Introduction To HighTone Therapy 2018-01
Introduction To HighTone Therapy 2018-01
Introduction To HighTone Therapy 2018-01
HiToP
HighTone
Power Therapy
An Introduction
gbo: Your Partner
for Physical Therapy
In collaboration with Dr. med. H.-U. May gbo developed the HiToP-Therapy,
the new generation of electro therapy. In addition to the classical indications,
this therapy opens up completely new possibilities to the therapist.
Hence, much of the know-how gained from medicine was adopted in the areas
of wellness/sport – for the well-being of users, customers and patients.
Driven by the ambitious goals persecuted by the people and products of gbo, it
is only natural that gbo Medizintechnik AG established a certified quality
management system in accordance with EN ISO 13485.
2
Preface
Intention and content
3
HighTone power therapy
is a very efficient therapy
70% to 80% of all patients experience a pain relief after the first
treatment or are even free of pain altogether.
Number of
Patients Pain free Pain relief No Change
Number of
Patients Pain free Pain relief No Change
4
Origin of the HighTone power therapy
HighTone power therapy is a new quantum leap in the field of electro therapy.
From the technical point of view the classical electro therapy is a modulation
of amplitude: The current intensity is modulated, but the frequency remains
constant. Electro therapy uses modulation frequencies between 0 and 200
Hertz in the low frequency range, and mostly 4.000 Hertz in the medium fre-
quency range.
In HighTone power therapy the amplitude and the frequency are modulated
simultaneously. The higher the frequency, the more energy can be intro-
duced corresponding to the individual threshold curve of the patient's
electro sensitivity.
The letter i stands for intensity, which increases simultaneously with rising
frequency.
2. In classical electro therapy, as a rule, one channel and two electrodes are
used. In HighTone power therapy up to 4 channels are in parallel operation,
with at least 10 electrodes.
5
What are the two main effects
of HighTone power therapy?
Mitochondria -
“Power-Plants“
of the cells
Picture from
Molecular Cell Biology
Darnell-Lodish,
Baltimore
Introduction of energy into the body in order to activate the cells and to
vitalize the body.
6
Question 1:
How is the energy introduced into the cells?
Shaded area
corresponds to the
HiToP-frequency
range
reference:
Department of
Electrical Engeneering
and Computer Sciences,
University of California,
Berkley, California DALZIEL
After the therapy, the patient feels refreshed, just like after a long
walk.
This energy input is twofold: once locally in the treated area and
simultaneously on the whole body.
7
Question 2:
What makes the cell
and tissue structures oscillate?
Resting state
Charged particles
(molecules,
cellstructures,...)
of different sizes
without an electric field
(original position)
8
Resonance phenomenons
It is a therapy of normalization.
9
SimulFAM i
A new kind of electrotherapy without muscle and
nerve stimulation
The applied frequencies range from 4.096 to 32.768 Hertz over 3 octaves
in 72 quartertone steps of 1 second each.
It is particularly important that all frequencies are passed through one after
the other, in order to make all cell and tissue structures oscillate.
The oscillations of the different particles in the tissue lead to many effects.
One of them is a strongly increased distribution of pain and inflammation
mediators as well as a positive effect on the transport of nutritive and
waste products.
Due to the strong diffusion effect the HighTone Therapy is very well
suited to transfect medication that is made for iontophoresis into the
body.
10
SimulFAM X
Classical stimulation frequencies
with innovative technique
With this function also nerves and muscles can be stimulated (yellow
effect). The letter 'X' stands for the crossing with the threshold curve.
11
SimulFAM X
The Paradox Stimulation
Each SimulFAM® X line is defined be the starting point I4kHz and the
ending point I32kHz. From these two points a slope is derived that can
take on values between 10% and 200%.
The higher the slope the smaller is the angle with which the
frequency scan crosses the threshold curve. With slopes greater
than 100% we get the paradox situation that smaller intensity levels
at 4 kHz generate the stimulation (action potentials) while the higher
intensities at 32 kHz yield no stimulation.
This especially slow and soft crossing of the threshold curve results
in very important characteristics of HighTone Therapy:
The softer (high slope) the threshold curve is crossed the more
comfortable the sensation is for the patient
The higher the slope the higher is the energy that can be
introduced to the body using SimulFAM® X.
12
HighTone power therapy in the practice:
Basic therapeutic procedure
Application 1
Application 2
Application 3
13
HighTone power therapy in the practice:
Conditions and accessories
14
Main indications
of HighTone power therapy
Knee arthrosis
Hip arthrosis
Shoulder-arm syndrome
Polyneuropathies
Tennis elbow
Edema treatment
15
Comprehensive description
of the whole-body treatment
Five large flexible electrodes are moistened with Aloe Vera contact
spray. Thus the electrodes have optimum contact to the skin. The
advantage of the Aloe Vera spray is that it does not evaporate too
quickly, as it is a natural product made of the juice of a palm tree.
Under each sole, on the outside of both forearms and on the neck
a flexible rubber electrode will be fixed with an elastic band.
The rubber electrodes are connected with one of the four channels.
It is unimportant, which channel is used for it. It is only preferable
that the black plugs are fixed on the rubber electrodes of the soles
and the white plugs on the rubber electrodes of the forearms.
One distribution
Whole-body There are four cable is
Distribution connected to up
treatment cables to four white
SimulFAM i I = red and two black
60 minutes II = green connectors
III = yellow
IV = blue
((In this
application the
fourth white
connector is not
used)
16
Now with this setup energy can flow through the body.
From the forearms to the soles.
The body cells are activated.
We choose SimulFAM i .
At first the intensity at the lower frequency of 4.096 Hertz is
adjusted until the patient feels a slight prickle which is very
pleasant.
After that, the intensity is adjusted also at the medium frequency of
16.384 Hertz, until the patient experiences also a pleasant prickle.
Important:
The whole-body application is always the last to be adjusted,
only after the other applications were adjusted.
17
Central and local pain relief
according to the principle of counter-irritation
SimulFAM X 100 Hertz
The advantage of analgesia at the upper end of the spine is that all
pain information below this application does not penetrate into the
brain.
For patients with knee arthrosis local pain relief with SimulFAM® X
100 Hertz is advisable. Energy is adjusted up to a stimulation that
can just be tolerated, from the rubber electrode on the upper thigh
to the rubber electrode at the inner part of the calf.
18
HiToP® 191
The Medical Muscle Stimulation
Specific medication for this type of disease does not exist. Typically used are
psychotropic drugs or drugs from the field of epilepsy. Unfortunately these
drugs are not very effective (for diabetic PNP), have many side effects and
are very expensive.
That is why it is good to know that these patients can be helped much better
by applying the medical muscle stimulation with the HiToP ® 191. A study at
the DDZ (German Diabetes Center, the Leibnitz Institute at the Heinrich-
Heine-University Düsseldorf) has not only shown that the HiToP® is very
successful with a 80% positive responder rate but also that it is much more
effective than the conventional electrotherapy with a 33%. success rate.
The scientists at the German Diabetes Center have continued their research
into the positive effects of HighTone Therapy and found out that the insulin
sensitivity is increased and a significant reduction in weight was achieved.
This study is due to be published soon.
19
Knee arthrosis
Application technique:
st
1 channel whole body (SimulFAM i)
nd
2 channel medially (inside) and laterally
(outside) to the knee joint,
one electrode each
(SimulFAM i), affected knee
rd
3 channel one electrode ventrally on
the mid thigh, one electrode
on the mid calf
(SimulFAM X 100 Hz),
affected leg.
th
4 channel one electrode each medially
and laterally to the knee,
®
unaffected leg (SimulFAM i)
Hip arthrosis
Since for patients with hip arthrosis not only the hip, but
due to a relieving posture and the changed body statics
also the spine is affected, it is recommended to treat also
the lumbar spine if this is given.
Application technique:
st
1 channel whole body (SimulFAM i)
nd
2 channel one electrode, each on both
sides of the femoral head
(SimulFAM i)
rd
3 channel one electrode dorsally on the
opposite side of the spine,
height L3-L5, one electrode
ventrally on the mid thigh
(SimulFAM X 100 Hz)
20
HiToP-device overview
Application technique:
st
1 channel whole body (SimulFAM i)
nd
2 channel 2 electrodes on the stomach,
one electrode transversally on
the lower part of the lumbar
spine (SimuIFAM i)
rd
3 channel one electrode each on both sides
of the pelvis
(SimulFAM X 100 Hz)
th
4 channel one electrode on the opposite
side of the spine, height L1-L3,
one electrode dorsally on the
thigh of the affected leg
(i.e. along the pain)
(SimulFAM X 100 Hz)
Shoulder-arm syndrome
Due to the limited mobility as well as the fear of sudden
pain after certain combined movements the patient with
shoulder-arm syndrome acquires a posture with which he
tries to avoid pain. This is characterized as follows: slightly
upturned shoulder, head bent to the affected side, arm
often flexed. This posture leads to tensions of the
trapezius muscle and the rhomboid muscles as well as to
an abnormal posture of the cervical spine.
Application technique:
st
1 channel whole body (SimulFAM i)
nd
2 channel one adhesive electrode
ventrally on the shoulder joint
and one adhesive electrode
dorsally on the shoulder joint
(SimulFAM i)
rd
3 channel two electrodes ventrally
on the upper arm
(SimulFAM X 100 Hz),
21
HiToP 4touch
22
HiToP 1touch
One channel
Easy operation by touch screen
10” Graphic display
Whole body treatment for vitalisation
Safety circuit to avoid voltage
sensations caused by bad electrode
placement.
No side effects.
HiToP 191
The special unit for the treatment of polyneuropathic
pain at home
®
The HiToP 191 is a HighTone Therapy unit for muscle
stimulation that has been especially designed to treat
diabetic polyneuropathy.
23
017-7-0077
01/2018
24