G.N. Ponomarenko

The methods of treating diseases using the 'Gefestus' device: a manual for physicians.

Moscow
2002

G.N. Ponomarenko is Chief Physical Therapist of the Ministry of Defense of Russian Federation, and Head of Department of Health Resort Science & Physical Therapy of the Military Medical Academy, an Academician of Russian Academy of Natural Sciences, a Professor.

G.N. Ponomarenko. The Methods of Treating Diseases using the 'Gefestus' Device: A Manual for Physicians. - Moscow, 2002.

Methodical recommendations as to treating patients with various diseases, by means of the 'Gefestus' biologically-managed magnetic therapy device, are provided in the manual. It is written using both an analysis of the literature and the own experience of the author. The first part of the manual has contained a description of the device as well as the indications for its use while the second one has systematized and described the today's methods of treating various diseases by means of the 'Gefestus' device.

The manual is designed for general practitioners, physical therapists, and trainees of Retraining and Qualification Development Faculties.

Magnetic therapy, being one of artificial therapeutic physical agents, has been used in physical therapy long since. During this period, thanks to the efforts of many researchers and doctors, an influence of low-frequency magnetic fields on various biological fluids, cells, organs, and systems of the body has been studied, adequate parameters of therapeutic influence of magnetic fields have been specified, methods of influence as well as techniques of procedure conduct have been wrought, indications for the use of magnetic therapy have markedly been expanded, and contraindications have been specified. Relatively recently, perfect magnetic therapy devices with feedback had entered medical practice. Such apparatuses have enabled to automatically change parameters of influencing magnetic fields depending on electric characteristics of patient tissues.

Biologically-regulated magnetic therapy has today been realized in a number of devices; the 'Gefestus' apparatus is one of them. It allows an influence by pulsed magnetic field whose characteristics have changed depending on impedance of patient tissues.

Biologically-regulated magnetic therapy provided using the 'Gefestus' device does activate metabolism of lipids and carbohydrates, intensify local blood flow, provide lymphatic drainage of the body parts, stimulate metabolism of all layers of the skin, increase muscle contractility, decrease fatigue of the organism.

The 'Gefestus' device is effective in patients with various diseases, and designed to be used in policlinics, ambulatory units, hospitals, sanatoria and other therapeutic-prophylactic organizations as well as rehabilitation centers, cosmetic bodies, aerobics and fitness centers, sportive and sportive-health-improving centers, and by sportsmen of different specializations.

THE PURPOSE OF THE 'GEFESTUS' DEVICE


The 'Gefestus' device for managed biological-magnetic therapy (hereinafter 'the device') is designed to treat patients by means of a pulsed complexly modulated magnetic field whose characteristics are changed depending on impedance of patient tissues. The dynamics of passive electrical properties of patient tissues has reflected changes in functional features of patient tis-sues influenced by therapeutic modality, and can serve as a diagnostic index of their states.

The device can be used in Physical Therapy Departments as well as therapeutic-prophylactic and policlinical organizations, and other therapeutic bodies.


THE STRUCTURE AND THE OPERATION PRINCIPLE OF THE DEVICE

The device of biologically-managed low-frequency magnetic therapy is a small appliance con-tained in a rectangular shock-resistant box. Inside the box, a control unit (processor) which generates low-frequency complex-form impulses transferred to four couples of therapeutic inductors, and a feedback sensor are placed. The processor is connected to a power unit (12 V). The electronic unit box has incorporated a power plug.

The inductors transform impulses into a complexly modulated magnetic field whose parameters have automatically been changed by a biological regulation unit conjunct sequentially with a feedback sensor. As a result, patient tissues are influenced by complexly modulated magnetic fields with variable magnitude-frequency characteristics. The feedback sensor is able to operate autonomously (in a 'biological regulation' option). In this case, it is possible to employ the scale of tissue impedance in order to assess the tissue functional parameters determinate by speed of microcirculation and a level of metabolism.


THE MAIN TECHNICAL CHARACTERISTICS OF THE 'GEFESTUS' DEVICE

The range of the bearing frequency of magnetic field pulses is no more than 200 Hz.
The modulation frequency is from 0.5 to 0.8 Hz.
The frequency deviation of the pulsed modulated magnetic field is 10%.
The magnetic field induction on the inductor surface at the pulse frequency equal to 100 Hz is no more than 12 mT.
The nominal power supply is12 V.
The input power is no more than 12 W.
The safety class is II BF.
The dimensions are no more than 155 mm X 55 mm X 35 mm.
The mass is no more than 0.8 kg.

THE INDICATIONS TO USE THE BIOLOGICALLY MANAGED MAGNETIC THERAPY

The device can be used in patients with
cardiovascular diseases (ischemic heart disease, effort angina pectoris of the I-II functional classes, hypertension of the I-II stages);
initial muscular atrophy resulted from damages of peripheral motor nerves (poliomyelitis, polyneuritis, plexitis, radicular neuritis, traumatic neuritis, osteochondrosis with considerable radicular syndrome, cerebral paralysis);
flaccid paralysis with pain syndrome and marked trophic disorders; diseases and traumatic injuries of the joints;
diseases and traumas of the bone-muscular system (contusion, ligament damages, fractures after immobilization);
vasospasms, endarteritis obliterans, Raynaud disease;
digestive diseases (chronic gastritis, biliary tract disorders, atonic and spastic colitis);
gynecological inflammatory diseases (salpingo-oophoritis, erosions of the cervix uteri, mastitis);
joint inflammatory degenerative-dystrophic diseases with considerable pain syndrome (arthritis, arthrosis, rheumatoid arthritis, periarthritis, epicondylitis);
diseases of the otorhino-laryngological organs, eyes, mouth;
sclerodermy and trophic ulcers.

THE CONTRAINDICATIONS
FOR THE BIOLOGICALLY MANAGED MAGNETIC THERAPY

The main contraindications to use the 'Gefestus' device are following:
systemic blood diseases;
marked total exhaustion (cahexia);
stage III hypertension;
considerable atherosclerosis of brain vessels;
circulation diseases at decompensation stages;
bleedings and predisposition to bleedings;
a patient's general heavy state, fever (body temperature exceeds 38 C);
recurrent thrombophlebitis;
skin injuries within the area influenced.

WARNINGS AS TO THE SAFE USE OF THE 'GEFESTUS' DEVICE

In regard to electric shock safety, the device is conforming to the safety class II, the BF type. Only persons acquainted with the manual and the rules of technical use and safe service of electric appliances may be permitted to work with the apparatus.

The 'Gefestus' device has no handles under electric power.

It is strictly prohibited:
1. To employ the device when a lid of the electronic unit is removed;
2. To employ the device when natural heat loss from its electronic unit is impeded or the unit is thermally insulated;
3. To switch on the device when a liquid is accidentally taken inside the electronic unit or the emitter.

When functioning of the device is incorrect or any breakdowns take place, the device must immediately be switched off.

GENERAL PRINCIPLES OF THE TECHNIQUE AND THE OPERATIONAL PROTOCOL AS TO TREATMENTS CONDUCTED WITH THE 'GEFESTUS' DEVICE

Depending on an area to be influenced, one should choose inductors. They should rather be big when influencing extensive skin surface areas or reflex and biologically active zones is the goal. They should rather be small when influencing small joints and biologically active dots is the goal. One should choose the RM-11 'rhinitis mask' to influence the nose region, facial dots and projections of the lymph nodes.
The power unit should then be connected to the processor of the device. Appropriate therapeutic inductors should be connected to the jacks present at the lower wall of the device while a feedback sensor should be connected to the jacks present at the left-side wall.
The power unit should then be connected to a power supply; this should lead to lighting up the 'switch on' indicator with simultaneous sounding.
One should then push the 'b/s' button to make the apparatus ready to operate (when ready, sound disappears).
One should now set the initial magnitude of tissue impedance (0.1) using the feedback handle.
To check the sensor's capacity for work, it is necessary to touch its working surface (an impedance magnitude should change).
By means of the timer, it is necessary to set treatment duration needed (it will then be indicated on the display).
The next step is setting therapeutic inductors and feedback sensors within the area to be influenced.
Pushing the 'l/p' button, one should switch on the mode of generation of complexly-modulated oscillations (this will be accompanied with lighting the indicator of switching on of the therapeutic inductors and specific sounding which will be synchronic to an influencing magnetic field).
Upon finishing the procedure, the indicators of the timer and switching on of the therapeutic inductors will automatically be switched off.
One should then switch off the device.
In order to stop the procedure voluntarily, it is necessary to push the 'stop' button present on the front wall of the device.
It is required then to examine the skin over the area influenced.
After that, one should wipe the inductor surface with a serviette wetted by 3% peroxide solution.

THE PARTICULAR METHODS OF TREATING DISEASES BY MEANS OF THE 'GEFESTUS' DEVICE


Circulation diseases:


Ischemic heart disease, atherosclerotic and post-infarct cardio-sclerosis (3 to 6 months post-infarct), I-II functional classes' angina pectoris

Pulse low-frequency magnetic therapy is used at two following areas of the chest: (1) the sternum; (2) the left part of the inter-scapular region. Two inductors positioned along the body are used. A feedback sensor is attached at the flexion surface of the left radial-carpal joint. Each zone is influenced during 5 min every day or every other day. Total amount of treatments is equal to 10 to 12.


Hypertension-type neurocirculatory dystonia, I stage hypertension

Pulse low-frequency magnetic therapy is paravertebrally used at the 'collar' area. The first 3 or 4 procedures are performed using two inductors; all the rest treatments are carried out using four inductors. A feedback sensor is attached at the center of the forehead or the left sinus-carotid zone. Treatment duration is equal to 10-15 min. Treatments are performed every day or every other day; 10 to 15 procedures totally.


II stage hypertension

Pulse low-frequency magnetic therapy is paravertebrally used at cervical and thoracic levels of the spine (VI - DVII) as well as at the area of renal projections. Four inductors are used. A feedback sensor is attached at the left sinus-carotid zone. Treatment duration is equal to 10-15 min. Treatments are performed every day or every other day; 10 to 12 ones per course.


Feet vessels atherosclerosis obliterans

Pulse low-frequency magnetic therapy is used at three following areas: (1) the lower-lumbar level of the spine (paravertebrally); (2) in the region of the gastrocnemius muscles; (3) the back-sides of the feet and the talocrural joints. Four inductors positioned longitudinally are used. A feedback sensor is attached at the back of the femur or in the groin. Each zone is influenced during 5 min every day or every other day. Total amount of treatments is equal to 10-15.


Respiratory diseases:


Chronic non-specific bronchitis, chronic pneumonia (outside exacerbations)

Pulse low-frequency magnetic therapy is used in the region of the chest involving three following areas: (1) the sternum; (2) the inter-scapular area; (3) the under-scapular zone. Four inductors positioned longitudinally are used. A feedback sensor is attached at the right supra-clavicular area. Each zone is influenced during 5 min every day. Total amount of treatments is equal to 10-12.


Bronchial asthma (outside onsets of wheezing)

Pulse low-frequency magnetic therapy is used in the region of the chest involving two following areas: (1) the sternum; (2) the inter-scapular area. Four inductors positioned longitudinally are used. A feedback sensor is attached at the right supra-clavicular area. Each zone is influenced during 5 min every day. Total amount of treatments is equal to 10-12.

Otorhinolaryngological diseases:


Chronic (vasomotor) rhinitis (outside exacerbations)

Pulse low-frequency magnetic therapy is used at the sides of the external nose. Two inductors positioned transversely are used. A feedback sensor is attached at the center of the forehead. Treatment duration is equal to 10 min. Treatments are performed every day or every other day; 10 ones per course.


Chronic maxillary sinusitis/ frontal sinusitis (non-purulent), outside exacerbations; subacute catarrhal maxillary sinusitis/ frontal sinusitis

Pulse low-frequency magnetic therapy is used at the projections of the maxillary sinuses. Two inductors positioned longitudinally are used. A feedback sensor is attached at the forehead or the temporal area. Treatment duration is equal to 10 min. Treatments are performed every day or every other day; 10 ones per course.


Subacute (chronic) pharyngitis; chronic tonsillitis

Pulse low-frequency magnetic therapy is affecting the area under the low jaw. Two inductors positioned transversely are used. A feedback sensor is attached at the right supra-clavicular area. Treatment duration is equal to 10 min. Treatments are performed every day or every other day; 10 ones per course.


Chronic (subacute) laryngitis

Pulse low-frequency magnetic therapy is used at the anterior surface of the neck (the zone of projection of the vocal cords). Two inductors positioned longitudinally are used. A feedback sensor is attached at the supra-clavicular area or the posterior surface of the neck (CVI-CVII). Treatment duration is equal to 10 min. Treatments are performed every day or every other day; 10 ones per course.


Gastroenterological diseases:

Chronic gastritis, ulcer disease of the stomach (outside exacerbations)

Pulse low-frequency magnetic therapy is used at two following zones: (1) the epigastric area; (2) the CVI-DIII region of the back (paravertebrally). Two inductors positioned longitudinally are used. A feedback sensor is attached at the lower border of the left rib arc (DIII), at the middle clavicular line. Each the zone is influenced during 5 min every day; 10-12 treatments per course.


Chronic duodenitis, ulcer disease of the duodenum (outside exacerbations)

Pulse low-frequency magnetic therapy is used at two following areas: (1) the pyloro-duodenal zone; (2) the DIII-DX region of the back (paravertebrally). Two inductors positioned longitudinally are used. A feedback sensor is attached above the right shoulder. Each area is influenced during 5 min every day or every other day; 10-12 treatments per course.


Hypomotor-type biliary dyskinesia; chronic cholecystitis (outside exacerbations)

Pulse low-frequency magnetic therapy is used at two following zones: (1) the DIII-DX region of the back (paravertebrally); (2) the right under-ribs area. Two inductors positioned longitudinally are used. A feedback sensor is attached above the right shoulder. Each zone is influenced during 5 (10) min every day or every other day; 10-12 treatments per course.


Chronic colitis (outside exacerbations); chronic atopic constipation

Pulse low-frequency magnetic therapy is used at two following areas: (1) the back (DXI- DXII) or the loins (LI-LIII) paravertebrally; (2) the abdominal wall, along the colon. Two inductors positioned longitudinally are used. A feedback sensor is attached at the center of the epigastric area. Each zone is influenced during 5 (10) min every day or every other day; 10-12 treatments per course.


Chronic pancreatitis (outside exacerbations)

Pulse low-frequency magnetic therapy is used at two following areas: (1) the DVII-DIX region of the back (paravertebrally); (2) the mesogastric area. Two inductors positioned longitudinally are used. A feedback sensor is attached at the lower border of the left rib arc, at the middle clavicular line (or the epigastric area, under the sternum). Each zone is influenced during 5 (10) min every day or every other day; 10-12 treatments per course.

Joint diseases:


Osteoarthrosis without acute reactive synovitis (gonarthrosis, coxarthrosis, arthrosis of the shoulder and elbow joints)

Pulse low-frequency magnetic therapy is used at areas of the lower thoracic and lumbar spine (or the lower cervical and upper thoracic spine) as well as the affected joint. Two inductors positioned longitudinally (transversely when a joint is influenced) are paravertebrally used at the CIII-DIV or DX-LII levels of the spine. A feedback sensor is attached at the flexion side of the lower third of the forearm (or the shin), depending on the joint affected. Each zone is influenced during 5 (10) min every day or every other day; 10-15 treatments per course.


Chronic external epicondylitis of the elbow joints (outside exacerbations)

Pulse low-frequency magnetic therapy is used at two following areas: (1) the CIII-DII regions paravertebrally; (2) the elbow joint. Two (four) inductors positioned longitudinally along the spine (transversely in case of the joint) are used. A feedback sensor is attached at the flexion side of the lower third of the forearm. Each zone is influenced during 5 (10) min every day or every other day; 10-15 treatments per course. When four inductors are used, the total period of procedure is equal to 10 (20) min.


Neurological diseases:


Neuropathy of the facial nerve (10-14 days after the commencement of acute phase)

(A) Pulse low-frequency magnetic therapy is applied around the ear and at the processus mastoideus area. Two inductors positioned longitudinally are used. A feedback sensor is attached at the forehead. Treatment duration is equal to 10-15 min. Treatments are performed every day or every other day; 10 to 12 ones per course.

(B) Pulse low-frequency magnetic therapy is paravertebrally used in the CIII-DVII regions. Two inductors are employed. A feedback sensor is attached at the lower third of the flexion surface of the left or right forearm (depending on the side of affecting the facial nerve). Treatment duration is equal to 10-15 min. Treatments are performed every day or every other day; 10 to 12 ones per course.


Trigeminal neuralgia (outside the attack)

(A) Pulse low-frequency magnetic therapy is applied around the ear and at the outlet points of the 1st, 2nd, and 3rd branches of the trigeminal nerve. Two inductors positioned longitudinally are used: one is directed at the area surrounding the ear; another is in turn directed at the outlet points of the trigeminal nerve (on the affected side of the head). A feedback sensor is attached at the forehead. Treatment duration is equal to 15 min; the position of the second inductor is changed when 5 min elapse. Treatments are performed every day or every other day; 10 to 12 ones per course.
(B) Pulse low-frequency magnetic therapy is paravertebrally used at the 'collar' area. Two inductors positioned paravertebrally in the CVII-DVII region are used. A feedback sensor is attached at the lower third of the flexion surface of the left or right forearm (depending on the side of affecting the trigeminal nerve). Treatment duration is equal to 10-15 min. Treatments are performed every day or every other day; 10 to 12 ones per course.


Spinal osteochondrosis with pain muscular-tonic and radicular syndrome

(A) In the cervico-thoracic region. Cervico-brachial pain syndrome.
Pulse low-frequency magnetic therapy is used in the cervical-thoracic region of the spine as well as the supra-brachial area and the upper third of shoulder (the side of influence is chosen depending on the localization of pathology). Two zones are influenced. Four inductors are posi-tioned as follows: one couple of inductors is paravertebrally placed in the CVII-DII zone while another couple is longitudinally fixed at the supra-brachial area and the upper third of shoulder. A feedback sensor is attached at the lower third of the forearm (its flexion side). Treatment dura-tion is equal to 10-20 min. Treatments are performed every day or every other day; 10 to 12 ones per course.

(B) In the thoracic region. Dorsal pain syndrome.
Pulse low-frequency magnetic therapy is paravertebrally used in the thoracic region of the spine (in the affected segment zone) and along the interribs space (pain irradiation). Four inductors are positioned as follows: one couple of them is paravertebrally placed in the affected segment zone while another couple is longitudinally fixed along the direction of pain irradiation. A feedback sensor is attached in the region of the corpus sterni or the epigastric zone. Treatment duration is equal to 10-20 min. Treatments are performed every day or every other day; 10 to 12 ones per course.

(C) In the lumbo-sacral region. Lumbar, lumbosciatic, sciatic, sacral pain syndrome.
Pulse low-frequency magnetic therapy is used in the region of the lumbosacral spine and the leg (along the direction of pain irradiation). Four inductors are positioned as follows: one couple of them is paravertebrally placed in the affected segment zone while another couple is longitudinally (the femur, the shank, the foot) fixed along the direction of pain irradiation (innervation of the femoral or sciatic nerves), in tern on those areas (zones). A feedback sensor is attached at the foot or the shank. Treatment duration is equal to 20 min. Treatments are performed every day or every other day; 10 to 15 ones per course.


Dyscirculatory encephalopathy (outside exacerbations)

Pulse low-frequency magnetic therapy is used at the 'collar' area. Two inductors positioned paravertebrally are used in the CIII-DVII region. A feedback sensor is attached at the forehead. Treatment duration is equal to 15 min. Treatments are performed every day or every other day; 10 to 12 ones per course.

Pulse low-frequency magnetic therapy is used at the temporal areas. Two inductors positioned transversely are used. A feedback sensor is attached at the forehead or the parietal area. Treatment duration is equal to 10-15 min. Treatments are performed every day or every other day; 10 ones per course.

Urogenital diseases:


Chronic pyelonephritis (outside exacerbations)

Pulse low-frequency magnetic therapy is used at the renal projections and the mesogastric or hy-pogastric area of the abdominal wall. Four inductors are positioned as follows: one couple is at the renal projections area, another couple is at the mesogastric or hypogastric one, longitudinally, along the ureter. A feedback sensor is attached at the epigastric area. Treatment duration is equal to 10-20 min. Treatments are performed every day or every other day; 10 to 12 ones per course.

Chronic cystitis (outside exacerbations)

Pulse low-frequency magnetic therapy is used at the super-pubic area. Two inductors positioned longitudinally (transversely) are used. A feedback sensor is attached in the region of the lower third of the sacrum. Treatment duration is equal to 10-20 min. Treatments are performed every day or every other day; 10 to 12 ones per course.


Chronic prostatitis (outside exacerbations)

Pulse low-frequency magnetic therapy is used at the super-pubic area and the perineum. Two inductors positioned transversely are used. A feedback sensor is attached in the region of the sacrum. Treatment duration is equal to 10-20 min. Treatments are performed every day or every other day; 10 to 12 ones per course.

Gynecological diseases:


Chronic salpingo-oophoritis (outside exacerbations)

Pulse low-frequency magnetic therapy is used at the hypogastric area. Two (four) inductors po-sitioned longitudinally (transversely) are used. A feedback sensor is attached at the epigastric area or in the region of the sacrum. Treatment duration is equal to 10-20 min. Treatments are performed every day or every other day; 10 to 12 ones per course.