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Les agents physiques, courants électriques, ondes mécaniques et ondes électromagnétiques contribuent aux traitements de rééducation et de réadaptation fonctionnelles. Ils permettent de soulager efficacement la douleur, participent à l'éveil et au renforcement musculaire et luttent contre la fibrose et la stase. Les techniques les plus utilisées en pratique courante ne sont pas forcément celles dont l'efficacité a été démontrée. Et inversement, certaines techniques qui bénéficient d'un bon niveau de preuve scientifique sont souvent négligées. De nombreux essais contrôlés randomisés ainsi que des méta-analyses ont permis de mieux décrire les effets cliniques et la tolérance de chaque technique et d'en préciser les indications. Cet ouvrage synthétise ces travaux de recherche clinique afin de guider le praticien dans le choix de stratégies thérapeutiques fondées sur la preuve. Les tableaux synoptiques, organisés à partir des paramètres physiques, de leurs propriétés biologiques et des indications qui en découlent, participent à la compréhension nécessaire à la construction d'une thérapeutique cohérente. De nombreux montages originaux illustrent les techniques d'application. Didactique et pratique, ce livre s'adresse aux étudiants et aux professionnels qui y trouveront les éléments nécessaires pour comprendre et appliquer à bon escient ces techniques efficaces et très accessibles.

Eletroterapia Explicada é um excelente livro baseado em pesquisas científicas dos principais tipos de agentes eletrofísicos usados na prática clínica fisioterapêutica.Para a 4ª edição, dois novos autores se juntaram à equipe, apresentando as últimas informações para os fisioterapeutas de hoje. O texto foi completamente atualizado com grande parte do material, reescrito, particularmente a que aborda a estimulação elétrica.Esse livro continua a se concentrar nas evidências – clínica e biofísica – em relação aos efeitos eletroterapêuticos nos tecidos humanos e suas comprovações clínicas, quando podem ser usadas e como.A inclusão da biofísica tanto quanto a clínica e os princípios de aplicação, capacitam os fisioterapeutas a se distanciar das tradicionais abordagens “baseada em fórmulas” e contar com mais recursos na sua avaliação clínica. A relevância dos princípios biofísicos e aplicação de diferentes modalidades é claramente explicada, oferecendo orientações para os fisioterapeutas através de disciplinas e especialidades.

The first evidence that electrical changes can cause muscles to contract was p- vided by Galvani (1791). Galvani's ideas about ‘animal electricity'were explored during the 19th and 20th century when it was firmly established that ‘electricity'is one of the most important mechanisms used for communication by the nervous system and muscle. These researches lead to the development of ever more soph- ticated equipment that could either record the electrical changes in nerves and muscles, or elicit functional changes by electrically stimulating these structures. It was indeed the combination of these two methods that elucidated many of the basic principles about the function of the nervous system. Following these exciting findings, it was discovered that electrical stimulation and the functions elicited by it also lead to long-term changes in the properties of nerves and particularly muscles. Recent findings help us to understand the mec- nisms by which activity induced by electrical stimulation can influence mature, fully differentiated cells, in particular muscles, blood vessels and nerves. Electrically elicited activity determines the properties of muscle fibres by activating a sequence of signalling pathways that change the gene expression of the muscle. Thus, elect- cal activity graduated from a simple mechanism that is used to elicit muscle c- traction, to a system that could induce permanent changes in muscles and modify most of its characteristic properties.