Tes therapy transcranial electrostimulation. TES method - transcranial electrical stimulation of the protective mechanisms of the brain. Treatment of the consequences of neuroinfectious diseases of the spinal cord and brain

TES-therapy is a modern physiotherapeutic safe non-drug method of treatment and prevention of various diseases, which has a limited number of contraindications.

This method was developed in compliance with the principles of evidence-based medicine at the Institute of Physiology named after I.P. Pavlova RAS more than 30 years ago.

The new method regulates the functioning of the site, and the seizures associated with the disease usually disappear. If the battery that sends electricity, off, the patient suffers from the disease again. Electrical stimulation has also been used in other situations: slow down the involuntary movements of Parkinson's disease, relieve symptoms of obsessive-compulsive disorder, and combat chronic pain, migraines, and chemical addiction. Experiencing Alzheimer's and eating compulsions.

The most impressive story so far known is from an American patient released last year. The 38-year-old man, whose identity has been preserved, suffered a head injury when he was attacked. For all these years, it has remained what neurologists call the minimum state of consciousness. This means that the patient can only communicate with limited eye and finger movements.

Currently, TES therapy is widely used in medicine and has been awarded many Russian and international awards, including the RF Government Prize in the field of science and technology.

Method advantages

  • High efficiency and repeatability
  • Safety and no side effects
  • Limited number of contraindications
  • Reducing drug costs and treatment time

TPP technique

It is known that many life-supporting processes in our body are controlled by the brain. This is a real command center. He controls the work of many organs and systems. The execution of commands coming from the brain occurs with the help of biochemical substances that carry information. These substances produced in the brain are called neurohormones. Each of them is responsible for a specific function or result. The most significant among all neurohormones are endorphins.

He chews and swallows his food without artificially asking himself. In Brazil, this method has been used for three years. They were completely disabled, ”he says. They were able to resume procedures and regain the ability to perform simple daily tasks such as housekeeping. After surgery, the patient remains in the hospital for two days to receive antibiotics and to avoid complications. After a few days, electrodes are attached to the battery to allow for the recovery of brain tissue after surgery.

There are risks, and they are not contemptible. Healthy areas of the brain can be affected during surgery. Bleeding may also occur. The likelihood of this type of complication is less than 2%, says Corka. The electrodes can be removed at any time. The battery that supplies electrical current to the electrodes must be replaced every seven years. If disabled for any reason, the patient again suffers from the symptoms of the disease he is carrying. Side effects such as headaches and dizziness may occur.

Endorphins are special substances of a protein nature, which are produced in the hypothalamic-pituitary region of the brain. These substances were discovered in the 70s of the twentieth century. At first, it was found that with direct electrical stimulation of certain structures of the brain, reliable pain relief can be obtained. When studying the mechanisms of this pain relief in the human body, opiate receptors and special opiate-like substances were discovered that eliminate pain many times stronger than all known analgesics. These substances are called endorphins or internal morphines.

As with any new method, many doubts remain about the safety and benefits of neurostimulation. Communication between neurons may become abnormal in the future. There is no guarantee that currents - electric or magnetic - will not affect other areas of the brain in addition to the desired part. “These are very small risks, but they need to be confirmed by more research,” says Felipe Fredni.

According to neurologist Mauro Muscaca from Federal University Sao Paulo, the methods are promising. But if healthy areas of the brain are damaged, serious damage can occur. The consequences can be cramps, motor problems, and mood swings. Nobody likes to take medicine. When something arises that seems to end the disease so easily, the tendency is to neglect the risks. Neurostimulation will not bring relief to all patients with neurological and mental illness.

Later it was found that endorphins, in addition to pain relief, perform many other important functions in the body. They have a pronounced anti-stress effect, normalize immunity, accelerate the healing of damaged tissues, improve the quality of life, and much more. They were even called "hormones of joy", since endorphins are produced in small quantities in humans and in response to positive emotions.

But this is hope for many of them. Stimulation techniques will balance brain functions. This is an option when medications don't work. Repetitive transcranial magnetic stimulation delivers intense magnetic pulses through a powerful electromagnet placed on the surface of the skull.

The dynamic magnetic field will create a low electrical current not felt by the patient, an electromagnetic induction mechanism, in certain areas and circuits of the brain involved in depression and other mental or neurological diseases. The activity of brain cells changes, which can be increased or decreased.

If there are enough endorphins in the body, a person is able to endure the most severe stresses and strains, resist diseases, and quickly recover.



An important point to be made, however, is that endorphins are an effect, not a cause, of joy or pleasure. Therefore, an increase in their level leads, as a rule, to the manifestation of the above positive effects, but in itself does not make a person experience unreasonable joy. To feel happiness, in addition to endorphins, you also need a clear awareness of the informational reason, i.e. foundations for joy. Examples include winning a sport, solving a difficult problem in science, meeting a loved one, eating delicacies, achieving a goal, etc.

The most common coil location for depression is the left or right dorsolateral prefrontal cortex, the choice of area and treatment parameters depending on the characteristics of each patient. There are other promising indications: addiction, post-traumatic stress disorder, obsessive-compulsive disorder, some symptoms of schizophrenia, fibromyalgia, chronic pain, tinnitus, and stroke rehabilitation.

The patient sits comfortably in the chair. All metal objects sensitive to magnetic waves will be removed. Adhesive markers will be placed on the patient's head to allow optimal positioning of the magnetic treatment coil through the neuronavigation device. There will be magnetic impulses, noisy, hearing protection.

Unfortunately, most of us are due to constant stress, environmental disturbances, contacts with infections, extreme physical and mental stress, etc. suffers from an acute shortage of endorphins, because the body does not have time to produce them in sufficient quantities. In this case, the normal functioning of the body as a self-regulatory system is disrupted, acute and chronic diseases, various pain syndromes, impaired healing of damaged tissues, weakening of the immune system, psychosomatic disorders, including sleep, mood, performance, quality of life in general.

A procedure called "motor threshold measurement" will be performed at the start of the first session, and sometimes thereafter. This allows the intensity of the treatment to be personalized and the optimal energy required for the treatment to be determined. The coil is then placed on the target area and treatment begins. For the treatment of depression, it includes cycles of repetitive impulses for several seconds at free intervals. The total duration of treatment can be very variable depending on the indications and target areas, but the most common protocol used in depression lasts about 40 minutes.

How to activate the body's defense system

There are many ways to strengthen our defense system. Everyone knows methods such as hardening, moderate exercise, yoga, breathing training, etc.

Almost all of them are associated with the need for long-term systematic exercises, for which not everyone has enough willpower or just time. Therefore, such methods of influence on the body are very attractive, which would not require superfluous efforts and a lot of time from a person, but would give a similar result, i.e. maintaining the tone of the endorphin system.

During treatment, the patient will hear a series of noisy "clicks" corresponding to the impulses and will feel a tap on the surface of the skull. Typically, a daily session is needed for at least two weeks, 5 days on it, and then takes 4 to 6 weeks to get maximum effectiveness. Accelerated protocols are now possible with multiple sessions per day for only 1-2 weeks. Thereafter, if necessary, new service intervals can be proposed.

The effectiveness is comparable to conventional incentives. What are the side effects? The most commonly reported side effect is mild headache or discomfort during treatment in about 10% of cases due to magnetic pulses, which can be easily treated with conventional analgesics. This effect is moderately moderate and decreases with each session, and it is very rare for patients to discontinue treatment due to side effects.

One of these methods is, for example, electrical stimulation. In the history of medicine, there are many methods and devices for electrification, galvanization, electroanesthesia, electrical sleep, electrical anesthesia, but most of them have remained in the past, since they did not give a stable and reproducible effect.

To date, one of the few scientifically grounded, proven and recognized in practice ways to increase the level of endorphins in the body is the method of transcranial electrical stimulation (TES-therapy), which is implemented by the DOCTOR TES devices.

What are the risks and contraindications? If these precautions are not followed, the metal element may heat up, move, or deteriorate, subjecting the patient to injury or even death. Implantable brain stimulants. Electrodes for monitoring brain activity.

Metal implants in the ears or eyes. Fragments of a bullet or projectiles in the head. Face tattoos with metallic or ferromagnetic ink. Pacemakers or implantable defibrillators. The main risk, extremely low, is that it causes an epileptic seizure. This risk is greatly reduced by careful adherence to safety recommendations and the use of individual stimulation parameters.

With the help of special impulse currents of low power, the devices are able to significantly increase the body's ability to produce endorphins. Moreover, the effect of even one half-hour procedure lasts from 12 hours to several days. This method is absolutely safe for humans, since we are not talking about the introduction of any drugs or stimulants, but about training and increasing the power of the body's own protective (endorphin) system.

In Switzerland, repetitive transcranial magnetic stimulation, especially neuronavigation, is a treatment that remains very innovative and has very little use for the treatment of depression, unlike in the Anglo-Saxon countries. Therefore, the sessions are the responsibility of the patients.

This device allows the placement of a magnetic field in a millimeter in a reproducible manner from one session to the next, exactly in the area that the person wants to treat in the patient's brain. The likelihood of stimulating the desired area is naturally much more accurate and the treatment is potentially more effective.

TES therapy does not cause addiction, addiction or dependence, because the produced endorphin is immediately used by the body in the required direction and quantity, and its unused part or excess is decomposed in just a few minutes to amino acids utilized.

TES-therapy has a wide range of indications confirmed by a number of scientific and clinical studies in Russia, countries of the near and far abroad. From 1984 to 2012, 24 doctoral and 102 candidate dissertations were defended, in which the medical effects of TES therapy were investigated.

The Center for Interventional Psychiatry is today the first private Swiss institution to use the neuronavigation system for transcranial magnetic stimulation. Transcranial magnetic stimulation has already been proven in the treatment of fibromyalgia, where 30-40% of patients are sensitive to it. It is currently the subject of French research in the context of neuropathic pain associated with lesions or abnormalities of the nervous system. This would prove to be an additional weapon in pain that is difficult to relieve.

This has the double benefit of being painless and non-invasive. Effectiveness has already been demonstrated in fibromyalgia, a disease known for its complex management. The protocol included one session per day for five days, then one session per week for three weeks, then one session every three weeks for six months.The improvement came not only from pain, but also from quality of life, sleep disturbances and general condition. and in some patients, the dosage of the drugs was reduced.

TES therapy is included in the National Guidelines for Physiotherapy and is a generally recognized method that is effectively used in more than 10,000 medical institutions in 17 countries around the world. Method recommended as safe and does not require a doctor's presence for home use by the most stringent and authoritative regulatory body in the world FDA USA(FDA and medicines USA).

Dr. Didier Buchassira and his team began research in multiple pain sites to test his interest in neuropathic pain caused by diabetes, shingles, etc. “In practice, we often see the effectiveness of several days with one session, and the effects are extended by one to two weeks using multiple sessions,” says the specialist. "We must now scientifically prove that stimulation has long-term efficacy when repeated."

Advanced, double-blind protocol

The actual duration of the stimulation is 15 minutes; however, the session lasts 30 to 40 minutes, the time to set up the patient and find a site for treatment, that is, the primary motor cortex, the area of ​​the brain that has the largest number connections with the pain system. connected to the system, automatically adjusts the position of the coil if the patient moves and returns him to the desired location. In the end, the protocol gains accuracy and reproducibility.

If you have any questions, call right now!

The portal contains private clinics and medical centers offering the procedure for transcranial electrostimulation of the brain - TPP therapy in Moscow. The essence of the method is to stimulate the structure of the brain stem with a special impulse current. This is a very common physiotherapy procedure.

In addition, the protocol is double-blind: neither the patient nor the operator knows if the patient is receiving placebo or stimulation. This is made possible by a coil that has an active face and the other inactive. The computer chooses which person is assigned to the patient, without a specialist or nurse, knowing which person is selected.

Effectiveness is assessed using pain relief, measured using weighted scales, and possibly reducing drug use. “Between 30 and 40% of good answering machines report an improvement in their suffering,” explains the neuropathologist. The effectiveness is therefore comparable to that of drugs, making stimulation an additional weapon.

Convenient tables for comparison show the prices for TPP therapy in Moscow. Thus, you can compare the cost of a session in different medical centers and find the best option in terms of location and price. Reviews of patients already undergoing treatment in a particular clinic will also be useful.

Transcranial electrical stimulation, also known as TES therapy, is gaining in popularity every day. The method of physiotherapeutic treatment normalizes the psychoemotional state of a person and has a positive effect on health.

This study is the largest in the world, says Dr. Bukhassira. “It is planned to include 200 people in the future, and today over 70 have been included and interim analyzes will be done at the end of the year.” If these initial findings are sufficient, the research will complete the goal.

But with 40% of the results, this is an important option for Dr. Bukhassira, and it is not the chronic disabling pain patients who contradict him. Source: Repetitive transcranial magnetic stimulation, French Society for the Study and Treatment of Pain.

Only one side effect What Can Happen: “Headaches can occur during stimulation or immediately after,” says Dr. Bukhassira. "They are transient, of low intensity, and are easily relieved by analgesics." The only contraindication is epilepsy or a history of epilepsy, because by stimulating the brain, it is always possible to activate the epileptic focus.

The secret to the success of EFT therapy is in endorphins!

Endorphin is a natural hormone of joy and pleasure, thanks to which a person experiences positive emotions. But endorphins are responsible not only for mood, they perform a number of functions that are most important for the body:

  • reduction of pain syndrome;
  • participation in regeneration processes;
  • reduction of symptoms of inflammation;
  • normalization of the endocrine system;
  • ensuring the level of blood pressure;
  • correction of the immune system.

The rhythm of life modern man quickly depletes the reserves of this "source of joy". Habitual stress and unhealthy lifestyles cause constant fatigue and apathy. In this situation, chronic somatic diseases are inevitable.

The pulsed current used in TES therapy stimulates the cerebral cortex and promotes the production of endorphins. The course of procedures leads to the normalization of the impaired functions. Electrical stimulation is safe for your health and is not addictive.

How is the procedure carried out?


TES therapy does not cause pain, the treatment proceeds as comfortably as possible. One electrostimulation procedure takes 15-20 minutes, the number of sessions depends on the patient's subjective complaints.

For TES therapy, the patient is seated in a chair. Special electrodes are fixed on the skin of the forehead and behind the ear. The skin is pre-cleaned of cosmetics and impurities. The current values ​​are set on the electrostimulation apparatus; by the end of the procedure, the current level is gradually reduced to zero.

The first procedure serves to adapt the body to new sensations. The session is carried out with a minimum current level, it cannot be corrected even in the absence of "tingling" and "vibration". When the body gets used to impulse therapy, doctors select the optimal amperage. Later, during treatment, the patient may feel a slight vibration and slight tingling sensation in the area of ​​contact of the skin with the electrode.

Who is TES-therapy contraindicated for?

Impact of a pulsed current on areas of the cerebral cortex can provoke a deterioration in health. It is forbidden to carry out TES-therapy to persons with the following pathologies:

  • mechanical trauma to the skin in the area of ​​application of the electrodes;
  • acute mental disorders;
  • heart rhythm disturbances
  • severe cardiovascular disease;
  • hyperthyroidism;
  • some diseases of a neurological profile.

Electro-pulse therapy is contraindicated in children under 5 years of age. For older children, the duration of one procedure is half that for an adult.

Diet before electrical stimulation

In order for electrical stimulation to lead to maximum results, it is necessary to adjust the diet during the treatment period. Should be excluded from the usual menu:

  • animal fats;
  • flour products;
  • foods high in carbohydrates;
  • products that are irritating.

The above products lead to a decrease in the secretion of endorphins. Help to increase the production of hormones:

  • fermented milk products with a low percentage of fat;
  • vegetable fats;
  • foods containing fiber.

Compliance with the water balance is an important part of preparing for the course of electrical stimulation. For normal activity of body cells, it is necessary to consume at least 2 liters of water per day.

TES therapy has shown itself well in the prevention and treatment of a number of diseases. The painless procedure quickly improves health and improves mood.