Trade
HaS s.r.o.
Slovakia
tel.:
+421 2 4525 7130
REBOX Physio Classic
(c) Trade HaS
s.r.o. 2012
|
MUDr. I. MARTULIAK, MUDr. L. PREČIANSKÁ
THE CENTER
FOR TREATMENT AND RESEARCH OF PAIN
F.D. ROOSEVELT HOSPITAL
BANSKÁ
BYSTRICA
REBOX AND ITS USE IN
ALGESIOLOGIC PRACTICE
We
have worked with REBOX
in our outpatient department since
May, 1994.
The REBOX machine we have used is one of the TENS series
(=transcutaneous
electrical neural stimulation). This REBOX is superior to other REBOX
machines
because it includes a wider variety of applications.
The working principle of REBOX is the influence of modulated
direct
electrical current from the batteries on the patient s tissue in the
form
of impulse stimulation. REBOX has a significant ability to gain
information
from tissue during treatment. This ability enables us to monitor and
manage
treatment in an ideal manner. The current causes transcutaneous
relaxation
of the sphincters of arterioles and sympathetic vessels, as well as the
relaxation of voluntary and involuntary muscle contractions. The effect
itself is due to changes in the concentration of free ions in the
extracellular
liquid, especially of hydrogen, sodium, potassium, and calcium ions,
which
are attracted to the active negative electrode laying on the patient s
skin. These free ions are thus most eefectively concentrated in the
area
of injured tissue. REBOX therefore has a most beneficial spasmolytic,
vasodilative,
and myorelaxant effect on various pathological conditions. Aside from
this
main program, REBOX also has a program called "analgetic". This
program,
like the classical TENS program, directly influences the pain impulse
path
through the nerve and insures a solid temporary analgesia in the
injured
area.
The most interesting part of the REBOX evaluation is the
treatment indication.
REBOX is principally indicated in most benign, non-inflammmatory pains.
Contraindications include shock-related conditions, cardiac
stimulation,
malignant conditions, pregnancy, thrombosis, and inflammatory skin
disease.
The most frequent conditions treated with REBOX include back pain
syndrome,
headaches and migraines, post-operational and post-traumatic
conditions,
epicondilytis, and enthesopathia. With REBOX, one can also successfully
treat urinary colic and paralytic constipation conditions. REBOX is
also
showing promising effect in the treatment of neuralgias, especially of
post-herpetic kind. REBOX can also be used for the treatment of
perceptual
hearing and subjective murmurs, skin scars, lymphatic edemas,
contractions
connected with multiple sclerosis, ischemic syndromes of lower limbs,
etc.
Over a period of six months, we treated 123 patients (Chart 1)
with
REBOX in our outpatient department. Sixty of these patients had back
pain
syndrome (Chart 2). We had comparable success with patients who
suffered
from headaches, ethesopathia and the so-called "post-puncture
headaches".
We were less successful with patiens who suffered from hard
post-traumatic
contractions and chronical lumbosacral pains with disk hernia.
Patients suffering from mostly post-herpetic neuralgia of the
nerve
trigeminus and of the intercostal nerves presented an interesting
treatment
group (Chart 3). It is necessary to mention, however, that all patients
were simultaneously treated with homeopathic medications and with
analgesics.
During the REBOX treatment these medications were gradually omitted. We
intend to follow up on this study in greater detail in the
future.
Ordinarily, REBOX is applied three to five times a week.
However, one-time
application to eliminate the most painful conditions is often
sufficient.
REBOX is user-friendly and
easily transportable. Its main
advantage,
however, is its frequently successful effect on painful
conditions
which
often cannot be treated in any other way. REBOX should be present in
all
locations or hospital departments
where painful conditions are treated.
This recommendation is further supported by the references of our
colleagues
not only
from the Czech Republic, but also from many other locations in
Europe and around the world.
Presented at the "Slovak
Dialogues On Pain" in Martin in
November, 1994
CHART 1
DISTRIBUTION OF PATIENTS
ACCORDING TO THE DIAGNOSIS
(123 patients)
| DIAGNOSIS |
NUMBER
No. |
OF PATIENS
% |
| Back pain syndrome |
60
|
48,8
|
| Neuralgia |
11
|
8,9
|
| Headaches |
11
|
8,9
|
| Enthesopatia |
11
|
8,9
|
| Post-traumatic condition |
7
|
5,7
|
| Disk hernia |
4
|
3,2
|
| Acute cervical syndrome |
3
|
2,4
|
| Acute lumbosacral pains |
3
|
2,4
|
| Post-puncture pains |
3
|
2,4
|
| Reflex sympathetic dystrophy |
3
|
2,4
|
| Paresis of the facial nerve |
2
|
1,6
|
| Other |
5
|
4,1
|
CHART 2
EFFECTIVENESS OF REBOX ON PATIENTS WITH BACK PAIN
SYNDROME
(60 patients)
| EFECT |
NO PROBLEMS |
IMP
++
|
ROVE
+ |
MENT
0 |
RESULT
UNKNOWN |
NO.
of
No.
patiens
% |
30
50
|
18
30
|
7
11,8
|
1
1,6
|
4
6,6
|
| EVALUATION |
-----------------------> |
80%
|
--------- |
---------> |
20%
|
Average number of treatement sessions> 3.3 per
patient
CHART 3
EFFECTIVENESS OF REBOX ON PATIENTS WITH NEURALGIA
OF TRIGEMINUS NERVE AND INTERCOSTAL NERVES
(13 patients)
| EFECT |
NO PROBLEMS |
IMP
++ |
ROVE
+ |
MENT
0 |
NO.
of
No.
patiens
% |
6
46.2
|
3
23
|
2
15.4
|
2
15.4
|
| EVALUATION |
-----------------------> |
69.2%
|
---------> |
28.8 % |
Average number of treatement sessions> 3.3 per
patient
USE OF REBOX INT HE PAIN CENTER IN 1995
(520 patients)
Evaluation of the treatment effectiveness: 4 -VRS
(Verbal Rating
Scale)
I. No problems
II. Significant improvement
III. Mild improvement
IV. No improvement
|