Phototherapy Treatment Manual - Rich-Mar Corporation

TreatmentGuidelines5 Guideline ExplanationTREATABLE CONDITIONSRelated clinical conditions are clustered and treated with a similar protocol.The selection of treatment sites vary based upon the assessment, diagnosis and outcomes.TREATMENT SCHEDULEGenerally, for the first week: Treat up to 5 x per week then to the lower range by week 2.Acute conditions can be treated 1-2 x daily as warranted.Chronic conditions: Longer duration and less frequent treatments (2-3x weekly).LASER , SLD, LASER + SLD ICONSUse treatment sites for both Laser and SLD, providing a comprehensive approach.Based on the pathology select the most appropriate treatment sites.Also refer to Treatment Notes at bottom of the protocol page.BILATERAL TREATMENTFor purposes of clarity, treatment sites for Laser and SLD have been illustrated onone side of the body only. Treat bilaterally as required.TREATAdditional information to assist with using the specific treatment guideline.VER. 1.3 © RICH-MAR 2009JOULESA joule is a unit of energy. One joule is the equivalent of one watt of powerradiated or dissipated for one second. (e.g. 200mw Laser Cluster deliversone joule per 5 seconds. 500mW SLD Cluster delivers one joule/cm 2 per 45 seconds).Time is automatically set with dose selection.PULSINGPhoton energy can be delivered in a continuous stream or pulsed (bursts of energyper second). Guidelines provide both continuous (black) and pulsed settings (grey)for treatment. See following pages for further treatment details.RICH-MAR pulsed settings:1 - Low = 8 pulses / second,2 - Medium = 146 pulses / second and3 - High = 1000 pulses / second.Pulsed mode and continuous mode can be alternated between sessions.DEVICE SETTINGSConsult your RICH-MAR Operation Guide for full operational details for the specific RICH-MARdevices.For the RICH-MAR Console setup, the numerical sequence listed is a rapid method of programmingthe treatment console settings and must be used under the "Manual" 'O' category.Example:0 10 0Manual Setting Joules Continuous or Pulsed (1-3)Note: For the Portable Laser – once dose is selected, it delivers the dosethen automatically shuts off. Each audible beep indicates one joule has been deliveredand three rapid beeps indicate the treatment cycle is complete.