Power - Massage device Novafon - Free user manual and instructions

USER MANUAL Power Novafon

2. PRODUCT DESCRIPTION

2.1. SCOPE OF DELIVERY
2.2. DEVICE TYPES
2.3. ACCESSORIES
2.3.1. Disc attachment
2.3.2. Ball attachment
2.3.3. Optional accessories

3. OPERATION

3.1. FIRST USE
3.2. ADJUSTING THE INTENSITY
3.3. CHARGING
3.4. ATTACHMENTS

4. APPLICATION & USE

4.1. SELF-APPLICATION AT HOME
4.2. PROFESSIONAL APPLICATION IN

NEUROREHABILITATION

4.2.1. Spasticity
4.2.2. Hemineglect

5. CONTRAINDICATIONS

6. TECHNICAL SPECIFICATIONS

6.1. SYMBOLS USED
6.2. TECHNICAL SPECIFICATIONS

7. IMPORTANT SAFETY INSTRUCTIONS

7.1 WARNINGS
7.2 OTHER PRECAUTIONS

8. MAINTENANCE AND REPAIR

8.1. CLEANING AND DISINFECTION
8.2. TROUBLESHOOTING
8.3. SAFETY CHECK AND MAINTENANCE
8.4. DISPOSAL

9. WARRANTY

10. CUSTOMER SERVICE

1. PREFACE

Congratulations on your purchase of a NOVAFON vibration sound wave device. Our therapy devices have delivered excellent performance and reliability for decades. Please read the following guide carefully to ensure that you can get the most out of your NOVAFON vibration sound wave device and enjoy using it for a long time. The explanation of the footnotes can be found on the last page of this guide.

2. PRODUCT DESCRIPTION

2.1. SCOPE OF DELIVERY

The scope of delivery includes a battery powered NOVAFON vibration sound wave device (see section 2.2), a disc attachment, a ball attachment, a power plug, a USB-C charging cable, instructions for use and an adapter for optional attachments.

2.2. DEVICE TYPES

NOVAFON vibration sound wave devices are designed for local vibration therapy. Different attachments are used to transmit the mechanical vibrations into the tissue. The NOVAFON vibration sound wave device is used mainly for pain therapy and neurorehabilitation. Thanks to its safe and simple application, local vibration therapy can be used in many ways. The device is equally suitable for professional use and home use. The NOVAFON vibration sound wave device can be used in speech therapy, occupational therapy and physiotherapy as well as for private use at home. The two treatment frequencies (50 Hz and 100 Hz) and three intensity levels for each frequency (light, medium, strong) allow the treatment to be individually adapted to the body part to be treated and the underlying symptoms.

The different device types differ in their color and the intensity of the vibrations (see table below):

DAS NOVAFON DAS NOVAFON power

Multi-function button	ON/OFF, ( ) and ( ) ON/OFF, ( ) and ( )
Frequency setting	Level 1 ( ), 100 HzLevel 2 ( ), 50 Hz	Level 1 ( ), 100 HzLevel 2 ( ), 50 Hz
Intensity setting	light ( ), medium ( ) strong ( )	light ( ), medium ( ) strong ( )
Intensity	●●●●●	●●●●●
Effective depth 6 cm 6 cm+
Color white anthracite gray
Lithium-ion battery Capacity 2400mAhVoltage 3,7V		Capacity 3400mAhVoltage 3,7V

2.3. ACCESSORIES

NOVAFON vibration sound wave devices are equipped with two interchangeable attachments as standard. NOVAFON GmbH also offers other attachments that are not included in this set. Please contact your dealer or visit www.novafon.de for more information. NOVAFON devices may only be used with original NOVAFON accessories.

THE USE OF ACCESSORIES FROM OTHER MANUFACTURERS CAN IMPAIR THE FUNCTION AND PERFORMANCE OF NOVAFON DEVICES.

2.3.1. Disc attachment

The disc attachment is used in the treatment of larger body parts

that require broader strokes. It is supplied as standard and also available as a spare part.

2.3.2. Ball attachment

The ball attachment can be used for smaller areas and targeted treatment. It is supplied as standard and also available as a spare part.

2.3.3. Optional accessories

On our website you will find additional attachments for various treatment goals. There is also a charging stand and USB cover caps for your battery-powered NOVAFON device.

The supplied adapter can be used for Sensi-Roller and intraoral attachment.

NOTE: Depending on your country the appliance might be additionally equipped with a second power plug with country specific connectors. These are available as spare parts, too.

3. OPERATION

3.1. FIRST USE

Charge the device fully before using it for the first time (section 3.3). Switch on the NOVAFON device by pressing the on/off button once. The device starts at 100 Hz (●) by default. Pressing the button again decreases the frequency to 50 Hz (●). The current frequency selection is indicated by the LED display (frequencies). Press the button a third time to switch off the device.

3.2. ADJUSTING THE INTENSITY

Adjust the intensity by pressing the Intensity setting button repeatedly. You can select between three intensity levels: light (☑), medium (☑) and strong (☑). The intensity level is indicated by the LED display (intensity). The device always starts at the lowest intensity level (☑). This also corresponds to the NOVAFON treatment recommendation, i.e. starting with a low intensity and gradually increasing it according to need and personal comfort.

NOTE: The best vibration is achieved when the device is operated without additional contact pressure.

3.3. CHARGING

To charge the device, only use the included power adapter and USB-C cable or the NOVAFON Charging Stand (not included). To charge the device, first connect the cable to the device or to the charging stand and then to the power adapter suitable for your power connection. Only then plug the mains adapter into the socket. Charge the device until the charge display (LED) no longer flashes. Do not use the NOVAFON device during charging. As soon as the LED display no longer flashes, the NOVAFON device is fully ready to use. The device has a low battery display. If the charge display (LED) starts flashing rapidly, you can continue using your NOVAFON device for another 10 minutes. The device then switches off automatically. If you use the charging stand for charging, make sure to place the appliance carefully on the USB port. When removing, hold the charging stand down

and pull the device out carefully. The device is charging when the display (LED) lights up. Avoid twisting the appliance in the charging stand as this will prevent damage.

3.4. ATTACHMENTS

The attachments are fixed to the device via a plug connection. They can easily be detached by turning them a quarter turn and pulling them gently off the device. The attachments click simply onto the device. The attachments are in the correct position when the brackets on the device and the attachment lie seamlessly on top of each other. The magnets help you to find the final position. Before starting treatment, make sure that the respective attachment is engaged in the intended final position.

Please refer to the drawing on page 28 for the correct position of the attachment on the device.

4. APPLICATION & USE

The local vibration therapy with the NOVAFON vibration sound wave device can be used as an aid in treating a number of diseases of the musculoskeletal and the nervous system. NOVAFON vibration sound wave devices are used by doctors and therapists in the treatment of musculoskeletal pain (e.g. muscle or joint pain) and in the rehabilitation of neurological diseases (e.g. spasticity or Hemineglect after a stroke). Due to their simple handling, the devices can also be used in the home environment. Please bear in mind that NOVAFON vibration sound wave devices can only alleviate symptoms but never actually cure the underlying disease, nor are they a replacement for a doctor's visit. Despite being safe, simple and non-invasive, we recommend that you discuss the treatment with your doctor or therapist. If symptoms get worse, seek medical advice. Discontinue the treatment immediately, if you experience nausea, dizziness, increased pain, or skin irritation. Please be aware of the contraindications listed in section 5.

4.1. SELF-APPLICATION AT HOME

Pain is a common symptom of acute and chronic diseases, such as epi-condylitis, tendinitis, myalgia or fibromyalgia, which can be reduced by local vibration therapy. ^1 Taking into account the contraindications (chapter 5), move the NOVAFON device in a straight line, selectively or in slowly circling movements on or around the treatment area. The NOVAFON device can also be applied at trigger points near the painful area. In case of uncertainty, please consult your treating physician or therapist regarding your individual application. The NOVAFON device can be used directly on the skin or through fabric/clothing. During the application, make sure that the vibration sound wave device glides gently and without pressure over the body area. Use the entire surface of the attachment. This is the only way the penetration depth effect of the NOVAFON device can be fully deployed and the vibrations are transmitted optimally. Use only the NOVAFON device's own weight for a comfortable application.

The therapeutic application should not exceed a maximum of three 20-minute treatment units per day. Please note that the NOVAFON

device must be switched off for 15 minutes after 20 minutes of use in order to avoid overheating. When treating very painful or sensitive parts of the body (e.g. face, neck, head), the duration of application should be reduced and adjusted to suit the patient's personal requirements.

NOTE: Application of liniments (medicated topical preparations): Generally, only apply small amounts of creams, ointments, cosmetic or medicated liniments on the skin or place a fine cloth between the device and the skin. Do not allow liquids or residues to penetrate the NOVAFON device so as not to damage it.

4.2. PROFESSIONAL APPLICATION IN NEUROREHABILITATION

NOTE: The use of local vibration therapy for neurological diseases should only be carried out by specialists (therapists, physicians, nurses) or after detailed instruction by such a person.

4.2.1. Spasticity

Spasticity is a common consequence of a stroke and other disorders of the central and peripheral nervous system. Local vibration therapy, combined with physiotherapy, provides a simple and drug-free treatment method. Numerous studies have shown a reduction in spasticity as well as improved motor control and function. ^2 The effectiveness mechanisms are the tonic vibrational reflex and the stimulation of the sensomotoric system. Taking into account the contraindications (section 5), the spastic muscle itself is treated at 50 Hz and the antagonist of the spastic muscle at 100 Hz. The starting point can be on the tendon or directly on the muscle itself. The treatment may be local, i.e. focusing on one point, or in sweeping movements. The application with the NOVAFON device should not exceed 20 minutes per unit. The treatment can be performed up to 5 times a week. Please keep in mind that using the appliance incorrectly can lead to increased muscle tone. Stop the treatment immediately if any side effects occur (see section 5).

4.2.2. Hemineglect

Several studies have found an improvement in the visual exploration performance of stroke patients with Hemineglect when the neck musculature contralateral to the lesion is stimulated by vibration. ^3

This effect is based on the fact that the vibration stimulates stretch receptors in muscles and tendons of the neck, leading to an apparent rotation of the head. For successful therapy, the corresponding stimulation point must be found on the contralesional, posterior neck muscles, taking into account the contraindications (section 5). This point is determined by fixing a bright spot on the wall (e.g. by means of a laser pointer) in a darkened room. The therapist guides the NOVAFON device slowly along the neck muscles at 100 Hz and medium intensity. The patient sits on a chair for the treatment. The correct stimulation point is determined as soon as the patient reports that the fixed point is moving without moving his/her head. The total treatment time should not exceed 40 minutes, whereby the pure stimulation time should be interrupted by a 5 minute break after 10 minutes. A total of at least 15 treatment sessions are necessary to

achieve a lasting effect. Stop the treatment immediately if any side effects occur (see section 5).

5. CONTRAINDICATIONS

Treatments with the NOVAFON vibration sound wave devices are not permitted for patients with:

• Open wounds / eczema (in the body region to be treated)
• Arteriosclerosis (in the body region being treated)
• Current episodes of epilepsy
  . Pregnancy
• Implants (in the body region being treated)
• Heart pacemakers
• Thromboses (in the body region being treated)
• Brain pacemakers
• Cardiac arrhythmia
  . Tumours
• Acute inflammations (in the body region being treated)
  · Acute episodes of inflammatory diseases

Side effects:

Please note that in rare cases the following side effects may occur:

• Increased pain / unpleasant sensation
• Nausea / dizziness
• Skin irritation
• Reflex / involuntary muscle contractions

Please discontinue the treatment immediately, if you experience any of these side effects. If symptoms persist, please consult a doctor. Please note that pain treatment in particular can lead to an initial worsening of the symptoms before you notice any improvement. Please note that slight reddening and warming is not a cause for concern. This is a desired effect of local vibration therapy, which is caused by the increased blood flow.

6. TECHNICAL SPECIFICATIONS

6.1. SYMBOLS USED

\~ Alternating current (AC)

== Direct current (DC)

Device with protection class II according to DIN EN 61140

Hz Hertz

KB Short-term operation

mA Milliampere-hour

A Amp

v Volt

Disposal according to the EU Directive on Waste Electrical and Electronic Equipment (WEEE)

Displays the manufacturer of the medical device

SN Displays the serial number of the manufacturer so that a specific medical device can be identified

Protection class of the application part: type BF

X Temperature limit: Refers to the temperature limits to which the medical device can be safely exposed.

Humidity limit

Atmospheric pressure limit

Refer to the instructions

Use inside only

General warning symbols

Intensity setting in 3 stages

Frequency setting, 100 Hz/50 Hz/OFF

6.2. TECHNICAL SPECIFICATIONS

• Operating conditions: 5 °C to 30 °C; 15% to 93% relative humidity, non-condensing; 700 hPa to 1060 hPa air pressure
• Storage/transport: -5°C to 40°C; up to 93% relative humidity, non-condensing; 500 hPa to 1060 hPa air pressure
• Operating mode: SO 20/15 min
• Operating noise: maximum 70 dBA
  . Power plug charger SK3

- Input power: AC 100-240 V, 50-60 Hz, 300 mA

- Output power: DC 5 V, 2 A

- The standard scope of delivery includes a type-F power plug (EU plug). Additional power adapters with other connection plugs are available as options or are already included in the relevant country sets.

• Charging cable USB-A to USB-C, length: approx. 1 m
• Battery: Lithium-ion battery, service life: 800 charging cycles. A battery charge guarantees at least six treatment units at 20 minutes for a new battery

· DAS NOVAFON battery performance data: Capacity 2400 mAh.

Voltage 3.7 V

- DAS NOVAFON power battery performance data: Capacity 3400 mAh. Voltage 3.7 V

• The devices comply with IEC 60601-1-2:2014 or CISPR 11 emission class B and group 1. The devices have been tested with the interference immunity test levels for home use.
• Product category: Class IIa medical device according to the Medical Device Directive (93/42/EEC), furthermore conformity with 2015/863/EU is declared.
• IP22 protection class, which states: Protected against access with a finger. Protected against water dripping at an angle (when using the USB cover caps, not included in standard scope of delivery).
• Manufacturer: NOVAFON GmbH, Daimlerstraße 13, 71384 Weinstadt, Germany

7. IMPORTANT SAFETY INSTRUCTIONS

Before starting to use the device, please read the user manual and these safety instructions carefully and strictly follow them.

7.1. WARNINGS

When using an electrical device basic precautions should always be followed including the following to reduce the risk of burns, fires, electric shock, possibly severe injury and possible death to the user or other people:

WARNING: Do not use the NOVAFON device during charging.

⚠ WARNING: Always store the device in a dry and clean location.

⚠ WARNING: Before connecting the power plug to the mains power source, check that the mains voltage corresponds to the voltage specification on the power plug. Connect the NOVAFON device only to a power outlet that delivers the correct voltage.

⚠ WARNING: To charge the device, use only the charging cable and power supply included in the delivery or the separately available charging stand. Use the correct connector plug, if applicable.

⚠ WARNING: Always unplug the device from the electrical outlet after charging and before cleaning.

⚠ WARNING: Do not bring the device and charging accessories (plug, charging cable, charging stand) into contact with hot surfaces (e.g. heater, hotplate, etc.). The housing of the device or adapter or the insulation of the cable could be damaged.

⚠ WARNING: Do not use the device when taking a shower or bath.

⚠ WARNING: Do not operate where aerosol (spray) products are being used, in other explosive atmospheres or where oxygen is being administered.

⚠ WARNING: Do not place or drop the device into water or other liquids.

⚠ WARNING: Do not reach for a device that has fallen into water, especially when the charging cable is connected to a power outlet. Unplug immediately.

⚠ WARNING: Do not place or store device where it can fall or be pulled into a tub, pool or sink.

⚠ WARNING: Protect the device, charger and charging stand from drop impact and shocks.

WARNING: This device may not be modified without the manufacturer's permission.

⚠ WARNING: NOVAFON devices may only be used with original NOVAFON accessories. The use of accessories from other manufacturers can impair the function and performance of NOVAFON devices. This also applies to the power adapter and charging cables.

⚠ WARNING: Do not use the device and either discard or return to your dealer for examination if any of the following conditions occur:

- if the device fails to work correctly.

- if the device is damaged, e.g. after having been dropped

- if the device was immersed in water or other liquids

- if the device exhibits other safety-related problems, such as emitting smoke, unusual or excessive heat etc.

⚠ WARNING: Do not use the power plug, charging cable or charging stand:

- in the event of visible damage or after dropping the power plug, charging cable or charging stand

- if the power plug, charging cable or charging stand has been exposed to extreme moisture

- if liquid has penetrated the unit

⚠ WARNING: Never charge the device for more than 24 hours at a time. Do not leave the device unattended. Disconnect the device from the power supply at night.

⚠ WARNING: Do not place the device on flammable surfaces when charging.

⚠ WARNING: Never leave the device unattended when it is turned on.
⚠ WARNING: Do not clamp or pinch any part of your body, especially your fingers, between the attachment and the device. During the treatment, hold the device only by the device handle.
⚠ WARNING: Never drop or insert any foreign object into any opening on this device. Do not insert any objects (including wires) into openings in the device.
⚠ WARNING: Wireless communication devices (such as Wi-Fi stations, mobile phones, cordless phones, and related base stations) can affect the device and should be kept at least 0.5 m (2 feet) away from the device during use. This also applies to cables and plug-in power supplies.
⚠ WARNING: Careful supervision is necessary when used on or by children, immobile or disabled individuals. NOVAFON devices should only be used by users from the age of 18 years who have read the instructions and are competent to use the device safely.
⚠ WARNING: Do not use on sleeping or unconscious individuals.
⚠ WARNING: Keep the device out of reach of children when not in use.
⚠ WARNING: Small parts (e.g. cover caps) could come loose and be swallowed. Risk of suffocation!
⚠ WARNING: Keep children away from packaging materials. There is a risk of suffocation.
⚠ WARNING: Do not use in the genital area, this device is not intended as an intimate pleasure toy.
⚠ WARNING: Do not use outdoors or in wet or damp areas.
⚠ WARNING: Never operate the power plug or charging stand in environments with high humidity or in the presence of moisture. Please note, that moisture is, for example, also generated by nebulisers.
⚠ WARNING: Do not operate under blankets, pillows, towels, clothing etc. or anyplace where ventilation is limited as the device could overheat and thus cause fire, electric shock or other injuries to people.
⚠ WARNING: Use the device only for its intended use as described in this manual.
⚠ WARNING: Avoid contact with mucous surfaces or the eyes.
⚠ WARNING: Do not use the device together with other medical devices, as this may affect the performance and function of the device as well as the other product.

7.2 OTHER PRECAUTIONS

NOTE: Use the initial session to figure how the body responds to vibration therapy. If you experience any discomfort, dizziness or nausea stop session immediately.

NOTE: Do not use the device if any of the contraindications described in chapter 5 apply to you.

NOTE: Do not use the device for more than 20 minutes per application. Leave it to cool down for at least 15 minutes before restarting.

NOTE: Make sure to secure the attachments fully onto the NOVAFON device and keep it on during treatment.

NOTE: Make sure that no substances, such as liquids, creams or the

like, can penetrate into the device or the power plug.

NOTE: To prevent damage, make sure that the device and charging stand are standing or resting on a stable surface during the charging process.

NOTE: Do not twist the device in the charging stand. This may cause damage.

NOTE: Protect the device against dust, lint and other particles. Penetration of dust, lint or other particles may cause the device to fail.

NOTE: To prevent premature wear, only store the device in a dry and clean place that is protected against UV light (incl. sunlight).

NOTE: Use only non-alcoholic cleaning supplies. Alcohol can attack the surfaces of the housing and the attachments.

8. MAINTENANCE AND REPAIR

8.1. CLEANING AND DISINFECTION

Do not clean the device during charging. Disconnect the device from the power supply when cleaning. If used privately, clean the housing and attachments using a clean cloth moistened with fresh water or a mild soapy solution. For clinical and professional use, clean and disinfect device housings and all attachments with an appropriate surface disinfectant suitable for medical devices before and after each use. As a general rule, NOVAFON recommends alcohol-free disinfectants that are suitable for use on sensitive surfaces, such as SinAlc sensitive by HIMED or RHEOSEPT-WD plus wipes by Rheosol. If necessary, dry off with a soft cloth.

If you are using the charging stand, this can be cleaned with a clean cloth moistened with fresh water or a mild soapy solution if necessary. Do not clean the USB port. For professional use: To prevent contamination, only place cleaned devices in the charging stand.

8.2. TROUBLESHOOTING

If there are any problems with the device, please contact our customer service. Never open the device yourself to repair malfunctions. If you attempt to repair the device yourself, you will void the warranty.

8.3. SAFETY CHECK AND MAINTENANCE

The NOVAFON device does not require regular inspection or maintenance. To ensure safe operation, however, you should check the device regularly for obvious damage. We also recommend that you carry out an electrical safety test, e.g. compliant with DGVU 3 (German Social Accident Insurance), at least every 2 years. Please note that there may be national laws that oblige you to carry out safety checks on the device. This does not generally apply to private individuals. If you have any problems with your appliance either discard or return it to your dealer.

8.4. DISPOSAL

This device is subject to EU Directive on Waste Electrical and Electronic Equipment (WEEE). It must never be disposed of with common household waste. For environmentally sound disposal, the user is obligated to dispose of the old device at a designated collection

point for the disposal of electrical and electronic equipment. Please observe the national legal regulations when disposing of the device. You can also send your old device to NOVAFON; we will gladly dispose of it for you.

9. WARRANTY

From the date of delivery, we grant a warranty of 2 years for defects resulting from material or production defects. We ask you to please provide proof of purchase. The battery is guaranteed for 6 months. Excluded from the warranty: Damage due to improper use, normal wear and tear and consumption (also valid for accessories).

For claims, please contact your local dealer or the manufacturer. The right of rescission (reversal of the purchase), reduction (discount on the purchase price) or subsequent delivery is initially excluded. However, you have a claim to reduction or conversion at your discretion if we do not remedy a defect that is subject to our warranty within a reasonable period of time. In addition, we do not provide a guarantee for any damage caused by improper use or non-observance of the usage instructions. In these cases, the liability is transferred to the operator.

10. CUSTOMER SERVICE

The device may only be repaired by NOVAFON Customer Service. Please do not send in your defective device without being asked, but rather clarify the damage and repair costs with us first. Repair could be more expensive than a new device. If the repair is no longer financially feasible within the warranty period, NOVAFON offers a replacement unit (again with a 24-month warranty).

This manual can also be viewed as a PDF file at www.novafon.com.

Intensity display Multi-function button Top Intensity setting in 3 stages Bottom Frequency setting 100 Hz/50 Hz/OFF Frequency display 1 light(●): 100 Hz 2 lights(●): 50 Hz Correct position of the attachment on the device Battery / charging display USB charging port NOVAFON

ITALIANO

1. PREMESSA

Courant continu (CC)

2. PRODUCTBESCHRIJVING

2.1. INHOUD VAN DE LEVERING
2.2. SOORTEN APPARATEN
2.3. ACCESSOIRES
2.3.1. Schotel-opzetstuk
2.3.2. Kogel-opzetstuk
2.3.3. Optionele accessoires

3. BEDIENING

3.1. INGEBRUIKNAME
3.2. INTENSITEITS-/STERKTEREGELING
3.3. LAADPROCES
3.4. OPZETSTUKKEN

4. TOEPASSING

4.1. THUISGEBRUIK
4.2. PROFESSIONELE TOEPASSING IN DE NEUROREHABILITATIE
4.2.1. Spasticiteit
4.2.2. Neglect

5. CONTRA-INDICATIES

2. PRODUCTBESCHRIJVING

^1 Lundeberg T. 1983. Vibratory stimulation for the alleviation of chronic pain.
Lundeberg T, Nordemar R, Ottoson D. 1984a. Pain alleviation by vibratory stimulation.
Lundeberg T. 1984b. Long-term results of vibratory stimulation as a pain relieving measure for chronic pain.
Lundeberg T. 1984c. The pain suppressive effect of vibratory stimulation and transcutaneous electrical nerve stimulation (TENS) as compared to aspirin.
Lundeberg T. 1985b. Relief of pain from a phantom limb by peripheral stimulation.
Lundeberg T. et al. 1987. Vibratory stimulation compared to placebo in alleviation of pain.
Staud R, Robinson ME, Goldman CT, Price DD. 2011. Attenuation of Experimental Pain by Vibro-Tactile Stimulation in Patients with Chronic Local or Widespread Musculoskeletal Pain.
^2 Murillo et al 2014. Focal vibration in neurorehabilitation. Eur J Phys Rehabil Med. 50(2):231-42.
Caliandro et al. 2012. Focal muscle vibration in the treatment of upper limb spasticity: a pilot randomized controlled trial in patients with chronic stroke. Arch Phys Med Rehabil. 93(9):1656-61.
Casale et al. 2014. Localized 100 Hz vibration improves function and reduces upper limb spasticity: adouble-blind controlled study. European Journal of Physical and Rehabilitation Medicine. Eur J Phys Rehabil Med. 50(5):495-504.
Noma et al. 2012. Anti-spastic effects of the direct application of vibratory stimuli to the spastic muscles of hemiplegic limbs in post-stroke patients: a proof- of-principle study. J Rehabil Med. 44(4):325-30.
Mandic et al. 2012. Kinematic analysis of upper-extremity movements after segmental muscle vibration therapy. Gait & Posture. 35: S21 - S22.
Liepert & Binder 2010. Vibration-induced effects in stroke patients with spastic hemiparesis - a pilot study. Restor Neurol Neurosci. 28(6):729-35.
Paoloni et al. 2014 Segmental muscle vibration modifies muscle activation during reaching in chronic stroke: A pilot study.
NeuroRehabilitation. 35(3):405-14.
Marconi et al 2011. Long-term effects on cortical excitability and motor recovery induced by repeated muscle vibration in chronic stroke patients. Neurorehabil Neural Repair. Jan;25(1):48-60
Tavernese et al 2013. Segmental muscle vibration improves reaching movement in patients with chronic stroke. A randomized controlled trial. NeuroRehabilitation. 32(3):591-9.
Celletti & Camerota 2011. Preliminary evidence of focal muscle vibration effects on spasticity due to cerebral palsy in a small sample of Italian children. Clin Ter.162(5):125-8.

^3 Schindler et al. 2002. Neck muscle vibration induces lasting recovery in spatial neglect.

Johannsen et al. 2003. Lasting amelioration of spatial neglect by treatment with neck muscle vibration even without concurrent training.

Kamada et al. 2011. Effects of 5 minutes of neck-muscle vibration immediately before occupational therapy on unilateral spatial neglect.

Karnath et al. 2002. The perception of body orientation after neck-proproioceptive stimulation. Effects of time and of visual cueing.

Other languages are available online.

Supported by:

Federal Ministry for Economic Affairs and Energy

on the basis of a decision by the German Bundestag

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