Učinkovitost uporabe kapacitivne in rezistivne monopolarne radiofrekvence v fizioterapiji - pregled literature : diplomsko delo

Močnik, Katarina (author), Jakovljević, Miroljub (mentor), Macuh, Marko (comentor), Rugelj, Darja (reviewer)

Uvod: Termoterapija je terapevtska aplikacija toplote na telo, kar privede do zvišanja temperature tkiva. Navadno jo uvrščamo v površinsko in globinsko. Diatermija je ena izmed metod globinske termoterapije. Za delovanje uporablja radiofrekvenčno sevanje, ki na elektromagnetnem polju zavzema frekvence od 3 kHz do 300 MHz. Čeprav se v praksi najpogosteje uporablja pulzirajoča kratkovalovna diatermija, s frekvenco delovanja 27,12 MHz, so na voljo tudi druge oblike diatermije, ki delujejo pri bistveno nižjih območjih radiofrekvence. Ena izmed njih je kapacitivna in rezistivna monopolarna radiofrekvenca, ki za segrevanje globokih tkiv uporablja elektromagnetno polje v frekvenčnem razponu med 300 kHz in 1 MHz. Namen: Namen diplomskega dela je bil na podlagi pregleda literature predstaviti učinkovitost uporabe kapacitivne in rezistivne monopolarne radiofrekvence v fizioterapiji. Metode dela: Pri izdelavi diplomskega dela smo uporabili opisno metodo. Iskanje literature je potekalo v podatkovnih bazah PubMed in Cochrane library. Rezultati: V pregled literature je bilo vključenih enajst raziskav. V sedmih raziskavah so preverjali vplive terapije pri zdravih preiskovancih, v štirih pa pri določenih patologijah. Uporabljena frekvenca elektromagnetnega polja je bila v veliki večini 448 kHz, razlikovala se je le pri dveh raziskavah. V prvi je bila uporabljena frekvenca 485 kHz, v drugi pa frekvenčni razpon med 450 in 600 kHz. V vključenih raziskavah so dokazali, da uporabljena terapija z učinkovitim dvigom in zadrževanjem temperature v globlje ležečih tkivih doseže izboljšanje krvnega pretoka in zvišanje nasičenosti hemoglobina v krvi, s čimer pripomore k hitrejšemu celjenju tkiv, zmanjšanju bolečine, izboljšanju razteznosti mehkih tkiv in izboljšanju funkcije. Razprava in zaključek: Z gotovostjo lahko trdimo, da ima uporaba kapacitivne in rezistivne monopolarne radiofrekvence v fizioterapevtski praksi pomembno vlogo, čeprav število raziskav, ki bi preiskovale učinke terapije, predvsem pri različnih patologijah ni veliko. Majhna je tudi razsežnost uporabljenih frekvenc pri terapiji, zaradi česar bi bilo potrebno opraviti več kakovostnih raziskav.

• Language: Slovenian
• Keywords: diplomska dela, fizioterapija, termoterapija, diatermija, radiofrekvenca, kapacitivni načini, rezistivni načini
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [K. Močnik]
• Year: 2020
• Number of pages: 33 str.
• PID: 20.500.12556/RUL-119577
• UDC: 615.8
• COBISS.SI-ID: 27820547
• Publication date in RUL: 10.09.2020

Secondary language

• Language: English
• Title: Effectiveness of use of capacitive and resistive monopolar radiofrequency in physiotherapy - literature review : diploma work

Abstract

Introduction: Thermotherapy is the therapeutic application of heat to the body, leading to an increase in tissue temperature. It is usually classified as superficial and deep. Diathermy is one of the methods of deep thermotherapy. It uses radiofrequency radiation to operate, which occupies frequencies from 3 kHz to 300 MHz in the electromagnetic field. Although pulsating short-wave diathermy is most commonly used in practice, with an operating frequency of 27,12 MHz, other forms of diathermy are also available that operate at significantly lower radiofrequency ranges. One of them is capacitive and resistive monopolar radiofrequency, which uses electric currents in the frequency range between 300 kHz and 1 MHz to heat deep tissues. Purpose: The purpose of the diploma work was to present the effectiveness of the use of capacitive and resistive monopolar radiofrequency in physiotherapy, based on the review of scientific literature. Methods: We used a descriptive method in this diploma work. Literature search was conducted through PubMed and Cochrane library databases. Results: Eleven studies were included in the literature review. Seven studies examined the effects of therapy in healthy subjects and four in specific pathologies. The frequency of therapy used was in the vast majority 448 kHz, differing in only two studies. In the first, a frequency of 485 kHz was used, and in the second, a frequency range between 450 and 600 kHz. The researches in included studies have shown that the therapy used by effectively raising and maintaining temperature in deeper tissues achieves improved blood flow and increased hemoglobin saturation in the blood, helping to speed tissue healing, reduce pain, improve soft tissue extensibility, and improve function. Discussion and conclusion: It can be said with certainty that the use of capacitive and resistive monopolar radiofrequency plays an important role in physiotherapy practice, although the number of studies investigating the effects of therapy, especially in various pathologies, is not large. The scale of the frequencies used in therapy is also small, which would require more quality research.

• Keywords: diploma theses, physiotherapy, thermotherapy, diathermy, radiofrequency, capacitive modes, resistive modes