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Electrotherapy involves using an electric current to enhance the function of or heal an organism (especially a human). Electrotherapy may be used to acquire information on the state of a heart.
Various cells in the body are influenced by electricity, these include fibroblasts, macrophages, neutrophils and erythrocytes, along with bone, cartilage, ligaments and tendons. It is believed that stimulating these cells can promote healing in injured tissue.
Electrotherapy, in the form of transcutaneous electrical nerve stimulation (TENS) is increasingly used in the management of certain types of pain, although there is still much debate regarding its actual effectiveness. Some research has reported TENS to be as much as 65% effective in reducing pain in acute injuries.
Other forms of electrotherapy include Ultrasound (US), Pulsed Shortwave Diathermy (PSWD), Interferential Therapy (I/F), Laser Therapy and Combination Therapy.
Proponents of electrotherapy argue that the different modalities effect different tissues, e.g. ultrasound effects effects small areas such as ligaments and tendons and has no effect on muscle. Pulsed shortwave, however, can have a theraputic effect on muscle.
From a treatment perspective, the questions with electrotherapy are related to the type of injury (sprain, haematoma, fracture, etc...) and the stage the injury is at (acute, repair phase, remodeling phase). From that position we must decide what type of cells we want to stimulate and what is the best way to influence them.