NOVAFON DAS Manuel D'utilisation page 21

Devices and accessories can be used head to toe. NOT TO BE USED
ON GENITALS.
Devices can be used on patients as of the age of 6. 5 When supervised
by professionals, earlier use can be feasable. However, DO NOT USE
on patients younger than 2 years of age.
4.2. SELF-APPLICATION AT HOME
Taking into account the contraindications (chapter 5), move the
NOVAFON device in a straight line, selectively or in slowly circling
movements on or around the treatment area. The NOVAFON device
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 device can be
used directly on the skin or through fabric / clothing. During the ap-
plication, make sure that the vibration sound wave device glides gen-
tly 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 device can be fully deployed and the vibrations are
transmitted optimally. Use only the NOVAFON device's own weight
for a comfortable application.
The therapeutic application shall not exceed a maximum of three
20-minute treatment units per day. Please note that the NOVAFON
device must be switched off for 15 minutes after 20 minutes of use
in order to avoid overheating. When treating very painful or sensitive
parts of the body (e.g. face, neck, head), the duration of application
should be reduced and adjusted to suit the patient's personal 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 device so as not to damage it. Stop the treatment imme-
diately if any side effects occur (see section 5).
4.3. PROFESSIONAL USE IN NEUROREHABILITATION
NOTE: The use of local vibration therapy for neurological diseases
or voice and swallowing therapy should only be carried out by spe-
cialists (therapists, physicians, nurses) or after detailed instruction
by such a person.
4.3.1. Spasticity
Spasticity is a common consequence of a stroke and other disor-
ders of the central and peripheral nervous system. Local vibration
therapy, combined with physiotherapy, provides a simple and drug-
free treatment method. Numerous studies have shown a reduction
in spasticity as well as improved motor control and function. 2 The
effectiveness mechanisms are the tonic vibrational reflex and the
stimulation of the sensomotoric system. Taking into account the
contraindications (section 5), the spastic muscle itself is treated at
50 Hz and the antagonist of the spastic muscle at 100 Hz. The start-
ing point can be on the tendon or directly on the muscle itself. The
treatment may be local, i.e. focusing on one point, or in sweeping
movements. The application with the NOVAFON device shall not ex-