Plug-in Treatment Cards
for the Neuro-4 Trophic Stimulator

With the Neuro-4, you have a range of treatment-specific programs available as plug-in cards.  Each card includes 3 different programs so that you can select the type of stimulation that will be most beneficial.  In most of the cards, the 3 programs follow a natural progression as treatment advances.
In many of the cards one of the three programs is suitable for treating flaccid muscle.  For conditions which are not listed, it is likely that one of the existing cards can be used with good success.  We can also provide custom designed cards to meet the Neuro-4 users specific applications.
The Neuro 4 is conveniently placed around the waist or in a pocket.  It fits in well with an active lifestyle and adds few problems during transfers, etc.
 
Order No
Card Type
Flaccid 
Program
Alternating Agonist/Antagonist
ON             OFF
Synchronous
Work Rest
Treatment
Progression
TRO 750 Facial Paralysis
yes
-
2 sec      2sec
yes
TRO 755 Pelvic Floor Weakness
yes
-
4 sec      4sec
yes
TRO 760 Brachial Plexus Injuries
yes
4 sec      4sec
-
yes
TRO 765 Drop Foot
yes
-
4 sec      4sec
yes
TRO 775 Chronic Neurological Conditions
yes
4 sec      4sec
-
yes
TRO 786 Multiple Sclerosis
no
4 sec      6sec
-
yes
TRO 785 Stroke
yes
4 sec      4sec
-
yes
TRO 790 Spinal Chord Injury
yes
4 sec      4sec
-
yes
TRO 795 Arthritis
yes
4 sec      4sec
-
yes
TRO 800 Repeated Back Injury
no
4 sec      4sec
-
yes
TRO 810 Pain Relief
no
-
continuous
no
TRO 805 Knee Pain and Edema
no
4 sec      4sec
-
yes
TRO 815 Sports and Related Injuries
no
4 sec      4sec
-
yes
TRO 820 Painful Feet / Post Surgical Feet
no
2-4 sec      2-4sec
-
yes
TRO 825 Post Polio Syndrome
yes
4 sec      4sec
-
yes
TRO 830 Synkinesis Following Facial Palsy
no
-
4 sec      4sec
yes

Facial Paralysis
All forms of palsy respond to trophic stimulation.  With four channels it is now possible to treat both sides of the face.  Long term treatment is also possible, as in the case of:
 1 Moebius Syndrome
 2 Guillan Barrie
 3 RTA
 4 Congenital facial palsy

Pelvic Floor Weakness
The pelvic floor chip likewise makes use of the extra channels by allowing for concurrent stimulation of the Transversus Abdominis
along with the pelvic muscles.  The additional channels also allow for vaginal and rectal stimulation to be used simultaneously if necessary.

Brachial Plexus Injuries
The structured recovery scheme allows for a change in treatment plan from switch positions 1 to 2 to 3 as the muscles move from flaccid paralysis to flickers of movement and electrically assisted movement respectively.  The programs all deliver a sequential frequency band to prevent tedium where treatment will be needed for extended periods.

Drop Foot
Similar plans are available for problems of the Sciatic Nerve with specific details for rehabilitation of a drop foot.
The stimulation delivered to the patient’s neuromuscular system produces predictable and repeatable changes in the peripheral nervous system.  It responds well to these health giving signals even after many years of incomplete recovery and poor functional activity.

Chronic Neurological Conditions
This potent signalling technique is also useful when applied to “chronic neurological” disturbances of the CNS.  Here the treatment plans are less intensive.  They are applied as part of the hands-on treatment package to induce the feel of normal movement and to correct the motor response.

Multiple Sclerosis
Specific conditions which have responded well are supplied with an individual set of programs - protocols.  People with Multiple Sclerosis have found short treatment sessions of 20 minutes, 4 - 5 times per week at home invaluable for stimulating alternate pathways and allowing for more natural movement patterns.  This is particularly beneficial where stiffness and spasticity are relieved.  Quality activity today, improves movement in the future.

Spinal Chord Injury
Following spinal chord injury, recovery can be very slow and may continue for many years.  The sequential patterns of impulses are ideal for enriching the return of sensation; the improved blood supply exerts trophic influence on the skin.  The muscles will be maintained electrically awaiting any recovery.  The stimulation prevents the formation of pressure sores and maintains good nutrition to the area and venous return from the legs.  The patient is encouraged to work from the hips, distally monitoring changes in sensation and motor responses.

Arthritis
Even in situations where the nerve supply to the area is intact, muscle may atrophy or waste as a result of pain, swelling and lack of normal use.  Where joint surfaces are worn or badly damaged, the joint needs protection from further injury.  Weight bearing exercises can aggravate the existing problem.  Trophic stimulation of the red muscle can take place in non-weight bearing situations such as sitting and watching TV.  Weight bearing exercises are emphasised only when the joint is stable and protected from further injury.  The techniques are of particular relevance before and after joint replacement.  This results in a new joint which has pain free mobility and natural stability.
The benefits of the arthritis program are described in the application note “Recover from Arthritis with the Neuro-4".

Repeated Back Injury
The loss of red muscle through pain/disuse cycles is present in chronic back injury.  The loss of abdominal tone is also noted by specialists in this field.  The stimulation programs help to build up joint protection when applied to the back muscles and to relieve long standing aches and pains.  The opportunity is also presented to address the muscle imbalance between the abdominals - back extensors using an agonist, antagonist reversal cycle.

Pain Relief
For an acute injury situation, electrical stimulation is not the first treatment of choice.  However, pain relief is essential to prevent muscle deterioration and the Neuro 4 has three of the strongest  pain relief programs available to date.  It may be used immediately, along with ice packs, strapping, etc.
It is also ideal for chronic pain or any application where continuous T.E.N.S. stimulation is needed.

Knee Pain and Edema
This cycle is also recommended for the problems which are encountered following prolonged or repeated injuries to the knee joint.  A generalised quadriceps/hamstrings reversal technique is used initially, with the ability to focus upon a specific area, i.e. vastus medialis as prescribed by the physiotherapist.  After accurate knee assessment a tailor made treatment plan should be used.  In some cases the Neuro 4 is used at the same time and in conjunction with active exercise.
Where necessary both knees may be treated with reciprocal stimulation of the right quadriceps, left hamstrings, mimicking the walk cycle.  These techniques have proved invaluable during situations of joint bleeds for haemophiliacs.  The intensity of stimulation is maintained at a low level and the joints are subject to minute pulls on the alternate tendons.  This simulation of the walking sequence helps to circulate fluid within the knee and to resolve the acute episode.  At the same time, the knee is building up protection to prevent further injury and subsequent bleeding in the future. Sports and Recent Injuries
Where the muscles need to be kept in athletic condition following an injury, and where athletes will not sacrifice training days, specific muscle groups may be kept in form by a metabolic reprogram addressed in turn to each of the 3 muscle categories.
The trainer need only consider training plans for the rest of the body leaving the injured area to the Neuro 4.
The unit may also reach its full potential in the field of prevention of injury in the future.  Muscles which have been injured previously or which are at risk of injury because of the nature of the sport may be primed to a greater resilience.
 • Hamstring stimulation for sports.
 • Training plans which emphasise quadriceps build up.
 • Increasing the aerobic capacity of the anterior tibials where shin splints may inhibit performance.
 • Building up the back extensor to resist the strains of weight lifting.
 • Adding shape to muscles, a top up to body building weight training.
The possibilities are endless in the drive to keep a body at top performance levels.  The signals are replicas of the body’s natural signalling system and produce the feelings of well-being without stress or over training.

Painful Feet / Post Surgical Feet
Following surgery, acutely painful feet may persist and allow only a short time in weight bearing pursuits per day.  The pain relief programs are ideal and a much better alternative to systemic pain relief.  The Neuro 4 also offers the opportunity to build up the small muscles which constitute the arches of the feet, and to put the bounce back into gait.  Switch position 3 of the foot program is a very strong stimulus which helps to mobilise the segments of the foot and leads to a more natural heel-toe performance.  In the absence of specific foot pathology, a foot stimulation program after a long hard day at work will do more to rejuvenate all the body system than a long soak in water.  These protocols for the foot allow for walking during the treatment subjecting the many little muscles to health giving signals throughout their various states of contraction and relaxation.  (Stepping into the future leaving faradic foot baths and all the electro therapies which acted as precursors to trophic stimulation behind.)
Painful foot injury to the feet during sport is a major problem and needs addressing at all different levels.  Strains, sprains and dropped arches affect and disable people in all different walks of life.  “Painful Feet” can disturb the whole of the body and frequently keep people from work.

Post Polio Syndrome
Progressive muscle weakness and fatigue can occur years after the original episode of Polio.  This is characterized by a decrease in electrical activity in the muscle, a lack of blood supply, essential enzymes and nutrition.
Trophic Electrical Stimulation restores the nutritional base to the deep muscle.  The therapist can select the very muscles needed for daily activity and work through a progressive treatment plan until function is restored.

Synkinesis Following Facial Palsy
During recovery from facial palsy an imbalance can occur where the new nerve signals are dispersed to the whole face.
The programs allow the therapist to target specific muscle so that the new nerve develops controlled and isolated movements.