EarthPulse™ PEMF is the only wellness device in the world harnessing and enhancing the natural circadian sleep & recovery states for improved repair and greatly enhanced daytime performance. The ergogenic effects (athletic performance enhancement) resulting from sleeping in the EarthPulse™ pulsed electromagnetic field is unmatched by anything in the published literature.
Low-intensity pulsed ultrasound (LIPUS) has been shown to have significant beneficial skeletal effects. Ultrasound refers to a high-frequency nonaudible acoustic energy that travels in the form of longitudinal mechanical waves. Traditionally used by physical therapists to intervene in injuries to soft tissues, it is most commonly used with intensity in the range of 0.5–2.0 W/cm2. In comparison, to intervene in injuries to hard tissues (such as bone) pulsed-wave ultrasound with a spatially averaged, temporally averaged intensity (ISATA) of below 0.1 W/cm2 is preferred. ISATA refers to the average ultrasound power over the area of the ultrasound beam (spatial-average) and the average of this intensity over a complete pulse cycle (ultrasound ‘on’ and ‘off’ period; temporal average). Pulsed-wave ultrasound with an ISATA below 0.1 W/cm2 is termed LIPUS and is preferred in the intervention of fracture healing, as its low ISATA significantly reduces the risk of any thermal or cavitational tissue damage—LIPUS has US Food and Drug Administration approval to be applied to bone.
Considered together, all available evidence provides strong support for Ca/CaM-dependent transient NO production as an important PEMF transduction pathway for tissue repair. One of the authors (AAP) has recently proposed the PEMF mechanism as a working model for PEMF therapeutics (Figure 4).61 This mechanism suggests that the primary effect of clinically relevant PEMF signals is to increase the rate of Ca2+ binding to CaM, which then catalyzes cNOS (eg., eNOS), producing an immediate (within seconds) production of NO, which can orchestrate an antiinflammatory response via increased blood and lymph flow. NO, in turn, regulates cGMP production (within minutes), which cascades to the appropriate growth factor release dependent on the stage of healing (eg., FGF-2 for angiogenesis).
Corticosteroid injections have been commonly utilized in treating rotator cuff disease. Koester et al (2007) performed a systematic review of the literature and analyzed nine randomized controlled studies comparing subacromial corticosteroid injection with placebo. One study demonstrated significant pain relief and two studies showed an increased range of motion in the injection group. No significant complications were identified. In a study comparing a corticosteroid injection with a platelet-rich plasma (PRP) injection for subacromial impingement syndrome, the investigators found the Constant score and VAS for pain to be significantly better at both 6 weeks and 6 months in the corticosteroid-treated group. Good patient candidates for a single subacromial corticosteroid injection to achieve pain control are those with significant night pain or patients who will not tolerate phase 1 rehabilitation because of pain.
In addition to its benefits on fractures displaying a failed healing response, LIPUS can substantially accelerate the rate of repair of fresh fractures. LIPUS also promotes greater bone content in fracture callus, more rapid endochondral ossification, and quicker recovery of stiffness in ovariectomy-induced osteoporotic, as well as diabetic, rats. In humans, LIPUS can reduce the time for recovery of clinical and radiographic union by 30–38%. This represents a reduction in healing time of 58, 37, and 19 days in tibial diaphyseal, distal radius, and scaphoid fractures, respectively.
We thank Dr Pfeiffer for raising this point. The EULAR recommendations for the management of knee osteoarthritis1-1combined an evidence based approach and a consensus approach. The evidence based approach—that is, the literature research, was only applied for the treatment modalities selected by the experts at the first meeting of the committee (see table 1 of the paper).
Nonhealing episternal abscess wound in an elderly male following cardiac surgery. A, The open cardiac wound is seen following drainage of abscess and start of pulsed electromagnetic field therapy (PEMF). B, Wound closure is shown 8 weeks after 30-minute PEMF treatments twice daily. Patient was cared for in a hospital for 1 week and was then transferred to a nursing home with a portable PEMF unit until complete healing occurred.
As with back pain each of the possible contributing factors need to be examined and included in the treatment plan as appropriate (Kent et al 2005). This means that instead of lumping groups of symptoms together (e.g. rotator cuff symptoms) it has been suggested to split and recognise factors that cause laxity, impingement and/or lesion and provide treatment as the clinician sees fit. So far:
Also on the show, family physician Dr. William Pawluk discussed the OrthoCor Active Knee System. This is an FDA-approved device that combines PEMF energy and thermal therapy to increase circulation and thus reduce swelling, relieve chronic pain and arthritis, as well as improve range of motion. The device’s technology consists of a cuff that surrounds the knee. It has a coil and heat pods that send magnetic pulses and heat through the injured tissue. Patients can walk while the OrthoCor device is in operation. OrthoCor sells its products through orthopedic clinics, physicians and health care practitioners.
Three years later, this concept was taken one step further when Georges Lakhovsky shared his ideology and theories that the reinforcement of cell oscillation with radio waves increased their ability to fight off damage or disease. It did this by making them stronger and more resilient, Lakhovsky ascertained. Over the course of the next several decades, many researchers—Royal Raymond Rife, Antoine Priore, Robert Becker, and Abraham Liboff, to name a few—would each identify and research various pieces of information which, together helped create PEMF as we know it today.
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The majority of patients in the study by Cohen et al (2007) examining rotator cuff contusions showed quick responses to treatment with modalities such as, pulse ultrasound and cuff/scapula strenthening. It was noted that the athletes who had significant subentheseal bone bruises and what the researchers called “chronic tendinopathy” had more prolonged recovery. In the patients who did not demonstrate significant improvement by the third day after injury (23%) a subacromial corticosteroid injection was utilized; this step was described to be of benefit, because only one of the six athletes who received a cortisone injection later needed surgery. Minimal morbidity was noted overall as a result of the contusions but 11% of the patients required later surgical intervention.
Instituteur : Ancien statut des Professeurs des Ecoles offrant un salaire moins important mais l'avantage de la retraite à 55 ans en vigueur à l'époque du recrutement. L'Education Nationale ne recrute plus d'instituteurs depuis longtemps mais certains ont préféré garder leur ancien statut malgré le manque à gagner pour conserver leurs avantages au regard de la retraite.
Although injections can be a useful tool in decreasing the inflammatory process and differentiating the impingement diagnoses, caution must be exercised in recommending steroid injections. Steroid injection in or near the cuff and biceps tendons can produce tendon atrophy or can reduce the capability of damaged tendon to repair itself.127–129 Kennedy and Willis130 concluded that collagen necrosis occurred with steroid injection. Controlled studies have been performed showing minimal effectiveness alone with the use of steroid injections.131,132
There followed the development of inductively coupled, externally applied electromagnetic field modalities to affect bone repair.22,23 Development of the bone growth stimulator (BGS) signal did not follow from diathermy considerations, but rather from the general electrochemical models developed by one of the authors (AAP).24 As will be seen, although this approach resulted in an effective BGS signal, that signal was not specifically configured for what is now commonly considered to be the PEMF transduction pathway. Nonetheless, a multitude of studies have shown the BGS signal to have sufficient biologic effect to modulate growth factor release.25 Therapeutic uses of these technologies in orthopedics have led to clinical applications approved by regulatory bodies worldwide for the adjunctive treatment of recalcitrant fractures and spine fusion.1,26 Several reports have suggested that the overall success rate of BGS is not significantly different from that of the first bone graft,1 which is a significant benefit for the patient and the health care system.
All energy is electromagnetic in nature. All atoms, chemicals and cells produce electromagnetic fields (EMFs). Every organ in the body produces its own signature bio-electromagnetic field. Science has proven that our bodies actually project their own magnetic fields and that all 70 trillion cells in the body communicate via electromagnetic frequencies.
Pulsed Electro Magnetic Fields influence cell behavior by inducing electrical changes around and within the cell. Improved blood supply increases the oxygen pressure, activating and regenerating cells. Improved calcium transport increases absorption of calcium in bones and improves the quality of cartilage in joints, decreasing pain dramatically. Acute and even chronic pain, also caused by arthritis and osteoporosis, may disappear completely.
PEMF Therapy has been proven to be a very effective method to restore and maintain cellular function by re-balancing the cellular membrane functions and improve oxygenation of the cells and nutrient flow and as well as to detoxify the cells. As more cells are re-balanced the natural regeneration process occurs. PEMF Therapy has also been shown to be effective in counteracting the negative affects of the BAD EMF's.
Pulsed Electro Magnetic Fields (PEMF) works by improving cellular function and health at the molecular level. PEMF improves health by addressing impaired chemistry and the function of cells. Science has proven that our bodies produce their own magnetic fields. Everything works within the body by electromagnetic exchange. Disruption of electromagnetic energy in cells can cause impaired cell metabolism.
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CONCLUSIONS: This review shows that plastic surgeons have at hand a powerful tool with no known side effects for the adjunctive, noninvasive, nonpharmacologic management of postoperative pain and edema. Given the recent rapid advances in development of portable and economical PEMF devices, what has been of most significance to the plastic surgeon is the laboratory and clinical confirmation of decreased pain and swelling following injury or surgery.
Je n'évalue de toute façon quasiment plus rien de manière formelle. Sur les conseils de notre inspecteur, tout le monde est passé à une évaluation continue à travers les exercices quotidiens et l'observation et la connaissance fine que nous avons de nos élèves. Dans le cadre de la numération et du calcul, les test de fin de série me permettent effectivement de situer l'élève. Soit il a réussi, et il continue. Soit il a raté, et on revoit la notion. Qui finit donc par être acquise (sauf cas de difficulté profonde).