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Basic Principles of Electricity
Jennifer L. Doherty-Restrepo, MS, LAT, ATC
FIU Entry-Level ATEP
PET 4995: Therapeutic Modalities
Electromagnetic Spectrum
Longest
Wavelength
Shortest
Wavelength
Electrical Stimulating Currents
Commercial Radio and Television
Shortwave Diathermy
Microwave Diathermy
Infrared
LASER {
Visible Light
Ultraviolet
Ionizing Radiation
Lowest
Frequency
Highest
Frequency
Electrons
 Particles of matter possessing a ________
charge and a small ________
 Net movement of electrons is an ________
________
 Electrons will move from ________ to
________ energy levels
• Establishes an electrical ________
Electrical Potential Difference
 Difference in ________ of electrons
between two points
 Electrons will not move unless a ________
difference exists
Ampere
 Unit of measure which indicates _____ at
which electrons flow
• 1 _____ = movement of 1 coulomb or 6.25x1018
electrons /sec
 Current flow is typically described as:
• ________ (1/1000 of an amp), or
• ________ (1/1,000,000 or an amp)
Volt
 Creates the electrical potential ________
 The __________ ________ which must
be applied to create flow of electrons
 Commercial current (wall outlets) is either
________ or ________
Conductors
 Materials that permit ______ movement of
electrons
 Composed of large numbers of ________
electrons
 Offer ________ resistance to current flow
 Good conductors:
• Metals (copper, gold, silver, aluminum)
• Electrolyte solutions
Insulators
 Materials that ______ the flow of electrons
 Contain ________ free electrons
 Insulator materials:
• Air,
• Wood, and
• Glass
Resistance = Electrical Impedance
 ________ to flow of electrical current
 Measured in ________
• Unit of measure indicating resistance to
current flow
 Ohm’s law: current flow is ________
proportional to ________ and ________
proportional to ________
• Current flow =
Voltage
Resistance
Watt
 Measure of electrical ________
 Electrical ______ is the product of ______
(electromotive force) and the amount of
current flowing
• Watts = volts X amps
 Indicates the ________ at which electrical
power is being used
Electrotherapeutic Currents
 3 types of currents capable of producing
specific physiological effects
• ________
• ________
• ________
 Therapeutic effects of will be discussed in
Chapter 8
Direct Current (DC)
Uniterrupted, uniderectional flow of electrons in
the ________ direction
 Also called ________ currents
 Sometimes called ________ currents
Alternating Current (AC)
Continuous flow of electrons changes direction
• Always flows from ________ to ________ pole until
polarity is reversed
Also called ________ currents
Pulsitile (Polyphasic) Currents
________ electrical current that contains __ or
more grouped phases in a single pulse
 Also called ________ and ________ currents
Electrical Generators
Transcutaneous Electrical Nerve Stimulators
(TENS)
• Stimulates ________ ________
Neuromuscular Electrical Stimulator (NMES) =
Electrical Muscle Stimulator (EMS)
• Stimulates ________
Microcurrent Electrical Nerve Stimulators (MENS) =
Low Intensity Stimulators (LIS)
• Assists the ________ ________
All Are Transcutaneous Electrical Stimulators!
Electrotherapeutic Currents
 No relationship between type of current
used to power the generator and the type of
current transmitted to patient
 Generators may be powered by AC or DC
• Batteries = DC between 1.5 - 9 V
• Wall outlet = AC at 120 or 220V at 60 Hz
Waveform or Pulse
Pulse = ________
________
 Phases (duration)
 Interpulse interval
 Direction (polarity)
 Amplitude
 Rate of ________
 Rate of ________
• Accommodation
Symmetrical Waveforms
Sine
 Square
 Triangular
 Spiked
____ and _____
of each phase is
identical
Symmetrical Waveforms
Twin peaked
triangular waveform
• Found on most high
volt generators
Asymmetric Waveforms
________
• No longer used
• Effects were similar
to DC pulsed wave
________
• Sawtooth
• Used to stimulate
denervated muscle
Current Modulation
(A) Continuous
 (B) Interrupted
 (C) Burst
• Packets (envelopes)
• Pulse trains
• Beats
(D) Ramped (Surge)
Pulse Amplitude
Amplitude = current intensity = voltage
 ______ ______ = amount of current flowing per
unit time
• Determined by interpulse interval or current duration
Measured in ________ or ________
Pulse Duration
 Length of ________ current is flowing
 Monophasic current:
• ______ ______ = ______ ______
 Biphasic current:
• Pulse duration is determined by the combined
______ durations
 Polyphasic current:
• The combined pulse duration and interpulse
interval is the ______ ______
Pulse Frequency
 Number of ______ or ______ per second
• Measured as pulses per second (PPS)
 Individual pulse = rise and fall in amplitude
 As frequency ___________, amplitude
________ and ________ more rapidly
Pulse Frequency
Effects the type of muscle contraction
• Pulse rate of less than ___ pps = muscle twitch
• Pulse rate equal to or greater than ___ pps = tetany
Effects the mechanism of pain modulation
Electrical Circuits
Path of current from power source through
various components back to generating source
• ______ ______ : electrons are flowing
• ______ ______ : current flow ceases
Components of electrical circuits
• ______ ______: capable of producing voltage
• _________ _________: along which current travels
• _________ _________: providing resistance to
electrical flow
Series Circuit
Only ______ path for current to take
 Component resistors placed ______ to ______
 Total resistance = sum of resistances
 Total voltage = sum of voltage decreases
Parallel Circuit
Component resistors placed ___ to ___ and the
___ are connected
 Current chooses path with least _________
Series Circuit vs. Parallel Circuit
 Component resistors in a series circuit
have a ____ resistance and _____ current
flow
 Component resistors in a parallel circuit
have a _____ resistance and a _____
current flow
Current Flow Through Biologic
Tissues
Combination of both series and parallel circuits
 Tissue highest in water and ion content are the
best conductors
• Bood, nerve, muscle, tendon, skin, fat, bone
Physiologic Responses to Electrical
Current
Thermal
• All electrical currents cause a ____ in tissue
temperature
• Electrical currents used to stimulate nerve and muscle
produce _______ thermal effects
Chemical
• At ______ pole, negatively charged particles cause an
______ reaction
– Protein coagulation and hardening of tissues
• At ______ pole, positively charged particles cause an
______ reaction
– Liquefying protein and softening of tissues
Safety In Using Electrical
Equipment
Ground Fault Interrupters (GFI)
Constantly compare
amount of electricity
flowing from wall
outlet to whirlpool
turbine with the
amount returning
 GFI will interrupt
current flow in as
little as 1/40 of a
second
Summary
 Terminology
 Ohm’s Law
• Relationship between voltage and resistance
 Different types of current are capable of
producing specific physiologic changes
• Thermal or chemical
 Current modulation
					 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
                                             
                                             
                                             
                                             
                                             
                                             
                                             
                                             
                                             
                                             
                                            