRODE OPPOSED , OR UPWARDS OR DOWNWARDS TO THE AREA • SESSIONS THREE TIMES A WEEK OR DAILY, FOR 6 – 8 SESSIONS.

  15. THIGH ADDUCTOR TENDINOPATHY (Groin Disruption) • CAPACITIVE, CONVEX, FOR 10’ ADDUCTOR AREA, POWER 30%-50%, TSL G2 WITH VIBROPERCUSSION ALONG THE MUSCLE. • RESISTIVE , CONVEX, FOR 15’, ADDUCTOR AREA INSERTING THE TENDON, POWER 10%-30% • REFERENCE ELECTRODE OPPOSED THE THIGH. • 3D ADHESIVE ELECTRODES ON THE INSERTION OF ADDUCTORS PLACED LONGITUDINALLY , POWER 20-30% • SESSIONS TWO/THREE TIMES A WEEK, NUMBER DEPENDING ON THE INDIVIDUAL.

  16. COXALGIA • CAPACITIVE, CONVEX, PLACED PERIARTICULARLY FOR 10’, POWER 30%-40% , TSL AT G2-G3, WITH VIBRO-PERCUSSION. • RESISITIVE, PERICAPSULAR ZONE FOR 12’, POWER 30%-40%, WITH VIBROPERCUSSION. • REFERENCE ELECTRODE OPPOSED OR PLACED ON LUMBAR AREA. • OR: FIXED ADHESIVE ELECTRODES PLACED PARAARTICULARLY, POWER 15%-25% FOR 15’. • SESSIONS TWO / THREE TIMES A WEEK, NUMBER OF SESSIONS DEPENDING ON THE INDIVIDUAL.

  17. DEGENERATIVE COXARTHROSIS (HIP JOINT) • ADHESIVE PLAQUES PLACED PERIARTICULARLY FOR 20’ POWER 15%-25% , CONTEMPORARY ARTICULAR MOVEMENTS AND ISOMETRIC ACTIVATION. • CAPACITIVE, CONVEX, FOR 10’, POWER 30%-50% AND TSL AT G2 G3. • RESISITVE, CONVEX, FOR 12’, POWER 30%-40% WITH VIBROPERCUSSION. • REFERENCE ELECTRODE ON THE GLUTEUS ZONE OR OPPOSED. • SESSIONS FROM ONE TO THREE A WEEK , NUMBER DEPENDING ON THE INDIVIDUAL.

  18. MUSCULAR THIGH INJURY • (WITH HEMATOMA) THE SECOND DAY CAPACITIVE , CONVEX, PLACED ON THE MUSCLE INJURY FOR 10’ POWER 30%-40% , TSL G2-G3, WITH VIBRO-PERCUSSION. • RESISITIVE, CONVEX, FOR 15’, POWER 20%-30%, WITH VIBROPERCUSSION • REFERENCE ELECTRODE OPPOSED. • (WITHOUT HEMATOMA) FIXED ADHESIVE ELECTRODES PLACED ON THE MUSCLE INJURY OR RESISTIVE, WITH VIBRO-PERCUSSION, POWER 15%-25%, FOR 20’, WITH GRADUAL MUSCLE STRETCHING. • SESSIONS THREE TIMES A WEEK OR DAILY , WITH A NUMBER OF SESSIONS DEPENDING ON THE INDIVIDUAL.

  19. FEMUR-KNEECAP TENDINOPATHY • CAPACITIVE, CONVEX, FOR 5’, WITH VIBROPERCUSSION, POWER 30%-50%, TSL G2 AROUND KNEECAP AND TENDON. • RESISTIVE, CONVEX, FOR 12’, WITH VIBROPERCUSSION, POWER 20%-30%, AROUND KNEECAP AND TENDON. • REFERENCE ELECTRODE OPPOSED. • OR: 3D ADHESIVE ELECTRODES PLACED LONGITUDINALLY ON THE AREA OF THE KNEECAP AND TENDON, POWER 20%-25 %, FOR 15’. • SESSIONS ONCE OR TWICE A WEEK.

  20. OSTEOARTICOLAR KNEE PAIN (GONALGIA) • ADHESIVE PLAQUES PLACED MIDDLE-ARTICULAR, FOR 10’, POWER 15%-20% . • CAPACITIVE , CONVEX, PERIARTICULAR ZONE, FOR 10’, TSL AT G2-G3 AND POWER 30%-50%. • RESISTIVE FOR 15’ IN THE POPLITEAL ZONE WITH VIBRO-PERCUSSION, POWER 20%-30%, TSL AT G2 . • REFERENCE ELECTRODE ON OPPOSITE SIDE. • SESSIONS ONCE OR TWICE A WEEK.

  21. INJURIES OF KNEE LIGAMENTS • CAPACITIVE, CONVEX, POSITIONED PERIARTICULARLY TO THE INJURY, FOR 10’, POWER 30-50%, TSL AT G2-G3 • RESISITIVE, CONVEX IN PERIARTICOLAR POSITION AND POPLITEAL ZONE FOR 12’, WITH VIBROPERCUSSION, POWER 15%-25% AND TSL AT G1 • REFERENCE ELECTRODE OPPOSITE SIDE. • SESSIONS TWO/THREE TIMES A WEEK, NUMBER DEPENDING ON THE INDIVIDUAL .

  22. CALF MUSCLE TEAR • RESISITIVE, CONVEX, INJURED AREA FOR 10’ POWER 15% - 20% AND TSL AT G1-G2 WITH VIBROPERCUSSION • CAPACITIVE, CONVEX, INJURED AREA AND ENTIRE MUSCLE SURFACE, POWER 30%-45 % AND TSL AT G2-G3, FOR 10’. ADD VIBROPERCUSSION. • REFERENCE ELECTRODE PLACED OPPOSITE SIDE . • IN THE PRESENCE OF HEMATOMA START AT LEAST THE SECOND DAY. • SESSIONS TWO/THREE TIMES A WEEK .

  23. ACHILLES TENDINOPATHY • RESISITIVE, CONVEX ON THE ACHILLES ZONE, WITH VIBROPERCUSSION, POWER 40%-60% AND TSL AT G2-G3, FOR 15’. • ADHESIVE 3D ELECTRODES PLACED IN SEQUENCE ALONG THE TENDON, POWER 15%-25% FOR 15’, ASSOCIATED WITH GRADUAL STRETCHING EXERCISES. (TENDINOSIS OR CHRONICAL TENDINITIS) • SESSIONS TWICE A WEEK.

  24. ANKLE DISTORTION INJURY • CAPACITIVE ON PERIARTICULAR MALLEOLUS, ASSOCIATED WITH VIBROPERCUSSION, POWER 20% -40% AND TSL AT G1-G2 FOR 10 '. • RESISTIVE, SAME POSITION, ASSOCIATED WITH VIBROPERCUSSION, POWER OF 20%-30% AND TSL G1/G2 FOR 12’. • REFERENCE ELECTRODE PLACED ON THE OPPOSITE SIDE. • FIXED ADHESIVE ELECTRODES TRANS. MALLEOLUS FOR 15’, POWER 15/20%. • SESSIONS TWO/THREE TIMES A WEEK, NUMBER OF SESSIONS ACCORDING TO INDIVIDUAL NEEDS.

  25. PLANTAR FASCIITIS – HEEL SPUR • CAPACITIVE, CONVEX, ON THE CALCANEAL AND PLANTAR FASCIA FOR 10’, POWER 30%-50%, AND TSL AT G2-G3 ASSOCIATED WITH VIBROPERCUSSION. • RESISITIVE, CONVEX, SAME PLACE, POWER 20%-350%, FOR 12’, WITH VIBROPERCUSSION. • OR: ADHESIVE ELECTRODES 3D POSITIONED ON THE TRANS CALCANEAL AND SUBCALCANEAL, FOR 15’, POWER 20%-30% • SESSIONS ONCE OR TWICE A WEEK.

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