PeroBravo

The PeroBravo is designed for treating peripheral paralysis (paresis). The most common forms of peripheral paralysis are peroneus paralysis and facial nerve paralysis (Bell's palsy).

It can be used for the initial treatment of severe paresis (PRG 1-6, 17, 18), as well as for improving paresis (PRG 7-11, 19, 20).

A special program allows the creation of an intensity/duration curve (PRG 12). With this program, the specialist can precisely define optimal treatment parameters for each patient.

The included foot sensor assists with relearning to walk in peroneus paralysis. The gait training programs use biphasic square pulses (PRG 13-16).

This device is the primary choice for muscles with varying degrees of denervation (motor nerve damaged). Additionally, it supports the rehabilitation of muscles with intact innervation (PRG 10, 19, 20) and pain management (PRG 19, 20).

Programs 19 and 20 can be customized. A knowledgeable specialist can create programs on the PeroBravo to make the device suitable for the following treatments:

Muscle stimulation

• Improving blood flow
• Reducing muscle spasticity (stiffness)

Muscle strengthening

• Preventing muscle imbalance (between identical muscles on both sides)
• Activating muscle fibers
• Reducing and preventing muscle fatigue
• Slowing, stopping, or reversing muscle atrophy
• Stimulating muscle regeneration
• Maintaining and improving mobility

Nerve stimulation (pain relief):

• Promoting endorphin production

General pain relief and pain therapy, including the following conditions:

• Arthritis
• Chronic back pain
• Neck pain
• Thoracic spine pain
• Lumbar spine pain
• Circulation problems
• Nerve pain
• Muscle pain
• Phantom pain
• Post-fracture pain
• Pelvic floor pain

PeroBravo offers 20 different treatment programs for the following tasks:

• General stimulation of denervated muscles (all forms of peripheral paralysis, including facial nerve paralysis (Bell's palsy))
• Special programs for treating peroneus paresis and relearning to walk
• Stimulating muscles with intact neural regulation—both biphasic and monophasic EMS
• Pain therapy (TENS) with biphasic or monophasic pulses

Device features

• Versatile, single-channel, digital electrostimulator
  • For stimulating paretic (weakened, partially paralyzed) muscles
  • For TENS and EMS treatments
• 1 diagnostic program to create force/duration curves (SDC)
• 11 preset treatment programs with various pulse shapes
  • Custom triangular pulse (adjustable triangle shape)
  • Custom trapezoid pulse (adjustable trapezoid shape)
  • Biphasic or monophasic current
• 3 preset programs for gait retraining (peroneal paralysis)
• 5 custom programs: monophasic / custom pulse, multiple phase biphasic or monophasic current, and gait training
• Foot switch included for gait practice
• Automatic or manual pulse initiation
• Displays pulse shape, intensity, and remaining treatment time
• Statistics with important treatment data or detailed statistics of individual treatments from last 60 treatment days
• Real-time clock
• Intensity: 0 – 60 mA
• Power supply: 4 rechargeable NiMH cells, 1.5 V, AA size
• Custom pulses: monophasic triangular or trapezoidal shape, continuously changing polarity
• Pulse width: 1 ms – 1000 ms
• Enveloped pulses: biphasic, symmetric, rectangular or monophasic, positive, rectangular
• Frequency: 1 – 120 Hz
• Pulse duration: 50 µs – 350 ms (positive part)
• Delay time (for gait training): 0 – 1000 ms

Contraindications for electrotherapy treatments

Electrotherapy treatments (TENS, EMS, MENS, FES, ETS, CES, microcurrent, iontophoresis, denervated, selective stimulation, Kotz, interferential, etc.) are safe and free from side effects.

Only a few conditions are contraindications. Based on current data, electrotherapy treatments are PROHIBITED for patients with pacemakers or implanted defibrillators.

Other conditions are not absolute exclusions but require weighing pros and cons by the attending physician.

If you are unsure about applicability, read Dr. Zsolt Zátrok's article on the Élethosszig Egészségesen blog. Click here.

Common belief holds that electrotherapy devices are not suitable for patients with metal implants, prostheses, bone plates, screws. This outdated assumption is addressed in Dr. Zsolt Zátrok's article on implants and electric therapy. Click here.