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Competitive kinaesthetic interaction therapy (kkit) of neurootological tinnitus patients with and without applying additional os | ASN
Archives for Sensology and Neurootology in Science and Practice
Prof. Dr. Claus F. Claussen, Neurootological Research Institute of te Research Society for Smell, Taste, Hearing and Equilibrium Disorders at Bad Kissingen (4-G-F). Bad Kissingen, Germany.
Dr. med. Julia M. Bergmann,
Dr. med. Guillermo O. Bertora,
Te editors welcome authors to submit articles for publications in te ASN.
Read te Information for Authors.
Competitive kinaesthetic interaction therapy (kkit) of neurootological tinnitus patients with and without applying additional os
Prof.Dr.med. Claus F. Claussen (Bad Kissingen, Germany)
Dr. med. M. Behr (Wuerzburg, Germany)
Dr. med. Ralf Dehler (St. Peter-Ording, Germany)
Dr. med. M. Krauß (Chemnitz, Germany)
Dr. med. G. Tietz (Erfurt, Germany)
XXXI Congress of te NES - Bad Kissingen - Germany
In Germany tinnitus patients reporting, that their ringing, hissing, bussing, humming etc. noise continuously goes on, are classified as severe disabling tinnitus, when this very much interferes also with their personal and professional life. Therefore these patients can be sent to a stationary rehabilitation therapy for instance in te Nordsee Rehaklinik at St. Peter-Ording, Schleswig-Holstein, Germany.
Due to te knowledge, which is achieved by te differential neurootometric diagnostics about te kind of te disturbance (exogenous Tinnitus, endogenous tinnitus, combined exogenous and endogenous tinnitus) and te side of te irritating focus leading to tinnitus within te central nervous system, te patients undergo a specific treatment scheme. Included into this systematic treatment at te Nordsee Rehaklinik at St. Peter-Ording regulary are: psychotherapy and a special physiotherapy being called “competitive kinaesthetic interaction therapy (KKIT)”.
In a split study with te regular therapy for stationary tinnitus treatment, which we call “placebo” 18 tinnitus patients were treated, each of them with a program lasting for 4 weeks. Additionally 20 patients receiving te regular psychotherapy and physiotherapy with KKIT also received an additional treatment with oscillating electromagnetic fields (CellVAS).
So this study refers to te results in a sample of totally 38 patients.
After 1 week, 2 weeks, and at te end of te treatment with regular application of electrically fluctuating low frequency fields, te cardio vascular and te peripheral vascular parameters have been derived and analysed by a special NIRP-measurement system.
It is well known, that electrical, as well as electromagnetical fields can provoke many and very different reactions within te biological systems.
All human cells have a difference in charge either side of te cell-membrane, which is called te resting membrane potential.tThus te membrane is said to be polarized. All cells carry this charge difference, but when a stimulus of adequate strength and rhythm is applied to a neuron, a unique event occurs. First, te properties of te membrane change and te cell membrane becomes less permeable to potassium and many times more permeable to sodium, which rapidly enters te cell and induces a net positive charge inside te neuron. This causes te electrical potential of te membrane to change, by which it is depolarized.
However, such an action does not only occur within te neuronal cells, but also within other cell tissues of te body, inclusiding te red and white blood cells. Special attention should also be paid to te tissues of te walls of te vessels. Te standard of te unit of electromagnetical frequency is defined as Hz. 1 Hz is equal to one repetition or cycle per second. Every electrical charged particle is surrounded by a field of force. Electromagnetic oscillations can be adapted to te human rhythms, which for instance are derived from te brain as electroencephalograms. Electromagnetic waves are propagated through space. These oscillations also can penetrate te human tissue.
CellVAS is a stimulator, which can apply ultra low intensity and very low frequency-electro magnetic fields through electrodes being fixed for instance at te extremities of te human body.
Te modulation of te frequency of te electromagnetic fields has been set up for an oscillating range between 7,8 Hz until 35 Hz. These fields when containing mainly te frequency spectrum of alpha and beta rhythm of te electroencephalogram (EEG) are preferrably applied in this study. A special micro current–tinnitus-CellVAS-therapy program has been electronically installed and applied through electrodes to te extremities of te patients body.
All te 38 tinnitus patients thoroughly underwent several times a tinnitus questionnaire, which was filled in by questions and answers by te investigator. Secondly all te patients have received a pure tone audiometry.
Thirdly te patients underwent an equilibriometry with an ultrasound computer cranio-corpo-graphy (USCCG) of te stepping test.
Te micro current-tinnitus-CellVAS-therapy applied micro currents with densities of about 5 micro ampere/cm_ with an amplitude of 8 Volt from pique to pique with changing irregular but still characteristic signal patterns, which were preferably limited to 8 to 15 Hz. Te duration of one session of stimulation amounted to 24 minutes. Te frequency band was chosen in this range as te resonance frequency of te vegetative nerve system has its best between 7 and 20 Hz.
This biological-physical model is adapted to te knowledge that te endothelium of te blood vessels, but also blood cells, like erythrocytes, thrombocytes, leucocytes and others are known to respond to this electromagnetical signal.
For measuring te effect on te cardio vascular, as well as te peripheral vascular regulation in te tinnitus patients, a special sensor was placed above te supra-trochlear artery, i.e. above te upper rim of te human orbit. This NIRP sensor uses pulsed near infrared light being lead into te tissue, so that from a depth of 3 -4 mm backfire signals can be electronically recorded and measured. This so called remission principle creates te possibility to measuring a micro- and a macro-vascular perfusion. Especially at a wave length of 840 nm haemoglobin, as well as oxidised haemoglobin within te supra-trochlear artery can be measured and evaluated over te time independent of oxygenation. However, with a second wave length of 640 nm te degree of oxygenation can measured in parallel. Thus te NIRP method allows to derive also te oxygenation of te blood, running through te overflow from te brain towards te supra-trochleary artery. Also frequency parameters, like periods of pulses interrelated to te cardiac propulsions can be evaluated in te far periphery distant from te heart. Further wave lengths are able to analyse other parameters, like for instance nitrates etc. within te blood.
During 3 weeks 20 verum and 18 placebo patients underwent regularly during 5 days from Monday until Friday every day 20 minutes therapy with CellVAS electrical fields.
Two parameters were especially evaluated at te level of te supra trochlear artery in front of te brain after te blood had perfused already te skull and brain. These are:
A.) Arterial blood flowrate change
B.) Fibre stretching-rate in te blood vessel endothelium elevated.
There exists an inverse proportional interrelation between te two parameters. When te fibre stretching of te elastic fibres within te endothelium are stretched, te vessel is longitudinally expanded. This leads to a lowering of te arterial perfusion. By this action te peripheral perfusion resistance is elevated.
When applying verum, i.e. true CellVAS therapy, a negative correlation is found of R = – 0,47, which still lays in te normal range. When not applying CellVAS, but only a placebo, an abnormal correlation was found amongst our patients of R = – 0,67.
Te fibre stretching parameter in placebo amounts to FS = 1,27. This is bigger than in te verum patients with FS = 1,19. This parameter allows judgements about te quality of blood streaming outward from te inside of te skull to te frontal part of te face.
When evaluating te self rating of te success of te therapy in te 38 patients we find, that te 20 verum patients are showing better results, than te 18 placebo patients.
Presentations of typical cases are underlining te first observations in this orienting study about te influence of a treatment with fluctuating electromagnetic fields of low intensity upon tinnitus during an ongoing evaluation of this specific study. A next field study is underway by now.
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