Septembre 2002 - R.Garcin Nederlandse bewerking: M. Mets TRAINING

LIPOLYSING ULTRASOUNDSFCare SystemsKontichsesteenweg 542630 Aartselaar, Belgium

Lipolyserende Ultrasonen LIPOLYSING ULTRASOUNDSeptembre 2002 - R.Garcin DefibroseringDrainageVascularisationMicrowave effect

Septembre 2002 - R.Garcin Low Frequency Ultrasound Ultrasounds are vibrations of the same nature as sound, but at a frequency that cannot be heard by the human ear.

The low freqeuncy ultrasounds (30 KHz) provokes positive physical effects on the adipocytes and the micro-circulation.

Septembre 2002 - R.Garcin Ultrasounds in a medical environment .The Ultrasound vibrations are generated by the US transducer. A physics definition is : Frequency X Wavelenght = ConstantThis means that a high frequency has a short wavelenght and a low frequency has a long wave lenght

Ultrasounds in a medical environmentSeptembre 2002 - R.Garcin Another physics effect is the convergance of the waves into a focal point.A shorter wavelength (higher frequency) will have a focal point closer to the US head.With high frequencies (3 MHz of 1 MHz: therapeutical U.S.), the focal point will be just under the skin. This can cause a burning in the flesh and therefor a constant moving of the US head is required.The focal point with low frequencies 30 kHz is much further away. THere is no risk of burning, the heads do not need to be moved and can therefor be fixed during treatment.

Septembre 2002 - R.Garcin Low frequency U.S.-headsA U.S.-head is made from a ceramic plate on which a piezo-electric cristal is attached. When a current is applied to this piezo element it will move.Vibrations are generated by feeding a electrical current with a defined frequency to this piezo element. The element is mounted in an aluminium part which is very thin on the top. This membrane is tuned to resonate at 30kHz.It are these mechanical vibrations that are transduced into the body. It is important to apply a Ultrasound Gel between the head and the skin: The gel will better conduct the vibrations into the body. Due to the movements the head will warm up. The gel functions as a thermic isolator.

Septembre 2002 - R.Garcin CellulitisNormal Stage 1 Stage 2 : orange skinStage 3 :encapsulatedStage 4 : waffled

Septembre 2002 - R.Garcin Localisation of cellulitisInside armAbdomenHipsRiding hosesAbove and inside kneeInside ankles. ButtocksThigh+ NeckThese zones have many - energetic receptors. This is the reason why a simple hypocaloric diet is not sufficient for treating these zones.

Main effects of Ultrasound.Septembre 2002 - R.Garcin Microwave-effectThe frequency of 30 kHz has a mechanical effect on the triglycerides. A prolonged continues vibration of the triglycerides in this frequency will breakdown this molecule. 30 kHz vibrations will provoke a hyperpermeabilisation of the adipocyte membranes. This will transport, via inverse osmosis, the broken down molecules out of the adipocyte into the interstitium fluids. The micronised fat will be evacuated through the veno-lymphatic system. Please note that the fat is made free and available for the body to burn. If not consumed by means of training or physiostimulation, the fat will eventually be diposited in the body again.

Other effects of Lipolysing UltrasoundSeptembre 2002 - R.Garcin Effect on the circulationEffects on the fibrosisThe ULTRASOUND has also an interesting effect on the fibrosis. Clinical observations show a good result on breaking fibrosis tissues, however, the exact explanation of the phenomena has not been found yet. The data are largely empirical .One can observe a feeling of well being, expressed by the patient. This feeling of well being is confirmed during the months following the treatment. One of the effects of low frequency ultrasound is that the pressure pulses causes a compression and depression of the extracellular space, resulting in a better dilation of the lymphatic and venous micro channels. It accelerates the return flow by a massage of the vesselsWell being

Programs Septembre 2002 - R.Garcin The device has 4 programs, based on working and pause times: TI & TO:

Program 1 : continue this program switches the vibrations on for 10 seconds (TI) after which a 1 second pause is introduced. (TO). This pause is to prevent the US head element from breaking due to resonance. Program 2 : Puls 1 - TI = 5 s. TO = 1 s. Program 3 : Puls 2 - TI = 3 s. TO = 3 s. Program 4 : Puls 3 - TI = 2 s. TO = 1 s.For an optimal result, the first 1 treatments should be PULS 2 or PULS 1. This to has a larger effect on circulation and fibrosis. After that, the CONTINUE program for a good micronisation of the fat molucules.

The Treatment protocolSeptembre 2002 - R.Garcin Put gel on the zone to be treated. Put enough gel on the heads to cover them completely. Fixate the heads on the treatment zone. Connect the heads to the device (depending the treatment, 1 or 2 generators). select a program. Start generator 1 and set intensity to 30%. if so required for generator 2 as well. Increase intensity in 5% steps to 60% Check on a regular basis of there is still gel (to prevent heating). After the treatment, first disconnect the heads from the device, then from the patient. Remove the gel

Secondary EffectsSeptembre 2002 - R.Garcin Ringing in ears Although the 30 kHz frequency cannot be heared, a high pitched noise might experienced. This is caused by the drumming of cells which generates a 15 kHz frequency. Is the patient is complaining, a reduction of the intensity will solve this problem.

Other effects Warming of tissue, caused by the vibration of the tisssues. Some friction will result in generating warmth. The skin can display a light redness after a treatment due to this warmth. A tinging sensation is normal. It is the effect of the emission of ultrasound waves.

Contra - indicationsSeptembre 2002 - R.Garcin F PACE MAKER. Lesions of the skin Phlebitis and thrombosis. Malignant tumors. Tuberculous injuries. Osteoporosis. Ischemie. Recent scars. Bone protheses and implanted hearing aids. Metal screws and plates in the treated zone Pregnancy.