1) Preform routine medical history, orthopedic and neurological exam by a trained and licensed health-care provider.
2) Review contraindication to electric muscle stimulation
Contraindications:
It should not be used to treat symptomatic local pain unless the cause of the pain has been clearly diagnosed.
Electrotherapy should not be used in areas of the body where cancerous lesions exist.
The treatment should not be applied in areas of the skin that are swollen, infected, or inflamed (e.g. varicose veins)
Patients suspected of having serious infectious diseases or diseases that require heat or fevers to be suppressed should not be treated with electrotherapy.
Electrotherapy current should not be applied to the anterior neck (carotid sinus) or through the head.
Women who are pregnant should avoid electrotherapy treatment, as safe use has not been established for pregnancy.
Patients with cardiac demand pacemakers should not be treated using powered muscle stimulators.
Waveforms should not be used on patients who have cardiac demand pacemakers.
3) To Enhance Healing Preform Super Exercise With Oxygen Therapy 10-15min Before Therapy If Possible
4) Use “HUNT PROTOCOL” to find the 4 most sensitive areas or “Hot Spots”and mark these with a marker.
5) Place the adhesive electrodes over the “hot spots” with the BLACK lead proximal to the heart and the RED most distal from the heart.
6) Preform Exercise Progression Based On Muscle Groups
If you were “hunting” around the knee and you found hot spots in the hamstring, calf and quad, you would preform the one exercise for the hamstring, calf and quad list.
7) Turn Intensity Up To a 5 or 6 on a scale of 1-10. As perceived by the patient. Preform 5 Very Slow Movements followed by 5 faster Movements, Rest about 30 sec. If the intensity scale number has dropped, increase the intensity. IT IS NOT NECESSARY TO GO AS HIGH AS YOU CAN.
8) Repeat this for 8 min the reverse the polarity.
Unplug the leads from the electrodes and reverse the leads.
9) Repeat Exercise Progression for another 8min.
10) Remove the leads from the hot spots and sandwich the area of injury if there was one.
Patient came in with patella tendinitis, you hunted and found the hot spots in the hamstring, calf and quad then you did the exercise progression, now you will put the pads over the patellar tendon or use the manual for local pad placement.
11) End with Micro-current Setting
Movement Protocols
Never push through pain
5 Very Slow Movements
(May need to assist the patient and stretch them into full range of motion)
5 Fast Movements
20-30 Second Rest
Increase Intensity
Repeat 8 min
Reverse Polarity
End With ECO (If strength training)
OR
MicroCurrent (If Tear/Inflammation) facilitate healing, cell growth, and tissue repair
Knee/Quad/Gluts
No Movement
Passive Knee Extension
Active Knee Extension
Assisted Sit To Stand
Unassisted Sit To Stand
Swiss Ball Wall Squats
Squats
Functional Lunge
Deep Lunge Back Foot up
Pistol
Hamstring
No Movement
Passive Straight Leg Raise
Toe Touch
Standing Bike
Stand on one foot, can hold onto wall for stability. Bring knee has high as you can, extend leg, pushing heel out and flexing toes toward your body, pull leg in like peddling a bike
Hamstring Ball Curl
Calf
Sitting Calf Raise
Standing Calf Raise (Toes Elevated)
Standing Calf Raise On half Bosu Ball
Shin / Ant Tiibialis
Passive Ankle Dorsi/Plantar With Inversion & Eversion
Active Ankle Dorsi /Plantar With Inversion & Eversion
Ankle
Passive Foot Plantar Flexion, Dorsiflexion, Inversion and Eversion
Active Foot Plantar Flexion, Dorsiflexion, Inversion and Eversion
(May need to assist patient into full ROM)
Lateral Tilts
Medial Tilts
Front Pulls With The Dorsal Foot On Medicine Ball
Full Ankle Circles
Active Flexion and Extension While On Bosu Ball or Wobble Cushion
Back (Lumbar)
No Movement
Passive Knee To Chest
Standing Lumbar Circles
Unassisted Sit To Stand
Swiss Ball Wall Squats
Squats
Functional Lunge
Deep Lunge Back Foot up
Pistol
Back (Thoracic)
Lat Stretch /Hangs
Clap Hands Over Head
Assisted Lat / Row Stretch
Assisted Thoracic Rotation Away From Stabilizing Hand
Active Standing Rows
Active Thoracic Rotation Away From Stabilizing Hand
Alternating Trap Raises
Superman
Hip
Assisted, Supine Knee Circles
Assisted Piriformis Stretch
Assisted Leg Traction With External Rotation
Assisted Hamstring Stretch
Assisted Adduction
Standing Pendulums
Stand with quad parallel to floor, swing hip brining foot and lower leg as high as you can
Standing Hip Circles
Front
Side
Back
Across Body
Standing Knee Circles
Flex knee as high as you can, rotate knee to side, drop down
(Can have them step over a string/ruler)
Squats
Functional Lunge
Deep Lunge Back Foot up
Pistol
Shoulder
Passive / Assisted Stretch (Lengthen the muscle while EMS contracting)
6 Position Shoulder Circles
Front
Back
Above
Below
Side
Across Body
Scapular Circles
Perform The Movement Of The Muscle
Elbow
Assisted Elbow Circles
Arm straight, fist, palm down, bring fist to chest, bring arm parallel to body, extend arm in front with palm up
Assisted Curl To Internal Extension (Mostly For Extensors)
Biceps curl with wrist flexed, internal rotate arm to full extension keeping wrist flexed
Assisted Curl To External Extension (Mostly For Flexors)
Biceps curl, extend arm, extend wrist and fingers
Assisted Pronation To Supination (Mostly For Pronator)
Active Pronation To Supination With Weight
Active Elbow Circles
Active Curl To Internal Extension
Active Curl To External Extension
NECK
Flexion and Extension (manually push neck further to end range of motion)
Rotation
Lateral Flexion With Lateral Glide
Laterally flex the neck, now push or glide the ear to the sky
Flexion With Posterior Glide
Flex the neck, now push the neck posterior
Sideway 8
Follow or draw a sideway 8 (OO) with your nose
Copyright 2018 Dr Jeff Banas
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A very brief talk on how we use the Phoenix Wave at our office to treat pain and sports injuries.
All our Phoenix Protocols begin with a Skype consultation with Dr. Banas, which is included with the purchase of your Phoenix Edition.
During this consultation, you and Dr. Banas will discuss your current condition, your goals and where you think you need to be.
Step one begins with solving movement problems, this is why it is important to work ono-on-one with Dr. Banas through Skype.
Dr.Banas will then direct you on how to use the Phoenix to address your findings.
This is an ongoing process for the first 3 months.
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Listed below are some samples of our protocols and techniques.
Protocol Progression
To enhance mobility or warm up for an event or exercise session:
If you do not have any pain or tightness, and are preparing for an event or exercise session begin with the Rapid Mobility & Neurological Warm Up. If after the warm up you feel better and more mobility, you are ready to move onto your exercise session, training or event. If you continue feel tightness or stiffness in a particular body part, proceed to Joint Specific Mobility & Neurological Warm Up before beginning your event or training session.
If you have pain, an injury or stiffness:
If you have any injury, pain, joint stiffness, tightness begin with theRapid Mobility & Neurological Warm Up.If you still feel tightness or stiffness in a particular body part or joint, proceed to Joint Specific Mobility & Neurological Warm Up, if you continue to have stiffness, pain or tight, proceed to the Condition Specific Therapy Sessions for your specific condition or body part. If you still continue to experience pain or tightness proceed to the Hunt and Release Protocol.
Muscle Spasticity
Continuously contracted muscles as in Cerebral Palsy, Multiple Sclerosis and similar conditions, begin with Rapid Mobility & Neurological Warm Up. If you still feel tightness or stiffness in a particular body part or joint, proceed to Joint Specific Mobility & Neurological Warm Up, if you continue to have stiffness, pain or tight, proceed to the Muscle Spasticity Protocols.
Strength Training
If you do not have any pain or tightness, and are preparing for an event or exercise session begin with theRapid Mobility & Neurological Warm Up.If after the warm up you feel better and more mobility, you are ready to move onto theStrength & Endurance Protocols.
The Phoenix Protocols
Rapid Mobility & Neurological Warm Up
We will be starting most movements when the muscle is in its shortest position and finish in its longest position. The Phoenix Stimulation will cause the muscles to contract and then you will perform the mobility drills, your muscle will be contraction as the muscle are elongated. This is an Eccentric Contraction.
There has been a ton of research to show eccentric training actually increases your flexibility. Here’s how it works. The negative portion of the lift causes growth of your muscle fibers, which increases the length of your muscles by increasing the sarcomeres in series within the muscle
Most people, therapists and doctor do not know how to make people more flexible. Especially when it comes to conditions such as cerebral palsy. Muscles do not stretch the way most everyone thinks they do. You must continuously contract muscles while lengthening them to produce a change in flexibility.
It is well-known and documented by numerous studies that eccentric training (The muscle contracting while it is lengthening, commonly called Negatives) is one of the best ways to increase flexibility. However, one of the biggest problems when trying to you eccentric training to improve flexibility is that in order to achieve the benefits you would need a group of people to assist you.
For example, Let’s say you want to improve the flexibility of your quadriceps. You could lay on your stomach, contract your quadriceps and try to push your foot to the floor, while someone else giving you resistance and overpowering you as they push you foot to your buttock (this would be eccentric training for the quadriceps).
OR, we could attach the Phoenix DC current to your quadriceps, causing the quadriceps to contract and then you can do a squat which is basically the same eccentric training, thus producing greater flexibility. I’m making it a little simple, but we can do this for all the muscle in a very short time.
We also have specific mobility protocols for conditions such as cerebral palsy. Our mobility protocols are designed to be self-flexibility exercises.
Joint Specific Mobility & Neurological Warm Up
Specific mobility and neurological warm up for the neck, shoulders, back, elbows, wrist, hands, hips, knees, ankles and feet.
Muscle SpasticityProtocols
Muscle Spasticity is when muscles are continuously contracted as in conditions like Cerebral Palsy and Multiple Sclerosis. These protocols are specifically designed for people who suffer from muscle spasticity.
Strength Training Combined with Weight Training
Simple put, these protocols allow you to train more often and harder. They allow you to train multiple areas at the same time. They allow you to train your muscles without stress on the knees or joints and they allow you to continue to train even AFTER your muscles have fully fatigued.
What type of running would you be if you were able to do 5000 squats? We can do this with the Phoenix, because we control the muscle contraction and NOT your brain.
Strength Training Minimalist Protocols.
Achieve maximum results with minimal training. Strength train while at work , while watching TV or while doing computer work.
Finished Ironman with less that 10 hours a week thanks to the strength and endurance protocols
Condition Specific Therapy , Strength and Rehabilitation Protocols.
These self-administered therapies protocols are designed for specific injuries and conditions such as Sprains and strains ligaments and tendons of the knee, shoulder, foot, ankle, wrist, hand, neck and back.
Are you treating the origin or cause of the pain, or are you treating the symptoms?
For example, if you are suffering from patellar tendonitis treating just the patellar tendon may help with the symptom but may not resolve the condition. Why did you get patellar tendonitis in the first place?
We often see dysfunctions within the quadriceps and hamstrings which end up causing patellar tendonitis. These protocols are designed to:
First: treat the condition (or symptom).
And Second: Hunt for the origin or cause of your condition or symptom.
On occasions it may be necessary to “hunt” for the correct pad placement. This involves moving the electro pads around on the body until you feel or the patient feels and increase in stimulation over the injured body area. When moving the pads over the body make sure you drag them across the skin keeping them in contact with the skin. If you lift the pad off the skin and then put the pad back on the skin you may feel an increase in muscle stimulation and some discomfort.
Deep Breathing to Hyper-oxygenate Your Blood and Body.
Begin each therapy session with deep breathing exercise to hyper-oxygenate the blood and aid in tissue healing.Breath in deep through the nose, the blow all the air out of your lungs through your mouth. (You may feel a little lighted headed the first few times you do this.). Do 30 deep breath repetitions.
Neuro-Slap and Stomp
The Neuro-Slap and Stomp is designed to wake up the nervous system, stimulate lymphatic activity, increase energy and muscle activation.
SAMPLE MOBILITY PROTOCOLS
Standing Toe Touch
Key mobility areas: Hamstring and calf.
Pad placement: Black pad on the belly of the hamstring, red pad on the belly of the gastrocnemius. Repeat the same pad placement on the opposite side of the body.
Intensity: Slight to moderate muscle contraction or a discomfort level of 4-5 on a scale of 10.
Movement: Stand tall with your toes slightly elevated, while holding 10-25 pounds, slowing bend forward and try to touch your toes, hold for 3 seconds then return to the upright position.
Hyperoxygenation Breathing: To hyper-oxygenate the blood Inhale deeply through your nose, then as you are moving though the movement blow all the air out of your lungs, then inhale deeply again through your nose, blow all the air out of your lungs as you move back to the starting position. Repeat this throughout the movement session.
Repetitions: 5-10
Squat
Key mobility areas: Quads and Gluts
Pad placement: Back pad on the belly of the gluteus maximus, red pad on the belly of the quadriceps. Repeat the same pad placement on the opposite side of the body.
Intensity: Slight to moderate muscle contraction or a discomfort level of 4-5 on a scale of 10.
Movement: Stand tall and hold onto a TRX, rope, door jamb. Drop down into the squat position making sure to keep you knees over your ankles. Try not to let you knees go too far in front on your knees. You can do this without holding a support, however try to make sure to not allow your knees to go in front of your knees.
Repetitions: 5-10. Each time try going deeper into the squat. (Get your butt closer to the ground while keeping you knees over or in-line with you ankles.
Pad placement: Black pad on the lower back, red pad over the psoas muscle on the same side. Repeat the same pad placement on the opposite side of the body.
Intensity: Slight to moderate muscle contraction or a discomfort level of 4-5 on a scale of 10.
Movement: Preform a rear lunge. Step back with one leg while bending supporting leg. Plant forefoot far back on floor. Lower body by flexing knee and hip of supporting leg until knee of rear leg is almost in contact with floor. Put you hands over your head and bent away from the knee that is close to the ground.
Hyperoxygenation Breathing: To hyper-oxygenate the blood Inhale deeply through your nose, then as you are moving though the movement blow all the air out of your lungs, then inhale deeply again through your nose, blow all the air out of your lungs as you move back to the starting position. Repeat this throughout the movement session.
Repetitions: 5-10 each side
Individual results may vary. Consult your physician or health care provider and follow all safety instructions before beginning any new exercise program, especially if you are pregnant, or have any medical condition. The contents on our website are for informational purposes only, and do not constitute medical, legal, or any other type of professional advice. Read the Globus and Phoenix Training Manual Fully before using the EMS unit. Results will vary depending on the individual, personal health status, performance goals, and proper use of the device. Terms of Service, Disclaimer, & Privacy Policy
Joint Specific Mobility & Neurological Warm Up
