THERAPEUTIC MANUAL. Bodyflow. Bodyflow Clinical Device CX1 Bodyflow Portable Device P2CH

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Walter Stephens
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1 THERAPEUTIC MANUAL Bodyflow Bodyflow Clinical Device CX1 Bodyflow Portable Device P2CH

2 Disclaimer The BODYFLOW portable stimulation unit ( the product ) is manufactured by PHYSIOMED ELEKTROMEDIZIN AG and is distributed in Australia by its distributor, Bodyflow International Pty Limited. Bodyflow International Pty Limited has endeavoured to ensure that the data analysis and assessment of such data and other information as provided by the manufacturer is accurate. Any projected information contained in the operating instructions is based on Bodyflow s or PHYSIOMED ELEKTROMEDIZIN AG s analysis and subjective estimates and assumptions and may be about circumstances, scenarios and events which may take place. As such, no representations are made by Bodyflow International Pty Limited or PHYSIOMED ELEKTROMEDIZIN AG as to the accuracy of such information. The product must be used strictly in accordance with the operating instructions. Bodyflow International Pty Limited or PHYSIOMED ELEKTROMEDIZIN AG will not be liable for any liability arising from any loss, damage or injury caused through any use of the product outside the scope of the operating instructions. To the extent permitted by law, neither Bodyflow International Pty Limited or PHYSIOMED ELEKTROMEDIZIN AG assume any liability for any loss or damages incurred directly or indirectly from any use of the Product or as a result of any person acting or refraining to act in reliance of any information contained in any assessment or operating instructions relating to the Product or in respect of any negligent act. Where any Act implies any condition or warranty in respect to the use or supply of the Product, Bodyflow International Pty Limited s liability will be limited to the re-supply of the relevant Product by Bodyflow International Pty Limited. *The guidelines stated throughout this document are suggestive guidelines to maximise benefit for patients and Authorised Bodyflow Clinics.

3 Table of Contents 1. Introduction 1.1 Bodyflow Treatment 1.2 Contraindications 1.3 How Bodyflow Works 2. Treatment Frequency Guidelines 2.1 Treatment Regime 2.2 Bodyflow and Flying 3. Electrode Placement 3.1 Electrodes General Information 3.2 Electrode Placement Principles 3.3 Intensity of Frequency 4. Recommended Electrode Placement 4.1 Pain relief placement 4.2 Lymphoedema Placement 4.3 Sports Recovery Placement

Chapter 1 - Introduction Bodyflow has been designed and manufactured to provide the end-user with a electrostimulation current which enhances a number of the human body s normal or homeostatic

Bodyflow Therapy has been designed to assist with the maintenance of homeostasis (balance in the body) and was not designed or intended to be used in replacement of normal bodily functions. 1.

Clinical Trials have proven Bodyflow effective for the treatment of: - Lymphoedema primary and secondary.

4 Chapter 1 - Introduction Bodyflow has been designed and manufactured to provide the end-user with a electrostimulation current which enhances a number of the human body s normal or homeostatic mechanisms. Important: This manual is supplementary to, and should be read and used only in accordance with, the operating instructions included with this Bodyflow device. Bodyflow Therapy has been designed to assist with the maintenance of homeostasis (balance in the body) and was not designed or intended to be used in replacement of normal bodily functions. 1.1 Bodyflow Treatment Bodyflow provides symptomatic relief to conditions that have resulted from poor circulation (blood flow) and or lymphatic uptake. Clinical Trials have proven Bodyflow effective for the treatment of: - Lymphoedema primary and secondary. - Recovery from high intensity exercise to flush out toxins and by-products to decrease severity of DOMS (Delayed Onset Muscle Soreness). Other conditions that can be treated by Bodyflow that benefit from increased lymphatic uptake and blood flow include: - Post-operative wound healing. - Post arthroscope of any joint. - Prevention of Deep Vein Thrombsis (DVT). - Chronic wound healing. - Arthritis. - Osteoarthritis. - Haematoma s. - Sprains and Strains. Note: Bodyflow therapy can be safely used on those with metal joint implants, plates, pins and screws. 1.2 Contraindications (When not to use Bodyflow ) Bodyflow Therapy must not be used on people whom; - Have an internal cardiac device such as a permanent pace maker or internal defibrillator. - Are Pregnant. - Suspected of suffering from Venous Thrombosis or Deep Vein Thrombosis (DVT). - Have been diagnosed with an active malignant disease process. - Have a highly inflammatory, fever-prone disorder. NOTE: IF YOU ARE NOT SURE ABOUT THE SUITABILITY OF BODYFLOW THERAPY FOR YOU CONSULT YOUR MEDICAL PRACTITIONER. The Bodyflow unit is not to be used whilst the user is required to concentrate on the task at hand (e.g. Driving a car, operating machinery).

1.3 How Bodyﬂow works Bodyﬂow Therapy promotes the ﬂow of body ﬂuids such as blood and lymph by stimulation of smooth muscle within veins, arteries and lymphatic vessels using a very speciﬁc patented

5 1.3 How Bodyﬂow works Bodyﬂow Therapy promotes the ﬂow of body ﬂuids such as blood and lymph by stimulation of smooth muscle within veins, arteries and lymphatic vessels using a very speciﬁc patented electro-stimulation frequency. Smooth muscle also known as Tunica Media is a non-striated muscle that differs in function and structure to skeletal and cardiac muscle. Primarily under the control of the autonomic nervous system, smooth muscle is apparent through out all tubuals of the body for example, in the walls of hollow organs, veins, arteries, lymphatic system, intestinal tracts, bladder etc. Where there is an excess of ﬂuid, blood and toxins within or around tissue, Bodyﬂow Therapy promotes drainage from the affected tissue through the stimulation of these tubials to help people to recover faster. The treatment involves attaching to the appropriate part of the person s body a number of cups and/or electrodes which apply a mild transdermal (through skin) electrical stimulus. People may experience a light tingling sensation, felt through the skin under the administered cup/electrode and a minor muscle twitch may occur indicating the stimulation effect. The increased ﬂow of blood and lymph is encouraged to the liver and kidneys to be detoxiﬁed, ﬁltered and removed. This results in the toxins and by-products eventually being passed in the urine.

6 Chapter 2 - Treatment Frequency Guidelines When reading the following treatment guidelines, please be aware that each individual s response to treatment will vary or be different with each case. The following guidelines are intended to be used as a recommendation. Each treatment case should be monitored by a health care provider that has read the Operations Manual and are familiar with the Contraindications. Indication Table 1. Treatment Frequency Suggestions Initial Treatment (1 st Consultation) Clinical Device R.I.C.E* (CX1) Ongoing Treatment (select one option below) Portable Single Channel (P1CH) Portable Dual Channel (P2CH) Suggested Review Acute Oedema R.I.C.E 20min treatment 4-6 per day x 20min 4-6 per day x 20min 4-5 days Chronic Oedema - 20min treatment 4 per day x 20min 4 per day x 20min 7-10 days Lymphoedema - 20min treatment 4 per day x 20min 4 per day x 20min 7-10 days Acute Non Infective Inflammation - 20min treatment 4-6 per day x 20min 4-6 per day x 20min 4-5 days Chronic Non Infective Inflammation - 20min treatment 4-6 per day x 20min 4-6 per day x 20min 7-10 days Haematoma R.I.C.E 20min treatment 4-6 per day x 20min 4-6 per day x 20min 3-5 days Tendonitis - 20min treatment 4-6 per day x 20min 4-6 per day x 20min 3-5 days Sprain R.I.C.E 20min treatment 4-6 per day x 20min 4-6 per day x 20min 5-7 days Strain R.I.C.E 20min treatment 4-6 per day x 20min 4-6 per day x 20min 3-5 days Joint Effusion - 20min treatment 4-6 per day x 20min 4-6 per day x 20min 7-10 days Delayed Onset Muscle Soreness (DOMS) - 20min treatment 4-6 per day x 20min 4-6 per day x 20min 3-5 days *R.I.C.E Rest Ice Compression Elevation. Please ensure that any bleeding has stopped before starting treatment. 2.1 Treatment Regime Initial Treatment: It is recommended that on initial consultation with a person, the Clinical Device is used to familiarise and educate the client start treatment and provide an opportunity to assess immediate response to Bodyflow Technology and whether this therapy is appropriate for ongoing treatment. Ongoing Treatment: It s recommended that the person rent or purchase a portable Bodyflow device for treatment at home. An additional treatment using the Clinical (CX1) device is also encouraged to accelerate the recovery process. Suggested review: It is recommended that the person is reviewed at regular intervals. Response rates vary between people and their conditions. Please observe the following safety precautions when using Bodyflow ; - For Safety and maintenance of Warranty, it is recommended that only Bodyflow accessories are used with Bodyflow devices. - Never apply Bodyflow Electrodes/Suction Cups directly to areas that have cuts, abrasions or inflammation. - Always use the largest Bodyflow Electrodes that is possible to adhere properly to the skin. - Never use Bodyflow Electrodes that are dry, damaged or show signs of malfunction. 2.2 Bodyflow and Flying - P2ch As flight altitudes and distances vary between domestic to international flights it is recommended that: - Bodyflow be used for 20 minutes of each hour of the flight. - Bodyflow should only be used once the flight crew have authorised the use of electronic devises such as laptops and DVD players.

7 Chapter 3 - Electrode Placement and or Suction Placement 3.1 Aplication General Information It is recommended that electrodes be changed with each person for hygienic reasons. Once electrodes lose their adhesive nature, a sharper sensation is felt and it is recommended that a new set of electrodes be used. Bodyflow therapy can be used as a single channel or dual channel device. The recommended electrode placemet below differentiates between dual channels as: - Red - channel 1. - Black - channel 2. The following adhesive electrodes are recommended for various uses: - Small square 5 x 5cm - back of the hands and feet. - Medium rectangle 9 x 5cm - lower leg (calves) and upper arms (biceps, triceps). - Large rectangle 13 x 8cm - upper leg, back, buttocks, abdomen. Note: If skin Integrity is at risk by using either Adhesive electrodes or Suction cups (such as a Lymphoedema sufferer) then plate electrodes in a viscose sponge cover (supplied with the CX1) should be strapped to the area of treatment. Refer to Operations manual of the CX1 device. 3.2 Electrode and or Suction cup placement principles - The electrodes should be placed above and below the area to be treated. - The electrodes should be placed either side of the area to be treated channels running parallel. Correct Incorrect - Do not place electrodes directly over the area to be treated. - Do not place electrodes over a bony prominence as this can cause discomfort. - Do not place electrodes directly over the heart. - Do not place electrodes directly over carotid (neck) arteries.

8 3.3 Intensity of Therapy - Increase the intensity level slowly to the point where a visible twitch of the area being treated can be seen. - Maintain the intensity level to suit your comfort levels. - Each individual s intensity and comfort levels will vary.

9 Chapter 4 - Recommended Electrode Placement These recommendations are a guide only. If you are unsure about the correct placement of electrodes, operation of the Bodyflow device or the suitability of Bodyflow therapy for you, consult your health care provider prior to using the Bodyflow device. 4.1 Pain Relief Placement Please note: placement of electrodes for pain relief will treat symptoms and not the cause. Painful Lowerback Painful Back Neck Stiffness *Smaller Electrodes shown

10 Painful Hips and Sports Recovery Painful and Sports Recovery Painful Elbow Painful Abdomen or Stiffness Quadriceps Haematoma Varicose Vein Discomfort

11 Painful Knees Painful Left Knee Ankle Oedema (Swelling) *Smaller Electrodes shown

12 4.2 Lymphoedema Placement Bodyflow Therapy is a world leading technology used for the management and treatment of Lymphoedema (fluid retention in limbs). Lymphoedema is the abnormal swelling of the superficial body tissues, most often the limbs. Lymphoedema is a result of failure of the lymphatic system to adequately collect and/or transport lymph. The resulting affected limb/s becoming swollen and painful. The portability of the Bodyflow Technology creates opportunities for Lymphoedema sufferers to better control and manage their problem between health practitioner administered Bodyflow treatments at a time which is convenient to them. It also has the benefit of being able to help maintain reductions achieved at health professional administered sessions. Unilateral Arm Lymphoedema Unilateral Leg Lymphoedema Bilateral Leg Lymphoedema

13 4.3 Sports Recovery Placement Elite competition and training places the body under a great deal of stress and strain. Used as part of the recovery regime, Bodyflow Therapy flushes out the toxins and by-products created from exercise enabling the athlete to recover from sporting activities and injuries faster than conventional treatments minimising dead time off the field and maximising athlete return on investment. Particularly of interest to athletes and sporting organizations is the radical decrease in inflammatory markers in study participants that were using the Bodyflow therapy. Thus reducing the severity of DOMS (Delayed Onset Muscle Soreness) and further increasing the competitive advantage for teams and athletes that take up this proven technology. PROACTIVE USE: By reducing DOMS and accelerating post competition and training recovery the athletes recover faster for next event/match thereby maximising the opportunity for improved performance. Over the course of a season this cumulative efficiency of recovery translates to athletes feeling fresher and minimizing the mid to late season state of fatigue and fitness. - Post game recovery (decongestion of muscles, accelerating recovery reducing the symptoms of DOMS). - Pre season training (decongestion of muscles, accelerating recovery reducing the symptoms of DOMS). - Cramp reduction. - Travel and prevention of DVT (increasing circulation and assisting in preventing the pooling of blood). REACTIVE USE: By healing sports injuries faster, this in turn will increase performance potential of a team/athlete. How much does it cost you/club to be injured and not playing? - Inflammation Sprains, strains & RSI s (encouraging fluid flushing and promoting healing by increased circulation). - Fluid removal - Post operative oedema reduction and assisting with wound healing. - Fluid removal - Post arthroscopy of any joint. - Haematoma s (encouraging removal of interstitial blood and promoting healing by increased circulation). Sports Recovery Back Of Legs Sports Recovery Front Of Legs Sports Recovery Arms

14 Manufactured by PHYSIOMED ELEKTROMEDIZIN AG for Bodyflow International Engineered and made in Germany Bodyflow International Pty Ltd 2 Islington St Collingwood 3066 Victoria Australia bodyflow ( )

SIX PACK ABS Item No INSTRUCTION MANUAL. Read entire manual before operating this product. Use only as directed.

SIX PACK ABS Item No INSTRUCTION MANUAL. Read entire manual before operating this product. Use only as directed. SIX PACK ABS Item No. 206098 INSTRUCTION MANUAL Read entire manual before operating this product. Use only as directed. WARNINGS If you are in the care of a physician, consult your physician before using