NOVAFON Pro User Manual page 19

4.1. SELF-APPLICATION AT HOME
Pain is a common symptom of both acute and chronic conditions, such as epi-
condylitis, tendinitis, myalgia, or fibromyalgia, which can be reduced by local
vibration therapy. 1 Taking into account the contraindications (chapter 5), the
NOVAFON is guided on or around the treatment area in a straight line, selective-
ly or in slow circular movements. The NOVAFON can also be applied at trigger
points near the painful area. In case of uncertainty, please consult your treating
physician or therapist regarding your individual application. The NOVAFON can
be used directly on the skin or through fabric/clothing. During the application,
make sure that the sound wave device glides gently and without pressure over
the body area. Use the entire surface of the attachment. This is the only way
the penetration depth effect of the NOVAFON can be fully deployed and the vi-
brations are transmitted optimally. Use only the NOVAFON's own weight for a
comfortable application.
The therapeutic application should not exceed a maximum of two 20-minute
treatment units per day. Please note that the NOVAFON must be switched off
for 15 minutes after using it for 20 minutes in order to avoid overheating. When
applied to sensitive areas (e.g. face, neck, head) or severely painful body parts,
the duration of application duration should be reduced and adjusted to accom-
modate the individual needs.
NOTE
Application of liniments (medicated topical preparations): Generally, only apply
small amounts of creams, ointments, cosmetic or medicated liniments on the
skin or place a fine cloth between the device and the skin. Do not allow liquids
or residues to penetrate the NOVAFON so as not to damage it.
4.2. PROFESSIONAL APPLICATION IN NEUROREHABILITATION
Note: The use of local vibration therapy for neurological diseases should only
be carried out by specialists (therapists, physicians, nurses) or after detailed
instruction by such a person.
4.2.1. Spasticity
Spasticity is a common sequence of stroke and other disorders of the central
and peripheral nervous system. Local vibration therapy, combined with physio-
therapy, provides a simple and drug-free treatment method. A variety of studies
demonstrated a reduction in spasticity as well as improved motor control and
function. 2 The mechanisms of effectiveness are the tonic vibration reflex and
the excitation of the sensorimotor cortex. Taking into account the contraindica-
tions (chapter 5), the spastic muscle itself (flexors) is treated with 50 Hz (level 2)
and the antagonist of the spastic muscle (extensors) with 100 Hz (level 1). The