Is there a difference in outcomes with Hybresis versus traditional iontophoresis?
Answer
Hybresis is a device that was actually developed by a company called iOMED. IOMED was bought out by Empi and Empi branded this device and called it Hybresis. Now here is what this device does. You apply your medication to an electrode. That electrode has a built in battery. You put the medication on the electrode and then you put that electrode on the patient. You then apply a little thing that looks like a guitar pick onto the electrode. That applies three minutes of high level stim. Then that "guitar pick" can be taken off after the three minutes of stim. So what happens during those three minutes of stim? What happens is called impedance enhancement. It hydrates the skin and induces electroporation. So by inducing electroporation, that seems to make the medication go in there a little bit better. Now is there evidence on this? No, the Hybresis unit is still pretty early in the evidence pipeline. There are studies ongoing - actually done by a few colleges of mine - and they are showing some promise. It makes sense that these Hybresis devices - you do the three minutes of higher level stimulation and then you take the Hybresis device off and it delivers three hours of low level stimulation. And that makes sense that that would deliver more medication, but then again the research studies are not out there as of yet, so keep your eyes and ears open.
Andrew Starsky, PT, PhD
Andrew Starsky earned a Bachelor of Science in Electrical Engineering Degree from Marquette University in 1992. After practicing in the engineering field for 3 years, he returned to Marquette and received a Masters of Physical Therapy degree in 1998. While working full time, he starting to pursue a terminal degree in Biomedical Engineering and received his Ph.D. in 2007. He has been part of the adjunct faculty since 1999 and became a full time Clinical Assistant Professor in 2005. Andrew teaches the didactic portion of the DPT program in the 5th and 6th years. He lives in Mequon with his wife and 4 kids and is an active participant in ultramarathons, Nordic ski races, and adventure races.
Related Courses
1https://www.physicaltherapy.com/pt-ceus/course/complex-and-chronic-impairment-in-4353Complex and Chronic Impairment in ConcussionThis webinar will include an exploration of the various etiologies of dysfunction following mTBI, including, headache, visual/oculomotor impairment, chronic dizziness, and pain. The challenging issue of prioritizing intervention and appropriate referral to other medical practitioners will be discussed. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for the PT/PTA and AT. Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for .5 hour of general and 1.5 hour of Direct Access CE credit.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comComplex and Chronic Impairment in ConcussionThis webinar will include an exploration of the various etiologies of dysfunction following mTBI, including, headache, visual/oculomotor impairment, chronic dizziness, and pain. The challenging issue of prioritizing intervention and appropriate referral to other medical practitioners will be discussed. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for the PT/PTA and AT. Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for .5 hour of general and 1.5 hour of Direct Access CE credit.4353OnlinePT120M
This webinar will include an exploration of the various etiologies of dysfunction following mTBI, including, headache, visual/oculomotor impairment, chronic dizziness, and pain. The challenging issue of prioritizing intervention and appropriate referral to other medical practitioners will be discussed. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for the PT/PTA and AT.
Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for .5 hour of general and 1.5 hour of Direct Access CE credit.
2https://www.physicaltherapy.com/pt-ceus/course/cycling-related-injury-common-injuries-4868Cycling Related Injury: Common Injuries of the Recreational Indoor and Outdoor CyclistsWith the pandemic and post-pandemic popularity of spin cycling exercise classes, as well as outdoor road biking, an increase in spinning-related injury and pain is ever present in the active population. This course is designed to highlight the mechanics and muscular activation required during the cycle revolution and the implications of speed, stand cycling, and power output on the risk of development of overuse injury.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comCycling Related Injury: Common Injuries of the Recreational Indoor and Outdoor CyclistsWith the pandemic and post-pandemic popularity of spin cycling exercise classes, as well as outdoor road biking, an increase in spinning-related injury and pain is ever present in the active population. This course is designed to highlight the mechanics and muscular activation required during the cycle revolution and the implications of speed, stand cycling, and power output on the risk of development of overuse injury.4868OnlinePT120M
With the pandemic and post-pandemic popularity of spin cycling exercise classes, as well as outdoor road biking, an increase in spinning-related injury and pain is ever present in the active population. This course is designed to highlight the mechanics and muscular activation required during the cycle revolution and the implications of speed, stand cycling, and power output on the risk of development of overuse injury.
3https://www.physicaltherapy.com/pt-ceus/course/groin-pain-etiology-differential-diagnosis-4869Groin Pain: Etiology, Differential Diagnosis, and Treatment StrategiesDelve into the intricacies of groin pain as we unravel its causes, discuss effective differential diagnoses, and explore cutting-edge treatment approaches. Don't miss this opportunity to enhance your understanding and refine your clinical strategies in addressing this common yet complex medical concern.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comGroin Pain: Etiology, Differential Diagnosis, and Treatment StrategiesDelve into the intricacies of groin pain as we unravel its causes, discuss effective differential diagnoses, and explore cutting-edge treatment approaches. Don't miss this opportunity to enhance your understanding and refine your clinical strategies in addressing this common yet complex medical concern.4869OnlinePT180M
Delve into the intricacies of groin pain as we unravel its causes, discuss effective differential diagnoses, and explore cutting-edge treatment approaches. Don't miss this opportunity to enhance your understanding and refine your clinical strategies in addressing this common yet complex medical concern.
4https://www.physicaltherapy.com/pt-ceus/course/hip-arthroscopy-clinician-s-approach-4870Hip Arthroscopy: A Clinician's Approach to Diagnosis, Complications and RehabilitationUncover the nuances of hip joint anatomy, diagnostic connections to prevalent pathologies, and hone clinical evaluation skills. Through engaging case studies and expert-led discussions, elevate your expertise in diagnosis, complications management, and rehabilitation strategies. Join us for a learning experience tailored for clinicians seeking a deeper understanding of hip arthroscopy in a convenient online format.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comHip Arthroscopy: A Clinician's Approach to Diagnosis, Complications and RehabilitationUncover the nuances of hip joint anatomy, diagnostic connections to prevalent pathologies, and hone clinical evaluation skills. Through engaging case studies and expert-led discussions, elevate your expertise in diagnosis, complications management, and rehabilitation strategies. Join us for a learning experience tailored for clinicians seeking a deeper understanding of hip arthroscopy in a convenient online format.4870OnlinePT180M
Uncover the nuances of hip joint anatomy, diagnostic connections to prevalent pathologies, and hone clinical evaluation skills. Through engaging case studies and expert-led discussions, elevate your expertise in diagnosis, complications management, and rehabilitation strategies. Join us for a learning experience tailored for clinicians seeking a deeper understanding of hip arthroscopy in a convenient online format.
5https://www.physicaltherapy.com/pt-ceus/course/lower-extremity-myofascial-chains-identifying-4361Lower Extremity Myofascial Chains: Identifying the Source of Dysfunction and Treatment StrategiesThis course is a concise resource for the practicing clinician to solve those ”mystery” diagnoses the next day due to vague lower extremity symptoms and makes it hard to point to the exact source as it may be an etiology anywhere along the chain mimicking the symptoms. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for the PT/PTA and AT.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comLower Extremity Myofascial Chains: Identifying the Source of Dysfunction and Treatment StrategiesThis course is a concise resource for the practicing clinician to solve those ”mystery” diagnoses the next day due to vague lower extremity symptoms and makes it hard to point to the exact source as it may be an etiology anywhere along the chain mimicking the symptoms. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for the PT/PTA and AT.4361OnlinePT180M
This course is a concise resource for the practicing clinician to solve those ”mystery” diagnoses the next day due to vague lower extremity symptoms and makes it hard to point to the exact source as it may be an etiology anywhere along the chain mimicking the symptoms. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for the PT/PTA and AT.