BTL-6000

SUPER INDUCTIVE
SYSTEM

Medical
Introduction
 CONTENT

Introduction
Technology
Clinical background
Therapeutic parameters
Clinical guide
Therapy examples
Summary
INTRODUCTION
 INTRODUCTION

The technology is based on high intensity

electromagnetic field, which positively influences the
human tissue
 SUPER INDUCTIVE SYSTEM

Used in physical medicine and rehabilitation, neurology

and orthopaedics

The principal therapeutic effect:

 Pain relief

Other therapeutic effects:

 Joint mobilization, fracture healing, myostimulation,
spasticity reduction
 SUPER INDUCTIVE SYSTEM

The most common indications:

 Carpal tunnel syndrome
 Impingement syndrome
 Slipped disc
 Low-back pain
 Jumper´s knee
 Fracture
 Nerve regeneration
 Spasticity
 Joint blockage
 SUPER INDUCTIVE SYSTEM

Customer identification:
 Rehabilitation and physical medicine specialist
 Neurologist
 Orthopaedics surgeon
 Physiotherapist
TECHNOLOGY
 TECHNOLOGY

Magnetic fields in medicine:

Nuclear medicine uses stationary magnetic fields
with high intensities of up to ones of Tesla
Diagnostic purposes – Magnetic resonance imaging
(MRI)
 TECHNOLOGY

Magnetic fields in medicine:

Neurology uses pulsed magnetic fields with
intensities of up to ones of Tesla
Diagnostic and therapeutic purposes - Transcranial
magnetic stimulation (TMS)
 TECHNOLOGY

Magnetic fields in medicine:

Rehabilitation and physical medicine uses pulsed
magnetic fields with intensities of up to ones of Tesla
Treatment – Super Inductive System (SIS):

 Pain relief
 Joint mobilisation
 Fracture healing
 Myostimulation
 Spasticity reduction
 TECHNOLOGY BASICS

Principle of the therapy

 Inductive coil generates pulsed, sine,
electromagnetic field
 The electromagnetic field interacts with the human
body and causes depolarization of the
neuromuscular tissue
 Parameters determining therapeutic effects are
frequency and electromagnetic field intensity
CLINICAL BACKGROUND
 THERAPEUTIC EFFECTS

The principal therapeutic effect:

 Pain relief
Other therapeutic effects:
 Joint mobilization, fracture healing, myostimulation,
spasticity reduction
Most common indications:
 Carpal tunnel syndrome, impingement syndrome,
slipped disc, low-back pain, jumper´s knee, fracture,
spasticity, joint blockage
 THE PRINCIPAL THERAPEUTIC
EFFECT

Pain relief

 Frequency-specific pain
management
 Indicated for all stages of
painful conditions
 Pain management is based on
three different pain control
theories
 PERIPHERAL PATTERN
THEORY OF PAIN

Remodulates the coded

information of pain
CNS does not recognize the
painful feeling
Intended for subacute
conditions
Common indication: Subacute
pain accompanying rheumatoid
arthritis
Range of frequency 120 – 140 Hz
 GATE CONTROL
THEORY OF PAIN

Closes the spinal gate

for pain perception
Pain is not transferred
to CNS pain
interpretation centre
Intended for acute and
subacute conditions
Common indication:
Pain in acute stage after
distortion
Range of frequency
60 – 100 Hz
 ENDOGENOUS OPIOID
THEORY OF PAIN

Supports the secretion

of analgesic
endogenous opioids
Intended for chronic
conditions
Common indication:
Chronic pain of the
lumbosacral area
Range of frequency
2 – 10 Hz
REPETITIVE PERIPHERAL MAGNETIC STIMULATION AS PAIN MANAGEMENT SOLUTION IN
MUSCULOSKELETAL AND NEUROLOGICAL DISORDERS – A PILOT STUDY
Kazalakova K.
Pirogov Hospital, Sofia, Bulgaria Study
done
with
BTL
 Patients: 40 patients; acute and chronic pain device

 Aim: Achieve pain relief

 Methods: 5 therapies (acute pain); 10 therapies
(chronic pain) with SIS
 Evaluation method: VAS
 Results:
REPETITIVE PERIPHERAL INDUCTIVE STIMULATION IN MUSCULOSKELETAL PAIN MANAGEMENT –
A PILOT STUDY
Pětioký J., Váňa Z., Šubert D., Žarković D., Prouza O., Bittner V.
Rehabilitation Center Kladruby, Czech Republic; Study
Charles University, The Faculty of Physical Education and Sport, Czech Republic done
Technical University of Liberec, Czech Republic with
BTL
device

 Patients: 31 patients; acute and chronic

pain
 Aim: Achieve pain relief
 Methods: 7 therapies
 Evaluation methods: VAS
 Results: Immediate pain relief was
observed in 67 % of the treated
patients
CLINICAL STUDY ON APPLICATION OF SUPER INDUCTIVE ELECTROMAGNETIC FIELD ON PAIN
CONDITIONS
Šťastný E., Prouza O.
Ortopedie Šťastný s.r.o.; Child and adult orthopaedic and traumatology clinic,
University Hospital Motol, Czech Republic; Study
Charles University, The Faculty of Physical Education and Sport, Czech Republic done
with
Published: Rehabilitace a fyzikální lékařství, 2016, 23(3), 142-148 BTL
device

 Patients: 57 patients, acute and chronic

pain
 Aim: Achieve pain relief
 Methods: 6 therapies
 Evaluation methods: VAS, VNRS
 Results: Overall decrease of pain was
reported by 37.5 % of the treated
patients
 OTHER MEDICAL EFFECTS

Joint mobilization
 Joint mobilization is achieved through
repetitive contractions of the muscles
surrounding the joint capsule.
 This repetitive contraction substitutes
manual joint mobilization, which leads to
joint play restoration.
PERIPHERAL APPLICATION OF REPETITIVE PULSE MAGNETIC STIMULATION ON JOINT
CONTRACTURE FOR MOBILITY RESTORATION
Kouloulas E.
Rehabilitation Unit "Physiatriki“; Study
2nd Neurosurgery Dpt, University of Athens,"Attikon" Hospital, Athens, Greece done
with
Published: International Journal of Physiotherapy, 2016, 3(5), 519-524 BTL
device

 Patients: 30 patients, contracutre of the knee joint

 Aim: Achieve increase in range of motion and pain
relief
 Methods: Experimental group (SIS) and Control
group (ultrasound therapy)
 Evaluation methods: goniometry, FAQ, VAS
 Results: Greater mobility restoration and pain
relief with SIS in comparison with ultrasound
therapy was observed
 OTHER MEDICAL EFFECTS

Fracture healing
 The high intensity electromagnetic field
enhances blood circulation in the affected
area and supports formation of the
vascular and cartilage callus.
 Consequently progressive cartilage
mineralization and bone remodeling are
initiated.
 OTHER MEDICAL EFFECTS

Spasticity reduction
 Inhibition of an increased muscle tone is
achieved through affecting the spinal
level of muscle tone control.
 This mechanism is indicated for treatment
of central motor impairment, in which
spasticity occurs.
EFFECTS OF PARA-SPINAL REPETITIVE MAGNETIC STIMULATION ON MULTIPLE SCLEROSIS
RELATED SPASTICITY

Serag H., Abdelgawad D., Emara T., Moustafa R., El-Nahas N., Haroun M.
Neurology Department, Ain Shams University, Cairo, Egypt

Published: International Journal of Physical Medicine and Rehabilitation, 2014, 2:242

 Patients: Multiple sclerosis and accompanying

spasticity
 Aim: Achieve spasticity reduction
 Methods: Experimental group (rPMS) and control
group (sham stimulation)
 Evaluation method: MAS
 Results: A significant difference between the
two study groups in terms of muscle spasticity
tested by MAS
 RESULTS

Graph 1: MAS in the two treatment groups across all time points. A persistent improvement in the active
treatment group is clearly shown.
LUMBAR REPETITIVE MAGNETIC STIMULATION REDUCES SPASTIC TONE INCREASE OF THE
LOWER LIMBS

Krause P., Edrich T., Straube A.

Department of Neurology, University of Munich, Klinikum Grosshadern, Munich, Germany

Published: Spinal Cord, 2004, 42(2), 67–72

 Patients: SCI and healthy

subjects
 Aim: Achieve spasticity
reduction
 Methods: Unilateral rPMS
application on lumbar spine
 Evaluation methods: Ashworth
scale; Pendulum test
 Results: Significant spasticity
decrease in the interval
4 - 24 h after stimulation
 OTHER MEDICAL EFFECTS

Myostimulation
 Interaction of the electromagnetic field
within neuromuscular tissue, results in
nerve depolarization and muscle
contractions.
 Based on the selected stimulation
frequency, muscle strengthening can be
achieved.
REPETITIVE PERIPHERAL INDUCTIVE STIMULATION IN COMPREHENSIVE THERAPEUTIC APPROACH
– A CASE STUDY

Žarković D.
Charles University in Prague, Faculty of Physical Education and Sport, Czech republic
Study
Presented : XXIII. Congress of Society for rehabilitation and physical medicine, May, 2016 done
with
BTL
device

 Patient: Post-traumatic respiratory and musculoskeletal

diseases
 Aim: To improve ventilation parameters and to treat
musculoskeletal system
 Methods: 4-week therapeutic protocol
 Evaluation methods: Spirometry and kinesiology
evaluation
 Results: See spirometry evaluation
 THERAPY PROCEDURE

Myostimulation with Super Inductive System

SPIROMETRY RESULTS
FUNCTIONAL MAGNETIC STIMULATION FOR CONDITIONING OF EXPIRATORY MUSCLES IN PATIENTS
WITH SPINAL CORD INJURY

Lin V.W., Hsiao I.N., Zhu E., Perkash I.,

The Functional Magnetic Stimulation Laboratory of the SCI Health Care Group, VA Long Beach Health Care
System Department of Veterans Affairs, Palo Alto Health Care System

Published: Archives of Physical Medicine and Rehabilitation, 2001, 82(2), 162-166

 Patients: SCI patients

 Aim: Effectiveness of rPMS in conditioning
expiratory muscles
 Methods: 4-week rPMS protocol
 Evaluation method: Spirometry
 Results: Significant improvement in voluntary
expiratory muscle strength
THERAPEUTIC PARAMETERS
 THERAPEUTIC PARAMETERS

Parameters determining therapeutic effects:

Frequency
Electromagnetic field intensity
Determining for perception of the therapy
 FREQUENCY

Pulsed high intensity electromagnetic field

Frequency represents the pulse repetition rate
It is possible to set within the range 1 – 150 Hz
Wide range of frequency determines different
therapeutic effects
Frequency modulations
 WIDE FREQUENCY RANGE

FREQUENCY THERAPEUTIC EFFECT

2 - 10 Hz Endogenous opioid Chronic pain management

theory

60 - 100 Hz Gate control Acute pain management

theory

120 - 140 Hz Peripheral Subacute pain management

pattern theory

5 and 150 Hz Fracture healing

45 Hz Joint mobilization

2 - 70 Hz Myostimulation

25 - 150 Hz Spasticity reduction

FREQUENCY MODULATIONS
 BENEFITS OF FREQUENCY
MODULATIONS

Alternate
To speed lactate utilization and support regeneration
process in the muscles, use alternate frequency
modulation
After muscle strengthening or in pain condition
 INTENSITY

Intensity represents strength of the electromagnetic

field
It is possible to reach the intensity of up to 2.5 T
Determining the perception of the therapy
Lower intensities reach sensitive threshold when
applied to the tissue
Higher intensities reach motor threshold when
applied to the tissue
Intensity modulations
INTENSITY MODULATIONS
 BENEFITS OF INTENSITY
MODULATIONS

Trapezoid
To achieve gradual motor unit recruitment for muscle
strengthening, use trapezoid amplitude modulation
In muscle weakness or in prevention of muscle
atrophy
 BENEFITS OF INTENSITY
MODULATIONS

Staircase
To mimic the repetitive manual movement used for
spine mobilization, use staircase intensity modulation
In joint blockage condition or back pain
CLINICAL GUIDE
 INDICATIONS

Carpal tunnel syndrome Impingement syndrome

Nerve regeneration Spasticity reduction

Breathing enhancement Thoracic spine mobilization

Slipped disc Prevention of muscle atrophy

Patellar tendinopathy Fracture

 CONTRAINDICATIONS

Any implants (electronic, metal etc.)

Growth plate area
Head area
Heart area, heart disorders
Blood disorders
Drug pumps
Malignant tumour
Fever
Pregnancy
 GENERAL RECOMMENDATIONS FOR
THERAPY

NUMBER OF THERAPIES
Individually adjusted
Acute pain condition - up to 5 therapies
Chronic pain condition - up to 10 therapies
Muscle strengthening – up to 10 therapies
Muscle relaxation – up to 5 therapies
Joint mobilization – up to 5 therapies
Fracture healing – up to 10 therapies

COURSE OF TREATMENTS
Individually adjusted
 GENERAL RECOMMENDATIONS FOR
THERAPY

FREQUENCY OF THERAPIES
Individually adjusted
Acute pain condition – daily
Chronic pain condition – 2 to 3 times a week
Muscle strengthening - 2 to 3 times a week
Muscle relaxation - 2 to 3 times a week
Joint mobilization – 1 to 2 times a week
Fracture healing – min. 3 times a week
 GENERAL RECOMMENDATIONS FOR
THERAPY

INTENSITY OF THERAPY
Individually adjusted to the treated area
Sensitivity threshold – pain management
Motor threshold – other therapeutic effects

CONFIGURATION SECTION
Adjusting optimal intensity of the therapy
Only in preset protocols
Ensures that therapy continues operator-free
 THERAPY PROCEDURE

Fix the applicator above the treated area

Choose from the list of preset protocols
Start the therapy and set the desired intensity
THERAPY EXAMPLES
MUSCLE STRENGTHENING
 MUSCLE STRENGTHENING

Muscle strengthening
Prevention of muscle atrophy
Different parameters
Up 10 therapies
2 – 3 times a week
Motor and up to above the motor threshold
Stimulation of weakened muscles
Range of frequency 15 – 50 Hz
Range of frequency 25 – 150 Hz
Frequency and amplitude modulation
SPASTICITY REDUCTION
 SPASTICITY REDUCTION

Up 10 therapies
2 – 3 times a week
Motor and up to above the
motor threshold
Inhibition of spastic muscles
Stimulation of weakened
muscles
Range of frequency 1 – 150 Hz
Frequency and amplitude
modulation
JOINT MOBILIZATION
 JOINT MOBILIZATION

Up 5 therapies
1 – 2 times a week
Motor and up to above the motor threshold
Contraction of the muscles surrounding the joint
capsule
Range of frequency 1 – 45 Hz
Amplitude modulation
FRACTURE
 FRACTURE

Up 10 therapies
min. 3 times a week
Above the sensitivity up to motor threshold
Support of bone remodelation process
Range of frequency 5 – 150 Hz
SUMMARY
 TECHNOLOGY

High intensity electromagnetic field

Parameters - frequency and electromagnetic field
intensity:
 Intensity of up to 2.5 Tesla
 Frequency of up to 150 Hz
 Determining for the perception of the therapy
 THERAPEUTIC EFFECTS

The principal therapeutic effect:

 Pain relief
Other therapeutic effects:
 Joint mobilization, fracture healing, myostimulation,
spasticity reduction
Most common indications:
 Neuromuscular and joint-skeletal diseases
 Carpal tunnel syndrome, impingement syndrome,
slipped disc, low-back pain etc.
 CLINICAL BACKGROUND

More than 2 years of succesfull clinical testing

Immediate and persisting therapeutic effects
Effortless treatment experience
 PRODUCT

Patented technology
BTL-6000 Super Inductive System Elite
Focused field applicator
 THERAPY RECOMMENDATIONS

NUMBER OF THERAPIES
Individually adjusted
Acute conditions – up to 5 therapies
Chronic conditions – up to 10 therapies

FREQUENCY OF THERAPIES
Individually adjusted
Acute patients – daily
Chronic patients – 2 to 3 times a week

INTENSITY OF THERAPY
Individually adjusted
Sensitive threshold
Motor threshold
 THERAPY PROCEDURE

Therapy procedure:
 Easily adjustable
 Contactless
 Operator-free
 Immediate results
Thank you for your attention