algonix by medilab - Medicina Biol gica

Transcription

USER MANUAL
algonix by medilab
NON-INVASIVE PAIN THERAPY
Version 5-ENG; 04-08
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Table of Content
Table of Content .................................................................................................................................... 2
Notes ....................................................................................................................................................... 3
Batteries ............................................................................................................................................................. 3
Introduction ........................................................................................................................................... 4
Indications.............................................................................................................................................. 5
algonix by medilab console ................................................................................................................... 6
Control panel on the front................................................................................................................................. 6
Back of the console............................................................................................................................................ 7
Preparing the patient for the treatment .............................................................................................. 8
Preparing the algonix by medilab system for treatment.................................................................... 9
Treatment............................................................................................................................................. 14
The user interface during the treatment:........................................................................................................ 17
Using the markers ............................................................................................................................... 18
Probes and electrolyte ......................................................................................................................... 20
Probes .............................................................................................................................................................. 20
Differentiation of probes ............................................................................................................................ 21
Electrolyte ........................................................................................................................................................ 22
Why CEL 144 is obligatory........................................................................................................................ 23
Appendix A – List of Programs in the “Clinical Index Status” ...................................................... 24
Appendix B – Guidelines for algonix treatments.............................................................................. 25
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Notes
1.
Keep this manual for further consultation.
2.
After unpacking, check, if the equipment is intact. In particular the equipment must not present visible
damages caused by transportation. In case of doubt do not use the equipment and contact qualified
personnel.
3.
Before plugging the input lead please check the cable connections of the accessories.
4.
If the electric outlet does not match the plug, ask qualified personnel to change the plug.
5.
This equipment must be used only according to its own characteristics. Every different use is
inappropriate and dangerous. The manufacturer cannot be considered responsible for any damages
caused by improper use.
6.
In case of damage and/or bad functioning, immediately turn off the equipment and do not touch it.
Please contact the manufacturer for check and repair. Use only original spare parts in order to grant
equipment security.
7.
Only people who have completed appropriate training on the algonix by medilab device are authorized
to operate the system.
8.
Contraindications for algonix by medilab treatments are pregnancy and pacemaker. Data recording for
patients monitored with Halter equipments (24 hours monitors) can be distorted.
9.
To clean the surface of the device only use a damp cloth. Do not use volatile liquids such as solvents,
benzene, alcohol, acetone or other chemical detergents.
10. The algonix by medilab device has to undergo technical maintenance at least every two years.
11. Do not put the equipment into water
Batteries
algonix by medilab works with rechargeable batteries. Please keep in mind:
1. New batteries perform best after 2 or 3 recharges
2. Using the batteries will exhaust them, even if they can be charged hundreds of times
3. Do not use batteries for usages different from the suggested ones
4. Do not use damaged or torn battery chargers
5. Do not short circuit batteries
6. Do not leave batteries in hot or cold rooms since their capacity and life span will be affected.
7. Batteries should be stored between 15°C and 25°C (59°F and 77°F).
8. Do not throw batteries into fire!
9. Do not dispose of batteries with the normal waste!
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Introduction
algonix by medilab is the latest innovation of the most advanced technology in pain management, injury and
trauma rehabilitation representing two decades of biomedical design and engineering. It is designed for precise
treatment of the most difficult injury and trauma cases facing today’s clinician, including a wide variety of
muscle and connective tissue problems.
There are many different disciplines in the vast field of electro-physical technology. Their conjunctive
relationship is the natural electrical current operating within the body. The difference between each discipline is
the method of approach to the body with respect to the administration of current. algonix by medilab analyses the
bioelectrical condition of the treated tissue areas and conducts a pain and trauma therapy by means of a
biocybernetic process.
algonix by medilab is not only a term, but a technology that grew out of the expansive field of neurophysiology.
Modern medical science acknowledges multiple processes in the body that are electrical. Every cell in the body
can be seen as an “electrical generator” which generates electrical currents. These currents are measured often in
the skin (EDR), the brain (EEG), the heart (EKG), and the muscles (EMG). The algonix by medilab technology
works hand in hand with these currents.
algonix by medilab stimulates the production of Adenosine Triphosphate (ATP), which is stored cellular energy
that allows a cell to function. This in turn triggers the body’s natural bio-chemical healing process. This process
allows intracellular fluids to be restored, electrolyte levels to be replenished and nutrients to be absorbed. algonix
by medilab further stimulates intracellular calcium which strengthens the cellular balance and healing. Amino
acid transport is increased, as well as protein synthesis, which assists in tissue repair. Blood circulation and
lymphatic flow are boosted. These vital functions are increased five fold with this technology to promote
optimum healing and regeneration of cells and tissue. algonix by medilab thus speeds up the repair of tendons
and bones, the edema absorption and the repair of tissue wounds with anti-bacteria effects.
algonix by medilab uses a very low amperage current, it works with between 35 to 600 µA (millionth ampere).
Usually the patient does not feel any pain during the treatment with algonix by medilab.
The operator uses the equipment with specifically designed and included probes. Adopted for muscle reeducation, the algonix by medilab technology also allows physicians to tone and lift up face and body muscles.
Furthermore, pre- and post-operation treatments permit a quicker recovery (up to 100% quicker than normally)
and, according to different situations, scars and inflammations will be considerably reduced.
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Indications
algonix by medilab can be used for:

Treatment of pre- and post-surgery pain

Prolonged treatments for pain caused by chronic pathologies

Treatment of intense pathologies
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algonix by medilab console
Control panel on the front
Non-wired inputs
(not in use at present)
Power switch
Unipolar outputs (channel 1-3)
Reset switch
Start button for starting treatment
Analogue input panel
Trigger inputs
Unipolar outputs (channel 1-3)
These output ports must be used for all probes without trigger.
Jacks from red panel (left): active ports
Jacks from blue panel (right): neutral ports
Use neutral ports (jacks from blue panel) with REMOTE 1
Start button
The start button activates the treatment.
Trigger inputs
These output ports must be used for the trigger probe (in combination with the neutral probe in the blue jack
of SET 1).
Reset switch
This button makes the mathematic processor reset.
Power switch
Off: the equipment and the display (LCD) are turned off
On: the equipment is turned on, the display (LCD) describes transmission protocols. The button must be
pressed only when required by the system.
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Back of the console
25pin D-sub,
communication port
jacks for
speaker and
audio
output
3x 4-pin DIN-plugs
2x 25pin D-subs
(not connected)
Plug (male) of communication cable
fuse carrier
product information and
serial number
LEDcontrol for
charge state
of battery
jack for
battery
charger
Connector plug for charging device
Plug (male) of communication cable:
This cable connects the algonix console to the computer.
Connector plug for charging device:
When no treatments are carried out the charging device supplies the battery of the algonix console with a
charge current.
LED-control for charge state of battery “ON”:
As soon as the connected charging device is supplied with supply voltage, the control lamp signals “ON”.
LED-control for charge state of battery “HI”:
The lamp “HI” provides information about the saturation state of the battery. The more charged the battery is
the lesser the efficacy of the lamp “HI” will be. When the lamp “HI” goes off during charging, charge the
battery for another hour. Afterwards the battery will be fully charged.
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Preparing the patient for the treatment
1.
Inform your patient about the contraindications for the algonix by medilab treatment and make sure none of
the contraindications apply to him or her. Otherwise DO NOT treat the patient!
2.
Ask the patient to drink two litres of fluid (mineral water, isotonic drinks and herbal teas) before, during and
after their treatment course. Give him or her a glass of water to drink.
3.
Ask the patient to remove all jewellery and metal before the treatment.
4.
Ask your client to undress the body part to be treated.
5.
Ask your patient to provoke the pain and to indicate the point which hurts the most.
6.
Clean the patients´ skin on the area to be treated with a wet, warm towel and dry the skin. This removes
body creams, oils and natural skin secretions that may hinder the effectiveness of the treatment. If you are
going to perform a treatment in the face region, make sure the face is cleansed of all make-up and face
creams. If necessary, remove hair from the area to be treated.
7.
Apply electrolyte CEL 144 on the complete area to be treated. This decreases the interface impedance
between the probes and the skin and skin irritations can be avoided. Applying the right electrolyte is crucial
since one of the most important aspects for algonix by medilab treatments to be successful is creating a good
interface between the probes and the patients skin.
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Preparing the algonix by medilab system for treatment
1.
Switch off the battery recharger.
2.
Plug all necessary probes in the corresponding jacks on the console.
3.
Switch on the computer and the monitor. Windows will start automatically.
4.
The software has been pre-installed by the supplier. Click twice on the desktop icon for the algonix by
medilab software:
algonix icon
5.
You will see a presentation about algonix by medilab. To end the presentation and start the treatment click
on any area of the screen.
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6.
Click on Interrelation Treatment Focus to start the program.
7.
Enter the system password (default 00000) and click on Verify.
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8.
Click on Auto-Setup-Mode.
9.
You are asked to turn on the console by pressing the red power switch on the front panel. Do so. After you
have pressed the red switch you have to wait for approximately 6 seconds before clicking the Ready button
on the screen. This is very important. The system will only be working fine, if you wait for approximately 6
seconds. During this time you will hear two beeps.
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10. Click on Negotiate Link, then click on Enter.
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11. Click on Interactive Autonomic Regulatory Therapy.
12. The General Menu will appear. It shows a human body from the front and from the back.
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Treatment
1.
Click on the body part you wish to treat in the General Menu. In order to reach a good result, it is important
to find the correct body part to be treated.
2.
The user interface for the treatment opens.
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3.
You have to set the following parameters:

Clinical Index Status
1.
Click on Clinical Index Status and choose the program you wish to use by selecting it from the
drop down menu on the bottom. In the menu you will find all conditions which can be treated with
algonix by medilab. In order to reach good results choosing the right program is very important.1
2.
Wait until you hear a beep. Then click Apply. If you want to leave the Clinical Index Status
window without making a selection, click on Cancel.
Select – Audio Volume
Choose the desired loudspeaker volume from the drop down menu. It is suggested to keep a low
volume.

Dynamic Range
algonix by medilab allows you to change the digital filter band width. Open the drop down menu and
choose Broad Bandwith. This way the whole tissue can be read.

Intensity Level
You can choose the intensity of treatment current from the drop down menu. It is better to forego the
selection, though. This way the machine can autonomously supply the current intensity suited best.
Should the patient feel uncomfortable limit the intensity by choosing the desired level.
1For a list of all programs available see: Appendix A – List of Programs in the “Clinical Index Status”
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4.
After having fixed all parameters click the Sngl Mode button.
5.
After having prepared your patient as described on page 8 position the probes on the tissue. Position the
neutral probe on the point that the patient indicated hurts most. Position the active probe several centimetres
apart.
6.
Press the start button on the probe or on the front of the console to start the treatment.
7.
After about 20 seconds the stimulation stops and the treatment results are displayed on the screen.
8.
Follow all algonix by medilab suggestions: The artificial intelligence system will guide you through the
treatment.
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The user interface during the treatment:
Area 1
Area 2
Area 3
Area 1:
Operational Method Instructions: This dialogue box gives information concerning the results of the previous
stimulation and makes suggestions how to continue the treatment.
Area 2:
Real Time Treatment Response Level Monitor: This graphic shows the calculation algorithm.
A near and superimposed graphic means that algonix by medilab is doing frequency scanning to thoroughly read
the tissue´s bio-impedance vector to find information about pathological conditions. Changing graphics mean
that algonix by medilab is solving integral-differential equations in real time. This gives the device an idea of the
concentration of extra-cellular and intra-cellular liquids, the values of potential difference and the cellular
membrane capacity.
Flat and far away graphics mean that algonix by medilab has no more data to analyse.
Area 3:
Evaluation Of Bio-electrical Potential: This graphic shows the transfer efficiency of the energy between the two
probes in real time.
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Using the markers
You can choose up to 7 markers to mark the points
you wish to treat.
1.
Click on Setup-Auto to open the regulation
markers’ window.
2.
Click on Marker On and select one of the six
options under Specific Treatment Targets on
the left.
3.
Do not change the Interface-Accessories area,
unless you use a cylindrical probe and plaques.
In this case select Specific Electrode Set In
Use.
4.
Click on Apply to get back to the treatment
screen with the 7 lined up markers on the right
bottom of the picture.
5.
Click on the central marker (O) first. Use the
mouse to position it on the picture, on the point
which hurts the most. If you want to change its
position, click on a different point on the body
and the marker will position itself on the new
point.
6.
Proceed in the same manner with the other
markers. Position them on the most significant
points of the area you are going to treat. You
can use up to 7 markers.
7.
Activate all markers with a double click on
each positioned marker. Activated markers will
blink quickly.
8.
Click on Auto Mode. Now the system is ready.
9.
Start the treatment by pushing the button on the
probe or the red Start button on the console.
10. Position the active probe on the blinking point. Position the neutral probe about 10-15 centimetres apart and,
in any case, outside of the treatment area.
11. Start the treatment. When the first stimulation is finished, the next marker will blink. Position the active
probe on that point and continue the treatment. Proceed this way until all markers are off and lined up.
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Shutting down the algonix by medilab system after treatment
1.
Click on Main Menu in the top menu
2.
Click the cross at the extreme top right of the screen to shut down the program.
3.
Click OK.
4.
Press the red power switch on the front of the algonix by medilab console.
5.
Switch on the battery charger.
6.
Shut down Windows.
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Probes and electrolyte
Probes
In order to stimulate and/or measure tissue you have to create an interface between the tissue and the equipment.
In the case of algonix by medilab this interface is created with special metallic probes.
1
Mini plates
4
Indifferent probe (small & large tips)
2
Hand bars
5
Large double roller
3
Trigger probe general purpose (small & large tips)
6
Large footplate set
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Differentiation of probes
1.
Differentiation according to the amount of poles:
• unipolar probe
When using this type of probe, the circuit is completed through a backplate probe (hand bar). The current runs
from the unipolar probe through the patient to the backplate probe.
Probes of this category:
Trigger probe general purpose, indifferent probe
• bipolar probe
When using this type of probe the circuit is completed through two poles, integrated in one probe. The current
runs from pole 1 of the bipolar probe through the patient to pole 2.
Probe of this category:
Large double roller
2.
Differentiation according to connection:
• Pin plug socket
Probes with this type of connection are attached via red/blue cable and spiral cable respectively.
Probes of this category:
Indifferent probe, large double roller
• Mini-DIN plug
Probes with this type of connection are attached via black DIN cables with microphone plug.
Probe of this category:
Trigger probe general purpose
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Electrolyte
Using the electrolyte CEL 144 is crucial to obtain the electro-chemical processes needed for the treatment with
algonix by medilab. It was especially designed to provide the ideal interface between probe and tissue.
Due to horny layers and dead skin cells the interface between probe and tissue has a very low conductivity.
Applying the electrolyte CEL 144 allows the current to bypass horny layer, avoid polarization and increase
conductivity.
The electrolyte CEL 144 was compared to other similar products on the market. These are the results:
7000
6000
beautytek Electrolyte*
Ohm/cm
5000
Pharmaceutical Innovations
Lectron II
4000
Parker Spectra 360
3000
Parker Tensive Gel
2000
Tap Water
1000
0
10 Hz
10 kHz
Test Frequency (Hz)
Specific resistance
120
100
Millisiemens/cm
beautytek Electrolyte
80
Pharmaceutical Innovations
Lectron II
Parker Spectra 360
60
Parker Tensive Gel
40
Tap Water
20
0
10 Hz
100 Hz
1 kHz
10 kHz
100 kHz
Frequency (Hz)
Specific conductivity
The tests demonstrated that CEL 144 has a lower specific resistance compared to other products and a much
higher specific conductivity.
Another very important point is the ionic composition of the electrolyte.
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The electrolyte for algonix by medilab is multifunctional. It
a)
keeps the probe potential stable
b) avoids “noise” under probes
c)
provides optimum coupling with equipment input impedance
d) removes condenser effect from the probes
The electrolyte CEL 144 consists of the following components
(in diminishing quantity order, according to INCI-EU):

AQUA

CETEARYL ALCOHOL

CITRUS AURANTIUM

AMYLASE

PHOSPHOLOPIDIS, ETHYL LINOLEATE

PEG 10

SODIUM CHLORIDE, POTASSIUM SORBATE

SODIUM CARBOMER

ASCORBIC ACID

DAUCUS CAROTA & PROPYLENE GLYCOL

METHYLPARABEN

POTASSIUM CLHLORIDE

SOLUM FULLONUM

GINGKO BILOBA

PRUNUS DULCIS
Why CEL 144 is obligatory
The algonix by medilab system will only work correctly with the electrolyte CEL 144. Using different
electrolyte gels can increase or decrease the average width of responding signals and create a non-desired
potential difference. This can cause distorted waves destroying all or part of the treatment benefits. A different
gel or diluted electrolyte can lead to a non-linear transfer signal, introducing new resistance and reactions. When
reading data, algonix by medilab will encounter different impedances, not linked to pathology, but to particular
physiological gel characteristics. This will result in harmful therapy results.
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Appendix A – List of Programs in the “Clinical Index Status”
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Appendix B – Guidelines for algonix treatments
This guideline is not written to make remote diagnoses, suggest therapies or give recommendations. Rather, it
explains some general procedures, which came from our experience and which are supposed to give a better
understanding of the treatment plan with algonix.
1.
2.
3.
4.
At the beginning of the treatment, locate and quantify the pain or discomfort. That means: You may have to
ask the patient to provoke the pain, for example by movement or touch. Then ask the patient to indicate the
point which hurts the most (maximum pain point). Tell your patient to quantify the pain before and after the
treatment on a scale of 1 to 10 (for example by using the algonix pain questionnaire).
Apply electrolyte CEL 144 to the complete area which is to be treated. Afterwards carry out slow motions
with both of the 5 ¼ tip probes or the double roller. In doing so, you must never loose skin contact. Apply as
much pressure with the probes as is tolerable for the patient.
Next to the selection of the program the selection of the intensity is the most important thing. Always start
the treatment with maximum intensity. The patient should at most feel a slight prickle, under no
circumstances must the treatment be unpleasant. Otherwise you have to reconsider and readjust the scheme
of the program, the program, the intensity or the localization.
Position the indifferent probe (blue cable) on the maximum pain point or on the pathological tissue
identified by diagnosis. Position the active probe (black cable) on a point a few centimetres apart from the
maximum pain point and repeat this procedure with several points around the pain area. In doing so you
must never loose skin contact.
As the case may be, the following programs can be used singly or in combination (one after the other).
For pain of solely muscular origin please select one of the programs listed below or a combination of several of
them.
Treatment Objective -> General - Specific Event Range III
For general treatment and treatment of acupuncture points
Treatment Objective -> Spasmolysis–Smooth Muscle Of The Arterial And Venous Blood Vessels
For better blood circulation
In the case of neuronal problems, such as numbness or paresthesia, you may additionally select the program
Treatment Objective -> General - Specific Event Range III
as well as the program
Treatment Objective -> Restoration Of Polarization Of The Nerves (Sweep -18y).
algonix cannot remedy dystopias of bones or abnormalisms. But the aftereffects, such as irritations of muscles
and nerves, can be treated. Often, ligaments are affected as well. In these cases select:
Treatment Objective -> Tonification Of The Elastic Fibers (Sweep 33)
Specific Treatment Focus On Musculoskeletal Problems G1-> (Sweep ~11y)
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If old age or a former accident can be the cause for pain, select:
Treatment Objective -> Reduction Of Incipient Degeneration Process (Sweep 31)
Treatment Objective -> General – Specific Event Range Q-2
In most cases an inflammation can be an additional cause for pain, although signs for an inflammation may be
missing. In this case the experience of a physician will be helpful. If you suspect an inflammation, you could
select the following program:
Treatment Objective -> Reduction Of The Inflammatory Process (Sweep 21)
For traumas, you may select the following program:
Specific Treatment For Injuries To The Joints Contusion & Distortion (Sweep 32)
The program
Treatment Objective -> Circular Spinner Method
may – among other problems – be used for dysregulations of the autonomous nervous system
(Treatment Objective -> Circular Spinner Method -B- Medium)
Either for muscular traumas or for myalgias caused by reflexive spasms.
Can be applied best in cases of pain due to immobility or in rest periods after mobility or at night. Especially, if
the patient also reports muscular fatigue and cramps.
It must be stressed, that the success of the treatment depends on the right combination of program, intensity and
localization. The treatment with algonix will certainly be the more efficient, the more precise the diagnosis is.
However, should the origin of the pain be unknown, you can find the right therapy in collaboration with the
patient – as described above – by trying different programs. In the process you have to ask the patient as to when
he feels a pleasant and tolerable sensation. As soon as the treatment starts to become unpleasant for the patient
the intensity must be reduced until the patient only feels a slight sensation again. If this is not possible, you need
to change the program. In rare cases certain points may be reacting over-sensitive. Move to a non-sensitive spot
in the proximity then.
Below you will find several diagnoses and possible treatment programs, which developed from our daily
experience. Please bear in mind that these are only examples. As described above, the suitable program should
be selected with the collaboration of therapist, patient and algonix.
Headache (cervicocephal)
Treatment Objective -> General – Specific Event Range III
Specific Treatment Focus On Musculoskeletal Problems G1 -> (Sweep ~11y)
Should the neck muscles be tense, employ also
Depending on the diagnosis, further programs for headaches can be selected from the program list.
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Painful scars
Nerve blockages
Treatment Objective -> Restoration Of Polarization Of The Nerves (Sweep -18y)
Tendosynovitis (Tendonitis)
For tendosynovitis (tendonitis) due to sports, employ in addition:
Specific Treatment Focus On Sprains and Strains: Grade I ->(Sweep 101E)
Arthritis
Specific Focus On Affliction Of Joints Result Of Arthralgia Uratic Diathesis (Sweep 41)
Polyneuropathy
Frozen shoulder
Periarthritis with rotator cuff calcification
Specific Focus For Muscles Surrounding Joints And Rheumatoid Complains (Sweep 48)
(Periarticular muscles and rheumatic disorders)
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Epicondylitis humeroradialis (tennis elbow)
Epicondylitis humeroulnaris (golf elbow)
Cervical (neck pain)
Post partum mastitis
Lumbar pain (back pain)
Herniated disk
Sciatica
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Coxalgia without dysfunction
Coxarthrosis
Knee pain after injury
Specific Treatment Focus On Sprains and Strains: ankles, knee, wrist
Specific Treatment Objective For Hematoma Lymphoedema Trauma Surgery – Roller Only
Specific Treatment For Injuries To The Joints Contusion & Distortion (Sweep 32)
Gonarthrosis
Treatment Objective -> General – Specific Event Range III, Bachmann-knee-points, Gb 34, Ma 36, Bl 40, Ni 10
Treatment Objective -> Reduction Of The Inflammatory Process (Sweep 21), z.B. for secundary activated
osteoarthrosis
Achilles tendonitis
Acute traumas and after surgery
Specific Treatment Objective For Hematoma Lymphoedema Trauma Surgery – Roller Only
Specific Treatment Focus On Sprains and Strains (ankles, knee, wrist):
Grade I -> (Sweep 101E) (slight): in case of minimally or partially pulled tendons with normal stability and
functionality of the joint.
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Grade II -> (Sweep 102E) (medium): in case of partial tendon tears, slightly loose joints and minor
dysfunction.
Grade III -> (Sweep 103E) (severe): in case of torn ligaments or tendons, which are completely detached
from the bone. The joint is very loose and not functioning.
Treatment Objective -> Spasmolysis-Smooth Muscle Of The Arterial And Venous Blood Vessels
And then:
Treatment Objective -> Circular Spinner Method (depending on reaction and tolerability -A- Long, -B- Medium
or -C- Short)
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