BTL BTL-07p Скачать руководство пользователя страница 18

BTL – 07p  

operating manual & user's guide 

page 18 

AMP: FM 90 - 140 Hz, fluently 3/3/3 - program 0945, threshold motor sensitive intensity

 

M.piriformis l.dx.;indifferent electrode minimum 6 x 6 cm, lateral on the right thigh (tr.iliotibialis) 
Application time: 6 minutes (for ultrasound frequency use the step method; if the ultrasound intensity is fixed 
the application time can be 5 - 10 minutes, step 1 minute) 
Frequency: First, 3 procedures daily, later every second day 
Total number of treatments: 6 

Ultr TENS (transcutaneous electrostimulation) 

While emphasis was placed on myorelaxation, therapy of hyperalgetic zones and trigger points in the 
aforementioned types of combined therapy, a combined US and TENS treatment is applied as a general 
analgesic, not only for the above mentioned reflex changes but also for other kinds of pains. In these cases, we 
recommend that you review the list of pains that ultrasound can treat because not every pain can be treated with 
an ultrasound. The combined US and TENS treatment can be used for myalgia (post-injury, reflexive, etc.), post-
traumatic pain (after 24 - 36 hours), lege artis during the whole therapy (relaxation, decompression, etc.) The 
preferred TENS impulses are symmetric biphasal or alternating biphasal impulses - program numbers 10, 11, 13, 
14, 16, and 17 (the galvanic effect is omitted). When the degree of pain is small, use continual (conventional) or 
random TENS; when the degree of pain is greater, use a basic TENS 100 Hz frequency and 2-8 Hz burst 
frequency. The intensity should always be as high as the patient can stand it. This combination will have a faster 
effect than other sequential procedures. However, it is important to keep in mind all the contraindications for 
ultrasound (see Operator’s Manual - Ultrasound). 

Mechanism of action 

Reducing the

 

perception of pain

 

positively affects the trophic

 

in the injured area. The simultaneous ultrasound 

application followed by increased capillary permeability, improved extravasal liquid absorbtion, 
increased vasoactive amines secretion

 

and the influence on the pre-capillar spfincters are considered the most 

effective prevention against the algodystrophic syndrom

.

 Physical therapy in the

 

porouses area is contraindicated. 

Use the segmental method only for trophicus. 

Application time 

Status acutus : 3 - 5 minutes. 
Status subacutus : 3 - 10 minutes (you may use the positive step method). 

Intensity 

The ultrasound intensity - see above. The continuous TENS

 

intensity abovethreshold sensitive

 - 

at the highest

 

tolerable level, TENS burst at highest tolerable level. Use the TENS surge with the above threshold motor

 

intensity for the trigger points or application to spastic muscles. 

Total number of treatments 

Individual, usually 1 - 6 treatments in one therapy. 

Frequency of treatment 

Usually daily application. In selected cases, every second day as the sessions come to an end. In segemental 
long term treatments(sy. Sudeck, for example)., we recommend ending the therapy by slowly decreasing the 
frequency of treatments (three times a week, twice a week, once a week and then ending the therapy

 

 

Procedure prescription 

Same as the ultr low frequency therapy combination (see above). 

A therapeutic example 

Large haematoma in m.quadriceps femoris after contusion, more than 24 hours after injury, very painful. 
Haematoma gravis reg.m.quadricipitis fem. l. sin.,S 70.1, acutus 
Combined therapy ultr TENS burst (BTL-06 + BTL-07p) 
Ultrasound: 1MHz, 1:16 PPR, 1 W/cm

2

, emitter head 4 cm

2

, semistatic application 

TENS: burst, symetric biphase impulse, f = 100 Hz, f

burst 

= 5 Hz = program 1332, intensity at the highest tolerable 

level 
Location: Haematoma on the anterior surface of the left thigh, indifferent electrode minimum 6x6 cm on 
the posterior surface of the thigh opposite the haematoma 
Application time: 2-10 minutes, step 2 minutes 
Freqency: First, 3 procedures daily, later every second day 
Total number of procedures: 5 

Содержание BTL-07p

Страница 1: ...v2 10z6BJ24 03 2004EN operating manual user s guide ...

Страница 2: ...nty 8 Maintenance and transport 8 Troubleshooting 8 Technical specifications of probe 9 Technical specifications of unit 9 Pulse width 10 II USER S GUIDE 11 Mechanism of action 11 Methods of application 12 Ultrasound frequency 13 Modes of operation 13 Emitter head size 13 Application time 13 Intensity 13 Procedure frequency 13 Total number of treatments 13 Specific contraindications of ultrasonic ...

Страница 3: ...18 Mechanism of action 18 Application time 18 Intensity 18 Total number of treatments 18 Frequency of treatment 18 Procedure prescription 18 A therapeutic example 18 III LIST OF PROGRAM NUMBERS FOR ULTRASOUND THERAPY 19 IV LIST OF PROGRAM NUMBERS FOR COMBINED ULTRASOUND THERAPY ELECTROTHERAPY 25 ...

Страница 4: ...by two pilot lights 7 Push button to set acoustic output 8 Push button to change indication of acoustic output 9 Duty Cycle push button 10 Column lights indicating contact of emitter head with skin 11 Small ultrasound emitter head connector 12 Signal lights Ready Emitter heads connected intensity therapy time is set Error Light signal a hardware defect indicating Power Light signal indicating the ...

Страница 5: ... connecting and identifying the emitter head The red diode on the emitter head indicates insufficient contact between the emitter head and the tissue If contact is insufficient the control light lights up red The countdown on the TIME display 3 stops Power absorption indicated by the light blinking stops Therapy is interrupted until contact is restored If there is proper contact the control signal...

Страница 6: ...f intensity is an area which is exposed to intensity higher than the preset intensity level There is an increased local temperature in these areas BTL 07p emitter heads have a very low BNR Further more the BTL 07p features an optic indicator to signal stationary waves placed on the Bar graph 10 the orange LED diode Respond to this signal by immediately removing the emitter head from the applicatio...

Страница 7: ...tly follow the safety instructions below 1 Read the operation manual carefully before you use the instrument for the first time 2 Make sure that the parameters of the mains correspond to those of the instrument 3 The mains must be installed and correspond to valid norms Call a qualified electrician if in doubt 4 If the instrument is exposed to a sudden temperature charge allow at least 1 hour for ...

Страница 8: ...he Manufacturer shall not be liable for incidental consequential or special damages arising out of or in connection with product use or performance except as may be otherwise accorded by law This warranty may differ from the warranty terms and conditions provided by your supplier and by applicable laws in your country Maintenance and transport The unit can be cleaned with a damp cloth Do not use a...

Страница 9: ...ning up and down After certain time you will hear a sound Release the Frequency button and wait until the bar graph LEDs will stop running the calibration is done You might control it after begin generating and leave the emitter head in the air the red LED should be on put the emitter head into the water the green LED should be on immediately READY signal does not light up Set application time and...

Страница 10: ...trols ON OFF switch marking 0 1 Standard accessories 1 ultrasound probe with area 1 cm 2 1 ultrasound probe with area 4 cm 2 1 bottle ultrasound gel 2 spare fuses external Pulse width ti ms tp ms T ms f Hz Duty factor 10 10 20 50 1 2 5 15 20 50 1 4 2 5 17 5 20 50 1 8 1 25 18 75 20 50 1 16 5 5 10 100 1 2 2 5 7 5 10 100 1 4 1 25 8 75 10 100 1 8 0 625 9 375 10 100 1 16 Important Each BTL 07p instrume...

Страница 11: ...nic head when the frequency is fixed A good quality head should not exceed 6 With a preset intensity of 1 W cm2 the intensity should not exceed 6 W cm 2 in any part of the ultrasonic beam The BNR of older ultrasonic heads as well as many of the newer ones where the producer does not mention the BNR is often 20 or more The Effective Radiating Area ERA is always smaller than the actual surface area ...

Страница 12: ...er head The therapist moves the emitter head in a circular pattern The application time is prolonged proportionally to the ERA and the size of the application site B Application site 1 Local application The ultrasound is applied to the affected site This is the most common type of application and is particularly suitable for the management of muscle spasm chronic post traumatic edemas etc 2 Segmen...

Страница 13: ...o large areas is difficult for the therapist lasts too long and the dose is not applied consistently Small ERA 1 cm2 emitter heads are used either to manage trigger points and scars or to manage small uneven surfaces which have to be treated by the subaqual method if the emitter head size is large Application time Individual application times vary They largely depend on the stage of the disease or...

Страница 14: ...forehead lobe as the calcified atheroma plate was disturbed It is widely believed that this was not an accident This information is included only as a strong reminder to the therapist that ultrasound is not to be used in these areas A patient must never apply ultrasound to himself or herself even if the application site can be reached easily Peripheral Nerves situated just below the surface on the...

Страница 15: ...nless such information is specifically requested However be sure to ask if epistaxis is present or if patient is menstruating 3 Place the patient in the proper position for the therapy 4 Use a sufficient amount of the appropriate contact medium 5 Set the prescribed intensity and time apply the emitter head and switch on the ultrasound 6 Move the emitter head continuously in accordance with the pre...

Страница 16: ...continuous ultrasound and at a max 1 0 W cm 2 for a pulse ultrasound with 1 2 PPR or greater Set the low frequency component intensity according to the object When searching for the trigger points set the threshold sensitive intensity outside the area where reflex changes are expected and with this intensity try to get as close as possible to the area The intensity will be above threshold sensitiv...

Страница 17: ...ad ERA The application time for dynamic method should be x times longer because the affected area is x times larger than the emitter head ERA An initial intensity of 0 4 0 6 W cm2 is used for continuous ultrasound 1 1 PPR For 1 2 1 4 PPR use the intensity 0 5 1 0 W cm2 and for 1 8 1 16 PPR use the initial intensity 1 0 1 3 W cm 2 The AMP intensity is chosen according to the effect The above thresh...

Страница 18: ...c in the injured area The simultaneous ultrasound application followed by increased capillary permeability improved extravasal liquid absorbtion increased vasoactive amines secretion and the influence on the pre capillar spfincters are considered the most effective prevention against the algodystrophic syndrom Physical therapy in the porouses area is contraindicated Use the segmental method only f...

Страница 19: ... subacuta 19 Epicondylitis acuta 20 Epicondylitis chronica 21 Epicondylitis subacuta 22 Haematoma chronica 23 Haematoma subacuta 24 Haematoma subchronica 25 Myalgia 26 Myorelaxatio 27 Myospasmus 28 Oedema chronica 29 Oedema subacuta 30 Oedema subchronica 31 Spondylarthrosis ancylopoetica M Bechterevi 32 Sy algodystrophicus Sy Sudeck 33 Tendinitis acuta 34 Tendinitis acuta subaqualis 35 Tendinitis ...

Страница 20: ...ion time 4 minutes daily 5x a week Total number of treatments 5 6 Apply to edema Patient must feel no pain during application 6 Bursitis acuta Emitter head 4 cm2 Frequency 1 MHz 1 8 PPR Intensity 1 2 W cm 2 Semistatic application Application time 1 3 minutes 0 5 minute steps daily 5x a week Total number of treatments 3 5 Apply to edema Pain must not be aggravated 7 Bursitis chronica Emitter head 4...

Страница 21: ...y 2 0 W cm 2 Application time 5 7 minutes 1 minute steps daily Total number of treatments 3 Subaqual application Emitter head distance 10 12 cm Water temperature 20 o C 17 Distorsio chronica Emitter head 4 cm 2 Frequency 3 MHz 1 1 PPR Intensity 1 0 1 5 W cm 2 Semistatic application Application time 5 minutes 3x a week Total number of treatments 6 9 Apply to chronic edema 18 Distorsio subacuta Emit...

Страница 22: ...eatments 5 8 In order to have long term effect physiotherapy must immediately follow irradiation 26 Myorelaxatio Emitter head 4 cm2 Frequency 1 MHz for superficial muscles 3 MHz 1 1 PPR Intensity 1 5 2 0 W cm 2 step 0 2 W cm2 Dynamic application Application time 5 minutes 3 5x a day Total number of treatments 5 8 In order to have long term effect physiotherapy must immediately follow irradiation 2...

Страница 23: ...step 0 2 W cm 2 Application time 4 minutes 5x a week Total number of treatments 2 5 Subaqual application Emitter head distance 10 12 cm Water temperature 18 25o C Treatment must include immobilization 35 Tendinitis chronica Emitter head 4 cm 2 Frequency 3 MHz 1 1 PPR Intensity 1 0 1 5 W cm 2 step 0 1 W cm 2 Semistatic application Application time 5 minutes 2 3x a week Total number of treatments 5 ...

Страница 24: ...d immediately follow irradiation Apply to the triggers that feature typical radiation when detected by either palpation or combined therapy 44 Trigger points superficialis Emitter head 1 cm2 Frequency 3 MHz 1 4 PPR Intensity 0 5 1 0 W cm 2 step 0 1 W cm 2 Semistatic application Application time 2 minutes per trigger 2x a day 5x a week Trigger points are severely sore points usually situated in the...

Страница 25: ...AM NUMBERS FOR COMBINED ULTRASOUND THERAPY ELECTROTHERAPY 51 Lumbalgie 52 Myalgia mm superficiales 53 Myalgia mm profundi 54 Relaxatio mm superficiales 55 Relaxatio mm profundi 56 Trigger points mm superficiales 57 Trigger points mm profundi 58 Zona hyperalgesica ...

Страница 26: ...tal number of treatments 1 6 55 Relaxatio mm profundi Emitter head 4 cm2 Frequency 1 MHz continual PPR Intensity 0 5 1 0 W cm 2 step 0 1 W cm 2 Electrotherapy AMP FM 100 200 Hz steps 3 3 program 0947 Contralateral electrode placement Intensity at threshold motor Application time 1 10 minutes step 1 minute daily Total number of treatments 1 6 56 Trigger points superficialis Emitter head 1 cm2 Frequ...

Страница 27: ...and maintain it at a threshold sensitive C Therapy effect control Set identical parameters as in A including the current intensity and move the head as in A If the therapy is successful the original TP will no longer exist Otherwise repeat the B procedure If a palpably or clinically diagnosed trigger cannot be detected by the method described in A repeat the whole procedure with the ultrasound int...

Страница 28: ... any means incl electronic mechanic photographic or other records without previous approval from BTL Industries Limited BTL Industries Limited operates a policy of continuous development Therefore it reserves the right to make changes and improvements to the Product described in this manual without prior notice The contents of this document is provided as is Except as required by applicable law no...

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