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1 | 2 | 3 | 4 | 5 | 6 The following interview took place at the private residence of Ms. Frauke Hauk, owner/president of Optimalife Frauke Hauk Gmbh and the Optimizer Corporation. It appeared in the Ostfriesland Magazine 2/95 THE REVOLUTION IN MEDICINE (Box) (Why have the Russian top athletes never been proven to be "doping"? Why is the susceptibility to injuries of the Bolshoi Ballet so relatively low? How do the Russian Cosmonauts keep themselves so fit in space? A physician specializing in natural medicine in the northern part of Ostfriesland knows the answers to these questions. The Russian professor Nazarov showed him the secret of the biomechanical stimulation (BMS), which has been closely protected in the former Soviet Union. What happened since then, in the office of the Ostfriesian physician, is close to miracle.) When Johanna Janssen from Norden awoke at 4:30 am, August 18th, 1993, her life had been changed by a stroke. One part of her face was suddenly paralyzed. She couldn't close her right eye from that moment on; the right side of her mouth drooped, half her tongue was paralyzed. From that moment on, speaking and chewing became very difficult, and she couldn't get a good night's sleep, because even at night she suffered from severe pains. The punished woman was protecting her open eye, with an eye shield, and at night she put on a salve and covered it with a pad to protect it from drying. For more than a year, she suffered this way, and during this time she spent two weeks in a hospital in Norden and four weeks in a hospital in Emden. During the entire time, she was treated with medications such as cortisone, and had been treated with facial massages, and lymph drainage. But nothing helped. After they had tried all these traditional methods, she changed to a sports physician who specialized in natural medicine. Now the therapy was acupuncture, laser, foot reflexology. These, too, were unsuccessful. Finally, the physician, whose name we are not allowed to mention for legal reasons, explained to her that there was only one remaining therapy left for her to try. The so-called biomechanical stimulation by Nazarov. The Ostfriesian physician had been introduced to this method , which is still relatively unknown in the West, in Bad Bruckenau. There, a friend of his, Dr. Walter Grein, together with Berndt Laudenbach had opened the first Nazarov Center October 1, 1994. "This is a revolution in medicine" acknowledged the specialist from Ostfriesland. As President of the German Society for Natural Therapies and Energetic Pain Therapy (DGNS), he is open towards all new approaches. In Bad Bruckenau, the physician was introduced to the machines which made the impossible possible. These machines were developed in 1978-79, by the Russian scientist and professor Dr. Vladimir Nazarov, one of the leading sports scientists, and bio-mechanics of the former Soviet Union - but until the opening of East Germany, they had been kept secret. The professor of bio-mechanics in Minsk, who had been treated as a classified commodity, was not even allowed to travel into the former D.D.R.(Democratic Republic of German), because the former powers that be in the Soviet Union feared so much that their medical secret weapon would cross over to the West. On November 12, 1990, Professor Nazarov introduced for the first time interested West Europeans to his revolutionary discoveries during a seminar entitled "Muscle Stimulation", which was held at the Institute of Sports Science at the University of Vienna, where he demonstrated the machines, but the reaction at that time was relatively small. In spring of 1993, at another seminar held in Wurzburg, the scientists treated patients suffering from sclerodemia with his muscle stimulators. Till now, this painful hardening of the skin, has been seen as incurable. Nazarov's first German patient Christine Treutlein, from Wurzburg, even became suicidal after 11 years of unimaginable suffering. The "creeping death", which is what this disease is referred to, had nearly dried out the body of this licensed athlete; her skin was stretched taut like a size too-small gymnastic suit, so that she could hardly move, and she was unable to open her mouth due to the welding together of her jaws. There was no help in sight, until the professor from Latvia treated her face with the vibrator for only a short time, while first stretching the muscles with his fingers. Within a few minutes, Christine Treutlein was able to open her mouth. Today, the patient who continues to be treated in the Center in Bad Bruckenau, is as energetic and active as before her illness. In Ostfriesland the successes of the treatment, which seem miraculous, are continuing in the practice of this physician, who has incorporated these machines into his practice. There are five different devices which activate the different muscle groups - a small handy device for the facial and head muscles, the 2.40 meters high machine for the shoulder and arms, another one for the underarm, and another one for the leg and back muscles. And a device with a grip with which one can treat, among other things, tennis elbow. These devices are being produced in a former military factory. Beginning December, 1994, the face-muscle stimulator arrived in Northern Ostfiesland, and that was the end of the history of pain for Johanna Jansen. The physician touched her face as he had learned how to do in Bruckenau. "I felt relief within the first moments", she said. When she came back to the waiting room after a few minutes, she asked her husband Take to give her one of the apples he had just bought in Dornum, and she bit into it with delight. For one year she had been unable to masticate properly. For one year she couldn't sleep without her face twitching, and being pain-ridden - and now in one session, all her troubles were gone. The same day, she threw away her eye-pad and the shield, and most of her medications. Renate Frielinghaus, from Dornum, who has been suffering from migraines since 1973 is similarly enthusiastic. For 15 years, whenever her pains started, she received treatments from a school physician. But even with the medications she got, she still had to spend 3 days in a darkened bedroom. Since she received laser treatment from the President of the DGNS) she began to feel better and the migraines came just once a month and with less intensity. When in the beginning of December, she experienced the onset of another attack, she contacted his office again, and she was introduced to the facial stimulator which had just arrived 4 days previously. "That's crazy" she said enthusiastically. "You have the feeling as if vibrations go from the head into the arms and you becoming totally relaxed. This is like salvation." After 10 minutes, the pains were blown away and the lady from Dornum could pursue her various tasks as if the migraine had never existed. "You feel newborn after a treatment" Kurt Schumann from Hage crooned, a Telekom technician who had fallen from a ladder on a black Monday, and had gotten multiple painful contusions in the chest cavity. "It was getting worse and worse", he claims. "I had enormous difficulties driving the car and turning the steering wheel". Because he was not a friend of injections and medications, he went to see the physician, who was known for his engagement in natural therapy, and so he made contact with the Nazarov stimulator. After one and a half minutes, his pain subsided. Ellen Rita Stricker from Durnom, who had received trauma to the neck vertebrae from a car accident, suffered tension in her neck, strong headaches and nausea until the vibrator was used addressing this special areas. The Ostfriesian physician has also treated himself with the BMS device, and no longer needed to have surgery for a ruptured hernia. He uses the vibrator on those areas, while pressing the acupuncture points, thus connecting and optimizing the two types of natural therapy. At the beginning of this new era, he had a similar experience to an Ophthalmologist in Thuringen, who also uses these method: sometimes she was so shocked from the results that she was unable to continue to work. With this method, even glaucoma can be treated, by lowering the inner eye pressure, and in some cases, vision is improved 1.5 - 2 diatribes. The physician from Ostfriesland is so confident that with the new devices, a new chapter, not only in medicine, but in sports, cosmetics, physiotherapy, and body building - has begun. Even in the Russian space program, the BMS machines were utilized; in the weightlessness of space, the cosmonauts suffer from bone pain, and the muscle atrophy. These are prevented by biomechanical stimulation. In Russia, the Nazarov method has long been accepted, and it has been extensively experimented with since the end of the '70s. "Guinea pigs" were athletes, cosmonauts, ballerinas, and in the beginning, they were healthy human beings, whose enormous performances could be heightened even more through the muscle stimulators. Nazarov himself, had gotten a name, as an active champion athlete and member of the Soviet vaulting gymnastics team. The Soviet Gymnastics World Champion and Olympic Winners have been training themselves since 1979 with biomechanical stimulation. Since the beginning of the 80s, the Bolshoi Ballet, the St. Petersburg Kirov Theater and the Waganow Dancing School have used this method. Athletes, who worked 3 minutes a day for six days consecutively with the vibrating expander (hand machine stimulator), experienced muscle strength improvement of 12% - without vibration, no increase in strength was shown. In 1980, twenty-four athletes of the Soviet Youth Gymnastic Team, in Suchumi, practiced very painful splits on a board, which most of them were unable to do without the help of a partner. After the affected muscles had been treated four times for 5 minutes with the stimulator, the young gymnasts were able to perform these same exercises without great effort. Another athlete of this group, who was already able to do the split, was now able to touch the floor with his groin even after they had put 12 centimeter high boards under his legs. Thanks to biomechanical stimulation, the dancers of the Bolshoi Theater suffer less from injuries than before, even though there is more demanded from them, and the number of older dancers with irreversible joint damage is significantly below the international average. But even if the Nazarov stimulation method appears to cause miracles, it has nothing to do with the ignominy of Russian healers, but is based instead on the latest empirical scientific experiences. Nazarov found that it is not the heart alone pumping the blood through the last branch of the body - to do this, the heart would have to be 15 - 20 times stronger. Instead, each muscles possesses its own circulatory system which is independent of the heart: after the death of a human being, the muscles remain alive for 70 minutes, with this vibrator stimulation, the muscles remain alive for 7 days. In the living body, the muscle fibers are continuously vibrating with different frequencies (muscle tone), even when the body appears to be at rest. These vibrations produce at the tendons vibrations with a large range of frequency that is manifest even when the body is still. Nazarov has made studies on the frequency and amplitude of these vibrations. "When the arm is extended, the finger tips will vibrate lightly. If you print out these vibrations on a tape, it will reveal an uneven curve of vibration. Strengthening the tension, i.e., by spreading the fingers apart, these curves on the tape become more regular. With even stronger muscle tension, "sinus" curves appear (activity tremor). Women's sinus amplitude is lower than men's, and during sleep, sinus amplitude is a third lower. In a highly active state, it is up to 10 times higher". The biomechanical stimulation is based on these scientific experiences, and through therapy devices the muscles receive mechanical energy unaffected by direct electrical energy. "The goal of the therapy devices is the transformation of mechanical vibrations into longitudinal vibration of the muscles," explains Nazarov. "We always work with a tense and stretched muscle. In doing this, we use the same frequencies and amplitudes of the muscle's natural contraction". In this way, the longitudinal muscle fibers are set into motion by the same frequency which they would produce at maximum output. Even muscles which are "still" due to injury or paralysis, are set into motion from this external sources Through these vibrations they are kept artificially long at the highest output - which they would be unable to do under natural tension. The activated muscles pump much more blood than before. During the stimulation of the entire body, more than 5 liters of liquid is brought from the interior of the body to the working muscles. The circulatory system works at its peak, and the muscles grow. It shows clearly that BMS stimulation can also be put to good use in cosmetics, fighting obesity and cellulite. "The old half-dead, half-living tissue eats man, and ages him", explains the physician from Northern Ostfriesland. The BMS treatment destroys the half-dead tissue and motivates the body to produce new tissue to rejuvenate itself. Therefore, it uses cholesterol, which is removed from the blood. The benefits: the cholesterol level goes down, the metabolism normalizes. The Ostfriesian physician believes that the fitness-makers from Russia will one day be found in every physician's practice, every body building studio, every beauty salon, (maybe even in every household), and the aging process - even of the face, will be forestalled. A bloodless method of face lifting will be possible, the facial skin is just stretched over the growing facial muscles. This very gentle method of stimulation which requires no medication, is also very beneficial for the psyche. The recipient of this treatment nearly becomes euphoric and could pull trees up from their roots. In any case, the recipient desires maintaining this level of newly trained muscles. The disappearance of pain during stimulation is miraculous but not a miracle. The muscles are connected to the central nervous system through the so-called mechano-receptors - nerve endings of the sensory nerves. "Every change of the muscle length leads to a stimulation of the receptors, which themselves are sending nerve impulses through the nerve axons into the central nervous system", informs Nazarov. The pain which makes any movement excruciating is supposedly originated from destroyed cells whose contents flow in the space between the cells. There, elements such as serotonin, calcium chloride and histamine cause pain to the nerve endings. When the stimulated muscle pumps blood, it exchanges the contents of its corpuscles with the contents from the space between the cells and in this way lowers the concentration of these irritating elements in the pained parts of the body. At the same time, the strongly stimulated mechano-receptors distract the attention from these unpleasant sensations. "As our experience has shown, the pain can instantly, and in most cases, permanently disappear", explains Nazarov. "We discovered the effect of pain relief for the first time during the initial experimental test of biomechanical stimulation in 1979 at the Institute for Traumatology and Orthodpedi1atrics in Riga." Thanks to biomechanical stimulation, many Soviet athletes, who were already thinking about ending their career, were able to cure their severe injuries in a very short time, and then perform to the apex of their abilities including earning medals. In May 1994, in Thuringen, where now another BMS center has been started, Nazarov has healed a 23 year old man, whose left arm was paralyzed after a serious motorcycle accident. A professor from Jena, was close to amputating the paralyzed arm, when by the second stimulation therapy, the youth was able to move his shoulder, and after a week and a half, the entire arm. "For the amputation, the health insurance would have paid - for the healing, they didn't pay a penny", said the Ostfriesian doctor shaking his head. As President of the DGNS, he is now fighting for the acceptance of BMS from the health insurance industry. His experience is that there is no therapy that is more effective and less expensive. "The physician, the patient and the health insurance are obliged to lowering expenses", he stated. "The patient has a right to natural therapy even with the mandatory governmental health insurance, if the so-called official scientific medicine is not effective. And in this instance, he has even more right for this alternative because it is already scientific". "In Ostfriesland, Nazarov has found in Frauke Hauk from Esens another promoter. She wants to clear the way for the professor so that he has more time for research." (He is currently working on a device for obese people, which will be patented. The Ostfrieian physician was also part of the development of another prototype.) Frauke Hauk knows of the method from her own experience. "I was a guinea pig in May, 1993 at the University of Gottingen". The worldly woman of multi-faceted interests and experiences was invited to Gottingen by Russian friends to see a demonstration of the BMS method . "I drove there very skeptically". After a short muscle stimulation, she was able to touch her palms to the floor with locked knees. This was unthinkable for her to do without pain a few minutes before. That was one and a half year's ago, when Nazarov had visited Ostfriesland for the first time. Frauke Hauk, who has tastefully renovated several apartments in Esens, and a small farm by the ocean, offered him an apartment there to enable him to relax. "The landscape remembers him of Rega", she explains. "He needs the horizon and the skies - he likes Ostfriesland." In December, 1994, shortly before Christmas the inventor of the biomechanical muscle stimulation visited Esens again. This time, his stay was not as quiet and private: for instance, Nazarov met the Ostfriesian physician who had been using his method since the beginning of the month. Nazarov, Dr. Grein, and his Ostfriesian colleague, together founded the German Society for Nazarov Stimulation Therapy (GDNST) on December 2, whose President is Nazarov. "Nazarov intends to do something in Ostfriesland", claims the woman from Esens. He asked her, for instance, to contact one of his assistants, who works as an instructor at the Academy of Body Education in Minsk. The Russian also invited the Ostfriesian lady to Latvia to help him renovate an old castle with a moat and convert it into a BMS center. Frauke Hauk, who advises him, has already made contact with the patent office in Munich. In February, she intends to accompany him to the Fraunhofer Association in Munchen, which protects inventions and promotes them. The Ostfriesian physician, on his part has already found a translator for Nazarov's book, which will be edited by a Thuringer publisher under the title "Optimizing the Human Being". Both the German National soccer team and the Regional League have demonstrated an interest in obtaining information and over a hiundred cure clinics have shown their interest in acquiring the whole BMS program set to the President of the DGNS, who is currently holding conferences about the program. The physician also sees in this revolutionary therapy, a future for Ostfriesland. A BMS center at the North Sea coast would be ideal.

Congress for Physical Therapy and Special Exhibition - "Physiotherapy and Spa," May 3-5, 1996 in Lübeck-Travemünde. Report on Workshop Company Optimal Life GmbH, Am Krankenhaus 526427 Esens. Biomechanical Muscle Stimulation - BMS The history of BMS in Germany and the history of the company Optimalife are inseparable. When the European East was opened some years ago, the founder of the company, (Mrs. Frauke Hauk), participated in an international convention and experienced the superiority of the East in certain scientific areas. She was able to help start a career for some Russian scientists. This led to her meeting Professor Nasarov, in 1993, who invited her to one of the first BMS demonstrations at the University in Gottingen. At the end of 1994, his BMS treatments resulted in astonishing success on her eye condition. She then was able to arrange treatments for other people, including an Arabic royal family, which were also successful. The Bio Mechanical Stimulation, called BMS, is based on new findings in muscular physiology and muscle biomechanics, and represents a mechanical influence on the muscles caused by ?vibration of a particular form, amplitude and frequency. Different from a traditional vibromassage, the BMS is. applied to a stretched or tightened muscle. That is why BMS is similar to dynamic or static exercise (but uses special mechanical devices). BMS imitates intensive muscle work without mental stress and without stress on the heart, the circulatory and the nervous systems. BMS exceeds natural muscle training, by far, in regard to the results and to the unimaginable short time of application required. Only one BMS treatment often results in the success that conventional treatments took weeks to achieve. How does BMS work? The heart pumps blood through the body. To be able to optimally provide even the smallest capillaries with blood, the heart would have to be 25 times larger and stronger. If a human being exerts him or herself, and produces maximal muscle work, the continuous vibration of the muscles is clearly shown by the activity tremor, or physiological tremor, which, graphically recorded, shows the form of a regular sine-curve. The amplitude and the frequency of this muscle tremor, which is imitated by the BMS, is known. There is new knowledge about the results accomplished through this tremor - the blood pump function of the muscle. The muscles are constructed like the heart - small valves in the vessels guarantee that the bloodstream flows in one direction . The strong pump function of the muscle increases the blood circulation - oxygen rich blood reaches the smallest capillaries, vessels get cleaned, toxins are washed away, cell walls are strengthened, old and half?dead connecting tissue is destroyed, and the metabolism is activated to produce new, fresh tissue. The healthy body uses cholesterol during this process, and therefore cholesterol level is lowered. The ability of the human body to regenerate has been underestimated until now. Completely new experiences with BMS treatments result from the fact that the longitudinal muscle vibration caused by BMS stimulates the nerve endings - the so-called mechanoreceptors - which send impulses to the Central Nervous System. Results show that it is necessary to add new knowledge to our traditional knowledge, which was to believe that if parts of the CNS are dead, there is no hope to better the condition connected to the destroyed part of the CNS. Through BMS stimulation of the muscles at the periphery, new programs are started in the CNS, the center. The ability to train a muscle-memory should not be underestimated. The increase of the blood circulation in different parts of the body can now be focused through BMS. These new experiences guarantee extraordinary results in the fields of training, rehabilitation, and fitness/cosmetics. That means, for example, a faster development of joint mobility, muscle strength, muscle coordination, and intensive fitness/cosmetic effects. Another important area for BMS is in pain therapy. Pain, which causes suffering with each movement, seems to result from destroyed cells. Their contents (seratonin, calcium chloride, histamine, etc.) have a painful influence on nerve endings. A muscle which is applied to BMS pumps blood and exchanges the contents of its capillaries with the contents of the destroyed cells, thus lowering the concentration of the irritation?causing substances in the pain centers. In addition, the mechanoreceptors distract attention from the pain causing process. Clients using BMS have consistently reported immediate and lasting pain relief.

Professor Dr. Schmidtbleicher (Emblem) JOHANN WOLFGANG GOETHE UNIVERSITY Institute for Sport-Science Glinnheimer Landstr. 30 60487 Frankfurt am Main Prof Dr. Schmidtbleicher Test results pertaining to the RNS-Problematic. (RNS - Rhythmical Neuro Muscular Stimulation)

1. The application of the sinusoidal mechanical vibration on the relaxed muscle results by a 3 x 2 minute treatment duration - with a 2 minute break between the series in each case - in a spontaneous increase in mobility at an astonishing extent - (about 10-15% of the length of the muscle.) This change of the segment length of a one-time treatment is reversible and it lasts approximately 30 minutes. 2. RNS causes a significantly higher blood circulation in the stimulated tissue areas. 3. As long time application RNS is useful in an extraordinary way for mobility training. In the longitudinal cut section test, during a 6-8 weeks duration with 2 training periods per week, increased growth rates of 20-30% can be realized. Thereby RNS is preferable to other expansion techniques (like for instance the "Stretching"). 4. The cause for spontaneous change of segment length is, in all probability, caused by the sensibility changes in the muscle spindle. With the longitudinal adaption additional changes of the connective tissue and muscular structures have to be expected. 5. Immediately after RNS, a reduction of the maximal?and explosive force occurs. As cause for this phenomena, in addition to the process of desensibly of the muscle spindle, micro ttaumata in the region of the sacrum can be explained as a result of the stimulation. RNS therefore is adversely marked prior to the contest. 6. As "cool-down treatment" after the training, RNS is excellently suited. 7. The application of RNS with pulled or contracted muscles, results - after temporary weakening of the muscular system - with a three times training per week, in muscle strengthening, especially in the maximum force region, however not in the explosive force, which will regain the initial conditions after about six weeks, and will than show significant growth increases beginning with the 8th week. 8. The results in the rehabilitative field show, that with RNS, adhesions which resulted from scar tissue formations or injuries, can be treated successfully. 9. Additionally known phenomena, like spontaneous increase of the until then limited mobility, reduction of the pain phenomena, among others, can be traced back with great probability to the changes of the generator potentials of the receptor organ. 10. With the aid of H?reflex measurements proof could be obtained, that through RNS the irritability threshold of the motor neuron pool of a muscle can significantly be reduced. Frankfurt, October 31, 1996 Sb/jr. S/Schmidtbleicher Translation by: International Translators Interpreters and Typesetters 2434 Sheridan Street, Hollywood, FL 33021 Phone: 954-927-0625 Date done: May 14, 1997

University Dermatology Clinic Tübingen Hautarzt (scientific magazine of dermatology) 1997 48:318-322 Springer-Verlag 1997 T. Klyscz, C. Ritter-Schempp, M. Ringer U. Rassner Biomechanical stimulation therapy to treat join immobility associated with chronic venous insufficiency Summary We report about a new type of physical therapy which can be used in patients with joint immobility secondary to by Ironic venous insufficiency. Biomechanical stimulation therapy (BMS) uses mechanical vibration of standardized frequencies from 18-35 Hz spectrum to expose the feet and legs to longitudinal mechanical stimuli. Therapeutic benefit and clinical improvement can be achieved after a short period of treatment. We describe a 76 year old female patient suffering from both impaired motion and recurrent venous ulceration due to chronic venous insufficiency. After 10 days treatment with BMS, mobility of upper ankle joints improved by 16 degrees and 19 degrees and was accompanied by healing of venous ulcerations after skin flap transplantation. Biomechanical stimulation methods were developed in the former Soviet Union where they were used in sports medicine to improve relaxation of strained muscle structures and to increase the stretching ability of capsules and tendons. We have successfully treated 6 patients with impaired mobility and chronic venous insufficiency. We believe that BMS is to become a valuable therapeutic tool in patients with this problem in the near future. Key words Chronic venous insufficiency-Arthrogenic congestive syndrome-Flexibility training-Muscular strength-Vibratory stimulation-Biomechanical stimulation method (BMS)

This article was published in October 1997 in the official magazine of the Bethesda Hospital in Duisburg, Germany. After an MS patient, a Doctor of Law, bought the equipment from Optimal Life and donated it to the hospital, the therapists have been trained by a Optimal Life Certified BMS Trainer ( BMS is used here for RNS) Focused Medical Theme Vibrations for Treatment of Symptoms of Various Ailments Since July, 1997 the Physical Therapy Department in the Bethesda Hospital has been using 2 BMS devices. The Bio Mechanical Stimulation (BMS) was developed. and described .in publications in Russia at the beginning of the 1980's. The therapy was first used in professional sports... In contrast to normal vibro-massage, which has been used for many years: with Bio-Mechanical Stimulation the influence is applied to a contracted or tensed muscle. The method of BMS is similar to the dynamic of static gymnastic exercises, but it applies special devices. The effect of Bio-Mechanical Stimulation exceeds, by far, the effect of gymnastic exercises. The influence on the body is pure mechanical without electricity or medication. It is a stimulation on the longitudinal muscle in a contracted or tense position under simultaneous application of manual massage and friction. A treatment of only a few minutes shows direct, perceptible results. Today this method is applied in the medical area as well as in sports and cosmetics. The medical spectrum reaches from metabolic ailments and circulation of disturbances of coordination (for instance M. Parkinson's disease), and therapy for strokes. In cosmetics, for example, with cellulite, Bio-Mechanical Stimulation can lead to excellent results. BMS causes an extensive transformation and/or improvement of the metabolism. With Multiple Sclerosis (MS) patients, the muscles' use of oxygen is improved by the mechanical stimulation so that the metabolism of the cells is strongly accelerated. On the other hand, through BMS treatment, new muscle substance is built up providing the patient with a greater ability and safety in his movement coordination. After just a few treatments, the MS patient is able to use his legs and arms in a new and impressive way. "We still have to collect more experience," say Tatjana Schmitz, Heinz Schriewer and Michael Hofschen simultaneously " but the results especially by treating MS patients are impressive." The Bio-Mechanical Stimulation provides the MS patient with a significantly improved quality of life, and puts him physically and mentally in the position of being able to, at least occasionally, " stand on his own legs." Although there are all these positive experiences with BMS, MS cannot be healed by Bio?Mechanical Stimulation . The 3 specially trained physiotherapists report: " We also receive an extraordinary positive resonance from arthritis patients getting BMS treatments." Patients with restricted mobility in the spinal column report a faster pain relief followed by improved mobility. The idea is based on the fact that, in a living body the muscle fibers are continuously vibrating with different frequencies. For example, when we extend our arm, we experience that the fingertips will vibrate lightly. These vibrations printed out on a tape will reveal an uneven curve of vibration. By strengthening the tension, i.e. by spreading the fingers apart, these curves on the tape will become more regular. These regular vibrations are used by BMS to produce positive effects in the circulatory, the lymphatic and the nervous system. This therapy can assist the heart in its blood pumping function, because the capillaries take over a sort of pump function created by BMS. The patients need less medication for the heart and blood circulation... we can conclude that the BMS method is improving the blood circulation and the metabolism. With BMS great progress can be achieved in the field of joint mobility. The method can also be applied to improve mobility coordination, as well as to exercise special movements and movement sequences. Muscles which are unable to perform their work can be stimulated from the outside through the application of these BMS devices. The muscles warm up quickly , the sensitivity of the nerve endings at the muscles is improved and the ability of these muscle groups to work can slowly be activated. The treatment by Bio Mechanical Stimulation can only be performed by specially trained professionals. In the physical therapy department of this hospital three therapists have been specially trained in BMS. The intensity of the therapy depends on the diagnosis and the team makes an evaluation in each individual case. The director of the department, G. Willing, and his team hold very high expectations of the new BMS devices and their ability to improve the quality of life for many of their patients. b.e.

The following is a translation of a presentation given at the annum conference of the German Association of Physiotherapy Munich, October 1997 annual meeting Published in the 6/97 edition of the journal "Therapie + Praxis". The author Mrs. Marianne Walter (physiotherapist) has trained the first American BMS-Specialist The contact resulting in an official invitation to this conference was made during a medical exposition where Mrs. Walter demonstrated as a representant of Optimal Life GmbH BMS application in presence of the president of the German Association of Physiotherapy.

BIOMECHANICAL STIMULATION AND ITS APPLICATION IN PHYSIOTHERAPY

BMS means a transfer of mechanical vibrations with a set frequency and amplitude on the neuromuscular system. The idea is based on a mechanical imitation of the physiological tremor, an intense stimulation from the outside on tensed muscles in the form of a sinus curve, which leads to a longitudinal vibration of the muscle fibers as experienced with a maximal workout. The influence is applied lengthwise on the muscle fibers in the direction of the normal muscle contraction. This creates an intense stimulus of the mechano receptors in the muscle fibers, which then leads in a direct way to the Central Nervous System (CNS). The vibration frequency usually ranges 18-30 Hz, numbers we most often find with the natural vibration of the muscle fibers (the physiological or activity tremor). In every living body, muscles vibrate constantly with different frequencies. Movement produces, in the tendons, vibrations with a wide band of frequencies, which can be shown even when the body seems motionless. The amplitude and the frequency varies by changing the length of the tendomuscular system (contraction). By concentrating on the body's own vibration parameters, BMS positively effects the muscle blood circulation system, the lymphatic system and the coordination of the peripheral and central nervous system. a. The effect on the circulation and the lymphatic system. By compressing the capillaries with muscle activation, the blood is pressed out of the vessel. When pressure is lessened the original form of the capillary is regained, thanks to the elasticity of its walls, and arterial blood can flow in again. The flow back from the venous blood is stopped by anatomical forms like valves, which we will find even in the smallest capillaries. Due to enforced longitudinal vibration a vacuum is periodically created in the capillaries, leading to an increased blood pump function. Scientific experiments with isolated or partly isolated muscles have shown that, through the longitudinal vibration of muscles (for instance, in the forearm and hand areas) the pump function increased by 10% and under maximal dynamic activity by 30%. BMS leads to a significant better blood circulation in the stimulated tissues. b. The effect on the central nervous system A further possible influence on the human organism is the stimulation of the receptors of the neuromuscular system. Information from the periphery is processed to the CNS through the sensatory nerve tracks. The stimulation of the nerves starts on or at their endings, the so called mechanoreceptors. They are described as the smallest end of nerve branches which surround one or more muscles fibers like a spindle. Mechanoreceptors are also called proprioceptors. They deliver kinesthetic information (awareness of position, movement and weight). Mechanoreceptors exist in muscle tendons, fascies and connective tissue which is found in practically all organs. Longitudinal changes of the muscles change the form of these nerve endings leading to a stimulation of the nerves. The resulting information is sent to the CNS. Muscle fibers, tendons, fascies and capsules are stretched and loosened by BMS. As a result, signals from all these areas quickly reach the CNS and initiate systematic reactions of the whole organisms. By stimulating the mechanoreceptors, whose information is transferred into the CNS, excitation centers are created in the motorical zone of the cerebral cortex. The stimulation effect depends more on the speed of the stimulation, rather than its strength. Frequencies which optimize the blood pump function are different from those favorable to the stimulation of the mechanoreceptors. The choice must be made to address one or the other function. c. Effect on mobility Experimental research at the Johann Wolfgang Goethe University in Frankfurt has shown that, a treatment consisting of 3 applications at 2 minutes each, with a 2 minute pause between the series, leads to a spontaneous increase in mobility of 10-15% of the muscle length. This change of the segment length with a one?time treatment is reversible and it lasts approximately 30 minutes. With long term treatment BMS is highly effective for mobility training. In a longitudinal cut section test, during a 6?8 week duration with 2 training periods per week, increased growth rates of 20-30% can be expected . This makes BMS preferable to all other stretching techniques. A neurophysiological explanation for the improved flexibility is the stimulation of the Golgi tendon organs. Stimulation of the Golgi tendons leads to an inhibition of the contraction followed by a relaxation of the muscle. The Dermatology Clinic at the University of Tuebingen conducted a study involving 6 patients with joint immobility connected to arthrogene congestion syndrom caused by a serious chronic vein disease. The physiological size of mobility of the upper ankle represents an important factor of the ability of the calf muscle to operate... This leads to a vicious cycle. The range of mobility of the upper ankle is closely connected to the venous pump capacity. The reduced venous pump capacity may lead to chronic joint mobility restriction in the upper ankle. Therapeutic activities in use to date in rehabilitation centers, regarding this health problem, include compression bandages, vascular training and an individually adapted physiotherapeutic training program with PNF (proprioceptive neuromuscular fascilitation). Now for the first time BMS has been used; 10 treatments of 15 min duration each, in a 2 week time frame resulted in significant improvement of ankle joint mobility, manner of walking, an improved overall mobility, several hours of lasting post therapeutic pain relief (up to freedom of pain), and a complete healing of the skin graft which had been executed following the joint mobilization. Control checks after 4 weeks showed a very good skin condition and the ankle joint mobility was still on the level of the BMS therapy result. The spontaneous change of the segment length is probably caused by the change of sensitivity of the muscle spindle and by changes of structure of the connective tissue and of muscular structures. Results in the area of rehabilitation show that adhesions caused by scar tissue can effectively be treated with BMS. Treatment examples in the area of neurology: apoplexy: Treatment for paralysis in the arm and leg area begins with a stimulation on the leg device using a low frequency of 22-24 Hz for approximately 2 min to improve blood circulation and to get the patient used to the stimulation (loose and spastic paralysis). The frequency is then raised to 26-28 Hz for 3 minutes (per group of muscles). Patients with a spastic hemiparesis are brought into a reflex inhibiting position. The abductor muscles, legs and both arms are sequentially placed on the leg device. Under the vibration the patient tries to move against the expected spastic reaction, i.e. to open the fingers, to abduct the thumb, dorsalflexion of the wrist and extension of the elbow joint. BMS treatment of healthy half of the body, as well as problem areas, is important for the symmetry of the body. Depending on the degree of mobility the patient uses different starting positions such as sitting, standing, standing on one foot, etc. It was a surprise that even a strong stimulation of the forearm flexors or finger flexors never led to an increase of the spastic reaction. On the contrary, the opening of the hands was easier and the adducted position of the thumb was nearly always loosened up. The normalization of the muscle tone makes it easier for the patient to create "normal movements" and the time following the stimulation can be used to activate movements. Usually the improved muscle tone in the beginning of a treatment sequence lasts from one to 5 hours. Patients with a loose paresis are stimulated with a higher frequency of 28?32 Hz. Starting position and the steps of the stimulation treatment are identical with those of a spastic hemiparesis. In cases of a loose paresis an additional manual stimulation under BMS is applied. The patient is also asked to visualize the movement before starting with the help of the therapist. Treatment examples in the orthopedic area. 1. Chondropathy Patellae: (kneecap). The symptom has been treated in a test series with frequencies being used for building up muscles and those for pain relief. Treatment sequencies of 3 times per week have been proven an excellent success. 2. Restriction of Mobility in the Hip Joint Stimulation with BMS to relax areas of bruised and shortened muscles: The adductors, ARO and flexors, including musculus rectus femoris, m. erector trunci lumbalis and m. quadratus lumbarum are stretched with BMS. An existing strong hip bending contraction should be treated by additional stimulation of the M triceps and the short muscles of the foot. A decision for the frequencies depends on the symptom to be treated. Shortening of muscles requests frequencies different from those to produce pain relief which are located in the upper frequency area of 28-30 Hz. 3. Carpal Tunnel Syndrome and Tennis Elbow Here BMS is ideally indicated. A punctual form of BMS application at the bone insertion has resulted in optimal success. Conventional physiotheraputic techniques, like friction, etc. multiply their result if used in connection with BMS. BMS treatment in the above areas have produced extraordinarily positive results. 4. PHS and Disturbance in the area of the Rotator Cuff Mostly the m. supraspinatus is involved. A significant better blood circulation in the stimulated tissue, the spontaneous increase of the restricted mobility and a reduction of pain phenomena show that BMS is a very effective therapy tool. 5. Dysfunction of the Jaw Joint This disturbance can successfully be treated with BMS if the problems are caused by muscles surrounding the joint. Usually the muscle m. masseter is involved by 70% and the m. pteryoideus by 84% to create this painful dysfunction. The theraputic method is to stimulate the trigger points of these muscles in a stretched initial position. The patient experiences pain relief already after 2 or 3 stimulations and is able to open his mouth wider. 6. Back pain - Acute Lumbago. Using the example of an acute lumbago (acute back pain), the mode of BMS, relating to pain relief, can be explained. a) Pain relief is achieved by a strong activation of the mechano receptors, which causes activation of the gate ? control system of pain (Malzack and Wall) b) This mechanism is guaranteed by the activities of mechanoreceptor, noziceptors c) Noziceptors are nerve endings with myelin?free slowly conducting nerve fibers. d) On the spinal cord level in the substantia gelantinosa, of the posterior horn, information of the noziceptors can be filtered by a complete inhibition mechanism. e) Raising messages from the noziceptors - in case of damage in the organism - an overflow of noziceptor messages deactivates the gate-system, so that the messages can be forwarded through the tractus spinothalamicus to the subcortical structures. Here activation programs are being started. The movement gets modified, inhibited or blocked. f) The inhibition of the noziceptor activities is taken on by the mechanoreceptors. Mechanoreceptors permanently report movements, movement changes, muscle changes, muscle tensions, etc. Here we can find the transfer to our work with BMS. Through the muscle activity the activity of the mechanoreceptors in increased and the "pain gate" is closed. Contra indications 1. Implantates (metal) endoprosthesis 2. Fresh stroke (apoplexy) (4-6 months) 3. Fractures with incomplete healing (reconstruction of bones), pseudoarthrosis (when 2 broken ends of a fractured bone do not bond together but heal separately) 4. Thrombosis 5. Fresh and complete ruptures of tendons and ligaments and new surgeries related to this. 6. Acute arthritis 7. Non-specific and specific inflammation 8. Maligne Illnesses (i.e. Cancer) 9. Amyothrophic Lateral Sclerosis (ALS) Acute MS-push 10. Pacemaker 11. Spiral, interuterine device (IUD) 12. Aneurysm 13. Polyneuropathy with Diabetes Caution with Diabetes in general. During a 30 min BMS treatment a degradation of approx. 60-150 units occurs. In addition, Ozone treatment is suggested to increase the connective capacity. 14. Gravidity Pregnancy (no leg and shoulder machine) 15. Gallbladder stones, Kidney Stones 16. Acute stage of MS (in most cases MS systems are successfully treated with BMS)