shockwave & laser therapy - physiotherapy house laser_ca…btl- 000 swt power btl- 000 swt &...

SHOCKWAVE & LASER THERAPY

SUPERIOR

RESULTS

All rights reserved. Although every care has been taken to provide accurate and up-to-date information, no responsibility can be accepted for any mistakes or misprints contained in this catalogue. The products and their specifications, as shown in this catalogue, may change without notice.

[email protected]

�

powerful combination of shockwave & laser

Shockwave therapy (SWT) is one of the most effective treatments for pain associated with musculoskeletal system. BTL‘s unique combination of SWT and laser therapy offers faster and more effective treatment due to:

Antiedematous effects

Acceleration of healing process

Enhancement of tendon quality

Anti-inflammatory effects

SH

OC

KW

AV

E &

LA

SE

R T

HE

RA

PY


methoD Description

Shockwave is an acoustic wave which carries high energy to the painful spot – fibrous or myoskeletal tissues with subacute, subchronic and chronic conditions. It provokes healing, regenerating and reparative processes.

phYsical principle of shockwavesShockwaves are characterized by a rapid change of pressure, high amplitude and non-periodicity. The energy produced and transferred to tissue is much higher than ultrasound energy. There are several ways to create shockwaves – BTL uses the pneumatic principle. Compressed air is used to generate kinetic energy which propels a metal projectile against a transmitter at the end of the applicator. Shockwaves generated by this effect spread out radially or in a focused manner depending on whether the transmitter profile is convex or concave. The spreading of the pressure wave is limited only by little absorption in the tissue, higher absorption occurs on acoustic non-homogeneities.

SHOCKWAVE MEDICAL EFFECTS

Improved metabolism and microcirculation

Dissolution of calcified fibroblasts

Increased collagen production

Decrease in muscle tension

Enhanced elimination of substance P – analgesic effect

phYsical principle of laserA laser emits light through a process called stimulated emission. LASER is an anachronym for Light Amplification by Stimulated Emission of Radiation. Photobiomodulation, also known as low level laser therapy (LLLT), is an emerging medical technique in which exposure to low-level laser light or light emitting diodes can stimulate or inhibit cellular function leading to beneficial clinical effects.

LASER MEDICAL EFFECTS

Biostimulation

Edema reduction

Anti–inflammatory effect (increases in mitochondrial, monocytes and scavenger cells activity)

Ligament neovascularization

Blood and lymph vessel regeneration

Analgesia (Beta endorphins production stimulation)

� SHOCKWAVE & LASER THERAPY

�

shockwave & laser - faster anD more effective results

APPLICATIon ShoCkwAvE ThERAPy EffECTS LASER ThERAPy EffECTS

Calcar calcaneiPlantar fasciitis

Elimination of calcified fibroblastsLigament neovascularizationIncrease in collagen productionImproved metabolism and microcirculationEnhanced elimination of substance PDecrease in muscle tension

+

Collagen restructuring Elimination of calcified fibroblastsBlood and lymphatic vessel regenerationEdema reductionIncreased enzymatic activityIncreased tensile strength of tissueStimulation of beta endorphin production

Painful shoulder

Elimination of calcified fibroblastsDecrease in muscle tensionImproved local metabolism and microcirculationEnhanced elimination of substance P

+Blood and lymphatic vessel regenerationIncreased enzymatic activityElimination of calcified fibroblasts

Epicondylitis humeri - Tennis and Golf elbow

Improved metabolism and microcirculationLigament neovascularizationDecrease in muscle tension

+Blood vessel regenerationEdema reductionIncrease in enzymatic activity, oxygen and glucose utilisation

Neovascularization effect

Ligament neovascularization

Blood and lymph vessel regeneration

Improved metabolism and microcirculation

Increase in oxygen and glucose utilization

Antiedemantous effect

Stimulation of collagen production

Increase in tensile strength of tissue

Stimulation of fibroblasts and endoplasmatic reticulum

Proliferation in ligament cells

Increase in enzymatic activity

Increase in tensile strength of connective tissue

Laser is primarily for anti edema therapy

Increases in local metabolic rate

Improved microcirculation

vasodilatation

Medical effects of the combination therapy for most common indications:

BTL studies show that the combination of shockwave therapy and laser brings faster and more effective results compared to single shockwave.

SH

OC

KW

AV

E &

LA

SE

R T

HE

RA

PY


btl-�000 swt & laserbtl-�000 swt power

The BTL-5000 SWT & LASER is a powerful 2-in-1 system combining shockwave and laser therapy. The unique combination improves the results and reduces treatment time considerably. The unit is supplied with 8.4’’ colour touch screen, built-in clinical protocols and colour therapeutic encyclopaedia with anatomical images.

Most important benefits of the BTL-5000 SWT & LASER Combi unit

Unique combination of modalities for faster and more effective treatment

offers widest range of treatment protocols –laser may be used separately for other applications

faster return on your investment

SWT:

high pressure up to 5 bars

high frequency up to 22 hz

Burst mode for extra-sensitive patients

User-defined protocols

Colour therapeutic encyclopaedia with anatomical images

LASER:

2 outputs for simultaneous connection of red and infrared probes or laser clusters

Continuous and pulsed laser therapy

frequency modulation 0–10.000 hz

Duty cycle 10–90% (adjustable in small increments)

Automatic calculation of therapy parameters (dose, area, distance and power)

wide range of red and infrared laser probes and laser clusters

Laser acupuncture, nogier and EAv frequencies

unique moDular sYstem

The BTL-5000 SWT & LASER unit can be upgraded to include:

electrotherapy

ultrasound

magnetotherapy

Modular system design offers the opportunity of 5-in-1 therapies thus saving on your investment, office space and time.


�

The built-in BTL Encyclopaedia will guide you throughout the whole therapy. Based on detailed research and practical use of the unit, the well organized pre-programmed protocols will give you recommendations for treating various conditions. See descriptions of all therapies, built-in clinical protocols, therapy procedures, and anatomical images.

btl encYclopaeDia makes operation eXtremelY easY

Example:

btl therapeutic encYclopaeDia

Programme W-0108 radial/ulnar epicondylitis

Therapy parameters type of shocks: continuous

pressure: 2 bar

frequency: 10 hz

number of shocks: 2000

Diameter of the head 15 mm

Patient position lying on back or sitting, arms in the right-angled flexion of the elbow, comfortably supported, preferably with a soft elastic pad

frequency of treatments preferably within 5–10 days

number of treatments 3–5 sessions

Process of treatment Manual localization of painful points in the area of radial/ulnar epicondyle and along the corresponding muscle groups of the forearm. > Application of gel. > Start the therapy with 400 shocks, 2 bar, 5 hz around the most painful point, subsequently treat the most painful point with approx. 1000 shocks, then apply successively to the corresponding muscle groups of the forearm, last 400 pulses apply with the frequency of 10 hz.

note Painful points are indicated by the dotted areas in the picture. The arrows indicate the direction of movement of the applicator.

Programme L-3016 radial/ulnar epicondylitis

Therapy parameters Dosage: 18 J/cm2

Power: by probe

Irradiated area: 1 cm2

frequency: Cont.

Duty factor (Df): Cont.

Probe infrared

Length of application according to power of the probe

frequency of treatments always after the application of shockwave, if needed, continue independently 2–3 times a week

Effect analgesic, antiedematous

note Apply according to the picture and on all painful points treated by shockwave. Apply laser therapy as soon as possible after the shockwave treatment. This will bring multiplication of the analgesic effect and prevention of the development of edema; in case of occurrence of haematoma its resorption is accelerated.

SH

OC

KW

AV

E &

LA

SE

R T

HE

RA

PY


shockwave accessories

STANDARD ACCESSORIES: Main unit & air compressor Transmitters:

Multifocused transmitter 9 mm – most effective transmitter for acupuncture points and for more accurate applications / ordering no. P014.016v100

Multifocused transmitter 15 mm – most effective universal transmitter for all applications / ordering no. P014.017v100

Focused transmitter 15 mm – used for more targeted applications, such as trigger points / ordering no. P014.014v100

Gel 1 litre / ordering no. P007.011v101 Cart / ordering no. P5002.009v100 Exchangeable kit – exchangeable by the user / ordering no. P014.015v100

OPTIONAL ACCESSORIES: Transportation case / ordering no. P014.030v100 Foot pedal / ordering no. P014.031v100 Gel 300 ml / ordering no. P007.010v102 Aesthetics transmitter 36mm – used for aesthetics applications / ordering no. P014.013v100

BTL offers a wide range of infrared and red probes. while infrared probes penetrate deeper into the tissue, the red probes are particularly suitable for treatment of superficial areas, such as wounds and scars. The invisible infrared probes are supplied with additional aiming beam.

Laser clusters present the latest in laser therapy for treatment of large areas. The homogeneous laser beam treats easily and in short time even areas over 50 cm2 (for example the area of 50 cm2 is treated with laser beam density of 2 J/cm2 for just 4 minutes).

Choose your laser probe or cluster:

Probe Technical parameters Ordering No.

Red probe – divergent 685 nm/30 mw L448.000v200

Red probe – divergent 685 nm/50 mw L448.020v200

Infrared probe – convergent 830 nm/50 mw green navigation L448.004v200

Infrared probe – convergent 830 nm/200 mw green navigation L448.006v200

Infrared probe – convergent* 830 nm/400 mw green navigation L448.010v200

laser accessories

* recommended for best results of the SwT & Laser combination therapy

Cluster Technical parameters Ordering No.

Red cluster 685 nm/200 mw total output L445.003v100

Infrared cluster 830 nm/800 mw total output L445.001v100

Infrared cluster 830 nm/1600 mw total output L445.002v100

Combined cluster 685 nm & 830 nm/1000 mw total output L445.004v100

Combined cluster 685 nm & 830 nm/1800 mw total output L445.005v100

* recommended for best results of the SwT & Laser combination therapy


�

simple operation

The application is extremely easy, just follow the 6 steps:1. Localize painful spots by palpation2. Set therapy parameters (manually or use a pre-set protocol)3. Apply the gel4. Deliver shockwaves5. Clean the treated area from the gel6. Apply laser

Localizing painful spots Applying the gel Delivering shockwaves Applying laser

list of inDications

Calcar calcanei, Plantar fasciitis

Achillodynia

Tibialis anterior syndrome

Patella tip syndrome – patellar tendinopathy (jumper’s knee)

Pain in the hamstring insertions

Bursitis Trochanteric – pain in the hip area and the iliotibial tract

Pain in the groin area

Painful shoulder (calcification, tendonitis, impingement syndrome)

Epicondylitis radial/ulnar – Tennis/Golf elbow

Exostoses of small hand joints in case of grade 1 arthrosis

Pain in palmar side of the wrist

Chronic enthesopathies

Trigger points

Acupuncture points

The laser can be also used separately. Based on detailed research and practical use of the unit, the well organised pre-programmed protocols will give you recommendations for treating various conditions. Protocols from other medical fields like dermatology, paediatrics and others are also included. The unit includes up to 500 free spaces to define and store your own protocols. The wide choice of therapy parameters offers limitless possibilities for LLLT specialists.

SH

OC

KW

AV

E &

LA

SE

R T

HE

RA

PY


most common inDications

The examples illustrate therapy applications with the patient’s target tissue in different positions. Treatment is efficient and very comfortable for the operator whether they are right or left handed or male or female.

PAINFUL SHOULDER (CALCIFICATION, TENDONITIS, IMPINGEMENT SYNDROME)

SwT therapy parameters: pressure: from 3 bar

frequency: from 10 hz

number of shocks: 2000 - 3000


Laser therapy parameters: recommended laser probe

/cluster: Infrared

dosage: 9 J/cm2

frequency: 10 hz

effects: analgesic, biostimulation, antiphlogistic

CALCAR CALCANEI, PLANTAR FASCIITIS

SwT therapy parameters: pressure: from 2.5 bar






/cluster: Infrared

dosage: 20 J/cm2

frequency: Continual

effects: analgesic

RADIAL/ULNAR EPICONDYLITIS







/cluster: Infrared

dosage: 18 J/cm2


effects: analgesic, antiedematous

ACHILLODYNIA







/cluster: Infrared

dosage: 10 J/cm2

frequency: 10 hz

effects: biostimulation, vasodilatation, analgesic, antiedematous

10 SHOCKWAVE & LASER THERAPY

11

most common inDications

PAIN IN THE HIP AREA

SwT therapy parameters: pressure: from 2.5 bar






/cluster: Infrared

dosage: 20 J/cm2


effects: analgesic, biostimulation

TIBIALIS ANTERIOR SYNDROME

SwT therapy parameters: pressure: from 1,5 bar






/cluster: Infrared

dosage: 10 J/cm2

frequency: 10 hz

effects: analgesic, biostimulation

PATELLAR TENDINOPATHY (OR JUMPER´S KNEE)







/cluster: Infrared

dosage: 14 J/cm2


effects: analgesic, antiedematous, increased vascularization of tissue

TRIGGER POINTS







/cluster: Infrared

dosage: 14 J/cm2

frequency: 10 hz

effects: analgesic, antiedematous, increased vascularization of tissue

SH

OC

KW

AV

E &

LA

SE

R T

HE

RA

PY


BTL–shockwave+laser_CAT_EN201

shockwave & laser therapy - physiotherapy house laser_ca…btl- 000 swt power btl- 000 swt &...

Documents