Discover the new

Neurodyn
Evolution

REHABILITATION OF

UROGYNECOLOGICAL

AND COLOPROCTOLOGICAL
DISORDERS

Treatments for incontinence, overactive bladder and pelvic floor muscle dysfunction.

Now you have total control of treatments in the palm of your hand!

CONTROL BY APP

Developed to make adjustments to therapies, demonstrate
the level of contraction of patients in biofeedback and bring
GREATER PRACTICALITY FOR USERS.

*Currently, the application is only available for tablets, minimum screen size in inches (8.7” or greater) and specific configurations (minimum resolution of 1024×600 pixels, and Quad core 1.3GHz processor or greater). We are developing new versions for other devices and will bring news soon.

Therapeutic

modalities

1. Pelvic Floor Electrostimulation

Intravaginal or Intra-Anal Applications

Pelvic floor electrical stimulation is indicated for patients who do not recognize the perineal muscles, and does not require the patient’s active participation.

As soon as the patient is able to contract the muscles adequately, this therapy can be associated with kinesiotherapy or biofeedback, which can increase its effectiveness.

It is important to emphasize that in addition to the benefits of electrostimulation for improving muscle function, there is also an improvement in body awareness through learning the correct way to contract the pelvic floor muscles.

Electric currents:

FES
(Function Electrical Stimulation)

Functional electrical stimulation (FES) uses low-frequency electrical stimuli to produce functional movements or series of movements lost due to injuries and/or impairment of the nervous system.

TENS
(Transcutaneous Electrical Stimulation)

Transcutaneous electrical nerve stimulation has a short pulse duration and is capable of strongly stimulating nerve fibers in the skin. TENS is a classic current for the treatment of pain via sensory stimulation, and the stimulus is well tolerated by the patient, even at relatively high intensities.

AUSSIE CURRENT

Aussie Current (Australian Current) is a medium-frequency modulated sinusoidal alternating current delivered in short bursts used to produce maximal muscle torque (1 kHz/ burst duration of 2ms) or analgesia (4 kHz/ burst duration of 4 ms).

Teflon probes for intravaginal or intra-anal electrostimulation

Probe(s) used:

Intravaginal or intra-anal Latex Biofeedback Probes

2. Biofeedback

Intravaginal or Intra-Anal Applications

Biofeedback is performed through the placement of inflatable vaginal or anal probes that inform the patient through visual signals whether the perineal contraction performed is correct.

The goal is for the patient to learn which muscle groups should be contracted, increasing voluntary control of the pelvic floor muscles. The inflatable vaginal or anal probe is coupled to a microprocessor that provides the patient with immediate feedback on the level of demand of the pelvic floor muscles, thus reflecting the intensity of contraction and consequently the muscular strength exerted.

Specific exercises help identify and strengthen the constituent muscles of the pelvic floor region, thus providing visceral support as well as improving incontinence.

3. Transcutaneous Electrostimulation of the Tibial Nerve

Peripheral Electrostimulation

Transcutaneous stimulation of the tibial nerve activates inhibitory reflexes via the afferent pathway of the pudendal nerves, where sympathetic fibers are activated in the pelvic ganglia and detrusor muscle.

It also generates central inhibition of motor efferents to the bladder and of pudendal and pelvic afferents coming from the bladder. Therefore, the effects are due to the inhibitory mechanisms, and normalization of the balance between adrenergic and cholinergic neurotransmitters.

Due to this electrostimulation, the bladder activity is inhibited through somatic depolarization of sacral and lumbar afferent fibers via posterior tibial nerve, which comes from a branch of the ischial nerve. The posterior tibial nerve (mixed nerve), projects into the same sacral medullary region as the sacral center of urination. This afferent stimulation provides central preganglionic inhibition of the bladder motor neuron via direct sacral route.

Item(s) used:

Conductive Rubber Electrode

Combination

Therapies

4. BIOFEEDBACK + ELECTROSTIMULATION
(AUSSIE OR FES)

Based on the therapeutic effects of the two therapeutic modalities (electrostimulation and biofeedback), Ibramed developed an exclusive probe for new applicability.

The objective is to associate the electrostimulation technique with the biofeedback technique, at the same time and in the same place, that is, when the electrostimulation stimulus occurs, the equipment will be measuring the strength of perineal contraction, in order to enhance clinical results and optimize treatment.

Probe(s) used:

Teflon + Latex combined therapy probe

Probes

that come with
the equipment

Teflon probes

intravaginal or intra-anal applications

Latex probes

intravaginal or intra-anal applications

Teflon + latex combined therapy probe