Henry wrote:
<The Likon on the other hand is a very powerful machine, however there is no
manual on what the settings mean...I put it on a patient with fibromyalgia
on Monday...she called me on Tuesday saying that she left on Monday feeling
drained and very bitchy>
Henry.
Finding out what the settings mean is usually best done prior to any
machine's application. At least you then have a starting point should you
ever end up in court defending an adverse event from the Likon and are
cross-examined by expert opinion.
Get a manual from the manufacturer or photocopy one from one of the many
Likon owners in the City.
Michael Warburton
----- Original Message -----
From: "Henry Tsao" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, October 25, 2000 8:17 AM
Subject: RE: Likon
> Kam,
>
> I know a research article in the Am J of Rehab Medi. which showed that US
> was as effective as dry needling in combination with stretches to
deactivate
> MTrP.
>
> IF on the other hand I have found can aggravate and increase the activity
of
> trigger points in some patients, and hence I am very weary of using this
> machine. It is my own theory, but I think the IFT was designed to shorten
> the muscles into a more comfortable position, hence reducing the pain the
> patients will feel when they wake up. However, this is only speculation on
> my part. There is no research on the efficacy of IF with deactivating
> trigger points that I could find.
>
> The Likon on the other hand is a very powerful machine. However, there is
no
> manual on what the settings mean (because I have a second hand one... a
new
> machine costs $1000!!). I put it on a patient with fibromyalgia on Monday,
> and she called me on Tuesday saying that she left on Monday feeling
drained
> and very "bitchy!" This has never happened before until I tried the Likon
on
> Monday. I believe the Likon activated her psoas or sympathetic nevous
> system, and hence increased her anxiety and emotion. Can anybody help??
>
> Henry***
>
>
> >From: Kam-wah Mak <[log in to unmask]>
> >Reply-To: [log in to unmask]
> >To: "[log in to unmask]" <[log in to unmask]>,
> >"[log in to unmask]" <[log in to unmask]>
> >Subject: RE: Likon
> >Date: Tue, 24 Oct 2000 10:27:18 +0100
> >
> >Hi Henry,
> >
> >Have you come across combination therapy (using US and IF together) for
the
> >deactivation of trigger points?
> >
> >Again, claims made by manufacturers but no substantiation from published
> >research / articles (to my knowledge), unless list members can provide
more
> >information on this.
> >
> >Regards,
> >Kam
> >
> > >-----Original Message-----
> > >From: Henry Tsao [mailto:[log in to unmask]]
> > >Sent: 23 October 2000 15:30
> > >To: [log in to unmask]
> > >Subject: Re: Likon
> > >
> > >
> > >To Sarah and Kam-wah,
> > >
> > >Personally, it was very difficult to find a good Likon Machine
> > >in Brisbane,
> > >because from what I have been told, many large companies don't
> > >make this
> > >machine anymore. Since I work with trigger points, the last
> > >thing I need is
> > >for a machine such as the interferential to tighten up the
> > >muscles again.
> > >Therefore, I think this is why my boss prefers to use the
> > >Likon. I have not
> > >found any recent research or articles on the Likon, but if
> > >anybody know
> > >anything about this machine, please let me know!!
> > >
> > >Henry***
> > >
> > >
> > >>From: Kam-wah Mak <[log in to unmask]>
> > >>Reply-To: [log in to unmask]
> > >>To: "[log in to unmask]" <[log in to unmask]>,
> > >>"[log in to unmask]" <[log in to unmask]>
> > >>Subject: Likon
> > >>Date: Mon, 23 Oct 2000 12:55:09 +0100
> > >>
> > >>Hi Sarah,
> > >>
> > >>Likon is a concept that was developed in China by Professor
> > >Jiang Xiao Wen
> > >>in the 1970's and a machine was launched worldwhile by
> > >Healthtronics Pte
> > >>Limited in Singapore in 1987.
> > >>
> > >>Likon is described by the operation manual as 'Modulation
> > >Electro Therapy
> > >>(MET), it generates mid frequency 2KHz to 5 KHz that are
> > >modulated by a low
> > >>frequency current ranging from 5 to 100 Hz. The mid frequency
> > >acts as a
> > >>carried wave, 'carrying' the low frequency pulses deep into
> > >the tissues.
> > >>Unlike IF therapy which utilises 2 medium frequency waves to
> > >produce a low
> > >>frequency 'beat' at their intersection. Likon generates mid
> > >frequency waves
> > >>that are modulated by low frequency pulses, thus combining the
> > >>characteristics and advantage of mid and low frequency
> > >stimulation via a
> > >>single output.
> > >>
> > >>The list of applications was long ranging from musculoskeletal to
> > >>neurological conditions.
> > >>
> > >>The above was deduced from the machine manual.
> > >>
> > >>In reality, to my knowledge, there are no published paper on
> > >the Likon. I
> > >>have seen a few articles on Likons but these were confined to
> > >undergraduate
> > >>dissertations in the early 1990's. I have seen Likons in
> > >action at my local
> > >>hospitals, yes, they are around and it seems that there are
> > >pockets of epa
> > >>community in UK that 'swear' by the efficacy of this modality.
> > >>
> > >>Anyone who uses this modality would like to further comment on this.
> > >>
> > >>Regards,
> > >>Kam
> > >>
> > >>
> > >> >-----Original Message-----
> > >> >From: Sarah Fern Striffler [mailto:[log in to unmask]]
> > >> >Sent: 20 October 2000 06:45
> > >> >To: [log in to unmask]
> > >> >Subject: Re: THE ELECTROTHERAPY ISSUE
> > >> >
> > >> >
> > >> >Dear Henry,
> > >> >
> > >> >What is Likon & now is it used for psoas?
> > >> >
> > >> >Thank you.
> > >> >
> > >> >Sarah Fern Striffler, PT
> > >> >
> > >> >
> > >> >Henry Tsao wrote:
> > >> >
> > >> >> To Mr Cheng, Bruce, and others who are interested in this
> > >> >contraversial
> > >> >> field of electrotherapy:
> > >> >>
> > >> >> I have been following the debate recently between the EPA
> > >> >and Bruce, and
> > >> >> since I started this whole contraversial debate, I thought I
> > >> >might go and
> > >> >> have a look a the latest literature on electrotherapy. I
> > >> >don't believe in
> > >> >> personal attacks, and think that physiotherapists should be
> > >> >able to make up
> > >> >> their minds on the issue.
> > >> >>
> > >> >> Before I go on, I will just explain. I work in a busy
> > >> >private practice where
> > >> >> we allocate 30 min. roughly per patient. I do use US on
> > >> >trigger points after
> > >> >> acupressure, and Likon on the sympathetic nervous
> > >> >system/psoas (especially
> > >> >> in chronic fatigue and fibromyalgia patients) to reduce its
> > >> >activity, but I
> > >> >> don't use any electro for any other reason unless the
> > >> >patient themselves
> > >> >> request it (and let's face it, I get old clients who come in
> > >> >and just want
> > >> >> to be mob'ed, US'ed and IFT'ed... and that is their choice!!).
> > >> >>
> > >> >> I found an interesting article the other day in the Pain
> > >> >journal on the
> > >> >> effectiveness of ultrasound therapy on musculoskeletal pain
> > >> >(Pain 81, 1999
> > >> >> 257-271). It basically evaluated the use of US, and looked
> > >> >at the existing
> > >> >> research on the topic. They basically concluded that for lateral
> > >> >> epicondylitis, soft tissue shoulder disorders, deegn
> > >> >rheumatic disorders,
> > >> >> ankle distorsions and TMJ disorders, US showed no
> > >> >significant clinical
> > >> >> effect. Even when they combined US with exercise therapy,
> > >there was
> > >> >> clinically important or statistically significant
> > >> >differences in favour of
> > >> >> US (which I was surprised to read, as we always thought
> > >that US was
> > >> >> effective only when it is used as an adjunct!!). Even though
> > >> >this does not
> > >> >> totally rule out the uselessness of US therapy, it
> > >> >definitely has some
> > >> >> strong gound to stand on!
> > >> >>
> > >> >> On the contrary, I found in the Am J of Physical Medicine
> > >> >and Rehab(79, 1,
> > >> >> p48-52, 2000) an article that looked at the use of US, dry
> > >> >needle, and
> > >> >> stretches of myofascial trigger points in the Upper Trap
> > >> >muscles. They found
> > >> >> that US combined with stretches and dry needle combined with
> > >> >stretches
> > >> >> produced significant results compared to simply stretching
> > >> >alone. However,
> > >> >> there was no difference between dry needle and the use of US
> > >> >in combination
> > >> >> with stretches.
> > >> >>
> > >> >> I find it interesting that even though Mr Cheng has noted a
> > >> >few articles
> > >> >> that claim to have clinical evidence of electrotherapy,
> > >most of the
> > >> >> literature out there disproves the effectiveness of
> > >> >electrotherapy, and
> > >> >> these should not be ignored. However, this issue will still
> > >> >continue to be
> > >> >> contraversial, the research will go on, and physiotherapists
> > >> >will form their
> > >> >> own opinions of what electro to use. Despite this, I
> > >support Bruce's
> > >> >> statement that time and cost is a big factor in this, and
> > >> >should not be
> > >> >> ignored. Unless we are in the field of sport physio and see
> > >> >athletes 3x a
> > >> >> day, 5x a week, I don't see the point of 15min/2x/week - how
> > >> >much difference
> > >> >> is it going to make because that is less than 1% of their
> > >> >week's time!!
> > >> >> Emphasis in this case should be on teaching the patients
> > >> >ultimately how to
> > >> >> look after themselves thus preventing future injury. Most
> > >> >people want to get
> > >> >> better, but also want to know how to keep themselves better, and
> > >> >> electrotherapy does not do this.
> > >> >>
> > >> >> Going through an undergraduate degree whereby electrotherapy
> > >> >was focused so
> > >> >> much and yet despised by most students(including myself), I
> > >> >am not for or
> > >> >> against electrotherapy. However, I believe (and this is only
> > >> >my opinion)
> > >> >> that unless there is more research for the efficacy of
> > >> >electrotherapy, not
> > >> >> too many future physiotherapists will include it in their
> > >> >treatment regime.
> > >> >>
> > >> >> Henry***
> > >> >>
> > >> >> >From: "Goh Ah Cheng" <[log in to unmask]>
> > >> >> >Reply-To: "Goh Ah Cheng" <[log in to unmask]>
> > >> >> >To: <[log in to unmask]>, <[log in to unmask]>
> > >> >> >Subject: Fw: EPA and evidence based practice
> > >> >> >Date: Thu, 19 Oct 2000 18:18:00 +0900
> > >> >> >
> > >> >> >Dear Fellow EPA and PHYSIO Mail-list members,
> > >> >> >
> > >> >> >Below is the reply from Bruce. He has chosen to reply to
> > >> >me directly
> > >> >> >instead of the list, so I am doing him a favour by
> > >> >forwarding it to the
> > >> >> >both
> > >> >> >lists (It must have been an oversight on his part....
> > >perhaps due to
> > >> >> >another
> > >> >> >hard day at work).
> > >> >> >You may want to know that I, Panos and the entire academic
> > >> >community have
> > >> >> >been dismissed by Bruce as unworthy of providing evidence
> > >> >for EPA (or any
> > >> >> >subject for that matter) because WE LEFT THE CLINIC. I am
> > >> >not even going
> > >> >> >to
> > >> >> >respond to this.....
> > >> >> >Secondly, the scientific method has also been denounced as being
> > >> >> >inappropriate for any discussion on evidence based practice
> > >> >(I assume not
> > >> >> >only for EPA, but for our entire base of knowledge!!). Am
> > >> >I missing out on
> > >> >> >something here??
> > >> >> >Thirdly, EPA can be dismissed by all of us from this day
> > >> >henceforth because
> > >> >> >it has been around for the past 50 years and the world was
> > >> >not impressed!!
> > >> >> >I must have missed out when everyone was out there casting
> > >> >their votes.
> > >> >> >Fourthly, God is dead.
> > >> >> >And finally, any discussion that goes contrary to Bruce's
> > >> >point of view is
> > >> >> >immature, incurs opportunity costs and is a waste of
> > >> >taxpayers dollars.
> > >> >> >That is the FINAL WORD, according to Bruce, Chapter 4,
> > >> >Verse Sick (I mean,
> > >> >> >Six).
> > >> >> >Now if you'll excuse me, I have to go look for another God.
> > >> >> >Completey Devastated,
> > >> >> >Cheng
> > >> >> >
> > >> >> >----- Original Message -----
> > >> >> >From: Bruce Gray <[log in to unmask]>
> > >> >> >To: <[log in to unmask]>
> > >> >> >Sent: Thursday, October 19, 2000 5:46 PM
> > >> >> >Subject: Re: EPA and evidence based practice
> > >> >> >
> > >> >> >
> > >> >> > > Hi Gohac
> > >> >> > >
> > >> >> > > On this website, I have found the greatest support for
> > >> >electrotherapy
> > >> >> >comes from academics. I have no idea how much clinical
> > >> >experience they draw
> > >> >> >on, or why they left the clinic.
> > >> >> > > These critics, esp yourself and Panos, seem to make a
> > >> >lot of time to
> > >> >> >reply
> > >> >> >with verbose highbrow sarcasm, using one or two papers here
> > >> >and there to
> > >> >> >give your point invincible Truth status.
> > >> >> > > As anyone who has read knows, the scientific method does
> > >> >not deal in
> > >> >> >deduced ultimate truths, instead it induces enough evidence
> > >> >for a consensus
> > >> >> >to be reached by field peers.
> > >> >> > >
> > >> >> > > That electrotherapy has been around for 50 years and not
> > >> >wowed the world
> > >> >> >with its superior healing powers let alone drawn together
> > >> >scientific peer
> > >> >> >consensus is enough for me to burst the bubble on its
> > >> >overinflated cult
> > >> >> >following.
> > >> >> > >
> > >> >> > > Let's face it guys, your God is dead.
> > >> >> > >
> > >> >> > > And please show some maturity by recognising the
> > >> >opportunity costs of
> > >> >> >continuing this argument. Anything I wanted to say has been
> > >> >said. And I
> > >> >> >assume the same for yourselves. Let it rest at that, and
> > >> >get on with doing
> > >> >> >something more productive with tax payers' dollars.
> > >> >> > >
> > >> >> > >
> > >> >> > >
> > >>
> > >>______________________________________________________________
> > >_________
> > >> >> > >
> > >> >> > > Free Unlimited Internet Access! Try it now!
> > >> >> > > http://www.zdnet.com/downloads/altavista/index.html
> > >> >> > >
> > >> >> > >
> > >>
> > >>______________________________________________________________
> > >_________
> > >> >> > >
> > >> >> > >
> > >> >> >
> > >> >>
> > >> >>
> > >> >_______________________________________________________________
> > >> >__________
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> > >> >http://www.hotmail.com.
> > >> >>
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> > >> >> http://profiles.msn.com.
> > >> >
> > >
> > >_______________________________________________________________
> > >__________
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> > >
>
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