1. “SCENAR EXPERTISE AND SCENAR PROGNOSIS – AN IMPROVED AND EFFECTIVE APPROACH TO CREATE AN INDIVIDUAL THERAPEUTIC STRATEGY AND MODALITY” Dr. I.Semikatov

2. С7 Numerical values analysis when operating with professional RITMSCENAR devices

3. The main task of SCENAR - therapist Is to create a proper (adequate) dialogue with the patient’s body and help it develop a specific self-healing program and implement it as fast as is best for the body and with the most optimal energy expenditure.

4. Working with the patient. Stages. (aims, objectives, order) 1.Questionnaire. 2.Examination. 3.Actions during the session. 4.Actions during the course. 5.Aftereffect period.

5. Establish contact with the patient Observe the results of previous actions Examination Actions during the session Actions during the course Aftereffect Questionnaire Make up the treatment pattern

6. 1. Aim – set up a dialogue to interchange the information using the principles of the feedback. 2. Examination aim – make up the treatment pattern. 3. Making up the treatment pattern: - Treatment zones - Treatment modes - Treatment techniques - Treatment principles

7. 4.Actions during the session: - Complaint dynamics - Function dynamics - Expertise and prognosis - Make up the next treatment pattern

8. 5.Actions during the therapy course: - Function dynamics - Complaint dynamics - Creating the recovery algorithm in the body - Expertise and prognosis - Program for the aftereffect period 6. Aftereffect: - Follow-up - Subsequent examinations and consultations

9. In SCENAR-therapy to create the function of body’s response (feedback), action (stimulation) has to be applied. To make a vector of response, stimulation difference in the zone to be treated has to be created. Stimulation difference is created through singling out some skin areas by applying additional treatment on them, i.e. making functions.

10. Designations on the screen in Diag-1

11. In IDM the functions are formed by comparing the similar values (IR against IR, (*) against (*), «0» against «0»)) and additional stimulation of a value with the greatest digit.

12. IR = 22 Stimulus (SCENAR) Е = 40 F = 90 Hz IR = 47

13. Rules for making functions in IDM - IR – 1 st application of the device – until the device displays the IR. - D (*) function – 2 nd application of the device – until the (*) signal is received. - «0» function – 3 rd application of the device – until the «0» signal is received. - FV function - 4 th application of the device in the mode Diag - 0 – 2 min. - All functions are made successively. - Each function can be made provided that there are at least 2 indices of the previous function.

14. IR index (IR) – total (cumulative) change in parameters of SCENAR-impulse over the first second. This index is stable. Current (body’s) Reaction index – total (cumulative) change in parameters of SCENAR-impulse every next second. Dose index (*) – absolute numerical value at standard % of changes built in the device (* on the screen plus a beep). The * symbol shows the current reaction of the body (dynamics of pulse change, reaction increase against IR). This index is dynamic.

15. Dynamics of SCENAR impulse signal

16. Rate of (body’s) Reaction Change index – shows the speed at which the dynamics of the current reaction is running. This index is dynamic. Zero («0») index – indicates lack of dynamics (increase) in the current reaction («0», (*), @ displayed in the screen plus a beep). This index is stable.

17. Initial Shape Factor – shows the initial volume of changes of a single pulse (over the first second). Current Shape Factor – shows the volume of changes of a single pulse during interaction between SCENAR and patient's body. Besides treatment based on numeric indices, SCENAR-technology uses Fm + Var mode in treatment.

18. IR – level I stimulation stability, (*) – level I stimulation dynamics, «0» – level II stimulation stability, FmVar – level II stimulation dynamics.

19. Treatment in IDM is usually performed using techniques. In SCENAR-therapy a technique includes: - treatment principle, - rules and algorithm of treatment, - zone(s) to be treated, - routes.

20. General rules for treatment in IDM (Diag - 1) for all basic treatment principles: +4 – significant difference in IR for ‘3P6P’, +1 – for all other zones. +1 – significant difference in (*) and «0». FV – 2 minute treatment in Fm+Var ‘First Difference’ rule. ‘Next Dose’ rule. ‘Last Position on the Route’ rule. ‘Higher Than All’ rule.

21. ‘First Difference’ Rule: Searching for IR ± 4 points (+1) Make (*) on the greater IR. ‘Next Dose’ rule: Every next (*) is made on IR + 4 points from the last IR marked with (*) ‘Last Position On The Route’ rule: Irrespective of IR value, (*) shall always be made on the last position of the route.

22.  Treatment is development of changes in the patient’s body in a certain direction (improvement, positive dynamics).  The direction of these changes is provided by the AIM (GOAL) and MOTIVATION.

23. Aim and Motivation Aim and Motivation Principles and rules of action (dialogue conducting) Principles and rules of action (dialogue conducting) Vector of action (ways of aim achieving) Vector of action (ways of aim achieving) Result of action Result of action

24. The primary minimum task when treating in IDM is to make the «0» function on the route (zone) of treatment. «0» function is the maximum amount (volume) of body’s response to the dynamic action of SCENAR that creates a dominant excitation focus (memory) in the CNS. «0» function is creating a long-term program of the body’s independent work after SCENAR-treatment is finished.

25. The operation in the individually-dosed mode (IDM) boosts readjustment of adaptive responses of the body. The IDM treatment algorithm implies comparison of the obtained numeric values and identification of involved zones on the skin through additional stimulation. The building of sequential functions “Dose”, “0” and “FmVar” by using the above algorithm helps the body of the patient to form the vector of recovery. The operation within the general zones has an active therapeutic effect regardless of a problem.

26. In addition to treatment, the SCENAR physician can assess numeric values, which are displayed on the screen of the device. The obtained information helps the physician to:  make assumption on the expected duration and effectiveness of the treatment course.  compare the subjective sensations and objective data that have been received,  outline an action program for the subsequent treatment session,  map out tactics during the treatment course. All the above can contribute to effectiveness of SCENAR therapy, especially during treatment of chronic disorders.

27. Increasing SCENAR-Therapy Effectiveness

28. Possible comparisons in IDM to select treatment zones: Compare sides of the body. Compare IR values of the zones for treatment in SDM. Explore/examine the zones using IR values. Select a level for treatment based on IR values on the backbone

29. Increasing SCENAR-therapy effectiveness 1. IR expertise. - IR – 5 adaptation corridors: – less than 18, – 18 - 25, – 26 - 40, – 41 - 60, – over 60. - 18-25 – corridor of steady compensations (adaptive responses). - The corridors change each other cyclically, the more corridors you obtain during a session, the better. - Accumulating corridors from session to session.

30. Variants to observe IR dynamics: (where we can obersve IR dynamics): a) in the projection of current complaint or pathologic locus (nidus); b) on spinal segments on the horizontal of complaint or pathologic locus (nidus); c) on the whole «3P6P» zone; d) on two first positions of the first route (on spinous processes below С7).

31. «3P6P» С7

32. 28  54 31  48 28  62 19  31 14  28 25  31 First Procedure: Examples of IR transit at one of the following procedures: 28 31

33. Changes in the numeric corridor in response to the steady stimulation with the device are indicative of changes in the level of the body adaptation to the specific stimulus. In this case, the SCENAR physician should also change his/her tactics of communication with the body of the patient. “Reaction Measure” When in the first two positions, IR transits into other corridors, the SCENAR physician should apply the “Reaction Measure” technique.

34. ‘Reaction Measure’ technique ‘Reaction Measure’ principle is a technique for ‘3P6P’. No ‘First Difference’ rule. No ‘Last Position’ rule. Along the route, on every position only IRs are to be measured. Make (*) on the position with a greater IR value (or on the first of equally high IRs). The second (*) shall be made on the position with a lower IR value (or on the last of equally low IRs). We get 2 (*) on each route (6 doses in total). Make the only «0» for the technique on positions with greater (*) value. If there is NB instead of «0», then «0» shall be made on the previous мах. (*).

35. 42 35 37 44 18 29 44 26 24 21 39 24 39 28 38 31 18 45 26 3331 19 16 29 25 16 23 2422 1918 30 26 2531 3224 2922 /53 /41 /68 /30 /50 / / 37 /70 С7 «Reaction Measure» Technique. Example 3 pathways – two routes 6 points – 3 rd route

36. Indications for the “Reaction Measure” technique: 1. Changes in the adaptive response of the body (changes in the numeric corridors in the first 2 positions below C7). 2. A totally new complaint during the treatment process (the patient has not complained about this new problem during the treatment course).

37. 2. Dose expertise With (*) prevailing on the periphery (on paravertebrals), then there are mainly peripheral problems and you should treat more in the projections of complaints and on horizontals (levels, energy segments) of complaints. With (*) prevailing on the central structures (1 st and 3 rd routes), then you should treat more on general zones, even if there are local current complaints.

38. 3. «0» expertise. With peripheral zeros prevailing, stimulate in the projection and on the level of the complaint and on the levels of these «0». VARIANTS: a) «0» coincides with the projection of the complaint – preferable, b) «0» doesn’t coincide with the projection of the complaint – disunity of subjective and objective information. With central zeros prevailing - stimulate following the general techniques.

39. With central and peripheral «0» on the back the following COMBINATIONS are available: a)Zeros on different levels, in a great range; active segment b) «0» on the paravertebral one position lower than the central – stimulation of the active (neurological, anatomical) segment ; active horizontal c) central and peripheral «0» (or two «0») on the same level (best variant) – stimulation of the active horizontal (energetic segment).

40. 4. FV expertise. With peripheral FV – stimulation of the active horizontal. With central FV – that is the hint of the body which General Zone is better to stimulate at the next procedure (session). During the course it is better to stimulate all zones of general regulation, but zones and zones of general regulation, but zones and order of stimulation are determined by order of stimulation are determined by the body. the body.

41. The “3P6P” technique is most informative for expert assessment. It includes information about all regulation segments of the body. Basic Principle Method No. 1. The optimum option for collaborative current therapeutic stimulation and expert assessment of the obtained information is application of the 3Р6Р technique based on the Basic Principle or Method No. 1.

42. Steps: 1.Stimulate two paths on the back (on 3 pathways), get all (*) on each path. 2.Wait till «0» is delivered on each pathway on the back (in a vertical line compare the (*) indices on central, left and right lines, all apart). 3.Compare the «0» on the back on 3 pathways and make FV on the greatest (if we have 2(3) «0»). 4.Follow the ‘higher than all’ rule for the indices on the back (only after FV is made). «Basic» method (meth. № 1 ) (only on «3 pathways, 6 points»)

43. 5. Make (*) on the 6 points on the face. 6. Make «0» on the greatest (*) on the 6 points. 7. Compare the «0» on the face with mах «0» on the back and decide (make additional FV on the face, if required). NB!!!: If there is only one «0» on the back, then we get «0» on the face, compare them and make FV on the greatest. Then use the ‘higher than all’ rule for the three pathways (back+face). «Basic» method (meth. № 1 )

44. 23 20 19 2525 29 32 28 20 38 46 47 30 21 47 36 3132 30303 34343636 373742 393944 3941 5665 66 6064 5832 7156 6856 4549 38 80 63 48 32 С7 /42* /40* /51* /63* /47* /89 /48* /58* /65* /72* /82* /96* /68* /100 /FV 2349 85 85 «3 pathways, 6 points», «Basic» principle (.) Е=42 Е=21 Face 4141 38 42 45 5162 /68 /88 (.) /74 /100 //FV

45. When applied to the 3P6P technique, the Basic Principle is characterized by smoother SCENAR responses (responses of the body). This technique is recommended for application at the beginning of the treatment course (the first session) for new patients. The technique and the principle should be used during treatment of elderly patients and patients suffering from multiple chronic diseases

46. FV 1 FV 4 FV3 FV2 FV1’ Disease progress Recovery progress Vector direction of the pathological process (by changes in the FV location)

47. If changing FV location in the direction:  FV1 –> FV2, FV1 –> FV3, FV2 –> FV2 – the disease development vector is kept. It is recommended to continue procedures even if the health is well and there are no complaints.  FV3 –> FV2, FV3 –> FV1, FV2 –> FV1 – the restoration vector is forming (the reverse development of a disease). A patient can think of a treatment course to be terminated nearly.  FV3,FV2,FV1 –> FV1’ – the organism has passed the basic stages of the disease «scrolling». The treatment course can be terminated even if there are residual complaints.

48.  If FV 4 is provided at the first expertise procedure, this seems to be the least favorable variant. As a rule, the longest cycle should be performed – “from neck to neck” After one cycle of FV location change is terminated and there is a positive dynamics, the organism can form a new cycle within this treatment course. New complaints can appear. It is recommended to continue a treatment course and to help a patient to form the following restoration vector.

49. D-1 mode – is an integral diagnostics. It estimates the state of the current reaction as compared with IR (integrates this information). Ifthere are no changes in the current reaction as сompared with IR during 1 sec, then «0» and @ symbols are displayed on the screen, and the devices gives a beep.

50. D-2 mode – is a differential diagnostics. It estimates the state of current reaction on a Real time basis. When there is no increase in the current reaction within 3 sec, the rate of reaction change «0» and (*) are displayed on The screen, and device gives a beep. In D-2, zero («0») is reached faster, therefore this mode can be used on children and patients slowly responding to SCENAR- treatment.

51. Abbreviations IR Initial Reaction D or (*) Dose “0” (@) Zero V Velocity FV Fm+Var SW Swing 3P6P Three Pathways Six Points As Asymmetry SA Small Asymmetry SDM Subjectively dosed mode IDM Individually dosed mode