Neurotech® Recovery - Back Conductive Garment System

PLUS

Incorporating the Neurotech Recovery - Back in to Your Low Back Pain Treatment Program The Neurotech Recovery - Back device can play an effective role as an adjunctive therapy for your low back pain patients. Neurotech Recovery - Back’s unique, two-garment system delivers TENS and NMES modalities to the lumbar and abdominal areas to provide pain management and muscle rehabilitation as required. The garment configuration ensures consistent delivery of stimulation over time. Ease of donning and doffing the garment, along with more comfortable delivery of stimulation, helps to increase patient compliance with any home-use program that you prescribe.

Program Information Neurotech PLUS - Program Set 1 (Type 431, U36) - For use with Neurotech Recovery - Back (Back Garment)

Program

1 2 3 4 5 6 7 8 9

(Rate & Width modulate inversely)

Stimulation

Treatment Time

Indications

(Min)

(Key below chart)

TENS

Open

1-3

TENS

Open

1-3

TENS

Open

1-3

TENS

Open

1-3

NMES

30

4-8

NMES

30

4-8

NMES

30

4-8

NMES

30

4-8

NMES

20

4-8

90 (TENS)

10

1-8 Program runs both TENS and NMES

10 (NMES)

Alternating TENS and NMES

90 (TENS) 20 (NMES) 90 (TENS)

Neurotech PLUS - Program Set 2 (Type 437, U47) – For use with Neurotech Recovery – Back (Abdominal Garment)

Program

1 2 3 4

(Rate & Width modulate inversely)

Stimulation

Treatment Time

Indications

(Min)

(Key below chart)

NMES

20

4-7

NMES

25

4-7

NMES

30

4-7

NMES

30

4-7

INDICATIONS FOR USE: TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS): 1. Symptomatic relief and management of chronic, intractable pain 2. Relief of pain associated with arthritis 3. Adjunctive treatment in the management of post-surgical and post-trauma pain NEUROMUSCULAR ELECTRICAL STIMULATION (NMES): 4. Maintain or increase the range of motion 5. Prevention or retardation of disuse atrophy 6. Re-educate muscles 7. Relax muscle spasms 8. Increase local blood circulation

One Product, Customized Solutions The Neurotech Recovery - Back is useful for every phase of your patient’s pain. The unique, abdominal and lumbar garment configuration, with ten program options, enables you to prescribe a customized regimen specific to your patient. Symptom Duration

Therapeutic Goal

Modality

Duration & Protocol

Exercise Program

Suggested Exercises

Pain 0-6 weeks

Manage patient pain

TENS – High frequency program (99hz) at low intensity as tolerated

Continuous use as required

Encourage normal ADLs as tolerated

Recommend patient remains active in their ADLs

Gentle mobility

Heat Pack Glute Stretch Hamstring Stretch Knee Rolls

Core strengthening Back stretching

Abdominal Hollowing Oblique Stretch Knee Rolls Knees to Chest

30-minute session as required. To be repeated throughout the day if needed

Range of motion

Glute Stretch Hamstring Stretch Oblique Stretch Knee Rolls Knees to Chest

Perform 1 Back and 1 Abdominal session 3-5 times /week for 4-6 wks

Strengthening exercises

Abdominal Hollowing Supermans Bridging Planks

(Program Set 1, Program 2)

Pain 6-12 weeks Manage patient pain

TENS –Modulation program (Program Set 1, Programs 1 or 3)

Muscle rehabilitation

Abdominal (Program Set 2, Programs 1 - 4)

& Back NMES (Program Set 1, Programs 5 - 8)

Chronic pain long standing complaint

Pain relief

TENS – low frequency program when required (Program Set 1, Program 4)

Muscle rehabilitation

Abdominal (Program Set 2, Programs 1 - 4)

& Back NMES (Program Set 1, Programs 5 - 8)

(Maximum 8hrs use, Minimum 30 mins /day)

30-minute session as required. To be repeated throughout the day if needed Perform 1 Back and 1 Abdominal session 3-5 times / week for 4-6 wks

Other Suggested Exercise Programs for Low Back Pain Patients Exercise should be considered as part of a broader program to comfortably return to normal home, work and social activities. The positive benefits of exercise may not only improve the patient’s strength and flexibility but might also positively impact their outlook with respect to their back pain. LOW BACK STRENGTH – strengthening exercises help restore function and should be considered for a home-therapy program concurrent with supervised physical therapy sessions Exercise

How-To

# of Sets / Repetitions

Frequency

Abdominal Hollowing

+ Lie on your back with knees bent and feet flat on the floor, hands resting just below the hip bone as shown

3 sets of 8-10 holds Over time increase length of time the posture is held

Daily

3 sets of 8-10 holds Over time increase length of time the posture is held

Daily

3 sets of 5-10 holds Over time increase length of time the posture is held

Daily

3 sets of 3-5 holds Over time increase length of time the posture is held

Daily

+ On exhalation, bring the abdomen toward the low back; the lower back should touch the floor + Hold the position for 5-10 seconds Supermans

+ Assume a four point kneeling position as shown with knees under hips and shoulders over wrists + Slowly raise the left arm to shoulder height, at the same time extend the right leg directly behind you to hip height + Hold this position for 10 seconds + Switch sides to complete one set

Bridging

+ Lie on your back with arms resting by their side and knees bent as shown + Slowly raise your bottom off the floor assuming the bridge position as shown + Hold for 10 seconds + Return to starting position and relax for 5 seconds + Repeat as suggested

Planks

+ Assume the plank position with your weight supported on your toes, elbows and forearms as shown + Keeping your back straight, tighten your abdominal muscles and hold this position for 10-15 seconds + Relax for 15 seconds. Repeat as suggested + Repeat this exercise in side lying position as shown in second image. Complete exercise on right and left sides

Body Position

LOW BACK FLEXIBILITY – stretching exercises help restore range of motion which can lead to sustained relief of low back pain. These exercises should be considered: Exercise

How-To

# of Sets / Repetitions

Frequency

Knees to Chest

+ Lie on your back clasping your hands in front of your knees as shown.

3x

Repeat twice daily

3 x each leg

Repeat twice daily

5 x each side

Repeat twice daily

3 x each leg

Repeat twice daily

Body Position

+ Pull both knees to the chest until a comfortable stretch is felt. + Hold for 10 - 15 seconds Single Knee to Chest Stretch

+ Lie on your back with knees bent and feet flat on the floor + Clasp hands around one knee and pull knee toward the chest + Hold the position for 10 - 15 seconds + Repeat on the opposite knee

Knee Rolls

+ Lie on your back with knees bent and feet flat on the floor + Roll knees to one side while keeping shoulders flat on the floor + Hold the position for 5 – 10 seconds + Return knees to center position + Repeat on other side

Glute Stretch + Sit on the floor with the legs straight out in front of you + Bend the right knee and bring it across the left leg looking over the right shoulder as you do so + Use the left elbow to push the right across if needed + Hold stretch for 15 - 20 seconds before changing to opposite side + Repeat as suggested



LOW BACK FLEXIBILITY – CONTINUED Exercise

How-To

# of Sets / Repetitions

Frequency

Hamstring Stretch

+ Place one leg out in front of the other as shown.

3 x each leg

Repeat twice daily

3 x each side

Repeat twice daily

+ Let the back leg flex slightly.

Body Position

+ Keeping the forward leg straight point toes upward while resting your hands on the upper thigh. + Hold stretch for 15 - 20 seconds before changing to opposite side. + Repeat as suggested Oblique Stretch

+ Stand with legs shoulder width apart with your arms resting by your sides. + Slowly tilt to one side running your hand down the side of your leg. + Hold stretch for 15-20 seconds before changing to opposite side. + Repeat as suggested

About us: 40 years of innovation and advanced patient care neurotech® is a division of Bio-Medical Research (BMR) Ltd., a worldwide leader providing innovative devices for pain relief and rehabilitative health. Since the 1960s, we have worked with health care professionals and patients to design and develop pain management and rehabilitation devices that are effective and deliver on promised results. Through extensive research and clinical trials, we are committed to developing medical innovations for muscle disorders, incontinence, post-stroke rehabilitation, pain management and more. Our easy to use, clinically proven products help patients worldwide embrace life to the fullest. For more information about the Neurotech Recovery - Back: Contact your distributor or visit us at: www.neurotech.us and click the “Contact Us” tab This device is by prescription only.

®

Neurotech Recovery - Back Distributed by: Neurotech A Division of Bio-Medical Research Ltd. PO Box 5179 Hoboken, NJ 07030 800-901-5667 www.neurotech.us Designed by & Manufactured for: Bio-Medical Research Ltd Parkmore Business Park West Galway, Ireland Republic Of Ireland: Freephone: 1800 511 511 Int. Tel: +353 (0)91 774 377 Fax: +353 (0)91 774 303 N. Ireland/UK Careline: Lo-Call: 0845 600 1332 www.neurotechgroup.com

0366

Copyright © 2012 Bio-Medical Research Ltd. All rights reserved. Caution: In the United States of America federal law restricts the device to sale or use by, or on the order of a physician or other practitioner licensed by the laws of the state in which he/she practices.

Part No: 2491-3330

neurotech® is a trademark of Bio-Medical Research Ltd.

Issued: 08/2012

Rev.:

1