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Applications

Applications

Increased local circulation via Muscle Stimulation has a broad, clinical applicability, both in terms relating to rehabilitation and in general conditioning of healthy skeletal muscle. Conditions which are a result of, or exacerbated by, the existence of a chronic involuntary muscle contraction due to spasm are effectively treated by the Neurocare™. The application of a precisely metered and controlled specific electrical wave form to the underlying skeletal musculature relieves chronic muscle spasm. In a number of disorders, the chronic spasm results in local swelling and increased pressure on the adjacent tissue. If nerve roots are in this field, a reduction of the swelling and a disruption of the chronic spasm can have a dramatic impact on the patient’s condition.

The Neurocare™ offers genuine non-invasive intervention. The Neurocare™ works with the underlying causes and is not merely a symptomatic treatment attempting to disrupt pain impulses. If specific skeletal musculature is involved in chronic spasm, pre-existing joint dysfunction and pain may be exacerbated. In these cases an effective, well tolerated, and safe method of treatment can be achieved with the Neurocare™.

Physicians and practitioners using the Neurocare™ 1000 are achieving beneficial results in these general areas: Soft tissue involvement (i.e. injury, etc.), or restricted circulation (i.e. swelling, edema due to injury or disease).

I. MAINTAINING OR INCREASING RANGE OF MOTION

Range of Motion (ROM) is the degree of movement a joint has from maximum extension (straightening) to maximum flexion (bending).

Beneficial results have been achieved in these general areas: Post immobilization due to a fracture, sedentary and withdrawn life styles, post surgical period following open joint surgery orthoscopic procedures, and whenever there is a soft tissue injury or involvement or restricted circulation caused by, but not limited to sports injuries, strains, sprains, bursitis, tendentious, arthritis and edema.

II. RELAXATION OF MUSCLE SPASM

Muscle spasm is a sudden, violent, sustained, involuntary contraction of a muscle or group of muscles resulting from a local response to a painful condition.

Chronic muscle contraction and cramping often results in areas of localized pain.

Beneficial results have been achieved in these general areas: Sprains, strains, whiplash, acute and chronic back pain, TMJ and spastically commonly seen in quadriplegics, paraplegics and CVA patients.

Physicians prescribing the Neurocare™ to these isolated areas can have seen dramatic results for patients. The Neurocare™ is effective when used in alleviating acute and chronic muscle spasm, and its accompanying pain; i.e. the paraspinous and paravertebral musculature.

III. IMMEDIATE POSTSURGICAL STIMULATION OF CALF MUSCLES TO PREVENT VENOUS THROMBOSIS

Venous thrombosis is a condition where blood changes from a liquid to a solid state, producing a blood clot usually as a result of immobility (i.e. post surgical).

In terms of more purely vascular pathologies, such as venous thrombosis secondary to stasis, the increased local blood circulation attendant to the use of the Neurocare™ offers an effective treatment. Using the Neurocare™ post-surgically can assist in preventing venous thrombosis.

IV. INCREASING LOCAL BLOOD CIRCULATION

Blood circulation is the flow of blood through the body. The blood is responsible for carrying nutrients to the cells and removing waste, both of which are required to maintain healthy tissue.

The Neurocare™ 1000 is also an effective treatment for acute soft tissue injury with attendant swelling, and tenderness. The rhythmic muscle contraction and relaxation improves circulation thus reduces the swelling and tenderness.

Electrical stimulation increases local circulation which obtains gratifying results in the post surgical period following open joint surgery and orthoscopic procedures. (Studies are available).

Beneficial results have been achieved, but not limited to the following areas: Fibromyalgia, neuropathy, diabetic feet, stasis ulcers, decubitus (bedsores), lesions and wounds, arthritis, bedridden patients, paraplegics and quadriplegics.

V. MUSCLE RE-EDUCATION

A muscle is controlled by its opposing muscle group. If one group is used more than its opposing group, an imbalance occurs resulting in the need to re-educate the weaker, overused muscle group (i.e. repetitive movements for an extended amount of time resulting from: hobbies, occupation, sports, etc.). Numbness or tingling in the arms may be a symptom of this imbalance. This may be accompanied by burning or pain in the thumb or wrist, especially at night.

Beneficial results have been achieved, but not limited to the following areas: Occupational overuse, Repetitive Motion Deficit, Carpal Tunnel symptoms, Incontinence, low back pain, etc.

(A) Application of the device to the paraspinous and paravertebral musculature, as well as to the abdominal wall musculature, helps to strengthen and stabilize the back. This can be done while the patient’s spine is held motionless (e.g. while sitting or lying down).

VI. PREVENTION OR RETARDATION OF DISUSE ATROPHY

Disuse atrophy is the shrinking or wasting away of tissue or organ due to a reduction in the size or number of cells resulting from inadequate cell nutrition due to poor circulation and disuse. This disuse can be a result from confinement, immobilization or lack of exercise.

Disuse atrophy occurs post surgically and post injury. When a patient is immobilized for whatever reason, there is the potential for disuse atrophy. By using the Neurocare™ as soon as possible the disuse atrophy can be substantially retarded or even prevented.

Beneficial results have been achieved, but not limited to the following areas: quadriplegics, paraplegics, CVA (stroke), fractures requiring a cast/immobilization, post trauma of any sort, and bedridden patients.

VII. NEUROCARE™ 1000/TENS/EMS COMPARED

There are many types of electrical muscle stimulators on the market and most of them basically the same. The TENS is separate from the EMS. The indication for TENS is pain. Electrical muscle stimulation (EMS) units are therapeutic, working to control what causes the pain. Just as a narcotic and an anti-inflammatory can both be used to relieve pain, so can the Neurocare™ 1000 (a unique EMS) and the TENS. Just as the two medications relieve pain through different neuromechanisms, so do the two modalities. The indications for the EMS are:

  1. Relaxation of muscle spasm
  2. Prevention or retardation of disuse atrophy
  3. Increasing local blood circulation
  4. Muscle reeducation
  5. Immediate post-surgical stimulation of calf muscles to prevent venous thrombosis
  6. Maintaining or increasing range of motion

These are the problems that cause most pain. Remember that the only indication for the TENS is to diffuse the pain signal.

The various types of EMS units are:

    • Direct current, low-voltage
    • Direct current, high-voltage
    • Alternating current, low-voltage
    • Alternating current, high-voltage
    • Interferential
    • H-wave
    • Micro current
      It requires 30 to 35 volts to achieve any contraction of an active muscle. Increased voltage increases muscle recruitment. More volts are required to achieve contraction of deeper muscle fibers or overcome resistance.

THE THERAPEUTIC ELECTRICAL STIMULATOR

The Neurocare™ 1000 has a higher output than any other electrical stimulator on the market today. Where other units invoke the “active” muscle fibers at a maximum of 125 volts the Neurocare™ 1000 can invoke the “inactive” muscle fibers (due to injury, trauma, disuse, etc.) at a maximum of 440 volts. Amperage is the painful part of electricity. Other EMS units achieve the 125 volts at 90 milliamps of current. Neurocare™ 1000 achieves the 440 volts at 4 milliamps of current. Patients can normally tolerate a maximum of about 10 milliamps of current, therefore normal EMS units very seldom reach the potential of 90 milliamps and 125 volts, thus they cannot “saturate” the “active” muscle fibers to reach the “inactive” muscle fibers. Ten milliamps on normal muscle stimulators is 30 volts. Four milliamps on the Neurocare™ 1000 is 440 volts. The reason Neurocare™ 1000 has this ability is that it is AC (alternating current) output, whereas the other stimulators are DC (direct current) output. This feature is currently proprietary to Neurocare.

The machine is simulating exercise not only to the “active” muscles but also to the “inactive” or injured muscles, thus allowing them to be strengthened and re-educated. The Neurocare™ 1000 can do this, even though the patient cannot, because it does not invoke the reflex arch mechanism. Thereby being able to work the inactive muscles without the use or need of medications (narcotics or steroids). By being used at home it allows the patient to have longer treatments for a longer period of time than would be financially possible within a clinical setting. Our company provides clinical technicians via phone for your patients or insurance companies on a 24-hour basis, with no extra charge. All the physician needs to do is fax a prescription to our toll-free fax and we will get a machine to the patient and do all of the instruction on protocol as well as how to begin.

FDA registered uses: 1) Increase Local Circulation; 2) Muscle re-education; 3) Relaxation of muscle spasms; 4) Maintaining or increasing Range of Motion; 5) Prevention or retardation of Disuse Atrophy; 6) Immediate Post-surgical stimulation of calf muscles to prevent Venous Thrombosis.

VIII. AN ADDED PLUS

Although pain relief was not a design goal in the development of the Neurocare™ 1000,and is not even recognized as a standard use for NMES, Physicians and Practitioners report their patients experience outstanding results in pain relief. A remarkable and interesting quality of the Neurocare™ is the sustained benefit in chronic, painful conditions. The initial results are similar to the effects seen with the use of a TENS UNIT. However, the TENS signal is designed to block the pain signal for a short period of time, with a subsequent recurrence of the underlying pain. The Neurocare™ produces a very different response, it is designed to treat what is causing the pain (i.e. by increasing local circulation, relaxation of muscle spasm, prevention/retardation of disuse atrophy, muscle re-education and maintaining or increasing range of motion). Patients have prompt pain reduction or elimination, and continue to experience this analgesia for long periods of time. Typical results are 24 – 48 hours of pain relief, after a 45 minute treatment. Depending upon the diagnosis, some patients go beyond these standards after the first treatment.

Physicians and Practitioners using the Neurocare™ and the Neurocare Treatment Program© are particularly impressed in terms of their patients reporting alleviation or substantial reduction of pain in back disorders, both acute and chronic, any where from lumbrosacral to cervical. For many patients, who have experienced an acute exacerbation of chronic back disease, one 45 minute treatment session shows dramatic results. (Just as the pain will return after using an NSAID, so will the pain return after this treatment, if the patient does not continue treatments to solve the problem causing the pain). Subsequent daily use of the device for a period of a few days to a few weeks has completed the treatment by re-educating and strengthening the specific muscle groups. The patient has been able to return to full, active work in a very short period of time.

Physicians, Practitioners, and Physical Therapists find that this method has not only benefited their patient, it has allowed their therapy to be more productive in the patient’s recovery. They are able to see results in more patients, more rapidly. They find this also pleases the insurance and self-insured companies.

The Neurocare™ and the Neurocare Treatment Program© has widespread application to the maintenance of already healthy skeletal muscle tissue, as well as general athletic conditioning. Certain muscle groups in the body are notoriously difficult to exercise optimally and easily. These include the Gastrocnemius, the Gluteus Maximus as well as the abdominal wall musculature and the paraspinous and paravertebral musculature. In order to properly exercise muscle groups, the patient must utilize highly specialized weight machines. While doing this, certain exercises can place enormous stress on the body and aggravate underlying orthopedic conditions. An example would be doing squats in order to buildup the Gluteus Maximus. This can aggravate a pre-existing accentuation of a Lumbar Lordosis and if there is any component of disc disease present, this will impose an effective limitation to the amount of exercise the patient is able to do, as well as exacerbating the lower back disease. With the use of the Neurocare™ and Neurocare Treatment Program© the muscle groups can be isolated and worked maximally. In the case of the Gluteus Maximus, it is very simple to isolate this muscle and re-educate it without placing any significant strain across the lower back.

IX. DOCUMENTED CLINICAL RESULTS

Physicians and Practitioners working with Diabetic Foot Condition, have commented, “the results seen have truly been a medical break through.” In just one to two weeks patients are able to see granulation of deep wounds (stage four) and bring about deep wound healing in three to six weeks (this is due to increase in local blood circulation). Patients who have been scheduled for amputation have been brought back to healthy tissue in just six to eight days. (Visual results are generally immediate).

Physicians, Practitioner, Physical Therapist, and Occupational Health Directors from major industry report, “Workers in jeopardy of losing their jobs because of “Occupational Overuse” have been successfully treated and remain in their chosen occupation.”

Rev: 03/17/04

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