Is the amplipulse done in Europe? Methodical recommendations for the therapeutic use of amplipulse devices. Physiotherapy CMT in gynecology

Amplipulse therapy- one of the methods of physiotherapy, the essence of which is the effect on the patient's body with sinusoidal currents. During the procedure, electromagnetic oscillations are modeled in amplitude, hence its name (amplipulse - amplitude pulsations). The therapy is used for various conditions accompanied by a pronounced pain syndrome.

Mechanism of action

The main "tool" of amplipulse therapy - This is an alternating current with a frequency of 5-10 kHz, which penetrates well through the skin and reaches deep-lying tissues. As a result of modulation, separate series of pulses are formed, similar to beats. These rhythmic influences cause the appearance of their own currents in the nerve fibers, which have an exciting effect. A focus of irritation is formed in the central nervous system, which suppresses the pain dominant. At the same time, the production of endorphins increases in the cells of the brain, which have an additional analgesic effect. The combination of these two mechanisms provides significant pain relief in more than 90% of patients.

Exposure to sinusoidal modulated currents also leads to rhythmic contractions of muscle fibers. This effect is accompanied by increased blood flow to all internal organs. Along with the activation of arterial circulation, venous outflow also increases - congestion in tissues is eliminated, edema decreases, and metabolic processes are improved.

An important component of the therapeutic effect of therapy is its effect on the hormonal system. Alternating currents normalize the work of the adrenal glands, which play one of the leading roles in the regulation of humoral connections in the body.

In comparison with constant and diadynamic currents, amplipulse therapy is characterized by a milder effect, therefore, when using it, patients do not feel a burning sensation or tingling sensation on the skin. The healing effects accumulate from procedure to procedure and appear only at the end of the course.

Amplipulse therapy is carried out in separate series of current oscillations, following in a certain sequence, which in modern devices of the "Amplipulse" type provide a set of currents for five kinds of work.

NK - unmodulated vibrations with a frequency of 5000 Hz. I PP (kind of work) - oscillations with a frequency of 5000 Hz, modulated by any one frequency (within 10-150 Hz): a - incomplete (about 50%) modulation depth; b - full (100%); II PP - alternation of modulated current messages with pauses; III RR - alternation of current pulses modulated by the selected frequency with unmodulated current pulses; IV RR - alternation of current pulses with different modulation frequencies, one of which is 150 Hz, and the other is selected; V РР - alternation of current messages included in IV РР, with pauses.

First kind of work(I PP, constant modulation, PM) - modulation current of the main (carrier) frequency by currents of a fixed frequency (in the range of 10-150 Hz) and modulation depth. The strength of the exciting effect increases with decreasing modulation frequency and increasing its depth.

Second kind of work(II RR, pauses-pauses, PP) - a combination of carrier-frequency current pulses modulated by one frequency (in the range of 10 - 150 Hz) with pauses. The duration of current pulses and pauses is discrete within 1-6 s. This mode provides a pronounced contrast of the effect of SMT against the background of pauses and has the most pronounced neuromyostimulating properties.

The third kind of work(IIIРР, parcels -carrier frequency, PN) - a combination of current pulses modulated with a certain frequency (in the range of 10-150 Hz) with modulated current pulses with a frequency of 5 kHz. The duration of the current pulses is discrete within 1-6 s. The stimulating effect of CMT with this combination is less pronounced than with the previous regime, but the analgesic effect begins to manifest itself.

Fourth kind of work(IV RR, intermittent frequencies, IF) - a combination of alternating current pulses with a modulation frequency of 150 Hz and another frequency in the range of 10-150 Hz. CMT in this case give the greatest analgesic effect, which increases with a decrease in the difference between the frequency of 150 Hz and the selected modulation frequency.

Fifth kind of work(V PP, intermittent frequencies - pauses, PPP) - a combination of alternating current messages with different modulation frequencies in the range of 10-150 Hz and pauses between them. This mode provides a weakly pronounced contrast of the effect of SMT against the background of pauses and has a mild neuromyostimulating and trophic properties.

The stimulating effect is increased in the straightened mode when using II and V PP. In this mode, SMTs are most similar in their effects to DDT. In addition, in the straightened mode, it is possible to carry out amplipulse phoresis. medicinal substances.

Indications and contraindications

An obstacle to the appointment of the procedure can be:

acute diseases of internal organs;
psychosis;
arterial hypertension 3 degrees;
multiple sclerosis;
intolerance to electric current;
infectious and inflammatory skin diseases;
oncological diseases;
epilepsy;
blood clotting disorders, bleeding;
thrombophlebitis;
the presence of a pacemaker;
intra-articular fractures.

Amplipulse therapy is a method of physiotherapy local impact on the body, during which the area of the affected organs is exposed to electrodes with alternating current(sinusoidal modulated current - CMT). The name of the method (amplitude pulsations) is associated with the fact that during the procedure a certain mode of modulation of electrical oscillations is set.

Some modern devices provide the ability to carry out not only amplipulse therapy, but also treatment with unmodulated low-frequency currents (for some diseases, a treatment regimen is prescribed that includes the alternation of these types of effects).

Stationary amplipulse therapy device

The most widespread application of the amplipulse therapy physiotherapy was obtained for diseases of the spine (spondylosis, osteochondrosis, hernia, and others) and other diseases of bone and cartilage tissue associated with a significant severity of pain.

How is the treatment carried out?

Photo from the site narochbereg.by

Amplipulse is performed in the physiotherapy room. In this case, the patient can stand, sit or lie down - it all depends on the area of the lesion.

The doctor installs the electrodes, then turns on the device and sets up the desired treatment option. The current strength is selected manually and is adjusted depending on the patient's sensations. At the same time, with each subsequent session, the impulse increases. As a result, the patient should feel oscillatory movements.

There are two methods for conducting an amplipulse:

percutaneous;
intracavitary.

In the first case, a wet napkin rolled into several layers is applied to the skin area above the sore spot, and an electrode is attached on top. The design is fixed with an elastic band or pressed with a load. The second electrode is installed on the opposite side or not far from the first and is also fixed.

For intracavitary amplipulse, sterile tips are used. They are covered with a gel and slowly introduced into the cavity. With this method of therapy, it is allowed to use only the first mode of operation of the amplipulse. The current strength is increased in small doses, until a slight vibration appears.

Physiotherapists warn that one should not expect a quick effect from the amplipulse. In order for the condition to noticeably improve and remain so for a long period, at least 10-15 procedures will be required. At the same time, physiotherapy gives a very lasting result, so you can repeat the treatment every 1–1.5 years.

The Amplipulse device is used in the complex treatment of osteochondrosis. Application of the technique allows:

relieve pain syndrome for other therapeutic measures;
eliminate the inflammatory process;
improve blood flow in the spine;
restore cartilage tissue.

With osteochondrosis during the procedure, the patient lies down on the couch face down. The doctor attaches electrodes on his back. Most often they are located in the place of localization of the disease - in the cervical, thoracic or lumbar spine.

If there is severe pain, pinched nerve roots, or severe damage to the cartilage, the electrodes can be attached to the entire back.

The procedure can be used for intracavitary treatment. Special sterile disposable electrodes are lubricated with petroleum jelly and inserted into the vagina or rectum. In this case, only the first mode of operation of the device is used - sinusoidal currents of low frequency. The electrodes are in direct contact with the mucous membrane, so a high current cannot be used, and the procedure should not last longer than 10 minutes.

When used in the head area, the first mode of operation of the device and a small current strength are applied

Only in the first mode of operation, with a low current strength, the procedure of transcranial amplipulse therapy is also carried out. Two small electrodes are used: one is applied over the eyebrows, the other on the back of the head in the occipital fossa. They are fixed with elastic bandages. The modulation frequency is set at 100-150 Hz, and the pauses between pulses are 2-3 seconds. It has a sedative effect, stimulates blood circulation and relieves pain.

It is no coincidence that amplipulse therapy has been used for many years in the complex treatment of many diseases. The positive effects of the procedure are noticeable after 2-3 sessions. The patient has decreased pain, swelling and inflammation pass. In case of diseases of the musculoskeletal system, amplipulse therapy improves metabolic processes and blood circulation, thereby accelerating recovery.

Amplipulse therapy is prescribed for many diseases. Sometimes as a primary therapy, sometimes as an auxiliary therapy in combination with other procedures. Such treatment with sinusoidal currents (CMT) is combined with drug therapy, heat therapy, hydrotherapy, massage, exercise therapy. Good results are obtained by treatment in combination with electrophoresis with the introduction of medicinal substances. True, in this case, contraindications are possible with a tendency to allergic reactions to certain medications.

This method is widely used and is easily tolerated by patients of any age. There are indications for the treatment of children. Pediatricians have successfully used its properties to treat many childhood illnesses.

Amplipulse therapy is a painless procedure. By acting on a problem area, it can reduce swelling and inflammation, painful sensations, and reduce the severity of symptoms.

About the procedure

For the procedure, you must lie down or sit on the couch. The doctor finds the most painful spot. Electrodes are selected as large as the focus of the disease. They are fixed with an elastic bandage.

The plates are used the same as for galvanizing, that is, rectangular with rounded edges. They are made of metal. The size of each plate is 5–300 cm square. One is attached to the inflammation focus, covering it completely. The second is fixed either at a distance equal to the width of the electrode, or on the opposite side of the body.

Electrodes are applied to special pads and applied to the diseased area of the body. Then a current is supplied, first in a small volume, then gradually increasing until a slight tingling sensation on the skin is felt.

With electrical muscle stimulation, the location of the electrode is determined by the type of paralysis or paresis. In case of paresis on the periphery, electrodes are placed in the place of projection of the motor points of the nerves and muscles. With central paresis, the antagonists of the muscles affected by spasticity are stimulated.

When switched on, the current increases smoothly and the patient feels vibration. According to it, the tolerance of the current strength is determined.

Before treatment, a person should sit down or lie down comfortably and relax all muscles as much as possible.

Mechanism of action

What is an amplipulse and how does it differ from other currents used in physiotherapy? The action of electrotherapy is based on the pulsation of medium-frequency currents, modulated in amplitude and having a direct effect on nerve and muscle fibers.

As a result of the transformation, a series of impulses are formed, resembling a blow or push. These rhythmic beats elicit a response from the nerve endings, contributing to the excitation of synapses. At the same time, a focus of tension is created in the central nervous system, effectively suppressing spasm and painful sensations.

Simultaneously with the excitation of its own currents, the amplipulse activates the production of endorphins in the brain cells and has a slight relaxing effect. The simultaneous action of these mechanisms provides almost 100% relief from discomfort and pain.

In addition, the use of an amplipulse leads to muscle contraction, causing blood flow to the problem area and eliminating the focus of inflammation. Along with this, venous circulation also improves - edema decreases in patients, metabolism improves and congestion in the limbs is eliminated.

Therapeutic effect on the body during amplipulse therapy is carried out by means of alternating current. The modulated current has the property of acting and penetrating the underlying tissues and creating in them a series of rhythmic pulsations that create their own currents in neurons. Thus, a focus is created in the nerve fibers that overlaps the pain sensation.

In the cortical nuclei of the brain, endorphins are produced, which have the ability to relieve pain. Thus, the fight against pain is created by a combination of the generation of a focus of excitation in the central nervous system and the release of an increased amount of endorphins provoked by it.

Features of amplipulse therapy:

Modern devices for amplipulse therapy make it possible to set different modes of exposure- with different values of the depth and frequency of modulation, different variability of current and interruption transmissions.
Also, the above-described series of rhythmic pulsations are created in muscle fibers., which helps to improve blood circulation and metabolism in the underlying tissues.
The greater the value of the modulation depth,the lower the frequency of the current and the longer the current is directed, the greater the irritating effect of the procedure.
Compared to types of physiotherapy in which direct or unmodulated current is used (DDT devices), the sinusoidal current is softer, so the patient does not experience tingling or other unpleasant sensations on the treated skin area.
Currents with a high modulation frequency are used for smooth muscle spasms(visceral organs and blood vessels), work with the brain and severe pain. Currents with an average modulation frequency - when working with pathologies with a chronic form of the course.

Types of currents

Also, the device for amplipulse therapy has a "straightened" mode of operation, designed for the introduction of various compounds under the skin by means of electrophoresis.

Amplipulse therapy is the effect of sinusoidal modular currents (SMT) on the nerve receptors of the body. By using special device through special electrodes, an alternating electric current is supplied to certain areas of the body. It causes rhythmic contractions of muscle fibers, blood flow to tissues and activation of metabolic processes.

The procedure uses low frequency currents that are applied with short pauses. This alternation of different modulated frequencies is safer for the body than other electrical procedures. They are distinguished by their mild impact and, although they penetrate deeper into the tissues, they do not cause any unpleasant sensations. Therefore, amplipulse therapy is widely used to treat children after six months of age.

Features of treatment in childhood

Amplipulse is used for small children only in a variable mode, treatment is allowed from 5-6 months of age ("Amplipulse" devices).

The straightened regimen is prescribed for children from 2-3 years old.

The methods of treatment and technique are similar to those in adults with the only difference that the intensity and duration of the procedures are halved or by a third. The area of the electrodes should correspond to the size of the pathological focus, therefore, it is smaller than in adults. The electrodes are fixed exclusively by the bandaging method, ensuring a snug fit. The electrode end of the wire is fixed together with the electrodes to prevent burns.

Dosage of current by density: in children under 2 years old - 0.015-0.03 mA / cm2, 3-7 years old - 0.04-0.08 mA / cm2. It is imperative to monitor the condition during the entire procedure.

After the amplipulse, the skin should be lubricated with glycerin, half diluted with boiled water, so that there is no irritation and peeling.

Examples of using CMT

Amplipulse therapy is indicated for a large number of diseases of the musculoskeletal system of various etiologies. In this case, different diseases involve different types of exposure to sinusoidal currents.

Osteochondrosis of the lumbar spine

The impact is carried out on the affected spine according to the following scheme:

4 and 3 types of work are used(each for 5 minutes, the total duration of exposure is 10 minutes).
In the chronic course of the process, the scheme of exposure: modulation depth 75-100%, frequency 30-40 Hz.
At acute current : depth 25-50%, frequency 80-100 Hz.
Duration of the procedure- 5 minutes, the course includes 8-12 procedures.

Also shown is the electrophoresis of ganglion blockers and analgesics using an amplipulse therapy apparatus, can be combined with

Magnetotherapy

The electrodes are placed on the sides of the hernia. The modulation depth is 50%, the duration of the message is 1 s, the modulation frequency is 80-100 Hz. The duration is 10-15 minutes. The course consists of 8-10 procedures.

Stimulation of the fallopian tubes by means of amplipulse therapy can be started only after the end of the bloody discharge during the cycle (otherwise they will be released even more). Treat uterine fibroids, hypertonicity, hot flashes in postmenopausal women.

Applying an amplipulse

With the help of the amplipulse therapy apparatus, it is possible to realize diadynamic stimulation of the tubes. The cathode is placed in the vagina and the anode is placed in the coccyx area. Force direct current 8-12 mA, send duration - 1 s, procedure duration - 15 minutes. Up to 10 procedures are carried out for the course.

The fourth degree of scoliosis

The electrodes are applied to the left and right, parallel to the spine (affected section).
They work first with the DN current for half a minute(in alternating mode), then with the eye of the control panel, applying a polarity change, for three minutes.
With amplipulse therapy cervical after that, they work with a PN current (1 min) and then with an inverter current (4 min).
When exposed to the sacral and lumbar region- increase the duration of the KP current by a minute, starting from the third procedure.
When operating with PN and FC currents, the depth is 50%, modulation frequency 80-100 Hz, transmission duration 1 s.
Amplipulse therapy course for the cervical spine 8-10 procedures, for the sacral and lumbar - 5-8.

The electrode is placed on the inner surface of the foot. Operate with LF current (variable mode) with zero modulation depth for half a minute. Then they work for 3-4 minutes with PN and IF currents with a depth of 50-100%, a modulation frequency of 80-100 Hz and a burst duration of 2 seconds. A total of 12-14 procedures are performed.

Flatfoot treatment

Pregnancy is a contraindication to amplipulse therapy, since its anti-spasmodic medical effect can lead to a miscarriage of a pregnant patient or to intrauterine fetal deformities.

The use of this method of physiotherapy for the treatment of children imposes certain restrictions:

It is permissible to use it only for children over six months of age.
The duration of one amplipulse therapy procedure is half of the duration for a similar disease in an adult patient.
Due to the large number of unconscious micromovements in young children, it is advisable to wrap the electrodes with a bandage.
The straightened mode is used only from the age of three.

During the procedure, verbal contact with the baby is needed (ask him about pain and discomfort to determine if the procedure is suitable).

Stories from our readers!
I want to tell my story about how I cured osteochondrosis and hernia. Finally, I was able to overcome this unbearable lower back pain. I lead an active lifestyle, live and enjoy every moment! Several months ago I was twisted at the dacha, a sharp pain in my lower back did not allow me to move, I could not even walk. The doctor at the hospital diagnosed osteochondrosis of the lumbar spine, herniated discs L3-L4. I prescribed some medications, but they did not help, it was unbearable to endure this pain. They called an ambulance, they set up a blockade and hinted at an operation, all the time I thought about it that I would be a burden for my family ... Everything changed when my daughter gave me an article on the Internet to read. You cannot imagine how grateful I am to her for that. This article literally got me out of my wheelchair. Last months I began to move more, in the spring and summer I go to the dacha every day. Who wants to live a long and energetic life without osteochondrosis,

The amplipulse therapy device functions correctly only with the following parameters environment according to the instructions (deviations from them are fraught with side effects or device breakdown):

Air humidity not more than 80%.
Atmosphere pressure 650-800 mm Hg
Room temperature 10-35 degrees. Celsius.
Mains voltage 220 W.

In order for the use of amplipulse therapy to bring maximum benefit and not create unexpected unpleasant consequences, it is necessary to strictly follow the safety rules at home during therapy:

Do not turn on the device with the housing removed.
Do not deal with the elimination of malfunctions of the device, without first disconnecting it from the network.
Before placing the electrodes on the patient's body, check the integrity the insulation of the cord and the correct connection of the device.
Change the position of the electrodes on the body is possible only at zero current.
With amplipulse therapy of the head and neck apply the minimum amperage.
Place the electrodes only on dry skin, before placing the electrodes, make sure that there are no signs of inflammation, cracks, or damage to the skin.
Communicate with the patient during the procedure(if he says that he is uncomfortable, the strength of the impact should be reduced).

IMPORTANT! Do not use the rectified current mode during amplipulse therapy on patients who have undergone osteosynthesis or have implants in the body!

inflammatory gynecological diseases, uterine fibroids, mastopathy, endometriosis;
neuralgia, neuritis, plexitis, sciatica, neuromyositis;
muscle atrophy due to prolonged immobility;
urolithiasis, prostatitis, cystitis and other urological diseases;
bronchial asthma, bronchitis, pneumonia;
gastritis, ulcer during remission, colitis, biliary dyskinesia, refluxesophagitis;
hypertension of 1 and 2 degrees, atherosclerosis;
cardiac ischemia;
paralysis, Parkinson's disease, cerebral palsy, stroke recovery;
diseases of the musculoskeletal system - deforming arthrosis, spondylosis, osteochondrosis, periarthritis;
rehabilitation after injuries and surgical interventions;
migraine, cerebrovascular accident;
obesity, diabetes mellitus;
inflammatory eye diseases.

The amplipulse therapy procedure is safe, therefore it is used even for the treatment of children.

The treatment is selected individually for each patient. That is, it is difficult to name how long the course is needed for you, how long the procedure will take - with these questions it is important to contact only a doctor. Are we going to look at a few examples of treatment?

Lumbosacral sciatica... The electrodes are placed on the sides of the spine. Moreover, accepting the procedure, they cannot be shifted. The current is supplied for 3-5 minutes. The current strength is carefully increased until a vibration is felt under the electrodes. The duration of the current supply is 2-3 seconds. The modulation depth in the first procedures is 25–75%. With a decrease in pain, the depth is increased to 100%. The course of treatment is 10-15 times.
Raynaud's disease stage 1-11. The electrodes are placed transversely: the first on the gastrocnemius muscle, the second on the anterolateral part of the lower leg. Exposure to current for 3-5 minutes. The strength of the current is set according to the patient's sensations. The modulation depth is 75–100%. The duration of the current supply is up to 3 seconds. The course is 8-10 times, the frequency of procedures is daily.

If indicated, the doctor may allow the procedure to be carried out at home on his own. But even in this case, it will be better if several sessions are done by a professional. After all, mistakes in the technique are unacceptable.

Basic safety rules that you will need to adhere to if you are going to be treated at home:

The device is connected to the network using a special cord.
The electrode plugs must fit snugly into the cable sockets.
During the acceptance of the procedure, it is prohibited to move the electrodes. Movement is only allowed when the output current is zero.

The Amplipulse device, which has proven itself over many years of widespread use, is available in all polyclinics, sanatoriums and hospitals. They are produced by OJSC Izmeritel Plant. All devices are made with microprocessor electronics and are equipped with several degrees of protection.

Amplipulse therapy is prescribed for many diseases. Sometimes as a primary therapy, sometimes as an auxiliary therapy in combination with other procedures. Such treatment with sinusoidal currents (CMT) is combined with drug therapy, heat therapy, hydrotherapy, massage, exercise therapy. Good results are obtained by treatment in combination with electrophoresis with the introduction of medicinal substances. True, in this case, contraindications are possible with a tendency to allergic reactions to certain medications.

Amplipulse therapy is a painless procedure. By acting on a problem area, it can reduce swelling and inflammation, painful sensations, and reduce the severity of symptoms.

About the procedure

For the procedure, you must lie down or sit on the couch. The doctor finds the most painful spot. Electrodes are selected as large as the focus of the disease. They are fixed with an elastic bandage.

Electrodes are applied to special pads and applied to the diseased area of the body. Then a current is supplied, first in a small volume, then gradually increasing until a slight tingling sensation on the skin is felt.

With electrical muscle stimulation, the location of the electrode is determined by the type of paralysis or paresis. In case of paresis on the periphery, electrodes are placed in the place of projection of the motor points of the nerves and muscles. With central paresis, the antagonists of the muscles affected by spasticity are stimulated.

When switched on, the current increases smoothly and the patient feels vibration. According to it, the tolerance of the current strength is determined.

Before treatment, a person should sit down or lie down comfortably and relax all muscles as much as possible.

Modern medicine can offer many ways to deal with osteochondrosis. Osteochondrosis is treated mainly in a comprehensive manner, using various techniques, including physiotherapy.

Amplipulse is one of them. It was developed taking into account the specifics of osteochondrosis and is used as a concomitant method.

Amplipulse therapy acts with modulated sinusoidal currents on lesions. It is used as a method of treatment, prevention and rehabilitation of osteochondrosis.

A wide range of its action allows you to use it when:

neuralgia,
joint injuries,
neuritis,
damage to peripheral nerves.

The procedures are carried out with devices "Amplipulse" of various modifications. The technique and the first devices were created back in 1963 by Soviet scientists: engineer M.A.Ravich and professor V.G. Yasnogorodsky.

Osteochondrosis is characterized by the appearance in the patient of a pronounced pain syndrome, muscle spasm, as well as inflammatory processes in the nervous formations. In this regard, this pathology can be effectively treated only with an integrated approach, which includes amplipulse therapy. This method of physiotherapy allows you to achieve the following effects:

eliminate pain syndrome, with severe pain, perhaps combining this method with taking painkillers (Ketorol, Nise, etc.);
to reduce the severity of the inflammatory process in the cartilage and nervous tissue;
improve blood circulation in the vertebral structures;
eliminate the spasm of the paravertebral muscles, which also provides a decrease in the intensity of pain;
accelerate the regeneration of cartilage tissue, which prevents the progression of the disease.

Physiotherapy is performed in a prone position. Special electrodes are placed in the projection of the affected spinal column - on the neck, between the shoulder blades or on the lower back. If there are pronounced changes in the intervertebral discs, then electrodes may be applied along the entire spine.

Amplipulse therapy: efficiency, safety and relevance.

Amplipulse therapy, which was first performed in the early 60s of the last century, refers to electrotherapy and is used as prevention, rehabilitation and adjunctive therapy. The physiotherapy procedure is used quite effectively for diseases associated with joints and bones.

The essence of the therapy, which is carried out with the help of special devices "Amplipulse", is the effect of a dynamic current on the nervous and muscle tissue, which relieves painful sensations. The manipulation is painless, so it can be carried out even for young children.

The positive effect of the procedure is:

relief of inflammatory processes, improvement of metabolism and tissue regeneration;
increased muscle tone;
vasodilating effect, which relieves vasospasm;
normalization of the respiratory function, relieving spasms.

There are several types of devices for the most common physiotherapy.

To date, manipulation is carried out using the following devices:

Each device comes with a set of mounts designed for use on different parts body. On the main unit it is possible to adjust the duration of the pulse and the procedure itself, as well as the current strength. For the manipulation, plate electrodes of cavity impact are used. The latter can be reusable or disposable. There are also round electrodes that match the shape of the painful area.

The newest modification of devices that can be used not only in a hospital, but also at home is the “Amplipulse - 8” apparatus. It combines the possibility of electric or ultrasonic action on certain areas of the skin. The simultaneous effect of electric current and ultrasound has positive effect with diseases associated with the upper respiratory organs, with the musculoskeletal system, in a post-stroke state, with the removal of pain or weight loss.

Physiotherapy procedures have been showing and once again proving their effectiveness for several years now.

One of them is amplipulse therapy. Amplipulse, what it is and what effect it has on the body, is known mainly by those who have already experienced this method of treatment.

What it is?

Amplipulse is a procedure performed using the apparatus of the same name.

For the first time this method of treatment was applied back in 1963.

And although there were enough skeptics who were against the treatment with sinusoidal modulated currents, the device proved to be effective.

All technology is keeping up with the times, medicine is no exception, and for several decades this apparatus has undergone changes and improvements.

And if at first this device was used only in the treatment of osteochondrosis, now its effectiveness has increased, and it is able to favorably influence other organs. human body.

An apparatus such as Amplipulse 4 is capable of treating diseases of the peripheral nervous system, autonomic and motor disorders, problems with peripheral circulation, disorders and injuries related to the musculo-ligamentous apparatus.

In order to start direct treatment, first of all, the patient needs to contact a doctor who will prescribe or give permission for this.

It should be remembered that this apparatus is not omnipotent and it helps in the treatment of only a number of diseases, in addition, it is important to know that it can be effective only at certain stages or forms of a particular disease.

It can be used in such cases if you are treating:

diabetes;
chronic prostatitis;
diseases that relate to the peripheral nervous system and are accompanied by painful sensations, such as sciatica, neuralgia, neuromyositis, cervicalgia;
hypertonic disease;
problems with the nervous system, when they are expressed by disorders of the motor system;
impotence;
osteochondrosis;
bronchial asthma;
calm phase ulcers and gastritis;
pneumonia;
bronchitis;
pleurisy;
some ENT diseases.

In addition, the device is sometimes used to treat female diseases that touch the genitals.

Indications for treatment in this way will be if you have injuries to the joints, spine. There are indications for the treatment of neuritis and some eye problems.

And also there may be indications for treatment in this way, if the patient needs to restore muscle work after a long period of immobility or a previous operation.

Not everyone knows, but amplipulse therapy has a plus in helping to reduce weight. The action of the current on the cell leads to its decrease, and unlike drugs, which have a number of side effects, the current does not do any harm.

Amplipulse therapy not only sometimes may not bring the desired results, but sometimes it is strictly prohibited. Therefore, before you catch fire with an irresistible desire to carry out treatment in a similar way, it is necessary to take into account not only the indications, but also contraindications.

As you know, diseases of the spine, such as osteochondrosis, are usually treated with amplipulse therapy, but there may be contraindications in this case as well.

Amplipulse - what is it anyway?

Amplipulse therapy is a therapeutic technique of physiotherapy in which parts of the body are exposed to sinusoidal simulated currents (SMT). CMT are widely used in various fields of medicine, including cosmetology. They easily pass through the skin, penetrate deeply into tissues, and excite nerve endings and muscle fibers.

Due to its analgesic, anti-inflammatory, absorbable, decongestant, vasodilating, hypotensive and other actions of sinusoidal currents, amplipulse therapy is used to treat the following ailments:
diseases of the nervous system;
vegetative-vascular and trophic disorders;
diseases gastrointestinal tract, respiratory organs, joints, genitourinary system;
diabetes mellitus, etc.

How did I come to this life?

I didn’t know what exactly was the matter, but some time ago the numbness of my left arm began to worry me. Smart Google said that there can be a great many reasons, advised to observe the situation, and if the symptoms do not resolve on their own, contact a specialist. Within three weeks, nothing had resolved; on the contrary, a thickening appeared on the left shoulder, the neck became stiff, and the movements were accompanied by pain, I could sit at the table for a very short time (my shoulder hurt terribly), and I decided it was time to give up. To whom? No idea. I went to the polyclinic at my place of residence to see a general practitioner, judging that they would give me a magic pendel, they would show me the right direction, and then it would be clear.

The doctor diagnosed "dorsopathy of the cervical spine" (dorsopathy is the correct name for the osteochondrosis we are used to, as far as I understand), the seal, from her point of view, turned out to be a lipoma, but for the sake of reliability I was also treated to the surgeon. To begin with, it was appointed drug treatment, and after consulting a surgeon (who confirmed the GP's assumption), I was recommended to visit a physiotherapist.

I performed Yaroslavna's cry as an encore with this specialist - in response, the physiotherapist decided to send me to Amplipulse, assuring that nothing bad would happen, as they would affect other areas.

Amplipulse therapy has a number of contraindications, but the information about them varies slightly on the Internet, so it is best to discuss this issue with a specialist.

In total I was assigned five procedures (although the web usually writes about a course of ten).

The first came on Tuesday.

What should you take with you to Amplipulse therapy sessions if you go to a regular clinic?

I was asked to bring a sheet or towel and a change of shoes (or use shoe covers).

How does all this happen?

In the physiotherapy room in our clinic, the sections with couches are separated from each other by thick curtains:

This is what the device itself looks like:

Two electrodes extend from it:

The couch should be covered with a sheet, take off the T-shirt / blouse / shirt and take the desired position (I was lying on my stomach).

The nurse puts a damp warm cloth on the problem area, places the electrodes on top and presses them with such a heavy oilcloth pad (probably with sand):

Then a current is applied, the intensity of which the nurse regulates, asking the patient about the sensations, so that it will not be painful or unpleasant.

The procedure was performed in two modes.

In the first mode I felt like I was being pierced by a light shock, which caused the muscles to contract and relax. At the same time, the shoulders involuntarily rise up, and then drop into place.

During the first two procedures, I felt a decent pain on the left side: it "shot" towards the ear (I am not a specialist, I may say incorrectly, but I have the impression that a nerve was pinched there).

Second mode very amusing: it seems as if someone is carefully kneading the muscles with iron fingers, but it does not hurt at all.

Duration of the procedure.

I did not look at the appointment card, and different nurses acted at their own discretion: someone set aside 5 minutes for each regime, someone for 10. How correctly, I don’t know, but to be indignant about the fact that “the tiger doesn’t have meat report "or did not sort things out with the staff, because even if it's five minutes instead of ten, their enough to ease the pain.

I felt significant relief after the first session, which I was surprised to report to the nurse. The girl smiled and shared her experience: she has problems with the lower back, and during an exacerbation, she does the Amplipulse of everything three times - this is enough for her!

After the second procedure, the crunch and rattle that I had previously heard when turning my neck have noticeably subsided; hand numbness also decreased.

After the fourth procedure (on Friday), I generally felt very decent, but there were some concerns about the weekend: what would happen if you did nothing for two days, because the last session was on Monday?

However, on the weekend, I completely forgot that I had been bothered quite recently. left hand! True, as soon as I went to work, the unpleasant sensations resumed, but to a mild degree. (In the office, after all, you have to sit at the table almost all day in a forced position: you have a mouse in your right hand, you lean on your left elbow when you look at the monitor screen; in addition, during numerous telephone conversations, you press the phone receiver to your ear with your left shoulder, with your right hand you do records). The last procedure (Monday evening) also worked well, but the discomfort still persists.

However, I did not ask for more procedures from a physiotherapist: after all, I still have some fears about currents, and I don't really want to go to the clinic endlessly. I'd rather force myself to do at least a minimal set of exercises for the spine every day.

In general, Amplipulse therapy (according to my observations of the public in the clinic) is a very popular thing, and in the morning there are more than enough suffering in the corridor; mostly elderly people. I asked the nurse when the workload was minimal, and she indicated the quietest hours for me - it was at this time that I visited the physiotherapy room without any queue.

Several years ago I already had a severe attack of dorsopathy of the SHOP, and then I went to a specialized center. There I was treated with massage and manual therapy, later they connected exercise therapy; the treatment was long (I went to massage at least 15 times) and painful (the local doctor is strongly against injections), and it cost a lot, to put it mildly.

If this time I knew for sure that I had the same misfortune, I might have gone the familiar path, but the case led to the most ordinary clinic. I must say that I am did not regret it at all: drug therapy and physiotherapy helped me much faster, and I got all this free, by compulsory medical insurance policy ... Of course, a massage course will not be superfluous, and special exercises will have to be done without fail, but this is another song.

Summing up, I want to note that Amplipulse therapy for me turned out to be a very effective procedure, which

provides quick disposal from pain,
does not take long,
available in the most common clinics under the compulsory medical insurance policy.

Good health to all!

Something else to combat osteochondrosis:

Amplipulse therapy is a method of influencing the human body with sinusoidal modular currents (SMT) with therapeutic purpose... Such currents are obtained by superimposing a high frequency oscillation, called a carrier, on the primary low frequency signal. Devices of the Amplipulse line generate modulated currents that affect the patient's body with amplitude pulsations. CMT easily penetrate the skin, having a pronounced effect on the site of exposure. The effectiveness of the treatment is ensured by the lack of addiction to the procedure.

Indications for use

Amplipulse therapy helps to accelerate metabolic processes in tissues in the body, has an analgesic, vasodilating and neurostimulating effect. Blood circulation in the tissues improves, due to which their oxygen saturation increases, swelling decreases, and the work of the affected organs is restored.

Amplipulse therapy is indicated for many diseases that are accompanied by pain syndromes, impaired motor and secretory functions:

respiratory organs: bronchial asthma, bronchitis, pneumonia;
digestive system: ulcer, gastritis, dyskinetic disorders, reflux esophagitis;
cardiovascular system: atherosclerosis, migraine, arterial hypertension initial stage, deterioration of blood circulation in the brain and spinal cord, migraine, recovery after ischemic stroke;
urological organs: pyelonephritis, cystitis, enuresis, prostatitis, impotence, chronic inflammation appendages, stones in the ureter;
ENT organs, eyes: vasomotor rhinitis, pharyngitis, dystrophic eye diseases;
nervous system: sciatica, myositis, neuralgia, neuropathy, plexitis, consequences of traumatic brain injury, encephalitis, meningitis, cerebral strokes, cerebral palsy, polyneuropathy, myelopathy;
musculoskeletal and musculoskeletal system: muscle atrophy, spondylosis, osteochondrosis of all parts of the spine, rheumatoid arthritis, arthrosis deformans, fractures, bruises.

Exposure to CMT causes rhythmic contractions of muscle fibers. This increases the tone of the bladder, ureter, bile ducts, intestines, improves the functioning of the respiratory system and the secretory function of the digestive system.

Preparing for the procedure

Amplipulse therapy does not require any special preliminary preparation. It is enough for the patient to limit food intake a couple of hours before the procedure, completely abandoning foods that contribute to gas formation. Reception of various drugs, except for the vital ones, should also be limited. It will be possible to return to them after 3-4 procedures.

SMT can cause minor discomfort in people who are sensitive to electric shock or have a low pain threshold. You need to tune in to a little discomfort and not get nervous. The maximum effect of therapy is achieved only with complete relaxation muscles.

It is allowed to carry out CMT therapy at home, but only under the supervision of a visiting health worker. For home use, devices with a plastic housing are suitable. Devices with a metal casing must be grounded, therefore they are used only in physiotherapy rooms. It is important to strictly follow all electrical safety rules.

Methodology

During the exposure to CMT, the patient lies, less often - sits. Only in the case of physiotherapy of stones in the ureter, the procedure is performed while standing.

Apparatus electrodes are placed on the affected area, hydrophilic pads are placed under them for better contact with the skin. Round electrodes with a manual electrode holder are held on the patient's body by a nurse, plate electrodes are attached with elastic bandages or adhesive plaster, and the patient can also press them with the body. The impact begins with the minimum power, gradually increasing the values until the patient begins to feel slight contractions or tingling sensations.

The shape and size of the electrodes are selected depending on the area and location of the affected area. Most often, both electrodes are the same size. If it is necessary to enhance the effect in some area, then an electrode of a smaller area is chosen.

On the patient's body, electrodes can be located both longitudinally and transversely. The minimum distance between them is not less than their transverse size. For 1 procedure of amplipulse therapy, exposure to several affected areas is allowed, mainly during electrical stimulation.

The required number of procedures is determined by the attending physician based on the indicators of density and current strength, frequency and duration of pulses, depth of modulation, duration of 1 exposure.

The course is 6-10 impacts on 1 affected area daily or every other day. The impact on 1 area lasts 20-30 minutes, with electrical stimulation - up to 1 hour.

CMT therapy is also used to inject drugs into the affected area. Most often these are anti-inflammatory, anesthetic, vasodilator or resorption drugs. A gauze cloth soaked in a medicinal solution is placed under a hydrophilic pad. This non-invasive method of administration is called CMT-phoresis, or amplipulse phoresis. The use of alternating current instead of direct current eliminates its irritating effect on the patient's skin. The amount of medication with this method of administration is reduced.

Contraindications

Amplipulse therapy is a safe procedure, but it also has a number of contraindications. Although CMT therapy is used for some diseases of the cardiovascular system, it is prohibited for arrhythmias, hypertension, angina pectoris, and the presence of a pacemaker.

Amplipulse therapy is not prescribed for:

pregnancy;
high temperature;
open purulent wounds;
tuberculosis;
tumors;
varicose veins;
thrombophlebitis;
low blood clotting rates;
mental illness;
open or closed fractures not more than three days old.

There are no exact contraindications whether it is possible to do electrotherapy procedures for women during menstruation. Physiotherapists advise approaching this issue individually. If the bleeding period is long or the discharge is abundant, then it is better to exclude electrotherapy, otherwise bleeding and pain may increase. You can interrupt the treatment for a couple of days until the intensity of blood loss decreases, but for no more than 3 days, otherwise the therapeutic effect of the previous procedures is leveled. Then after 3-4 weeks you will have to start the course again.

For children, procedures are prescribed from six months of age and only with alternating current, which does not have an irritating effect. The rest of the modes are applicable from 3 years old.

Technology efficiency

The mechanism of action of CMT on nerve cells is such that it provides high efficiency of treatment of the most common problems: with a hernia of the spine, knee injury, with osteochondrosis.

It is necessary to do 10-15 procedures, and the condition will improve. Pain, motor dysfunctions disappear, inflammation decreases, and joint mobility is restored.

With complex diseases, there are improvements in the condition. Most often, in such cases, electrotherapy is carried out along with medication. To undergo amplipulse therapy, follow the course and at least once a year.