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Context: Clinicians use a number of superficial and deep heating modalities, including pulsed shortwave diathermy (PSWD) and moist hot packs, in the clinical setting. Recently, a continuous diathermy unit called ReBound was introduced into the clinical setting. Its effectiveness as a heating modality is unknown. Objective: To compare the effects of PSWD, moist hot packs and the ReBound unit on tissue temperature in the triceps surae muscle. Design: A 3 x 27 factorial cross-over design with repeated measures. Setting: University research laboratory. Subjects: Twelve healthy college-aged volunteers (4 men, 8 women; age = 22.2 ± 2.25; calf subcutaneous fat thickness = .72 cm ± .19 cm). Interventions: On three different days separated by at least 48 hours, one of three modality treatments (PSWD, moist hot packs or ReBound unit) selected using a Latin-square was applied to the triceps surae muscle of each participant for 30 minutes. After the 30 minute treatment, the modality was removed and temperature decay was recorded for 20 minutes. Main Outcome Measures: Medial triceps surae intramuscular tissue temperature at 1 cm and 3 cm deep was measured using implantable thermocouples inserted horizontally into the muscle. Measurements were taken every 5 minutes during the 30 minute treatment and every minute during the 20 minute temperature decay for a total of 50 minutes. A 3 x 27 mixed model analysis of variance blocking by subject was used to assess the effects of treatments and time, and their interaction on the tissue temperature at 1 cm and 3 cm depths. Results: A significant treatment by time interaction main effect was found for tissue temperature increase at each depth, 1 cm (F52, 572 =14.66, p < .0001) and 3 cm (F52, 572 = 17.86, p < .0001). Post-hoc measures revealed that tissue temperature significantly increased with the PSWD over the ReBound unit and moist hot packs at 1 cm and 3 cm depths. There was no significant difference between the ReBound unit and moist hot packs throughout the treatment and temperature decay. The greatest mean tissue temperature increase from baseline was observed with the PSWD unit at 1 cm (5.96°C ± 2.04°C) and at 3 cm (4.32°C ± 1.79°C). There was no statistical difference between the increases observed with the ReBound (1 cm: 3.69°C ± 1.50; 3 cm: 2.31°C ± .87) and moist hot packs (1 cm: 2.82°C ± .90; 3 cm: 1.56°C ± 1.00). Conclusions: During a 30 minute treatment, PSWD was the most effective at increasing intramuscular tissue temperature of the triceps surae muscle group. There was no significant difference between the effectiveness of moist hot packs and the ReBound continuous diathermy unit in increasing intramuscular tissue temperature.

Limited research exists on the comparison of pulsed shortwave diathermy (PSWD) and instrument assisted soft tissue mobilization (IASTM). In addition, minimal research exists on the AcuForce® 7.0 and none of it examines the effects of the AcuForce® 7.0 on range of motion (ROM). This study focused on the comparison of PSWD and IASTM on hamstring flexibility and perceived patient comfort. Twenty male students, faculty, and staff (age 24.5 ± 5.7 years) participated. Active knee extension ROM with the hip flexed at 90º was measured before and after the intervention. Perceived patient comfort was measured after the intervention. The results showed significant increases in ROM in all subjects (p = 0.013). However, there were no significant differences between groups (p = 0.079). Also, there were no significant differences in perceived patient comfort. The results of this study support hamstring flexibility can be increased with the use of either PSWD or the AcuForce® 7.0.

This thesis deals with the basic theory of the electromagnetic field in the first part and the field interactions with biological tissues. Than describes shortwave diathermy as a technique used for purposes of medical treatment. The aim is to built a model of tissue heating in shortwave diathermy in COMSOL Multiphysics environment, so there is included a description of the programming environment, including the mathematical method that COMSOL uses for calculations. The output of the whole work is a model of the lower limb in the knee part and display the results after his diathermy heating.

Recent evidence suggests that heat, a major byproduct of exercise, may be the mediator for many vascular adaptations that come from exercise. Thus, heat therapy that increases muscle temperature in a comparable way to exercise may be an advantageous alternative for enhancing cardiovascular health in individuals where treatment with exercise is either not possible or undesired. PURPOSE: Compare the effects of exercise and heat training on resistance artery function at rest and during exercise. METHODS: Thirty-five (18 female) healthy, untrained subjects completed a 6-week training program utilizing either high intensity knee extension (KE) exercise (40 min), localized heat therapy (pulsed shortwave diathermy; 120 min), or a sham heat therapy protocol (120 min). We randomly selected 8 subjects from each group to have a temperature probe inserted into their vastus lateralis muscle during one of their training sessions to evaluate the effect of the interventions on muscle temperature. We assessed resistance artery function at rest with the passive leg movement technique (PLM) prior to and after completion of the training protocols. We assessed peak exercise blood flow (KE peak flow) and peak power output (KE peak power) during the KE graded exercise test and prior to and after completion of the training protocols. RESULTS: Peak muscle treatment temperature was significantly different between all groups with those assigned to the diathermy heat training exhibiting a higher peak temperature (~40.80°C) than those in the exercise (~37.75°C, P < 0.001) and sham training groups (~36.10°C, P < 0.001). KE peak flow during PLM increased to the same extent (P = 0.625) in both the exercise (~10.5% increase, P = 0.009) and heating groups (~8.5% increase, P = 0.044); but tended to decrease in the sham group (P = 0.087). KE peak flow increased in the exercise group (~19%, P = 0.005), but did not change in the heat group (P = 0.523) and decreased in the sham group (~7%, P = 0.020). Peak vascular conductance during KE significantly increased by ~25% in the exercise (P = 0.030) and heat (P = 0.012) groups. KE peak power increased in the exercise group by ~27% (P = 0.001) but did not significantly change in the heat (P = 0.175) and sham groups (P = 0.111). The change in vascular function, assessed via PLM, showed a correlation with both ∆KE peak flow (R = 0.55, P = 0.01) and ∆KE peak power (R = 0.56, P = .010). Likewise, ∆KE peak flow showed a strong association with ∆KE peak power (R = 0.64, P < 0.001). CONCLUSION: Localized diathermy heat treatment increased resistance artery function at rest and during exercise to a similar extent as single-leg KE exercise training but did not yield significant improvements in performance. Thus, heat training mimics some but not all of the benefits associated with exercise and may be used to replace exercise treatment to some extent.