BioEnergetic Technologies: Improving Sleep. Catherine Willner, M.D. Durango CO

Transcription

1 BioEnergetic Technologies: Improving Sleep Catherine Willner, M.D. Durango CO

2 Too long on the Prowl Fatigue, malaise, inattention, reduced energy, reduced motivation, cognitive impairment, altered mood, poor performance, reduced quality of life?

3 Insomnia Initiating sleep (>30 minutes) Maintaining sleep (interrupted sleep) Terminal (early awakening) Drowsiness on awakening (nonrestorative) Sleepiness during the day Psychological distress Occupational disruption Social dysfunction

4 Insomnia Sleep efficiency less than 85% Sleep less than hours Disruption at least 3 nights per week Patients frequently report perception of less sleep than documented objectively

5 Insomnia Acute Transient (lasting only a few days) Short Term (less than 3-4 weeks) Chronic Long term (at least 3 months or more) 50% with chronic insomnia will persist

6 Insomnia Normal adults transient up to 1/3 over lifetime; 10 % chronic insomnia Stress Alcohol/drug Social change Women > Men Association with psychiatric diagnosis More frequent in elderly MSLT often normal (no daytime excessive drowsiness)

7 Causes of Insomnia Primary sleep disorders Disorders of circadian sleep-wake rhythm Medical disorders; medication use issues Psychiatric / Behavioral disorders Adjustment Sleep Disorders Jet Lag Shift work

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9 Sleep Hygiene Regular schedule (bedtime and arousal) Avoid prolonged daytime naps Limit awake time in bedroom Avoid caffeine, tobacco and alcohol EtOH withdrawal sympathetic activation Tobacco in high doses stimulating Regular exercise (earlier than 5 hours pre-sleep) Closure for the day Environmental control Clock watching pros and cons

10 What s Missing? Treating Pain Hypoxia (at altitude)???

11 BioEnergetic Therapies Techniques Relaxation (progressive, breathing, etc.) Energy Medicine (the list is very long) Technologies Computer scans, programs Devices Biofeedback Light Microcurrent PEMF

12 Magnetic Therapy Effects Reducing muscle tension Improving circulation Stimulating the immune system Reducing inflammation Improving cell function Helping the body to detoxify Improving the uptake of nutrients Balancing acupuncture meridians Reducing stress Balancing the endocrine system Regenerating tissues Improving sleep

13 PEMF/Magnetic Contraindications Pregnancy Pacemakers, implanted pain modulators, insulin delivery systems or defibrillators Conditions with active bleeding Hyperthyroidism, adrenal gland, hypothalamic and hypophyseal/pituitary dysfunctions Active tuberculosis, acute viral diseases white blood count responses may be temporarily dampened, Malignancies (even in remission) because of the controversies with frequency fields from power lines, even though current evidence suggests no probable causal relationship to health problems with therapeutic low-frequency PEMFs, caution should be exercised; little work has been done in this area. PEMFs should not be relied upon as primary treatment, but may be considered as a complementary therapy. Myasthenia gravis, ALS, dementia use caution Psychoses PEMFs may produce unpredictable results, and in combination with medications may cause significant reductions in blood pressure. From William Pawluk, MD, MSc., Drpawluk.com

14 Devices SCENAR is an acronym (Self Controlled Energo Neuro Adaptive Regulation) Pain Control $500 - $4200 Endorphins and neurochemistry

15 Devices BEMER [ B io - E lectro - M agnetic - E nergy - R egulation] Microvascular, waveform, pulsing $3500 +

16 Devices imrs = intelligent Magnetic Resonance Stimulation) Earth based Schumann Frequencies, intensities and has a built-in intelligent biorhythm clock, sawtooth waveform.

17 Physics Controversies Earth has TWO fundamental frequencies, 7.83 Hz (Schumann resonance) and 11.75/11.79 Hz which is the first order frequency of the magnetic field (excluding n=0 which is the static solution). The Schumann frequency is the resonant frequency of the earth's ionosphere and the earth's magnetic field frequency is a result of the spherical harmonics of the earth's magnetic field.

18 Human Body Field Peter Fraser, Harry Massey and NES NutriEnergetic Systems ProVision (scan) mihealth (PEMF, microcurrent) on and off body

19 mihealth FDA excluded as biofeedback device

20 Physical General Rejuv Physical Rejuv Chronic Balance Acute Balance Muscles Joints Nerve Bone BioCell After Sport Energy Recharge Energy Matrix Carrier Male Female Energy Align Wellbeing Digestion Head Skin Memory Sleep Anti Aging Hearing Fat Protection EMF Immune ET CFI Air Travel Food Mind B ESR Emotional Energy Inner Peace Mental Clarity Cycles Chinese Cycle Radiation Peace Transformation

21 ProVision

22 Sleep Patients with nerve pain 50 total All reported prolonged sleep onset and short duration sleep, 32 described insomnia Peripheral neuropathy (45) Sham treatment cross over 44/45 improved pain score by at least 4 points 45/45 reported improved sleep onset and after first three treatments longer duration (>2 hours)

23 Sleep 10 patients with poor sleep (by self report) Using Epworth sleepiness and self report on sleep quality, all met criteria for insomnia Using mihealth sleep function during day, 6 reported improved sleep (3 treatments) Using mihealth sleep cycle home, 9/10 reported normal sleep onset and improved duration; 1 had improved onset but awakened

24 Fibromyalgia, Pain, Sleep LLL Effect of low-level laser therapy on pain, quality of life and sleep in patients with fibromyalgia: study protocol for a doubleblinded randomized controlled trial. de Carvalho Pde T, et al. Trials :221

25 Conclusions Evolving technologies Improve pain, often sleep will improve Though there are many reports, there are fewer peer reviewed studies Devices for home use may be appropriate choice for chronic insomnia Some people are intolerant of these therapies, but many seem to benefit.