Physiological Response To Electrical Stimuli

You are on page 1of 19

PHYSIOLOGICAL

RESPONSE TO
ELECTRICAL STIMULI
PRESENTED BY
ARATHY K.M
 Electricity has an effect on each cell and tissue that it passes
through.
Clinically, therapists use electrical currents for the following reasons;
1. To create muscle contraction through nerve or muscle stimulations.
2. To stimulate sensory nerves to help in treating pain.
3. To create an electrical field in biologic tissues to stimulate or alter
the healing process.
THE PHYSIOLOGICAL RESPONSES ARE:
 Thermal effect
 Physical effect
 Chemical effect
Thermal effect

 The movement of an electrical current through a conductive medium produces


vibration of molecules. This vibration produces friction that lead to an increase
in temperature. Added this vibration to natural skin impedance lead to increase in
temperature.
 The thermal effect are very minimal with most therapeutic current.
 Increase in thermal effect with strong polarising current lead to burn.
Chemical effect

 Electrical current produces chemical compounds


 eg: potassium and sodium hydroxide with galvanic current
Chemical reactions that occur under each electrode
 Cathode:
positive Na+ sodium ions migrate to the negative pole and combine with water to form Nao
sodium hydroxide Base = increased alkalinity, promotes liquification of protein and tissue
softening
 Anode:
negative chlorine (Cl-) ions migrate to the positive pole and combine with water to form
hydrochloric acid (HCL) = increased acidity, promotes coagulation of protein, and hardening
of tissues. Circulation improves as the body attempts to balance back to homeostasis and
neutral pH level.
Physical effect

In clinical setting, the electrical current is typically used for physical


effect.
 Excitatory response
 Non excitatory response
Excitatory effect

 Patients perceive excitatory responses as electric sensation, muscle contraction,


and electric pain. Physiologically, the nerves that affect these perceptions fire in
that order as the stimulus intensity is increased gradually.
 This includes the effect of current on excitable tissue. Particularly the peripheral
nerve fibers.
 Adequate stimulus is applied to tissue, the peripheral nerve is depolarized and
action potential is elicited.
 This depolarization lead to the sensory and motor responses predictable for
clinical uses.
Muscle and nerve response to electrical
current

 The major therapeutic uses of electricity center on muscle contraction, sensory


stimulation, or both
 Nerves and muscles are both excitable tissues. This excitability is dependent on the cell
membrane’s voltage sensitive permeability.
 The potential difference between the inside and outside is known as the resting potential.
Action potential is defined as a series of electrical changes that occur in the
membrane potential when the muscle or nerve is stimulated.
Action potential occurs in two phases:
1. Depolarization
 2. Repolarization.
 Depolarization
Depolarization is the initial phase of action potential in which inside of the muscle becomes
positive and outside becomes negative. That is, the polarized state
 Repolarization
Repolarization is the phase of action potential in which the muscle reverses back to the
resting membrane potential. The inside of muscle becomes negative and outside becomes
positive. So, the polarized state of the muscle is re­established.
 As the charged ions move across the nerve fiber membranes beneath the anode
and cathode, membrane depolarization occurs. The cathode usually is the site of
depolarization. As the concentration of negatively charged ions increases, the
membrane’s voltage potential becomes low and is brought toward its threshold
for depolarization. The anode makes the nerve cell membrane potential more
positive, increasing the threshold necessary for depolarization. The cathode in
this example becomes the active electrode; the anode becomes the indifferent
electrode (dispersive). The anode and cathode may switch active and indifferent
roles.
Non excitatory effect

 As electricity moves through the body's conductive medium, changes in physiologic


functioning can occur at various levels of the total system.
1. CELLULAR
2. TISSUE
3. SEGMENTAL
4. SYSTEMATIC
Cellular effect

 Change in cell membrane permeability


 Protein synthesis
 Stimulation of fibroblast, osteoblast
 Modification of micro circulation
Tissue level

 Skeletal muscle contraction


 Smooth muscle contraction
 Tissue regeneration
Segmental level

 Modification of joint mobility


 Muscle pumping action to change circulation and lymphatic activity

 Increase in lymphatic drainage .

 Transcutaneous electrical stimulation cannot directly stimulate lymph smooth muscle or


the autonomic nervous system without also stimulating a motor nerve. It is possible that
sensory stimulation may have indirectly activated the autonomic system. And the
autonomic system may have released an adrenergic substance that would enhance the
lymph smooth muscle contraction.
Systemic level

 Analgesic effects as endogenous pain suppressors are released and act at different levels
to control pain.

 Analgesic effects from the stimulation of certain neurotransmitters to control neural


activity in the presence of pain stimuli.
Thank you

You might also like