ANSWER: Reduced activity leading to DISUSE ATROPHY. Imbalance of muscles leading to MUSCLE SPASMS. Reduced circulation leading to the need for INCREASE LOCAL BLOOD CIRCULATION. Reduced range of motion in the joints due to inflammation or trauma needing INCREASE RANGE OF MOTION.
In these cases the Neurocare™ can be very effective at maintaining or reversing many of the unpleasant symptoms.

Neurocare™ simulates exercise but achieves results by working the inactive or injured muscle fibers versus a “fast twitch” on the active muscle, thus strengthening and re-educating the specific injured or atrophied muscle. As in exercise this also increases local blood circulation and re-educates weak muscles or muscles in spasm.

Neurocare™ technology overcomes the resistance of disease and the distance of electrode application. Treatments achieve deep muscle contractions without discomfort

Treatments are provided under your physician’s prescription but done in your home. If the treatments are needed due to an injury, normal work activities can usually be maintained during the recovery period.

NEUROCARE™’S (FDA listed indications)

Most all persons who have had an injury or compromised circulation problems will experience one or more of these symptoms due to their problem.

SAFE, PORTABLE, NON-INVASIVE, IN-HOME USE!
FDA Registered Aug. 3, 1993 (Other models available)

Treatment for:
Workman’s compensation injuries;
Injuries due to automobile accidents,
Sport injuries,
Overuse injuries (on-the-job, or at home) Pre-existing,
recurring muscle strains,
Problems with Local Blood Circulation

Physician referral, further information or study reprints are available upon request.
e-mail: ems@neurocare.com Website: www.neurocare.com
1-503-371-6605 1-877-571-3599

The Neurocare 1000™ is proprietary and can only be obtained through a qualified supplier.

INDICATION: USES:

INCREASE LOCAL CIRCULATION:

• Increased wound and injury healing
• Healing of Diabetic decubitus ulcers
• More effective delivery of pharmaceutical
• Diabetic Neuropathy agents (i.e. antibiotics to treat: Osteomyelitis, gangrene, etc.)
• Prevention of blood clot formation Transverse Myelitis
• Edema/swelling reduction and elimination Decreased rehabilitation time

MUSCLE RE-EDUCATION:

• Incontinence
• Post operative muscle rehabilitation
• Stroke recovery for ambulation
• Sub-clinical diagnosis of neuromuscular
• Physical Therapy facilitation syndrome of non-participating muscle group Increase in tone and strength of difficult 100% muscle recruitment over treatment period muscle group training (i.e. abdominal, Decreased athletic rehabilitation time triceps, etc. Frozen shoulder syndrome. Off-site Physical Therapy Rehabilitation for knee and hip replacement Better patient compliance to physical surgeries therapy recommendations

RELAXATION OF MUSCLE SPASMS: Industrial sprain/strain complications Repetitive or overuse injuries Facilitation to physical therapy Carpal Tunnel complications Decrease or elimination of industrial “time loss” Heel spur/plantar fascitis “Whiplash” recovery time decreased Accelerated athletic re-participation Diagnosis of specific muscle involvement Tension headache relief TMJ syndrome relief Multiple Sclerosis relief from symptoms Spinal cord injury complications Stabilization to manual manipulation Postural imbalances resulting in muscle contractures Spasticity from: Cerebral Palsy, Paraplegia Restless legs syndrome (RLS) and Quadriplegia Tension headaches

MAINTAINING OR INCREASING RANGE OF MOTION:
Frozen Shoulder syndrome Post surgical rehabilitation Improved and Peak Athletic Performance Decreased risk of muscle strain Athletic injury prevention Detection and diagnosis of muscle imbalance More effective use of time spent complications Increased ambulation, comfort, and Increased patient compliance to exercise regime balance to Geriatric patients stretching/strengthening/training Increased speed in recovery from stroke Prevention of fibrosis from auto accident Tendonitis complications.

PREVENTION OR RETARDATION OF DISUSE ATROPHY:
Carpal/Tarsal Tunnel Syndrome Maintenance of muscle tone, post-casting Maintenance of muscle bulk and tone for Post stroke rehabilitation quadriplegics/paraplegics Neurological injury preventing muscle control Diagnosis of sub-clinical problem areas In-house usage for Geriatric or home health care Increase in athletic performance facilities Diabetic Neuropathy Decreased recovery time for auto accident injuries

IMMEDIATE POSTSURGICAL STIMULATION OF CALF MUSCLES TO PREVENT VENOUS THROMBOSIS:
Prevention of blood clot formation Reduced risk of pharmaceutical Decreased loss of muscle tone during non- (blood thinners) complications ambulatory surgical recover

COMPARISON/DESCRIPTION ES (electrical stimulator) is a general term for units used to stimulate muscles. There are many types of (ES) on the market. The TENS is separate from the NMES since the indication for TENS is limited to post-surgical pain, but it is still an ES. Neuromuscular electrical stimulation (NMES) units, per FDA indications, are therapeutic. The indicated uses are achieved by working muscle fiber, the following compares the different units ability to work the inactive or injured muscle fibers versus a “fast twitch” on the active muscle. Some types of ES units are:

1. Direct current, low-voltage;
2. Direct current, high-voltage;
3. Alternating current, low-voltage;
4. Alternating current, high-voltage;
5. Interferential,
6. H-wave;
7. Micro current;
8. TENS. It requires 30 to 35 volts to achieve any contraction of an active muscle. Increased voltage increases muscle recruitment. It requires more volts to get deeper muscle fiber.

The units listed are multiple names and models, but cover the complete type availability.

• 6V units do nothing more than cause a fast twitch of active muscles.
• 7.5 V will work some active muscle fiber, but cannot recruit inactive or muscle in disuse due to injury.
• 9V will work only the active muscle fiber, but cannot recruit inactive or muscle in disuse due to injury.
• 12 V is closest to the clinical models, but can be used at home. Recruits inactive muscle fiber, in disuse due to injury. Can overcome the resistance of inflammation and edema, to recruit muscle. NeuroCare™ are the only 12V portables.
• 110/120 V Neurocare’s Clinical model. Recruits inactive muscle fiber, in disuse due to injury. Can overcome the resistance of inflammation and edema, to recruit muscle.
• TENS, 9V will only invoke a “fast twitch” of active muscle, and is FDA indicated for diffusing pain signal, localized post-surgically. Not FDA approved for other uses.

Remember, all machines listed will show a “fast twitch” of muscles. However, muscle recruitment is achieved via fatigue of the muscle fibers. An injured muscle is in disuse and must be recruited to re-education thus achieving wellness. The only unit listed capable of this recruitment is the 12V and clinical NeuroCare™.

6252 Skyline RD. south Salem, Oregon 97306
(503) 371-6605 or Toll-Free (888) 671-6605
E-mail: ems@neurocare.com