Faradic Foot Bath

ASSIGNMENT:ELECTROTHERAPY
On- FARADIC FOOT BATH(muscle stimulation)

By- Vikalp Mohan Saxena
BPT 2nd year
Roll No.- 29
FARADIC FOOT BATH:
Application of faradic current to any body part(especially distal extremities) in a
tub, tray or tank containing water for therapeutic purpose is termed as bath
method, or in simple words using the water as a medium for the passage for
current(successfully countering intrinsic resistance of tissues) and thereby utilizing
the current for treating indications with the help of stimulating modalities.
Depending upon on the placement of electrodes, bath can be of:
• Bipolar – in this case, both electrodes are immersed in water
• Unipolar – one electrode is kept in the water while the other one is placed
at any proper vicinity of the body
ADVANTAGES:
• Water reduces the resistance of the part significantly, if soaked for some
duration ;thus producing more effective stimulation of musculature, or
nerve.
• Water makes perfect contact with the tissues of the body, assuming the
intricate contours of the anatomy, which is difficult to adapt through
electrodes otherwise.
• Wash of electrolytes formed under the electrodes, gives a metabolic
advantage and reduces fatigue.
• Water provides a medium for the current, so lower intensity current is
therefore used (surged faradic current).
DISADVANTAGES:
• Current cannot be localized to a particular muscle or a part of muscle or a
particular nerve.
• Superficial muscles contract more than deeper ones.
• Chances of electrical shock are high, as water is a good conductor of
electricity
PRINCIPLE:
Placing the ions under the electrodes having same charge i.e. negative
ions are placed under cathode and positive ions under anode
electrode. The electrode under which ions are placed is called active
electrode.
(Using water as a medium, without therapeutic ions, requires no such
arrangements)
EXAMINATION:(preparation of patients and
therapists)
Checking for any general and local contraindications:
• Fever
• Hypertension
• General cardiac and renal conditions of the body
• Open wounds
• Hypersensitive skin
• Metal implants in the tissue or in surrounding
• Loss of sensation
• Infection of nails
• Recent metatarsal fracture
• Eczema or fungal infection
• Cracked (heels of)feet
• Open-unhealed wounds
INDICATIONS:
• Flexible Flat foot (Pes Planus)
• Chronic retro-calcaneal bursitis
• March fracture
• Pott’s fracture
• Metatarsalgia
• Plantar fasciitis
• Plantar digital neuritis
• Sudeck’s atrophy
• Hallux valgus
• Hallux rigidus
• Osteochondritis
• Rheumatoid arthritis of foot
• Poor musculature of arch of foot.
PREPARATION Of APPARATUS:
#treatment tray
☆patient should be asked to wash their feet before the treatment.
Treatment tray:
– Lint pads
– Mackintosh sheets
– Tray with distilled water
– Straps
– Pad electrode and pen electrode
– Leads
– Vaseline
– Salt
– Therapeutic electrical stimulator
– Wooden footstool.
POSITIONING OF THE PATIENT:

Patient sitting over the wooden stool. Foot is placed in treatment tray kept over
the spread Mackintosh sheet. Hip and knee are flexed to about 90 degrees. Patient
is asked to hold hip knee firmly to maintain contact by using body weight. Place
the foot in a bath containing enough water to cover the toes.
POSITION OF PHYSIOTHERAPIST:
The therapist must be free to reach the patient and machine. Sitting on stool and
treating the patient is ideal. Sit on the stool in front of patient at the controls of
the machine and at the same time observe the muscle contraction.
☆Self test of the apparatus is to be done under water.

STIMULATION:
Surged faradic current is used with
A. Pulse duration of 0.1ms
B. Surge time of 1 second
C. Surge duration of 3 seconds(2-3 times the surge)
D. with frequency of range 50-100 Hz.
Faradic foot bath can be used to stimulate the-
• Plantar interossei m. – to stimulate plantar interossei,
one electrode is placed on each side of the foot at the level
of metatarsal shafts.
• Foot lumbricals m.– to stimulate lumbricals, 2
electrodes are placed transversely, one under the heel and
other one under the metatarsal heads(slight obliquity to
accommodate metatarsal alignment).
• Abductor hallucis m. – to stimulate abductor hallucis,

one electrode under the heel, and stimulation is done
through the motor point using the pen electrode.
☆flexible flat foot: The effect of the Faradic Foot Bath is statistically
significant in treatment of flexible flat foot as it decreases the foot pronation
in flexible flat foot and it helps to maintain the medial longitudinal arch.
INSTRUCTION TO THE PATIENT:

Therapist encourages the patient to voluntarily contract the muscle with the
current, with every surge of stimulation.

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ASSIGNMENT:ELECTROTHERAPY

On- FARADIC FOOT BATH(muscle stimulation)

POSITIONING OF THE PATIENT:

☆Self test of the apparatus is to be done under water.

• Abductor hallucis m. – to stimulate abductor hallucis,

INSTRUCTION TO THE PATIENT:

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