basic training handbook - · pdf filebasic training handbook. contents ... as acupuncture and...

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basic training handbook

contentsdisclaimer 3 introduction 4 indications, contraindications & cautions 9 physiokey operation modes 10 energy 11

bioregulation mode settings 13

physiokey application 17 pain ‘here and now’ 17 the keypoint 18 reciprocal zone therapy 19 resistant pain therapy 21

general zone therapy 24 neck zone 24 three pathways 24

diagnostic mode 26 understanding the display 26 diagnostic mode application 32 three pathways in diagnostic mode 34 abdomen quadrants in diagnostic mode 36 palm zone in diagnostic mode 37

specific therapy methods 38 neck ring 38 informational cleansing on the back 39 general cleanse of the spine 40 abdominal spiral 41 clouds on the back 42

key-phoresis mode 43 key-phoresis for low back pain 45

© 2015 Bioelectro Pty Ltd. All Rights Reserved 2

disclaimerThe information contained herein is not intended to be a substitute for professional medical advice, diagnosis, treatment or rehabilitation plan in any manner. Always seek the advice of a physician or other qualified health professional provider with any questions regarding any injury or medical condition.

All information contained in this seminar handbook including, but not limited to, text, graphics, images, information, advice, websites, links and/or any other material contained herein are for informational and educational purposes only.

By using the this training handbook, the reader and/or viewer does hereby acknowledge that it is your sole responsibility to review this Disclaimer and any other disclaimer or waiver.

Any treatment advice found within this training handbook does not provide medical advice of any type. The examples of treatments and information including all graphics, text and images, (collectively ‘the content’) are intended for information purposes only. The content is not a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of health care professionals with any questions regarding a medical condition or its treatment. Never disregard professional medical advice or delay or in seeking it because of something you have read or seen within this seminar handbook.

It is a condition that you consult a health care professional before acting on any information found within this training handbook.


introduction

the technology The physiokey is a biofeedback controlled non-invasive neurostimulator for the treatment of acute and chronic pain, and the improvement and restoration of function in optimal time.

The physiokey has revolutionised a therapy method that has been proven millions of times since its introduction in the early 1980’s. Based on years of knowledge in the field of biofeedback controlled non-invasive neurostimulation, this new development is characterised by a significant increase in treatment efficiency, speed, and more importantly, positive patient outcomes.

how does physiokey work? The physiokey uses high amplitude, high density, bio-feedback controlled pulse stimulation to cutaneous nerves, activating the body’s natural pain relieving and self regulation mechanisms. The device not only provides direct therapeutic effect via pain relief, but also activates the natural defences of the body. 12

Pain relief therapy using physiokey is an effective, non-invasive medical technology, which works by stimulating the

Gorodetskyi I G, Gorodnichenko A I, Tursin P S, Reshetnyak V K, Uskov, O N: Non-1invasive interactive Neurostimulation in the post-operative recovery of patients with a trochanteric fracture of the femur. J Bone Joint Surg [Br]2007;89-B:1488-94.

G. Gorodetskyi et al, The effects of non-invasive, interactive Neurostimulation on 2pain and edema during post-surgical rehabilitation following internal fixation of unstable bi-malleolar ankle fractures, Presented as a poster by Dr James Dillard at the IASP 2008, Glasgow, Scotland. Accepted for publication Dec 2009, Journal of Foot and Ankle Surgery.© 2015 Bioelectro Pty Ltd. All Rights Reserved 4

body’s inherent self-healing mechanisms with minimal undesirable side effects. 345678

biological foundations

The nervous system provides the principal function of a living organism and is composed of both central (brain and spinal cord) and peripheral components with the latter having both somatic and autonomic (parasympathetic and sympathetic) subdivisions.

The central nervous system’s major function is to receive, process, and send out information. To accomplish this, the brain carefully coordinates all incoming and outgoing signals via a network of connections to various specialised regions of the brain. Any interruptions, no matter how minor, that occur in any part of this signalling system can disrupt certain functions or behaviours.

Lee KH, Chung JM, Willis WD. Inhibition of primate spinothalamic tract cells by 3

TENS. J Neurosurg. 1985; 62: 276-287

Linda S. Chesterton, Nadine E. Foster, Christine C. Wright, G. David Baxter and 4

Panos Barlas Effects of TENS frequency, intensity and stimulation site parameter manipulation on pressure pain thresholds in healthy human subjects Pain, Volume 106, Issues 1-2, November 2003, Pages 73-80

Garrison DW, Foreman RD: Effects of prolonged transcutaneous electrical nerve 5

stimulation (TENS) and variation of stimulation variables on dorsal horn cell activity, Eur J Phys Med Rehabil 6:87-94, 1997

Reilly JP, Applied Bioelectricity: From Electrical Stimulation to Electropathology, 6

1998 Springer-Verlag NY. pg 130 and 233

Christie Q. Huang, Robert K. Shepherd Reduction in excitability of the auditory 7

nerve following electrical stimulation at high stimulus rates: Varying Effects of electrode surface area Hearing Research 146 (2000) 57-71

Pyne-Geithman G, Clark J F, InterX elicits significantly greater physiological 8

response than TENS: Lymphocyte metabolism and Cytokine production. Presented as a poster at IASP 2010, Montreal, Canada. Aug. 29th 2010.© 2015 Bioelectro Pty Ltd. All Rights Reserved 5

Although difficult to separate because of their overlapping effects, changes in the nervous system can be classified as:

• Structural: these are changes affecting the structure of the nervous system such as the number of neurons or synapses;

• Biochemical/metabolic: this includes changes in neurotransmitters affecting cerebral metabolism;

• Functional: changes here can affect the electrical activity of the nerves or the motor, sensory and cognitive processes.

The peripheral nervous system which links the brain with the skin, muscles and internal organs, via the spinal cord, orchestrates the processes that are not under conscious control. The central nervous system is either attenuated or stimulated via the parasympathetic and sympathetic subdivisions, respectively, depending upon the stimulus. This is carried out through the secretion of neuromodulators and hormones which act quickly to re-establish homeostasis or to shift the equilibrium point for adaptation to the new environmental conditions. In this way, the body is able to constantly monitor changes within its environment enabling the body to survive and even resist disease and injury.

Dysfunction that leads to disease and injury can occur when the body is placed under levels of duress from which it is not able to spontaneously recover.

The methodologies of many traditional healing practices such as acupuncture and acupressure are based on the fact that the skin and nervous system have the same embryological origin. The skin, which is a large sensory organ, remains linked throughout adulthood to the nervous system. It plays a unique role in providing a protective barrier to the body. Stimulating nerve endings within the skin at particular points is


believed to effect changes in internal organs. Similarly, stimulating active points on the skin via electric impulses which follow the pattern of those of the central nervous system is hypothesised to stimulate and optimise the regulatory functions of the nervous system and restoring health.

The therapeutic approach of physiokey functions on two physiological principles:

1. that the body has its own healing capabilities and 2. we can promote this ability to heal by stimulation of the

areas of the brain responsible for regulation of the autonomic nervous system and homeostasis.

Physiokey, which is essentially therapeutic electrotherapy delivered via the skin, is hypothesised to produce both local effects - by stimulating the skin, muscle and blood vessels - as well as a general influence - by an effect on nervous and endocrine systems. It is further hypothesised that the pattern of impulses stimulate nervous pathways via key points in the skin in an effort to restore and to improve the regulation of the disease-affected organs and tissues. These impulses stimulate both the A delta fibres, responsible for the quick, shallow first pain, and the C fibres, known to maintain the state of hyper-excitability of the painful area and the spread of the hyperalgesic state to nearby neurons . 9

When sufficiently stimulated, ‘C’ fibres also trigger local neuro- and regulative-peptide release with resultant pain relief and healing.

The physiokey impulse is carried via afferent nerve fibres to regulatory centres in the brain which in turn responds via efferent nerve fibres. The physiokey interprets this response

Weiss, Thomas et al (2008) “Brain activation upon selective stimulation of cutaneous C- 9

and Aδ-fibers” NeuroImage 41: pp1372-1381)© 2015 Bioelectro Pty Ltd. All Rights Reserved 7

and, via computer modulation, results in its next impulse being modified accordingly which further provides information back to the brain to either amplify or dampen the pathological signals initiating pain.

The characteristics of the impulse are such that the probability of excitation of the thin neuropeptide-secreting C-fibres is higher than conventional methods of electrotherapy. 101112

Somers D, Clemente F R, TENS for the management of neuropathic pain: The 10

effects of frequency and electrode position on prevention of allodynia in a rat model of CRPS type II, Phys Ther, Vol. 86, no.5, 2006: pg 698-709

Han J S, Acupuncture: neuropeptide release produced by electrical stimulation of 11

different frequencies. Trends in Neurosciences, Vol. 26, No.1, January 2003

Hamza, M.A. et al. (1999) Effect of the frequency of transcutaneous electrical nerve 12

stimulation on the postoperative opioid analgesic requirement and recovery profile. Anaesthesiology 91, 1232–1238© 2015 Bioelectro Pty Ltd. All Rights Reserved 8

indicationsThe physiokey (ARTG 230724) intended use is for:

• Acute and chronic pain. • Increased blood circulation. • Passive muscle stimulation. • Improvement and recovery of function.

contraindications• Patients who have on-demand-type cardiac pacemaker.

or other electrically powered implant. • Electrode placement over malignant tumours. • Use over open wounds. • Patients prone to seizures. • Alcohol intoxication. • Pregnancy.

cautionsThe physiokey electrodes should not make contact with wet skin. Natural body fluids, including sweat, are acceptable. Treatment with the physiokey should not normally exceed 30 minutes in any specific area of the body and there should be, as a general rule, a minimum of 2 hours between treatment sessions, to avoid isolated cases of skin irritation. In most cases, application of the physiokey is carried out by moving the device on the skin.

In some cases increased pain, muscle aches and other reactions may be associated with application of the physiokey. These reactions will usually return to normal after a short time. If symptoms persists, discontinue use of the physiokey and consult your health professional.


physiokey operation modesOnce the physiokey has been turned on, the main menu will show. From this menu, you have three choices available. Each choice has a significantly different application / therapy technique.

bioregulation modeThe Bioregulation mode is for delivering non-invasive therapy to the body’s physiological systems via skin areas, in order to provide pain relief and functional restoration.


Diagnostic

Diagnostic

Bioregulation

Key-‐Phoresis

Diagnostic

Bioregulation

Key-‐Phoresis

Diagnostic

intensityThe intensity level refers to the strength of output impulse from the device and is indicated on the main screen of the device. Use the Plus or Minus button to increase or decrease the intensity level, indicated by the number in the middle. The intensity level has a range of 1-99.

The perception of the impulse intensity level from the device will vary greatly from person to person. This means that impulse intensity levels should be selected individually for each procedure.

If the sensation level (buzzing or tingle sensation) on the skin is high it will usually be a painful experience. This is not helpful to the therapy process. The impulse intensity level should generally be set at a pleasant level. A high impulse intensity level is usually used for acute pain and emergency situations where intense pain must be rapidly reduced.


Below are listed some guidelines regarding impulse intensity levels;

• In cases where the localisation of the pain is clear (especially when the patient can point to the pain), it may be necessary to increase the impulse intensity level to the most tolerable level.

• To rapidly reduce pain, a high impulse intensity level can be used with continuous movement of the device over the area where therapy is being applied.

• In cases of obscure or general pain symptoms prevailing over local pain symptoms use a comfortable impulse intensity level.

• For young children or the elderly, it is advisable to begin therapy using the minimum impulse intensity level and then gradually increase it to a pleasant sensation.


bioregulation mode settings

basic• When using Bioregulation mode always start with the

basic mode. • Frequency 78Hz (PPS) • The best setting to search for keypoints. • Balances the vegetative nervous system.

sedation• High frequency: sedates pain and nervous system. • Ideal for inflammation and inflammatory pain. • Oedema and lymphatic issues.

trigger• Low frequency: 7.8Hz PPS (electro magnetic resonance

frequency of the earth and of the human brain, located on the border between sleeping and waking).

• Pulsating quality with simultaneous harmonising setting. • Stimulation / activation / relaxation. • To build up the weak / sagging muscles, releases

muscular tension. • Reduces pain and acts as shock wave.

activation• Stimulation of body’s functions. • Pain related to scars / adhesions. • Wound healing.


relaxation• Frequency with intensity. • Muscle pain / gelosis. • Useful when absence of change with other settings. • A good alternative / supplement to trigger setting.

harmonisation• Impulse is dampened, less vibrations. • Useful for treatment resistance. • Setting changes the body’s attenuation to the impulse. • Clinical observation suggests improved impulse

processing by the body. • Improves the dynamics of the patient. • Improves the flow of energy in the body and ensures

balance. • Useful for vegetative balance of sympathetic and

parasympathetic division of CNS.

FM Chronic• Frequency modulation 7.8 - 120Hz. • Stimulation of body’s functions. • Chronic painful conditions. • Useful following diagnostic treatment in chronic

complaints.

FM Acute• Frequency modulation 200 - 460Hz. • Sedation. • Acute pain, discomfort, inflammation. • Useful following diagnostic treatment in acute

complaints.© 2015 Bioelectro Pty Ltd. All Rights Reserved 14

individual• Frequency modulation 30 - 120Hz • Intensity of pulse adapts to the dynamics of patient’s

skin electrophysiology. • Useful in cleansing techniques (advanced).

individual +• Individual frequency is set by practitioner. • Intensity of pulse adapts to the dynamics of patient’s

skin electrophysiology.

memory• Frequency modulation 30 - 120Hz. • Chronic conditions. • Stimulation. • Useful following diagnostic treatment in chronic

complaints. • Memory effect at the end of treatment.


frequency guidelinesThe Individual+ setting in the Bioregulation mode allows the individual frequency set by the practitioner. The following table outlines some of the frequency settings derived from clinical experience and their application to the phase of the injury/painful complaint.

Frequency Recommendation

6, 10, and 15 Use to sedate nervous system. Alternate with high frequencies.

6 and 25 Cramping pain - use in combination with Sedation setting

60 , 90Ideal frequency for general therapy, especially

chronic. Any pain complaints with children, older patients. Combine with Basic setting.

45 and 110 Bruising pain - alternate frequencies.

15 and 50 and 324 Bone bruising pain - alternate frequencies.

95 General pain relief. Post surgical pain. Alternate with Sedation & Harmonisation

120 Sub-acute injuries and complaints. Painful exacerbations of chronic complaints.

160 and 324 Joint pain - alternate frequencies.

40, 80, 90 Chronic spinal pain - alternate frequencies.

110, 120, 160, 240, 260

Spinal pain; sub-acute phase or chronic pain with inflammation.

380 Muscle pain - acute. Combine with Relaxation.

120, 240 and 440 Abdominal Pain - obtain immediate medical help if pain persists.

460 Tooth pain - you must consult dentist if pain persists. Alternate with Sedation.


physiokey application

pain ‘here and now’If the patient shows an area or point of pain, that is, they can ‘point to it’ or clearly indicate its location – begin working with the physiokey in that area. The position of local pain does not depend on a diagnosis – it is simply where the patient feels the pain ‘here and now’.

Turn device ON, and select Bioregulation mode. Place the device electrode firmly on the skin on or near the area of pain, and set the impulse intensity level to a comfortable tingling sensation. It’s not necessary to set the impulse intensity to an uncomfortable level. You can change the impulse intensity level at any time during therapy.

Scan for keypoints.

Keypoints are points or small areas in or around the painful area that require targeted therapy and can be located by sliding the device over the area to scan the skin for keypoints.


keypointsKeypoints are the ‘door’ to the regulative system of the body. Keypoints are found where the:

1. device electrode drags more (‘sticks’ to the skin), 2. the colour of the skin has a pronounced change, 3. the impulse intensity feels stronger, 4. the sound of the device gets quieter.

Once a keypoint is found, slide the device in four directions, looking for the most resistant direction. Continue sliding the device in this direction until the resistance (or one of the other keypoint indicators) changes.

Scan for keypoints again.If keypoints have been cleared and pain relief effected: your therapy is complete!

If more keypoints are found, change setting parameters and begin again, treating until keypoints have been cleared.


reciprocal zone therapyThere are times when direct therapy is impossible due to the area being inaccessible or perhaps too painful to touch. Also, in cases where no change is achieved through therapy, the reciprocal part of the body to the pain site is located and therapy is applied to that area.

Each part of a body has its reciprocal counterpart, which is mutual, relative, and shared.

When treating reciprocal zones, each time a different reciprocal zone is treated there should be a change in the settings.

In order to ascertain treatment direction, reciprocal zone selection, and setting setting selection: always ask patient if pain increases or decreases as a result of your treatment.

Reciprocal Principle Reciprocal Body Parts

Left / Right Cervical / Sacral

Front / Back Face / Abdomen

Up / Down Nose / Navel

Inside / Ouside Shoulder / Hip

Proximal / Distal Elbow / Knee

Hand / Foot


example reciprocal treatment areas


pain point

right / left

up / down

inside / outside

proximal / distal

resistant pain therapyIn general, for resistant or severe pain, begin treatment with reciprocal areas.

neck and head pain Treat mandible, mastoid, zygomatic bones and orbits.

shoulder pain Treat acromium process, clavicle, spine of scapula.

chest / sternum pain Treat sternum, clavicle.

abdominal pain Treat ribcage, xiphoid process, iliac crest, and pubic symphysis.

hand / wrist pain Treat olecranon, epicondyles.


resistant pain therapy

trunk horizontal circle Method follows a horizontal path around the body. Useful when pain does not completely disappear after therapy.


1,4 Point of pain

2 Spine

3 Symmetrical Point of pain

limb horizontal circle

Indications: Therapy resistant complaints in a body segment, such as:

• sciatica • brachialgia • epicondylitis • supraspinatus syndrome

Device setting: Individual © 2015 Bioelectro Pty Ltd. All Rights Reserved 23

1,4 Point of pain

2 C7

3 Symmetrical Point of pain

general zone therapy• Local therapy is used when the patient can point to the

pain ‘here and now’ – it is pain specific to the individual. • General zones are areas of general regulation of the

body that are common to every person. • Therapy upon these zones can influence the body’s

nervous, endocrine and immune systems and can help resolve painful complaints.

• General zone therapy is useful for chronic pain and those types of pain where the patient cannot specifically locate the problem area.

neck zone• Effect is on shoulder, neck, head complaints. • For pain in cervical spine, neck and shoulder. • Relaxes muscles and tendons, strengthens the back. • Vegetative regulation and balance. • Use as a reciprocal zone. • Major anti-stress zone.


same procedure both sides

find keypoints

three pathways• For pain related to the spine, nervous system, and

general pain of the body. • Vegetative balancing.

1. Setting: basic. Impulse intensity comfortable. 2. Track 1: slide device top to bottom, three times. 3. Search for keypoints, treat keypoints. 4. Slide device top to bottom again. 5. Track 2: slide device top to bottom, three times. 6. Search for keypoints, treat keypoints. 7. Slide device top to bottom again. 8. Track 3: slide device top to bottom, three times. 9. Search for keypoints, treat keypoints. 10. Slide device top to bottom again. 11. Slide device top to bottom all three tracks (1,2,and 3).


12 3

diagnostic mode• Use in order to localise the patient’s symptoms. • Use to optimise time when looking for a keypoint. • Use to optimise therapy time. • Use to create a dynamic. After treating an area in

Bioregulation mode, use Diagnostic mode on keypoint. • Therapist sees the dynamic of the body through

changes in numerical readings. • Treatment in Diagnostic mode enables practitioner to

estimate the dynamic of the patient. • Diagnostic mode shows when treatment of a keypoint

has reached highest level of efficiency. • Diagnostic mode shows when further treatment of a

keypoint will have no further beneficial effect.

understanding the display


impulse intensity

initial reaction (IR)

This is the skin response to an input signal from the device and reflects a nervous system response. When measuring the Initial Reaction (IR), the device does not measure a stable parameter in the body, but rather the speed in time of its dynamic (change); the higher the speed, the higher the IR value.

The IR shows the level of reactivity of the body in the treatment area and characterises the condition of the body's adaptive reactions – local and general. Typically, areas of inflammation are ‘energetic’ with a high speed of adaptive reactions and subsequently high IR’s. Areas of degeneration in the body lack ‘life’ and the speed of adaptive reactions and, consequently, the IR readings are low.

IR readings are compared to each other in physiokey therapy protocols.

The higher IR readings indicate a focus for treatment.


35 13

00:01

IR: 35µs

START

pulse changes during therapy

During therapy with the physiokey the pulse signal undergoes changes as the electrophysiology of the underlying tissue changes. These changes are reflected in the readings on the display in Diagnostic mode.


display during therapy - the initial reaction


35 13

START

00:01

35 13

IR: 35µs

START

00:10

9 40 IR: 40µs

START

65 5

00:23

Source: Dr. Ulrich Scherer

Initial Reaction (IR)

Current Reaction (CR)

Target Value

IR: 65µs

display during therapy - the shape coefficient

The shape coefficient value is located on the top right of the display screen. It represents a technical aspect of the body reaction: the value is used when assessing the dynamic of the reaction and indicating the prognosis for that point.

The shape coefficient represents the quantity of oscillation of half waves phases (or zero crossing) during treatment. The lower the shape coefficient value when the target value is reached - the better the prognosis.

The number and width of half waves indicate a measure of the damping of impulse, which is dependent on the resistance characteristics of skin.

Lower skin resistance means:

• high IR • improved electrical conductivity of the skin. • more potential damping of the impulse. • less decaying half-waves (lower CC) - see next page. • lower frequency (higher CR) - see next page. • effective information acquisition. • faster outcome in treatment.


35 13

00:01

START

12

34

5

6

7

89

1011

1213

display during therapy - the shape coefficient


Initial Coefficient - IC

START

35 13

00:01

35 13

IC = 13

IC = 9

START

65 5

00:23

START

00:10

9 40

Current Coefficient - CC

IC = 5

Source: Dr. Ulrich Scherer

START

START

Current Coefficient - CC

12

34

5

6

7

89

1011

1213

12

3

4

5

6

7

8

9

1 2 34

5

diagnostic mode application

taking IR readings 1. Turn the device on. Select Diagnostic mode. Choose

Basic or Individual+ depending on the pain (acute or chronic).

2. Increase the impulse intensity level to a comfortable level whilst on the skin outside the area of therapy.

3. Place device on the skin: in the top left appears the initial reaction value, displayed for 2 seconds, then the current reaction.

4. Take IR readings in the direction indicated by the protocol.

5. On the highest reading treat until the Target Value is reached.


2129

35 2531

3944 43

3731

taking IR readings - moving the device

1. Place the device on the skin: in the top left appears the initial reaction value, displayed for 2 seconds, then current response measurement.

2. After approx. 2 seconds, slide the device on the treatment zone and watch the values on the top left change.

3. Measurement of the reaction is in real time. 4. Simply search for the highest value IR. 5. Then place the device on position with the highest value

and treat until Target Value is achieved (green light).


2129

3525

3139 44 43 37 31

three pathways in diagnostic mode• For pain related to the spine, nervous system, and

general pain of the body. • Vegetative balancing. • In the first treatment session with no clearly defined

local pain symptom, or where many painful complaints are presented.

• The three pathways gives a picture of how to work with a patient in future therapy sessions.

• Find target value for highest reading in each pathway. • Treat highest target value of all with additional

Bioregulation mode setting: e.g., Individual, FM Chronic, Fm Acute, Memory.


2 1 3

35 32 23

39 33 22

41 / 68 37 39

36 39 37

32 44 39

36 47 / 92 44 / 75

33 37 33

34 35 29

27 33 29

26 31 24

26 30 25

Image for illustration purposes only. Not to scale.

assessment of the three pathways Once a three pathways treatment is completed an analysis of the numerical values obtained during the session gives an indication of where to focus therapy in the next session.

This is done by an analysis of the location of the highest target value in the three pathways:

• Central - when the highest target value is found within the spinal route, this indicates general zones require further treatment - neck zone, abdomen zone, palm zone.

• Peripheral - when the highest target value is found within the paravertebral routes, this indicates corresponding horizontal pathways require further treatment.

The following diagram provides a guide of where to work.


Neck Zone

Abdomen Zone

Palm Zone

abdomen quadrants in diagnostic mode• For pain related to the abdomen and associated areas. • Vegetative balancing. • When indicated as a result of three pathways analysis.

• Find target value for highest reading in each quadrant. • Treat highest target value of all with additional

Bioregulation mode setting: e.g., Harmonisation, Individual, FM Chronic, Fm Acute, Memory.



palm zone in diagnostic mode• For pain related to the lower abdomen and lower back

areas. • When indicated as a result of three pathways analysis.

• Find target value for highest reading in first on lower abdomen, then on lower back area.

• Treat highest target value of all with additional Bioregulation mode setting: e.g., Harmonisation, Individual, FM Chronic, Fm Acute, Memory.


Images for illustration purposes only. Not to scale.

drainage methods

neck ring• Useful prior to collar zone treatment. • Lymphatic system. • For pain associated with; sore throats, sinus,

headaches, inflammation of the neck and/or head area.

• Use Basic mode to begin. • Slowly drag device from one side round the neck to the

other. • Then do the same in the other direction • Always rest for a short while on C7 • No dynamic - use different settings of device and

repeat.© 2015 Bioelectro Pty Ltd. All Rights Reserved 38

1︎ 2︎ 3︎

4︎ 5︎ 6︎

informational cleanse on the back• Useful prior to three pathways treatment. • Go from top to bottom in a zigzag motion 3-5 times

using different settings each time. • Aim is to achieve hyperaemia or feeling of warmth. • You can remain longer on any key points. • This cleanse can induce excretory reactions like:

- sweating, skin rash, - loosening of the stool, increasing the frequency of

urination, - discharge from the nose, expectoration in the

following day.


general cleanse of the spine• Useful prior to three pathways treatment. • Useful for pain associated with the spine. • Use Individual setting in Bioregulation mode. • Place the device electrode under the patient’s hairline

and bring the impulse intensity to a comfortable level and remain stationary for a short time (15-30 seconds).

• Slide the electrode half an electrode space or so every 15-30 seconds in a downward direction toward the base of the spine.


abdominal spiral• Useful with pain associated with digestive complaints,

constipation, diarrhoea. • Device is dragged in a spiralling motion from the navel

outwards (clockwise spiral) and from the abdominal border inwards toward the navel (anti-clockwise spiral).

• Search for keypoints in Basic setting. • Constipation use Activation setting. • Diarrhoea or inflammation use Relaxation setting. • Unsure? Use Harmonisation setting. • Treat this zone until there are no more keypoints.


Spiral out in a clockwise direction

Spiral in, in an anti-clockwise direction

clouds on the back• Useful for drainage of the respiratory system. • Useful for pain and tightness of the thoracic area. • Useful as a reciprocal treatment zone for pain

associated with headaches. • Device is dragged down the three pathways of the spine

as far as T12 vertebral position. • Aim is to achieve hyperaemia or feeling of warmth. • Brush in circular motion either side of three pathways

from T12 up to neck. First one side then the other. • Treat this zone until there are no more keypoints.



key-phoresis modeThe key-phoresis mode is a modified iontophoretic mechanism to facilitate the absorption of external substances such as creams, lotions and gels.

Iontophoresis is the introduction of various ions (charged particles) into the skin by the means of electricity. It is a means of delivery that ensures a local dose of the substance in the treatment area while minimising the exposure to the rest of the body. It is a convenient, safe, non invasive route for delivery of creams, lotions, or gels for optimum local effects.

The technique uses an electric current to deliver a medium through the skin. The ions are driven into the skin via the pores - hair follicles, sweat gland ducts - rather than through the stratum corneum per se (the stratum has a high resistance, thus limited current passes through it - the ducts are lower resistance, will allow greater passage of current, thus the route of preference).

When the key-phoresis mode is activated, the device creates a small electrical current that drives the charged particles of the cream from the delivery electrode into the skin.


select acid or alkaline

• Acid - use when pH of the substance applied is acidic (< 6).

• Alkaline - use when pH of the substance applied is alkaline (> 6).

• The hand touching the key-phoresis electrodes must be moist.

• The other hand must touch the patient on a structure close to the treatment area.


KEY-PHORESIS

Acid

Alkaline

key-phoresis electrodes

key-phoresis for low back pain

Using the Key-Phoresis mode following physiokey treatment for the condition of low back pain allows short term administration of analgesic creams and may provide an alternative to hypodermic injection of corticosteroids, as well as avoiding the associated discomfort of needle insertion at an already tender area of tissue.

Low back pain can often be a well localised condition, appropriate for key-phoresis over the affected site.

• Select Key-Phoresis mode. • Choose acid or alkaline. • Place analgesic cream on treatment area. • Place device on the skin at the treatment area (be sure

you are touching the key-phoresis electrodes with moistened skin.

• Set the impulse intensity with + / - , patient should not feel any tingling.

• Your other hand should be placed proximal or distal to the treatment area, over the nearest major muscle.

• Press START to begin the treatment. Use the device in a circular motion on the skin until the analgesic cream is completely absorbed.

• End the treatment by pressing END.


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