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PRACTICAL GUIDE ENG Dear Customer!

1. Rehab400 PATELLAR SYNDROME LEVEL 1 DISUSE ATROPHY LEVEL 1 30 MIN Warm up Contraction Rest Final recovery phase Frequency 35Hz Duration of ramp up 1 58 Duration of phase 6s 6s Duration of ramp down 0 755 f mi neres20 LE Rehab400 PATELLAR SYNDROME LEVEL 2 DISUSE ATROPHY LEVEL 2 30 MIN Warm up Contraction Rest Final recovery phase Frequency 45 Hz Duration of ramp up 1 5s ra Duration of phase 6s 6s T Duration of ramp down 0 755 x V mi mmereso0 Vf iod Rehab400 ug PATELLAR SYNDROME LEVEL 3 REINFORCEMENT LEVEL 1 15 MIN z Warm up Contraction Rest Final recovery phase Frequency 75Hz Duration of ramp up 1 5s Duration of phase 4s 11s Duration of ramp down 0 755 When As a complement together with traditional physiotherapy after a stroke Used for aid facilitation relearning of motor skills and also to reduce spasticity If the patient has reduced perceptive ability neglect training of this function also can be integrated into the treatment Why Patients recovering from stroke have a dual problem First to find the muscle due to poor capability to centrally send out the impulse Secondly an inactivity that results in muscle atrophy How The treatment could be used passively but preferably used actively in the training situation This program has a slow 4 seconds ramp up time of t
2. Electrodes Depending on the muscle being stimulated follow the recommended placement See Position of the electrodes Intensity Maximum tolerable stimulation energy which is one of the key factors for the effectiveness of the treatment The higher the stimulation energy the greater the number of muscular fibers motor units working Option 2 2 Yes IV mi therasoa LS IM cena MUSCLE DEFINITION LEVEL 1 25 MIN Warm up Contraction Active rest Final recovery phase Frequency 6 Hz 15 Hz 4Hz 3Hz Duration of ramp up 1 5s 3s 0 5s 1 5s Duration of phase 2 min 5s 9s 3 min Duration of ramp down 2s 1 5s 0 5s 3s V EE V theta50o Rehab400 MUSCLE DEFINITION LEVEL 2 26 MIN Warm up Contraction Active rest Final recovery phase Frequency 6Hz 17 Hz 4Hz 3Hz Duration of ramp up 1 5s 3s 0 5s 1 5s Duration of phase 2 min 6s 8s 3 min Duration of ramp down 2s 1 5s 0 5s 3s f Mi Thetasoo Theta500 Rehab400 MUSCLE DEFINITION LEVEL 3 28 MIN Warm up Contraction Active rest Final recovery phase Frequency 6 Hz 19 Hz 4 Hz 3 Hz lu Duration of ramp up 1 55 3s 0 5s 1 5s E Duration of phase 2 min 7s 7s 3 min rj Duration of ramp down 2s 1 5s 0 5s 3s 5 5 S N N ENG lu a oO 4 X S H E A N co Indication For fitness enthusiasts who want to imp
3. Electrodes Electrodes positioned according to the muscle where you want to reduce tension See Position of the electrodes Intensity The stimulation should feel pleasant and give visible muscle twitches Remember that the patient often feels the stimulation before contractions become visible Visible muscle twitches are the key factor for effectiveness of the treatment Option 2 2 Yes If the patient experiences discomfort during stimulation the 2 2 function allows this program ch 1 2 to be combined with a TENS program ch 3 4 to produce the muscular twitches more quickly and more comfortably v Mi Thetasoo Theta500 Rehab400 TORTICOLLIS Frequency Pulse width Treatment time 1 Hz 250 us 20 min lu a 2 oO 4 X S H E A A N ARTHRALGIA When Arthralgia is pain in or affecting a joint The causes of arthralgia are varied and range from degenerative and destructive processes such as osteoarthritis and sports injuries Why For pain relief How The stimulation inhibits impulse transfer in the pain pathways Gate control To avoid adaption this program has a continuous variation of the stimulation frequency Electrodes The electrodes should be placed on each side of the elbow See Position of the electrodes It is important to ensure that the patient has normal sensory of touch in the area where the electrodes are placed Intensity The s
4. Intensity The stimulation should feel pleasant and give visible muscle twitches Remember that the patient often feels the stimulation before contractions become visible Visible muscle twitches are the key factor for the effectiveness of the treatment Option 2 2 Yes If the patient experience discomfort during stimulation the 2 2 function allows this program ch 1 2 to be combined with a TENS program ch 3 4 to produce the muscular twitches more quickly and more comfortably V Mi thetasoo v Thetasoo V Rehab400 BURST TENS Frequency Pulse width Treatment time 2 Hz 2 pulse trains per second with 180 us 20 min an internal frequency of 80 Hz vf mi netaso0 Y thetasoo Y nenapaco ENDORPHINIC Frequency Pulse width Treatment time 5Hz 200 us 20 min lu a oO 4 X S H E A N oO DECONTRACTION When This type of treatment gives a reduction in the muscular tension of certain muscles and can also be used as a pretreatment to facilitate manipulations Why To obtain a reduction in the muscular tension How Studies have revealed that muscular twitches produced by a very low frequency 1 Hz effectively reduces the muscle tension of the muscles stimulated Example Torticollis lumbago Electrodes Electrodes positioned according to the muscles where you want to reduce tension See Position of the electrodes Intensity The st
5. lu a 5 oO X H 3 A A Oo ARTERIAL INSUFFICIENCY 1 When When there is an arterial insufficiency of the lower limbs The severity of the disorder is classified into four stages Treat with this program in stage 1 and or 2 In the first two stages there is pain in the legs after walking a certain distance The pain makes the patients stop then after a recovery period the pain is gone and the patient could start to walk again Why The muscle fibers suffer from a shortage of oxygen when an effort is made due to a chronic reduction of the arterial flow Low frequency stimulation acts on the capacity of the fibers to use the oxygen improves the tolerance and increases the walking range How Periods of low frequency 9 Hz altered with 3 Hz This stimulation avoids tetanization and considerable fatigue Electrodes Electrodes on the calf muscles Gastrocnemius and on the poplietal nerve See Position of the electrodes Intensity Maximum tolerable stimulation energy which is one of the key factors for the effectiveness of the treatment The higher the stimulation energy the greater the number of muscular fibers motor units working Option 2 2 Yes IM nias V Thetaso0 Rehab400 ARTERIAL INSUFFICIENCY 1 14 MIN Contraction Active rest Frequency 9Hz 3Hz Duration of ramp up 1s 1s Duration of phase 15s 15s Duration of ramp down 1s 1s lu
6. Facilitate and increase function in lower arm hand Electrodes Electrodes positioned as indicated according to the muscle to be stimulated See Position of the electrodes Intensity Maximum tolerable stimulation energy which is one of the key factors for the effectiveness of the treatment The higher the stimulation energy the greater the number of muscular fibers motor units working Try to gradually increase the energy level during a treatment session Option 2 2 If the patient experiences discomfort and pain during stimulation the 2 2 function allows this program ch 1 2 to be combined with a pain relief program ch 3 4 vf mi metesao V thetasoo M esta as NEURO REHAB SLOW START LEVEL 1 20 MIN Warm up Contraction Rest Final recovery phase Frequency 6Hz 35 Hz 3Hz Duration of ramp up 1 55s 4s 1 5s Duration of phase 2 min 5s 15s 3 min Duration of ramp down 2s 2s 3s IV nitas V Thetaso0 V Rehabaoo NEURO REHAB SLOW START LEVEL 2 20 MIN Warm up Contraction Rest Final recovery phase Frequency 6 Hz 45 Hz 3 Hz Duration of ramp up 1 55 4s 1 5s Duration of phase 2 min 5s 15s 3 min Duration of ramp down 2s 2s 3s lu a oO 4 X S H E A BACK TRUNK STABILIZATION When For patients with insufficiency in the back and trunk due to long term pain or a neurological
7. Hamstrings Electrodes Electrodes positioned as indicated according to the muscle to be stimulated See Position of the electrodes Intensity Maximum tolerable stimulation energy which is one of the key factors for the effectiveness of the treatment The higher the stimulation energy the greater the number of muscular fibers motor units working Important to cause visible vibrations Option 2 2 Yes V mMi Thetasoo v Theta500 v Rehab490 INCREASE CIRCULATION 30 MIN Continuous stimulation Frequency 8 Hz When If you have a more or less significant muscle lesion this program could be used as a complement to the usual treatment cold compression etc Mobilization of the limb must be allowed Why To facilitate the muscle fibers for a faster return to normal activity How The program is designed to ramp up and stimulate the muscle gradually in order to prevent stress on the muscle fibers Example Stimulation on the back of the thigh hamstrings Electrodes Electrodes positioned as indicated according to the muscle to be stimulated See Position of the electrodes Intensity The higher the stimulation energy the greater the numbers of muscular fibers motor units working Try to gradually increase the energy level during a treatment session Option 2 2 Yes V Mi thetasoo V thetasoo Y Rehabs00 MUSCLE LESION
8. a 5 oO X H 3 A EN So EPICONDYLITIS When Epicondylitis is a tendinopathy and may result from e g repetitive gripping of objects and sports such as tennis and golf Why For pain relief How The stimulation inhibits impulse transfer in the pain pathways Gate control To avoid adaption this program has a continuous variation of the stimulation frequency Electrodes The electrodes should be placed on each side of the elbow See Position of the electrodes It is important to ensure that the patient has normal sensory of touch in the area where the electrodes are placed Intensity The stimulation should give a strong tingling sensation without being painful It is important that the energy level is adjusted during the treatment because this is one of the key factors for the effectiveness of the treatment Option 2 2 Yes vf Mi Thetasoo Theta500 Rehab400 EPICONDYLITIS Frequency Pulse width Modulation time Treatment time 50 150 Hz 50 us 2s 20 min lu a ES oO l 2 H i a EN pe ENG When A person with torticollis feels a sharp pain in the neck often accompanied by a considerable reduction of the mobility of the cervical region Why To obtain a reduction in the muscular tension How Muscular twitches produced by a very low frequency 1 Hz reduce the muscle tension at rest of the muscles stimulated
9. a ES oO 2 H x a EN N ENG lu a 2 oO 4 X S H E A A co ARTERIAL INSUFFICIENCY 2 When When there is arterial insufficiency of the lower limbs The severity of the disorder is classified into four stages Treat with this program in stage 3 In stage 3 there is pain in the legs also in rest The blood flow is so reduced that the tissues suffer from constant hypoxia Why The muscle fibers suffer from a shortage of oxygen when an effort is made due to a chronic reduction of the arterial flow Low frequency stimulation acts on the capacity of the fibers to use the oxygen improves the tolerance and increase the walking range How Alternating periods of low frequency activity 7Hz altered with periods of 2 Hz This stimulation avoids tetanization and considerable fatigue Electrodes Electrodes on the calf muscles Gastrocnemius and on the poplietal nerve See Position of the electrodes Intensity Maximum tolerable stimulation energy which is one of the key factors for the effectiveness of the treatment The higher the stimulation energy the greater the number of muscular fibers motor units working Option 2 2 Yes Y Mi Thetasoo LS Rehab400 ARTERIAL INSUFFICIENCY 2 14 MIN Contraction Active rest Frequency 7Hz 2Hz Duration of ramp up 1s 1s Duration of phase 15s 15s Duration of ramp down 1s 1s CR
10. end of the activity can increase the effectiveness Effects Marked increase in blood flow Accelerates the elimination of waste from the muscular contraction A relaxing and endorphinic effect Electrodes The demand on a very precise electrode placement is less strong for the recovery programs Place electrodes on big muscle groups that have been most active during the activity See Position of the electrodes Intensity Increase the stimulation energy progressively until distinct visible muscle twitches are obtained Option 2 2 Yes Ce v Theta500 M escasa ACTIVE RECOVERY 24 MIN 1st Sequence 2nd Sequence 3rd Sequence 4th Sequence 5th Sequence Frequency 9Hz 8Hz 7Hz 6Hz 5Hz Time 2 min 2 min 2 min 3 min 3 min 6th Sequence 7th Sequence 8th Sequence Frequency 4Hz 3Hz 2Hz Time 3 min 3 min 3 min RECOVERY PLUS Indication To promote muscle recovery after intense physical activity that has led to temporary muscle failure Use this program within three hours after a session of intensive training or after a competition A second session about six hours after the end of the activity can increase the effectiveness Effects Increases the blood flow and fights pain Promotes muscular relaxation Increases the ability to regain muscular capacity after training or competition Electrodes The demand on a very precise electrode placem
11. tingling Adjust the energy level during the treatment because this is one of the key factors for the effectiveness of the treatment Option 2 2 Yes f M2 Thetasoo Iv rei ie VI stadiis TENS Frequency Level Pulse width Treatment time 100 Hz 1 30 us 20 min 100 Hz 2 50 us 20 min 100 Hz 3 70 us 20 min 80 Hz 180 us 30 min LL a ES oO 2a 2 H x a N w ENG lu a oO 4 X S H A N EN FREQUENCY MODULATED TENS When TENS is the first choice for acute and long term pain both neurogenic and nociceptive Good results are observed above all when the pain originates in joints the skeleton muscles skin viscera or nervous system Why For an acute pain you need pain relief to take part in daily activities and avoid enter a vicious circle For chronic pain you need a way to handle your daily life TENS has no side effects and is easy to use How TENS utilises the nervous system s own pain relief mechanisms and is based on the Gate control theory This theory states that stimulating A feta fibres the sensory nerve fibres that conduct pressure touch and vibration inhibits impulse transfer in the pain pathways To avoid adaption Frequency modulated TENS have a continuous variation of the stimulation frequency Pulsewidth appropriate to the sensitivity of the treated area and the patient In Mi Thet
12. working Option 2 2 Yes V mi meteso0 Y Thetasoo Y Ronabaoo MUSCLE BUILDING LEVEL 1 23 MIN Warm up Contraction Active rest Final recovery phase Frequency 6 Hz 40 Hz 4 Hz 3 Hz Duration of ramp up 1 55 1 5s 0 5s 1 55 Duration of phase 2 min 5s 10s 3 min Duration of ramp down 2s 0 755 0 5s 35s LE Rm Mher Rehab400 MUSCLE BUILDING LEVEL 2 25 MIN Warm up Contraction Active rest Final recovery phase Frequency 6 Hz 45 Hz 4 Hz 3 Hz Duration of ramp up 1 55s 1 55 0 5s 1 5s Duration of phase 2min 6s 9s 3 min Duration of ramp down 2s 0 755 0 5s 3s v Mi ThetaSoo Theta500 Rehab400 MUSCLE BUILDING LEVEL 3 26 MIN Lu e Warm up Contraction Active rest Final recovery phase T Frequency 6 Hz 50 Hz 4 Hz 3 Hz a Duration of ramp up 1 55 1 55 0 5s 1 55 Oo ee ae eee ee ee LL M L Duration of phase 2 min 7s 8s 3 min E Duration of ramp down 2s 0 755 0 5s 35s a N oO MUSCLE DEFINITION Indication To be used after the muscle building program For a person who wants very firm muscles but without a great muscle increase This program could be an ideal complement to voluntary indoor training Recommended use is three to five sessions a week Effects Increased muscle tone without a significant volume increase Firms the muscles
13. 1 5s 1 55 3s Vi mi horasoo LE V Rehabaoo PREVENTION OF DISUSE ATROPHY LEVEL 2 47 MIN Warm up Contraction Active rest Final recovery phase Frequency 6Hz 40 Hz 4Hz 3Hz Duration of ramp up 1 5 s 3s 0 5s 1 5s Duration of phase 2 min 6s 12s 3 min Duration of ramp down 2s 0 755 0 5s 3s lu a oO 4 X S H i A REINFORCEMENT When Muscular reinforcement is used for strengthening healthy muscles with normal volume Use on previously disuse atrophied muscles that have regained their volume Why To obtain increased strength and stability How By using frequencies creating tetanic contractions of the fast twitch muscle fibers type II Often used when rehabilitation is in progress and normal muscular volume is achieved by previous use of disuse atrophy programs We recommend the use of level 1 for the first two weeks and level 2 for subsequent weeks Example Strengthen lateral peroneal muscles to prevent sprains Strengthen shoulder muscles to prevent shoulder dislocations Electrodes Electrodes positioned as indicated according to the muscle to be stimulated See Position of the electrodes Intensity Maximum tolerable stimulation energy which is one of the key factors for the effectiveness of the treatment The higher the stimulation energy the greater the number of muscular fibers motor units working Try to gradually increase
14. 2s 10 min Duration of ramp down 2s 0 55 0s 3s v M2 ThetaSoo Theta500 Rehab400 ENDURANCE LEVEL 3 55 MIN Warm up Contraction Active rest Final recovery phase Frequency 5 Hz 14 Hz 3 Hz 3 Hz Duration of ramp up 1 55 0 5s 0s 1 5s Duration of phase 5 min 8s 2s 10 min Duration of ramp down 2s 0 5s 0s 3s lu a oO 4 X S H E A Indication For competitive athletes who wish to increase their capacity to sustain intense and prolonged effort Recommended use is one session three times a week Option 2 2 Yes Effects This program improves the performance thanks to better muscular resistance to fatigue for exercises of the lactic anaerobic type Electrodes Depending on the muscle being stimulated follow the recommended placement See Position of the electrodes For endurance on the key muscles involved in the discipline practiced Intensity Maximum tolerable stimulation energy which is one of the key factors for the effectiveness of the treatment The higher the stimulation energy the greater the number of muscular fibers motor units working V Mi Thetasoo Y thetasco v Rehab400 RESISTANCE LEVEL 1 27 MIN Warm up Contraction Active rest Final recovery phase Frequ
15. 30 MIN Warm up Contraction Active rest Final recovery phase Frequency 6 Hz 40 Hz 4Hz 3 Hz Duration of ramp up 1 55 6s 1 55 1 55 Duration of phase 2 min 3s 10s 3 min Duration of ramp down 2s 1 55 1 55 3s lu a ES Oo l z 2 H x a ENG lu a 5 oO X H 3 A MOTOR POINT When This program 3 Hz continuous combined with the use of a motor point pen allows the user to determine the exact location of the motor point on each individual Why An electrode placed on the motor point ensures the most effective and comfortable stimulation How Connect the motor point pen to the red pin connector of the cable see connections in the User manual Connect the black pin connector to an electrode and place it on the skin Put some gel on the skin area where you will search for the motor point and increase the intensity The right spot is where you receive the strongest and most visible contraction Mark out the spot with a fiber pen v Mi Thetas0o Lm Rehab400 MOTOR POINT 15 MIN Continuous stimulation Frequency 3Hz Specific Rehabilitation HIP PROSTHESIS After orthopedic surgery of the hip Use stimulation in addition to exercise and active physiotherapy Why It is common that the buttock muscles are affected with a loss of strength and reduced active stability of the hip This could affect the ability of stan
16. 84 WW a oO lt H E A Background NMES NMES NeuroMuscular Electrical Stimulation is used successfully both in medical rehabilitation as well as a complement to athletic training on all levels The goal of electrical muscle stimulation is to achieve contractions or vibrations in the muscles Normal muscular activity is controlled by the central and peripheral nervous systems which transmit electrical signals to the muscles NMES works similarly but uses an external source the stimulator with electrodes attached to the skin for transmitting electrical impulses into the body The impulses stimulate the nerves to send signals to a specifically targeted muscle which reacts by contracting just as it does with normal muscular activity Electrical muscle stimulation is suitable for all the muscles in the body It can be used to strengthen muscles weakened by surgery a fracture etc and improve mobility It is also an excellent tool for stroke rehabilitation helping patients in handgrip and gait training Electrical muscle stimulation for rehabilitation purposes should be tested by a physiotherapist or other caregiver for the best results TENS TENS Transcutaneous Electrical Nerve Stimulation produces good results in acute and chronic pain conditions of many kinds It is clinically proven and used daily by physiotherapists other caregivers and top athletes around the world TENS activates the pain inhibiting me
17. E A N e HYPERTROPHY Indication For body building enthusiasts and athletes who want to increase their muscle mass Combine this program with the voluntary training program Recommended use is three to five sessions a week Effects This program increases the volume of the stimulated muscles and improves the muscle resistance Electrodes Depending on the muscle being stimulated follow the recommended placement See Position of the electrodes This program could be applied to several muscle groups at the same time Intensity Option 2 2 Yes Maximum tolerable stimulation energy which is one of the key factors for the effectiveness of the treatment The higher the stimulation energy the greater the number of muscular fibers motor units working V Mi Thetasoo Y Thetasoo v Rehab400 HYPERTROPHY LEVEL 1 31 MIN Warm up Contraction Active rest Final recovery phase Frequency 5Hz 45 Hz 8Hz 3Hz Duration of ramp up 1 55 1 5s 0s 1 5s Duration of phase 5 min 4s 8s 10 min Duration of ramp down 2s 1s Os 3s V ti trevasco IM meteso0 Rehab400 HYPERTROPHY LEVEL 2 32 MIN Warm up Contraction Active rest Final recovery phase Frequency 5 Hz 50 Hz 9 Hz 3 Hz Duration of ramp up 1 55 1 5s 0s 1 55 Duration of phase 5 min 5s 7s 10 min Duration of ramp down 2s
18. contractions is used The stimulation is triggered which means that you manually start the stimulation Increase the current for the first contraction To trigger the next contraction push shortly the on the button on the connected channels Electrodes Place the electrodes on the antagonist of the spastic muscle to be treated The stimulation acts not on the spastic muscle but on its antagonist See Position of the electrodes Intensity Sufficient intensity in this case must be used in order to obtain a contraction that creates movement to the maximum range of motion thus causing maximum stretch of the spastic muscle Option 2 2 Yes If mi netesoo Theta500 Rehab400 SPASTICITY 21 MIN TRIGGERED Contraction Rest Frequency 35 Hz 0 Hz Duration of ramp up 4 55 Os Duration of phase 5s 5s Duration of ramp down 3s 0s lu a oO 4 X S H E A SHOULDER SUBLUXATION When A problem frequently encountered in hemiplegic patients is subdislocation of the paretic or paralyzed shoulder The subdislocated shoulder is often also painful Why Stimulation of the Deltoid and Supraspinatus muscles is used as prevention or treatment for atrophy There is also evidence that the treatment leads to a re centering of the humeral head in the glenoid cavity Secondarily this reduces the pain How This program has a contraction period followed by relaxation wi
19. down 0 755 lu a ES oO 4 z Y i a ENG PATELLAR SYNDROME When Subluxation of the patella due to imbalance of the different muscular divisions of Quadriceps After trauma of the knee joint and or affected knee cartilage which could cause pain and or reflex inhibition leading to a state of disuse atrophy of the Quadriceps Decreased stability of the knee Why Specific work on the Medial Vastus is possible while using electrical muscle stimulation You could also alter the reflex inhibition by stimulating on the entire Quadriceps How The sequences of low frequencies warm up active rest recovery are excluded in this program in order to not create a vibration phenomenon which could cause unwanted effects on the patella The three levels are Disuse atrophy level 1 level 2 and Reinforcement level 1 without low frequencies Example Specific stimulation on a part of Quadriceps for example Medial Vastus or on the entire Quadriceps Electrodes Electrodes positioned as indicated according to the muscle to be stimulated See Position of the electrodes Intensity The higher the stimulation energy the greater the numbers of muscular fibers motor units working Try to gradually increase the energy level during a treatment session Option 2 2 Yes but as 3 1 as ch 1 ch 2 ch 3 are used for patellar syndrome program V Mi thetasoo V thetasco
20. relief and increased circulation How The stimulation alleviates pain by stimulating muscles to release the body s own morphine like substances endorphins The muscle twitches also increase the local blood circulation Electrodes The position of the electrode depends on the location of the pain if it is unilateral or bilateral An electrode is placed on the most painful point that can be found by palpation One or two electrodes are placed on the cervical paraverthebral muscles See Position of electrodes Intensity The stimulation should feel pleasant and give visible muscle twitches Remember that the patient often feels the stimulation before contractions become visible Visible muscle twitches are the key factor for the effectiveness of the treatment Option 2 2 Yes If mi mmeteso0 Thetasoo Rehabano CERVICAL PAIN LO Frequency Pulse width Treatment time 5 Hz 250 us 20 min CERVICAL PAIN HI When Cervical neck pain often result from chronic contractions of the Levator scapulae and or superior Trapezius and is due to e g non ergonomic work positions Why For pain relief How The stimulation inhibits impulse transfer in the pain pathways Gate control In this program the pulse width varies continuously This causes an undulating sensation which gives a massage effect on the muscles Electrodes The electrodes should be placed in the painful a
21. treatment because this is one of the key factors for the effectiveness of the treatment Option 2 2 Yes v Mi Thetaso0 v Theta500 v Rehab490 PULSE WIDTH MODULATED TENS Frequency Pulse width Modulation time Treatment time 80 Hz 70 180 us 2s 30 min lu a ES oO 2 H x a N ul ENG BURST TENS ENDORPHINIC When The treatments Burst TENS Endorphinic are usually most effective for radiating projected pain in the arms and legs rhizopathy for conditions with reduced or changed sensory of touch for deep muscular pain or when the post treatment of TENS is too short Why For an acute pain you need pain relief to take part in daily activities and not enter a vicious circle For chronic pain you need a way to handle your daily life Burst TENS Endorphinic have no side effects and are easy to use How Burst TENS Endorphinic utilises the nervous system s own pain relief mechanisms and alleviates pain by stimulating muscles to release the body s own morphine like substances endorphins from hypothalamus The muscle twitches also increase the local blood circulation Frequency 1 5 Hz Example Mononeuropathy central pain cervical rhizopathy sciatica and knee pain Electrodes Place the electrodes on a muscle in the painful area so a visible contraction occurs or on acupuncture points in the painful area See Position of the electrodes
22. 1s Os 3s C RS Theta500 Renab4oo HYPERTROPHY LEVEL 3 33 MIN Warm up Contraction Active rest Final recovery phase Frequency 5Hz 55Hz 10 Hz 3Hz Duration of ramp up 1 55 1 55 Os 1 55 Duration of phase 5 min 6s 6s 10 min Duration of ramp down 2s 1s Os 3s REGENERATION Indication To be used the day after a competition as recovery training Also known as the day after program It works as a complement for the so called restoration training which therefore could be less intensive Effects The program has 6 stimulation sequences that follow on automatically You will enhance an analgesic effect through the endorphin release and an increase in blood flow encouraging oxygenation and drainage It is a form of light anaerobic training with slight tetanic contractions that are not tiring but reactivates the proprioceptive pathways Electrodes Depending on the muscle being stimulated follow the recommended placement See Position of the electrodes This program should be applied to the key muscles for the discipline being practiced Intensity Maximum tolerable stimulation energy which is one of the key factors for the effectiveness of the treatment The higher the stimulation energy the greater the number of muscular fibers motor units working Option 2 2 Yes I9 nisse V Thetaso0 Rehab400 REGENERATION 30 MIN 1st 2nd 3rd 4th 5th 6th Sequence Sequence Sequenc
23. 5s 1s 1 55 Duration of phase 2 min 8s 5s 3 min Duration of ramp down 2s 0 755 1s 3s v Ii Thetaeoo Theta500 Rehab400 FIRMING LEVEL 3 24 MIN Warm up Contraction Active rest Final recovery phase Frequency 6 Hz 25 Hz 4 Hz 3 Hz Duration of ramp up 1 55 0 755 1s 1 55 Duration of phase 2 min 8s 4s 3 min Duration of ramp down 2s 0 755 1s 3s lu a ES oO 2 H i a ul ENG lu a 5 oO X H 3 A e Indication To be used when the firming phase has been completed Effects To define and sculpt the body when the muscles are already firm Electrodes Intensity Electrodes positioned as indicated according to the muscle to be stimulated See Position of the electrodes Maximum tolerable stimulation energy Option 2 2 Yes Y Mi thetasoo V Thetaso0 v Rehab400 SHAPING LEVEL 1 25 MIN Warm up Contraction Active rest Final recovery phase Frequency 6 Hz 40 Hz 4 Hz 3 Hz Duration of ramp up 1 55 1 55 0 5s 1 5s Duration of phase 2 min 6s 10s 3 min Duration of ramp down 2s 0 755 0 5s 3s V ni ThetaSao f Tnereso0 Rehab400 SHAPING LEVEL 2 25 MIN Warm up Contraction Active rest Final recovery phase Frequency 6 Hz 40 Hz 4 Hz 3 Hz Duration of ramp up 1 55 1 5s 0 5s 1 5s Duration of phase 2 min 6s 9s 3 min Duratio
24. 70 Hz 0 Hz Duration of ramp up 6s Os Duration of phase 3s 10s Duration of ramp down 1 55 Os f Mi Thetaso0 Theta500 Rehab400 HAEMOPHILIA REINFORCEMENT LEVEL 2 20 MIN Contraction Rest Frequency 80 Hz 0 Hz Duration of ramp up 6s Os Duration of phase 3s 15s Duration of ramp down 1 55 Os Tm a oO E lt E Hr z a ul N ENG Aesthetic Indication To be used initially in order to tone up and prepare the muscles before more intensive firming work This type of training session is of moderate intensity making it suitable for everyone and does not cause muscle soreness Effects To tone the muscles Electrodes Electrodes positioned as indicated according to the muscle to be stimulated See Position of the electrodes Intensity Maximum tolerable stimulation energy Option 2 2 Yes V Mi thetasoo V thetasoo Y Rehabs00 TONING LEVEL 1 25 MIN Warm up Contraction Active rest Final recovery phase Frequency 6 Hz 18 Hz 4Hz 3 Hz Duration of ramp up 1 55 1 5s 0 5s 1 55 Duration of phase 2 min 6s 10s 3 min Duration of ramp down 2s 0 755 0 5s 3s IV mi neteso0 ceo Rehab400 TONING LEVEL 2 25 MIN Warm up Contraction Active rest Final recovery phase Frequency 6Hz 18 Hz 4Hz 3 Hz Duration of ramp up 1 55 1 55 0 55 1 55 Duration of phase 2 min 6s 9s 3 min Dura
25. AMP PREVENTION When For cramps in the calves which can occur spontaneously at rest or following prolonged muscular effort Why The cramp phenomenon can partly be a result of an imbalance in blood circulation and a slowing of cellular exchanges in the muscles How The program consists of two sequences First 8 Hz to increase the blood flow and develop the capillaries secondly 3 Hz to relax muscle tone and give the patient a feeling of well being Sequence 1 and 2 repeats four times Electrodes Place electrodes on the calf muscles Gastrocnemius and on the poplietal nerve See Position of the electrodes Intensity Maximum tolerable stimulation energy which is one of the key factors for the effectiveness of the treatment The higher the stimulation energy the greater the number of muscular fibers motor units working Option 2 2 Yes v Mi Thetasoo Theta500 Rehab400 CRAMP PREVENTION 40 MIN 1st sequence 2nd sequence Frequency 8 Hz 3 Hz Duration of ramp up 1 55 1 55 Duration of phase 8 min 2 min Duration of ramp down 1 55 1 55 1st and 2nd sequence loop 4 times lu a ES oO x 2 H Z a A ENG lu a 2 oO 4 X S H E A CAPILLARIZATION When To make the muscle fibers more resistant to fatigue Why The capillarization allows a decreased production of lactic acid and creates a larger area of exch
26. Dear Customer In your hand you have CefarCompex s Practical Guide with specific information for every program in your stimulator The Practical Guide covers all the programs of CefarCompex s three rehab products Mi Theta 600 Theta 500 and Rehab 400 Each program has a reference that shows if the program is available in your stimulator This information is easy to read and the purpose is to work as an extra support if needed You ll find the recommended indication and what effect the treatment will have on your patient Read the guidelines for the recommended intensity level and see suggested electrode placements on the fold out cover You could always find more information on CefarCompex s website www cefarcompex com Cefar and Compex electrotherapy s two leading brands are uniting their energies to bring you the ultimate technology with one common goal to support you in your everyday professional life WwW a Oo 4 lt E z a ENG CONTENTS Background NMES Leider titi peaceable sefelaine lobade DLE ich igh EHE REEL E E iaaa 5 yi e Ee 5 General information Electrodes MT 5 Stimulation energy Intensity esses Hee 6 Body POSION spot MR E 6 Combination of the 2 2 function and the Mi Technology sess 6 Common treatment Rehabilitation Disuse Atrophy Prevention ofdisuse atrophy 155 o eod eres toe eee prese een eue Eur nee n teda 8 see S 9 N
27. Example Increased strength for hip abductors Stimulation on Quadriceps in case of immobilization Electrodes Electrodes positioned as indicated according to the muscle to be stimulated See Position of the electrodes Intensity Maximum tolerable stimulation energy which is one of the key factors for the effectiveness of the treatment The higher the stimulation energy the greater the number of muscular fibers motor units working Try to gradually increase the energy level during a treatment session Option 2 2 Yes Vf mi mecasan V thetasoo Lm FORCE MOD FREQUENCY 30 MIN Warm up Contraction Active rest Final recovery phase Frequency 6Hz 35 60 Hz 4Hz 3 Hz Duration of ramp up 1 55 3s 0 5s 1 5s Duration of phase 2 min 8s 15s 3 min Duration of ramp down 2s 1s 0 5s 3s LL a ES oO x 2 H i a ENG lu a 2 oO 4 X S H E A INCREASE CIRCULATION When As a preparation before or as recovery after muscular activity Could be used to increase the circulation locally in the tissue muscle Why To increase the elimination of lactic acid and waste products and to reduce stiffness in the muscles How This program creates muscular vibrations in order to increase the blood flow to the muscles increase resistance strength and recover capacity Example Put big electrodes on large muscle groups for example Quadriceps and
28. Frequency 6 Hz 75 Hz 4Hz 3 Hz E Duration of ramp up 1 55s 1 55 0 5s 1 5s a Duration of phase 2 min 4s 10s 3 min Duration of ramp down 2s 0 755 0 5s 3s N When After rupture of the Anterior Cruciate Ligament ACL This is one of the most frequent accidents in sport traumatology For postoperative stimulation or as a conservative treatment Why To achieve active stability of the knee joint with a sufficient function in the muscles surrounding the joint How The ACL program is specifically designed for this treatment by implementing an offset co contraction session Stimulation begins with Hamstrings ch 1 and ch 2 While they are contracted the stimulation continues on the Quadriceps ch 3 and ch 4 preventing any risk of an anterior drawer Example Postoperative treatment As rehabilitation to return to sporting activities stimulation on Hamstrings and Quadriceps Electrodes Electrodes positioned as indicated according to the muscle to be stimulated See Position of the electrodes Intensity The higher the stimulation energy the greater the number of muscular fibers motor units working Try to gradually increase the energy level during a treatment session Option 2 2 No The 2 2 function is not available on this program since all four channels are in use v M2 Thetas0o Theta500 Rehab400 ACL 25 MIN 1st contraction ch 1 2 2nd contraction
29. MIN Sequence 1 Sequence 1 Sequence 2 Sequence 2 Ago Antago Ago Antago Frequency 70 Hz 4 Hz 4 Hz 70 Hz Duration of ramp up 1 5s 0 5s 0 5s 1 5s Duration of phase 4s 3s 3s 4s Duration of ramp down 0 755 0 5s 0 5s 0 755 v M2 Thetasoo Theta500 Rehab400 REINFORCEMENT 2 17 MIN Sequence 1 Sequence 1 Sequence 2 Sequence 2 Ago Antago Ago Antago Frequency 70 Hz 4 Hz 70 Hz 4 Hz Duration of ramp up 1 5s 0 5s 1 5s 0 5s Duration of phase 6s 4s 3s 3s Duration of ramp down 0 755 0 5s 0 755 0 5s WW a oO lt 2 H E A Ul N Spasticity HEMIPLEGIC FOOT When After a stroke a so called drop foot pattern is very common It is due to increased tonus of the calf muscle and or paralysis of the flexor muscles of the foot This program is not recommended if a the stimulation creates a spasm reflex in the leg foot b the spasticity in the calf muscle is considerably strong Try a program that inhibits the tonus as a preparation Why This program stimulates the anterior part of the lower leg It creates a contraction in the swing phase of the gait preventing the foot from dropping How Put one electrode under the Fibula head at the passage of the Peroneal nerve Depending of the desired position of the foot place the other electrode on Anterior Tibialis or on the Peroneus muscle The stimulation is triggered which means that
30. S PAIN Frequency 60 Hz Pulse width Modulation time Treatment time 80 200 us 3s 30 min SHOULDER PAIN When Shoulder pain may result from e g heavy or repetitive lifting sports injuries and underlying medical conditions such as arthritis tendinopathy and impingement Why For pain relief How The stimulation inhibits impulse transfer in the pain pathways Gate control In this program the pulse width varies continuously This causes an undulating sensation which gives a massage effect on the muscles Electrodes One electrode should be positioned on the shoulder above the acromion and the other electrode s placed on the Deltoid muscle Intensity The stimulation should give a strong tingling undulating sensation without being painful It is important that the energy level is adjusted during the treatment because this is one of the key factors for the effectiveness of the treatment Option 2 2 Yes v Mt Thetasoo Theta500 Rehab400 SHOULDER PAIN Frequency Pulse width Modulation time Treatment time 80 Hz 75 180 ps 3s 30 min lu a ES oO H i a w w ENG lu a 2 oO 4 X S H E A CERVICAL PAIN LO When Cervical neck pain often result from chronic contractions of the Levator scapulae and or superior Trapezius and is due to e g non ergonomic work positions Why For pain
31. TENEN pues aea acu aded 61 ABS sognante a A m tee Fass eda deca e mus nsMi ocn ISP UM end EIS suns 62 BUCEOGKS mM M T 63 drrjiep d M 64 Conditioning hl 65 POtentatiOD oe ese dee spur axo edere meu cs otl dged cesi aul ER E dQu Re cami 65 Tm a oO 4 lt E H z a EMGUPANGE tcc TON 66 ENG Resistance 67 SEMEN GUN wise virus UR 68 EXPlOSIVE Ed giri ETT 69 FIYPEREFOPNY edm somes E N EAEE EN 70 ReceneratiOiniosi ienna ATEO AIRETA 71 Lower back reihforcement s sese eo ouo es beoe EEE se ts veu rodar etra ges 72 Core stabilization 5 555 ie rte Per neto aes deo eta ep nc iiu hens ad In EH Oa AS 73 Active recovery 74 Recovery all M 75 ir sesso 76 M scle buildilg 0 eorr t te aane ta SOR vare p a ea eso nova aie a Rie dee 76 MUSCLE denM OM eusina poete renes v se gEhRe sien pcs eU Ru eme RES 77 POWE nanea aded e abes TRE TERR GRI SER MES Cras a ESQ R QUE SURNM TET eared 78 Massage ciii teses s ursa es vke ee Qe sus oe saeua ves aste E obs eee EEEN 79 Toning massage sacs sses sees oth sa boh ey ERAT ESO RH NER EEE UV aT Pers RR a Re 79 SIE SIBI AU CET I OE 80 REVIVING MASSAGE E 81 Anti Stiess MASSAGES as sees eee eere beet tuo nene d Ge ru dob ale ur ea e aer be adde UR 82 Undulated massage 1 83 Undulatediimassage 2 ioo eat toe oes eura pat egre u Tu Sem EEO OP Ua
32. VEL 2 15 MIN 1st 2nd 3rd 4th 5th 6th Sequence Sequence Sequence Sequence Sequence Sequence Frequency 5 Hz 7 Hz 9 Hz 6 Hz 3 Hz 1 Hz Duration of phase 2 min 3 min 2 min 3 min 2 min 3 min vf Mt Thetasoo Theta500 Rehab400 ELASTICITY LEVEL 3 18 MIN 1st 2nd 3rd 4th 5th 6th Sequence Sequence Sequence Sequence Sequence Sequence Frequency 5 Hz 7 Hz 9 Hz 6 Hz 3 Hz 1 Hz Duration of phase 3 min 3 min 3 min 3 min 3 min 3 min CONDITIONING Sport POTENTIATION Indication For optimum muscle preparation immediately before competition Carry out the session not more than 10 minutes prior to the start Effects To increase the contraction speed and to gain power Enables you to use less nervous effort to attain maximum strength Electrodes Depending on the muscle being stimulated follow the recommended placement See Position of the electrodes For potentiation on the key muscles involved in the discipline practiced Intensity Maximum tolerable stimulation energy which is one of the key factors for the effectiveness of the treatment The higher the stimulation energy the greater the number of muscular fibers motor units working Option 2 2 Yes V mi netasoo v Theta500 v Rehab400 POTENTIATION 3 MIN Warm up Contraction Active rest Final recovery phase Frequency 1 Hz 7 peaks 1 Hz 1Hz Duration of ramp up 1 55 Os Os 1 55 Duration of phase 30s 7s 10s 20s Duration of ramp d
33. X S H E A RELAXI Indication NG MASSAGE Enables a very effective decontraction of the muscle due to the comfortable vibrations that increase the circulation and help the muscles to relax Eliminates uncomfortable sensations after an increase in muscular tone The program consists of sequences with vibrations For every day use or when necessary Effects A decrease in muscular tension To promote the elimination of muscular toxins The program gives an effect of well being and relaxation Electrodes Intensity Option 2 2 Depending on the muscle being stimulated follow the recommended placement See Position of the electrodes Increase the stimulation energy progressively until a distinct vibration with visible muscle twitches is obtained Yes M RES Y Thetaso0 Lf RR RELAXING MASSAGE2 21 MIN 1st Sequence 2nd Sequence 3rd Sequence Frequency 7 Hz 5 Hz 3 Hz Time 7 min 7 min 7 min REVIVING MASSAGE Indication This program helps you to get rid of the sensation of heaviness or fatigue of the lower back or the feet and legs The program consists of sequences with vibrations For an every day use or when necessary Effects Creates an increase in blood flow in the treated region which also improves the tissue oxygenation Promotes the elimination of muscular toxins Electrodes Depending on the muscle being stimulated follo
34. a 600 you can choose between level 1 30 us very sensitive level 2 50 us level 3 70 us not so sensitive Example Neck pain shoulder pain elbow pain rheumatic pain lumbago menstrual pain phantom limb pain hip pain and osteoarthritic pain Electrodes As a rule the electrodes should be placed on or near the painful area or over an area segmentally related to the painful area See Position of the electrodes It is important to ensure that the patient has normal sensory of touch in the area where the electrodes are placed Intensity The stimulation should give a strong but pleasant paraesthesia tingling Adjust the energy level during the treatment because this is one of the key factors for the effectiveness of the treatment Option 2 2 Yes V mi Thecasoo Theta500 Rehab400 FREQUENCY MODULATED TENS Frequency Level Pulse width Modulation time Treatment time 50 150 Hz 1 30 us 2s 20 min 50 150 Hz 2 50 us 2s 20 min 50 150 Hz 3 70 ps 2s 20 min Mt Thetasoo Co FREQUENCY MODULATED TENS Frequency Pulse width Modulation time Treatment time 50 150 Hz 50 us 2s 20 min PULSE WIDTH MODULATED TENS When TENS is the first choice for acute and long term pain both neurogenic and nociceptive Good results are obs
35. ange and distribution of oxygen and metabolites How The program consists of continuous stimulation of 8 Hz which has shown to have the maximum increase in blood flow Electrodes Electrodes positioned as indicated according to the muscle to be stimulated See Position of the electrodes Intensity Maximum tolerable stimulation energy which is one of the key factors for the effectiveness of the treatment The higher the stimulation energy the greater the number of muscular fibers motor units working Option 2 2 Yes v Mt Thetasoo LA Rehab400 CAPILLARIZATION 25 MIN Continuous stimulation Frequency 8Hz Duration of ramp up 1 5s Duration of phase 25 min Duration of ramp down 1 5s SPECIFIC TREATMENT Agonist Antagonist ATHROPHY REINFORCEMENT When Dynamic work of a limb in order to increase the range of movement To decrease spasticity and tonus in a muscle and at the same time strengthen the antagonist Why This program enables activity in the whole range of movement by mobilizing one limb segment first in one direction and then in the other For reducing tone this contraction sequence is effective since it stretches the spastic muscle Stimulating the antagonist muscle also inhibits the tone in the agonist by the reciprocal inhibition reflex How There are four different programs Atrophy 1 and Reinforcement 1 These programs have contractions
36. ase 5 min 5s 10s 10 min Duration of ramp down 2s 0 755 0 5s 3s v Mi Thetasoo Theta500 Rehab400 LOWER BACK REINFORCEMENT LEVEL 2 35 MIN Warm up Contraction Active rest Final recovery phase Frequency 5 Hz 45 Hz 4 Hz 3 Hz Duration of ramp up 1 55s 1 5 s 0 5s 1 5s Duration of phase 5 min 6s 9s 10 min Duration of ramp down 2s 0 755 0 5s 3s A Mi Thetaso0 Theta500 Rehab400 LOWER BACK REINFORCEMENT LEVEL 3 36 MIN ra Warm up Contraction Active rest Final recovery phase a Frequency 5 Hz 50 Hz 4Hz 3Hz a Duration of ramp up 1 55 1 5s 0 5s 1 55 Duration of phase 5 min 7s 8s 10 min E Duration of ramp down 2s 0 755 0 5s 3s a N N CORE STABILIZATION Indication The abdominal muscles have either primary or secondary importance for all sport activities To increase and or maintain the neuromuscular control and stabilization of the trunk is crucial to achieve an efficient transmission of forces in any complex motion Recommended use is three sessions a week Effects Increased strength and endurance of the trunk muscles Could be used together with or as a complement to dynamic active exercises Electrodes Place electrodes on the paravertebral muscles in the lumbar region Combine with electrodes on the abdominal muscles See Position of the electrodes Intensity Maximum tolerable stimulation energy which is one of the ke
37. b400 MUSCLE PAIN Frequency Pulse width Modulation time Treatment time 70 Hz 80 200 ps 2s 30 min WwW a oO E lt E H z a N ENG When Joint pain is a highly prevalent condition and most common areas are shoulders and knees Why For pain relief How The stimulation inhibits impulse transfer in the pain pathways Gate control Electrodes The electrodes should be placed in the painful area See Position of the electrodes Find the right electrode position with very slight changes of the electrodes The stimulation should be perceived stronger than the pain itself Intensity Strong tingling undulating sensation without being painful Option 2 2 Yes I mi neteso0 chon Rehab400 JOINT PAIN Frequency Pulse width Modulation time Treatment time 60 Hz 60 150 us 2s 30 min FRACTURE PAIN When All fractures are more or less painful Few non surgical conditions are more painful than rib fractures These patients need an effective pain relief that prevent complications such as pulmonary complications or thrombosis Why For pain relief How The stimulation inhibits impulse transfer in the pain pathways Gate control Electrodes The electrodes should surround the painful area See Position of the electrodes Find the right electrode position with very slight changes of the electrodes The stimulation should be perc
38. ch 1 2 3 4 Active rest Hamstrings Hamstrings Quadriceps Frequency 40 Hz 40 Hz 4 Hz Duration of ramp up 15s 3s 0 55 Duration of phase 3s 6s 8s Duration of ramp down 0s 0 75 s 0 5s lu a ES oO 2 H x a N ENG CARDIO TRAINING When For patients with reduced capacity to move and walk due to chronic heart failure Why Electrical muscle stimulation on large muscle groups could increase the muscular oxidative capacities and represents a mild form of physical training How Stimulation on calf and Quadriceps muscles 1 hour 5 times a week Example Bilateral stimulation on Quadriceps and Gastrocnemius Electrodes Electrodes positioned as indicated according to the muscle to be stimulated See Position of the electrodes Intensity Maximum tolerable stimulation energy which is one of the key factors for the effectiveness of the treatment The higher the stimulation energy the greater the number of muscular fibers motor units working Important to cause visible vibrations Option 2 2 Yes v Mi Thetasoo Theta500 Rehab400 CARDIO TRAINING 60 MIN Warm up Contraction Rest Final recovery phase Frequency 10 Hz Duration of ramp up 2s Duration of phase 20s 20s Duration of ramp down 1s lu a 2 oO 4 X S H E A N N Pain relief TENS 100 HZ OR 80 HZ When TENS is the first c
39. chanisms of the nervous system Electrical impulses from electrodes placed on the skin over or near the painful area stimulate the nerves to block the pain signals that are sent to the brain and the pain is not perceived The treatment s Burst TENS Endorphinic stimulates the release of endorphins the body s natural painkillers TENS is a safe treatment method and has in contrast to oral painkillers and other pain relief methods no side effects It may be sufficient as the only treatment form but it is also a valuable complement to other pharmacological and or physical treatments General information Electrodes To receive maximum results from your stimulation it is important to place the electrodes correctly For muscle contractions a precise placement on the motor point ensures maximum comfort and efficiency On the fold outs of this guide you will find comprehensive illustrations of various electrode placements Before placing the electrodes on your body be sure to always wash and dry the skin in order to ensure good conductivity You should always place electrodes on healthy skin and not less than 3 cm or more than 30 cm apart from each other The durability of the electrodes depends on how good the care and maintenance instructions are followed Ensure that your patients always have their own personal electrodes lu a ES oO 4 2 H x a ENG lu a oO 4 X S H E A Choose electrode size accor
40. diates toward the cervical region or the lumbar region See Position of the electrodes Intensity The stimulation should feel pleasant and give visible muscle twitches Remember that the patient often feels the stimulation before contractions become visible Visible muscle twitches are the key factor for the effectiveness of the treatment Option 2 2 Yes v Mi Thetasoo Theta500 Rehab400 THORACIC BACK PAIN Frequency Pulse width Treatment time 5 Hz 250 us 20 min LOWER BACK PAIN Intensity When Lower back pain often results from chronically contracted lumbar paravertebral muscles Why For pain relief and increased circulation How The stimulation alleviates pain by stimulating muscles to release the body s own morphine like substances endorphins The muscle twitches also increase the local blood circulation Electrodes Preferably use two stimulation channels Place one electrode on a tender point and the other electrode of the same channel on Erector spinae above or below the first electrode depending on whether the pain irradiates toward the cervical region or the lumbar region See Position of the electrodes The stimulation should feel pleasant and give visible muscle twitches Remember that the patient often feels the stimulation before contractions become visible Visible muscle twitches are the key factor for
41. ding on one leg or walking How The sequences of low frequencies warm up active rest recovery are excluded in this program in order to not create a vibration phenomenon in the prosthesis material The three levels are Disuse atrophy level 1 level 2 and Reinforcement level 1 without low frequencies Example Stimulation on the gluteus maximus and medius Electrodes Electrodes positioned as indicated according to the muscle to be stimulated See Position of the electrodes Intensity The higher the stimulation energy the greater the numbers of muscular fibers motor units working Try to gradually increase the energy level during a treatment session Option 2 2 Yes V Mi Therasoo Y thetasoo Rehab400 HIP PROSTHESIS LEVEL 1 30 MIN Warm up Contraction Rest Final recovery phase Frequency 35 Hz Duration of ramp up 1 55 Duration of phase 6s 6s Duration of ramp down 0 755 V mi neca re Rehab400 HIP PROSTHESIS LEVEL 2 30 MIN Warm up Contraction Rest Final recovery phase Frequency 45 Hz Duration of ramp up 1 5s Duration of phase 6s 6s Duration of ramp down 0 755 f ni Theta800 Co Rehab400 HIP PROSTHESIS LEVEL 3 15 MIN Warm up Contraction Rest Final recovery phase Frequency 75 Hz Duration of ramp up 1 5s Duration of phase 4s 11s Duration of ramp
42. ding to the size of the muscle use small electrodes on smaller muscles and large electrodes on larger muscles If the stimulation feels unpleasant this could be a sign that the contact between the skin and the electrode is insufficient The electrodes could be worn out and need to be replaced Note Always be sure that the stimulation is turned off energy level 0 before removing electrodes from the skin Stimulation energy Intensity For pain relief treatment with a stimulation frequency between 50 100 Hz the ground rule is that the stimulation should be perceived stronger than the pain itself Increase the intensity until you obtain a strong tingling sensation that is not painful For pain relief with a stimulation frequency between 2 10 Hz the intensity shall be high enough to give visible muscle response Note that the patient will feel the stimulation before there is an actual visible contraction For NMES and muscle stimulation the objective for the therapist is to motivate the patient to tolerate his her highest possible non painful stimulation energy level The higher the stimulation energy the greater percentage of motor units recruited In some cases it could be beneficial to combine stimulation with voluntary contractions co contractions Try to get a progression in the energies reached within a session as well as from one session to the next Body position You will find an illustration of the recommended body position
43. disorder This program suits well to combine with active movements Why To stabilize the trunk and back muscles Increase the awareness and postural control How By stimulating the abdominal or lumbar muscle groups Example Abdominal and or lumbar stimulation to increase the awareness of pelvic motion Increase stability and function in the lumbar abdominal muscles Electrodes Electrodes positioned as indicated according to the muscle to be stimulated See Position of the electrodes Intensity Maximum tolerable stimulation energy which is one of the key factors for the effectiveness of the treatment The higher the stimulation energy the greater the number of muscular fibers motor units working Try to gradually increase the energy level during a treatment session Option 2 2 Yes V mi mecasan a Ce BACK TRUNK STABILIZATION 30 MIN Warm up Contraction Active rest Final recovery phase Frequency 6 Hz 40 Hz 4Hz 3 Hz Duration of ramp up 1 55 2s 0 55 1 55 Duration of phase 2 min 6s 12s 3 min Duration of ramp down 2s 1s 0 5s 3s lu a ES oO 2 H x a ENG lu a 5 oO X H 3 A ATROPHY MOD FREQUENCY When Use it on weak or immobilized muscles Why The program focuses on the Type fibers to improve the stamina in the muscle By modulating the frequency for a period of time that is equal to
44. e Sequence Sequence Sequence Frequency 5 Hz 8 Hz 100 Hz 12 Hz 8 Hz 1 Hz Effect Analgesic Increased Contractions Activation Increased Relaxing effect blood flow to restore of the blood flow effect muscular oxidative sensation metabolism lu a ES oO 2 H i a N _ ENG LOWER BACK REINFORCEMENT Indication The muscles of the lower back play an important role in protecting the lower back region Certain sport activities such as rowing require specific training of the lower back muscles Recommended use is three sessions a week Effects Improved active stability and quality of contractions of the lower back region This program makes it possible to exercise these muscles in an isolated and intense manner to maintain and increase the strength of the lower back muscles Electrodes Place electrodes on the paravertebral muscles in the lumbar region See Position of the electrodes Intensity Maximum tolerable stimulation energy which is one of the key factors for the effectiveness of the treatment The higher the stimulation energy the greater the number of muscular fibers motor units working Option 2 2 Yes V ti mrevaaco Rehab400 LOWER BACK REINFORCEMENT LEVEL 1 33 MIN Warm up Contraction Active rest Final recovery phase Frequency 5Hz 40 Hz 4Hz 3Hz Duration of ramp up 15S 1 55 0 5s 1 5s Duration of ph
45. e stimulation energy progressively until a distinct vibration with visible muscle twitches is obtained Option 2 2 Yes v Mi Thetasoo Theta500 Rehab400 ANTI STRESSMASSAGE 21 MIN 1st Sequence 2nd 3rd 4th 5th 6th Sequence Sequence Sequence Sequence Sequence Frequency 3 Hz 2 Hz 1 Hz Freq mod Freq mod 1 Hz 1 6 Hz 1 3 Hz Time 2 min 1 min 30s 40s 30s 30s 7th 8th 9th 10th 11th 12th Sequence Sequence Sequence Sequence Sequence Sequence Frequency Freq mod Freq mod 1 Hz 1 Hz 1 6 Hz 1 3 Hz Intensity decrease UNDULATED MASSAGE 1 Indication For use in order to eliminate the feeling of heavy legs or uncomfortable body tensions The program consists of sequences with vibrations For an every day use or when necessary Effects This program produces a pleasant wavelike effect which increases the circulation and activates the lymphatic systems In some of the sequences the stimulation is alternated between the four channels First channel one is activated then channel 2 and so on Electrodes To benefit the most from the circulatory effects use all 4 channels and place the 8 electrodes so that the contractions work in the direction towards the heart Depending on the muscles being stimulated follow the recommended placement See special recommendations below Intensity Increase the stimulation energy p
46. e substances endorphins see Burst TENS Example Neck pain shoulder pain lumbago hip pain and thigh pain Electrodes Place the electrodes on a muscle in the painful area so that a visible contraction occurs See Position of the electrodes Intensity The stimulation should give both a strong but pleasant paraesthesia tingling and as well visible muscle twitches Note This program has separate intensity levels Start to adjust the energy level for 80 Hz to a tingling sensation then again for 2 Hz in order to have visible muscle twitches Option 2 2 Yes V Mi thetasoo V thetesco Y Rehabs00 MIXED TENS Frequency Pulse width Treatment time 80Hz3s 2Hz3s 180 us 30 min lu a oO 4 X S H E A N o When For all kinds of muscle pain but the most common are pain from muscle tensions in the neck and shoulder area Why For pain relief How The stimulation inhibits impulse transfer in the pain pathways Gate control Electrodes The electrodes should be placed in the painful area preferably over tender points See Position of the electrodes Find the right electrode position with very slight changes of the electrodes The stimulation should be perceived stronger than the pain itself Intensity Strong tingling undulating sensation without being painful Option 2 2 Yes V mi mmeraso0 i iene Reha
47. e vulnerable for further bleedings How These programs have very gradual increases in the stimulation By avoiding sudden applications the risk of haemorrage can therefore be limited as far as possible These programs therefore always use frequencies above 25 Hz and ramp up times longer than 4 5 sec Choose a Disuse atrophy program initially followed by a Reinforcement program Electrodes positioned as indicated according to the muscle to be stimulated See Position of the electrodes Intensity Gradually increase the intensity until maximum tolerable level is reached The first and second session will help to accustom the patient to the method while increasing the work load after a few sessions generally after a week Option 2 2 Yes V mi Thetasoo Theta500 Rehab400 HAEMOPHILIA DISUSE ATROPHY LEVEL 1 25 MIN Contraction Rest Frequency 40 Hz 0 Hz Duration of ramp up 6s Os Duration of phase 3s 10s Duration of ramp down 1 55 Os V M thetasoo Theta500 Rehab400 HAEMOPHILIA DISUSE ATROPHY LEVEL 2 32 MIN Contraction Rest Frequency 45 Hz 0 Hz Duration of ramp up 6s Os Duration of phase 5s 9s Duration of ramp down 1 55 Os v Mi Thetasoo Theta500 Rehab400 HAEMOPHILIA REINFORCEMENT LEVEL 1 15 MIN Contraction Rest Frequency
48. eived stronger than the pain itself Intensity Strong tingling sensation without being painful Option 2 2 Yes Lu a ES oO lt e H E a V Mi thetasoo v Theta500 Rehab400 FRACTURE PAIN Frequency 70 Hz Pulse width 170 us Modulation time 2s Treatment time 30 min Specific Pain relief There are many conditions and activities that can cause injuries and knee pain e g work and sport activities Knee pain can also be caused by underlying medical conditions such as osteoarthritis rheumatoid arthritis and chondromalacia Why For pain relief How The stimulation inhibits impulse transfer in the pain pathways Gate control In this program the pulse width varies continuously This causes an undulating sensation that can be more pleasant than a stimulation with a constant pulse width Electrodes The electrodes should be placed on each side of the joint space to make knee flexion easier See Position of the electrodes It is important to ensure that the patient has normal sensory of touch in the area where the electrodes are placed Intensity The stimulation should give a strong tingling undulating sensation without being painful It is important that the energy level is adjusted during the treatment because this is one of the key factors for the effectiveness of the t
49. ency 5Hz 50Hz 5Hz 3Hz Duration of ramp up 1 5 s 1 5s 0 5s 1 5s Duration of phase 5 min 7s 7s 10 min Duration of ramp down 2s 0 755 0 5s 3s V mi mmereso0 a Rehab400 RESISTANCE LEVEL 2 28 MIN Warm up Contraction Active rest Final recovery phase Frequency 5 Hz 55 Hz 6H z 3 Hz Duration of ramp up 1 55 1 5s 0 5s 1 55 Duration of phase 5 min 8s 7s 10 min Duration of ramp down 2s 0 755 0 5s 3s If mi recen Theta500 Rehab400 RESISTANCE LEVEL 3 28 MIN Warm up Contraction Active rest Final recovery phase Frequency 5 Hz 60 Hz 7 Hz 3 Hz Duration of ramp up 1 55 1 55 0 5s 1 55 Duration of phase 5 min 8s 6s 10 min Duration of ramp down 2s 0 755 0 5s 3s lu a ES oO 2 H x a oO N ENG lu a oO 4 X S H E A co Indication For competitive athletes who practice a discipline that requires strength and speed Recommended use is three times a week in order to improve the power Effects This program increases the maximum strength and the rate of muscular contractions Integrate this program into your voluntary training program Electrodes Depending on the muscle being stimulated follow the recommended placement See Position of the electrodes To increase maximum strength on the key muscles involved in the discipline practiced Intensity Maximum tolerable stimulation energy which is one of the key factors for the effectiveness of the treatment The higher the stimulati
50. ent is less strong for the recovery programs Place electrodes on big muscle groups that have been most active during the activity See Position of the electrodes Intensity Increase the stimulation energy progressively until distinct visible muscle twitches are obtained Option 2 2 Yes Y Mi Thetasoo v Theta500 v Rehab490 RECOVERY PLUS 25 MIN 1st Sequence 2nd Sequence 3rd Sequence 4th Sequence 5th Sequence Frequency 2Hz 4Hz 6Hz 5Hz 4Hz Time 2 min 2 min 4 min 4 min 4 min 6th Sequence 7th Sequence 8th Sequence Frequency 3Hz 2Hz 1Hz Time 3 min 3 min 3 min LL a ES oO 2 H i a N ul ENG Fitness MUSCLE BUILDING Indication To improve the strength volume and tone in general in the muscles Particularly recommended before using the Muscle definition program This program could be an ideal complement to voluntary indoor training Recommended use is three to five sessions a week Effects This program improves the muscle trophism and gives a balanced increase of muscular tone and volume Electrodes Depending on the muscle being stimulated follow the recommended placement See Position of the electrodes Intensity Maximum tolerable stimulation energy which is one of the key factors for the effectiveness of the treatment The higher the stimulation energy the greater the number of muscular fibers motor units
51. er surgery or a bone fracture a limb or a section thereof is immobilized the muscles of this part of the body suffer rapidly from disuse atrophy Why The rapid decrease of muscle volume is mainly due to a reflex inhibition phenomenon or a total absence of any type of exercise It s important to note that this type of atrophy concentrates on the slow twitch muscle fibers Type I How In order to compensate NMES could reproduce a series of contractions comparable to the normal level of activity during a day The treatment time of this program is relatively long and the program uses frequencies targeting the slow twitch muscle fibers Electrodes Electrodes positioned as indicated according to the muscle to be stimulated See Position of the electrodes Intensity Maximum tolerable stimulation energy which is one of the key factors for the effectiveness of the treatment The higher the stimulation energy the greater the number of muscular fibers motor units working Option 2 2 If the patient experiences discomfort and pain during stimulation the 2 2 function allows this program ch 1 2 to be combined with a pain relief program ch 3 4 A Y Thetasoo LR PREVENTION OF DISUSE ATROPHY LEVEL 1 54 MIN Warm up Contraction Active rest Final recovery phase Frequency 6Hz 30 Hz 4Hz 3 Hz Duration of ramp up 1 5 s 3s 1 5 s 1 5s Duration of phase 2 min 5s 14s 3 min Duration of ramp down 2s
52. erved above all when the pain originates in joints the skeleton muscles skin viscera or nervous system Pulsewidth modulated TENS also gives a massage effect on muscles like the Trapezius Why For an acute pain you need pain relief to take part in daily activities and avoid enter a vicious circle For chronic pain you need a way to handle your daily life TENS has no side effects and is easy to use How TENS utilises the nervous system s own pain relief mechanisms and is based on the Gate control theory This theory states that stimulating A feta fibres the sensory nerve fibres that conduct pressure touch and vibration inhibits impulse transfer in the pain pathways Pulsewidth modulated TENS is a type of stimulation where the pulse width varies continuously This creates an undulating sensation which can be more pleasant than a constant pulse width Example Neck pain shoulder pain trapezius pain elbow pain rheumatic pain lumbago menstrual pain phantom limb pain hip pain and osteoarthritic pain Electrodes As arule the electrodes should be placed on or near the painful area or over an area segmentally related to the painful area See Position of the electrodes It is important to ensure that the patient has normal sensory of touch in the area where the electrodes are placed Intensity The stimulation should give a strong but pleasant paraesthesia tingling Adjust the energy level during the
53. euro Rehab SloW SCart ius enero roa i eoa ebbe ee a eque npe sud abis 10 Back Trunk Stabilization cesses m e nennen 11 Atrophy Modi Frequency s coe e etn e erect rote nep bU sain pnsIpA nh nona YE Ua 12 Force Mod Frequency 2 13 lricrease circ latiohg cui eon i e vhste A E EE EAE tule ada 14 DuiUETar M iler TS 15 Motor Pointsin ieioea dusnmmesinneandeonsmorsunuicy 16 Specific Rehabilitation 17 FPS PNOSTMESIS pers c DEED EE TEN 17 Patellar syndrotrie eicere een koe er speeu su e ea esa ea EEDE 18 Heiiplegta isses soesen s Untese nacen d bonds aen EAA rab R and 19 sien irergfe dese HH 20 pie EE 21 Cardio trainilig 2 555 ese ihe eor e eres aes PES URP RS a SE ID Me ORAE E AER 22 Pain relief 2223 TIENS 100 HZ or 80 HZ i iere eee reto tu prs ve gea E TEED EROR 23 Frequency modulated TENS usss vuneneen A NEEE ee ls eg aere beo bia 24 Pulse width modulated TENS ssssssssseseseeen Hee 25 a Burst TENS Endorphinic viron niese eoe nho oe eee ko tree bene ese spe Eo eese piv uus 26 T DECONEFACEION D M 27 a Mixed TENS eec EE 28 ui Ta eS 29 Y Joint PAIN sibs cansseeksendenssteastinn hanplertanaedghnomu dhe EAN EN 30 n idc s cor ES 30 SPECIFIC Pai MEWS e D E 31 Knee pain TFAPEZIUS PAU m 32 Shoulder PaiNissiis sssnsuselasismoanasspscaasisarioasladaesa csissagaaielgsswiadasiasinna casinos 33 Cervic lipain lO c2 cou Urea veils eal eu queens a eaae uoo
54. four channels V mi netaso0 Thetasoo Renapaco ABS LEVEL 3 28 MIN Warm up Contraction Contraction Active rest Final recovery phase 1 50 51 60 Frequency 6Hz 24Hz 30Hz 3Hz Duration of ramp up 1 5s 3s 3 5s 1 55 Duration of phase 2 min 6s 7s 3 min Duration of ramp down 2s 1 5s 1 5s 3s Active rest Frequency modulated 4 8 Hz alternating on the four channels Indication A special program designed for strengthening and firming the gluteal muscles Effects Improving the muscular support of the gluteal muscles Electrodes Electrodes positioned as indicated according to the muscle to be stimulated See Position of the electrodes Intensity Maximum tolerable stimulation energy Option 2 2 Yes v Mt Thetasoo Theta500 Rehab400 BUTTOCKS LEVEL 1 27 MIN Warm up Contraction Contraction Active rest Final recovery phase 1 50 51 60 Frequency 6 Hz 20 Hz 40 Hz 3 Hz Duration of ramp up 1 55 3s 1 5s 1 55 Duration of phase 2 min 6s 6s 3 min Duration of ramp down 2s 1 5s 0 755 3s Active rest Frequency modulated 4 8 Hz alternating on the four channels v Ii Thetaeoo Theta500 Rehab400 BUTTOCKS LEVEL 2 28 MIN Warm up Contraction Contraction Active rest Final recovery phase 1 50 51 60 Frequency 6 Hz 22 Hz 40 Hz 3 Hz Duration of ramp up 1 55 3s 1 5s 1 55 Durati
55. function in external rotation of the shoulder Centralize and depress the humeral head You can combine training with active movements Example Stimulation on Supraspinal Infraspinal Teres minor and or Deltoid muscles Electrodes Electrodes positioned as indicated according to the muscle to be stimulated See Position of the electrodes Intensity Maximum tolerable stimulation energy which is one of the key factors for the effectiveness of the treatment The higher the stimulation energy the greater the number of muscular fibers motor units working Important to cause visible vibrations Option 2 2 Yes f Mi Thetaso0 Theta500 Rehab400 ROTATOR CUFF LEVEL 1 25 MIN Warm up Contraction Active rest Final recovery phase Frequency 6 Hz 35 Hz 4 Hz 3 Hz Duration of ramp up 1 55s 1 55 0 5s 1 5s Duration of phase 2 min 6s 7s 3 min Duration of ramp down 2s 0 755 0 5s 3s v Mi Thetasoo Theta500 Rehab400 ROTATOR CUFF LEVEL 2 25 MIN Warm up Contraction Active rest Final recovery phase Frequency 6 Hz 45 Hz 4 Hz 3 Hz Duration of ramp up 1 55s 1 55 0 5s 1 5 s Duration of phase 2 min 6s 5s 3 min Duration of ramp down 2s 0 755 0 5s 3s ra V ini threresoo Theta500 Renabs00 o ROTATOR CUFF LEVEL 3 20 MIN a Warm up Contraction Active rest Final recovery phase
56. he contraction and a long rest phase The experience shows that this design of the program is more suitable for patients within this diagnose group Example Improve gait and dorsal flexion of the ankle Reduce spasticity and increase function by stimulating the antagonist Electrodes Electrodes positioned as indicated according to the muscle to be stimulated See Position of the electrodes Intensity The higher the stimulation energy the greater the number of muscular fibers motor units working Try to gradually increase the energy level during a treatment session Option 2 2 Yes V Mi Thetasoo Y thetasco Rehab400 HEMIPLEGIA LEVEL 1 20 MIN Warm up Contraction Rest Final recovery phase Frequency 6 Hz 40 Hz 3 Hz Duration of ramp up 1 55 4s 1 55 Duration of phase 2 min 10s 20s 3 min Duration of ramp down 2s 2s 3s Vf ni Theta800 IM teo Rehab400 HEMIPLEGIA LEVEL 2 20 MIN Warm up Contraction Rest Final recovery phase Frequency 6 Hz 45 Hz 3 Hz Duration of ramp up 1 55 4s 1 5s Duration of phase 2 min 10s 20s 3 min Duration of ramp down 2s 2s 3s lu a ES oO 2a 2 H x a ENG ROTATOR CUFF When Disturbed range of motion shoulder tendopathies and pain around the shoulder Why To increase the muscular function and neuro motor reeducation of the rotator cuff How Increase
57. hoice for acute and long term pain both neurogenic and nociceptive Good results are observed above all when the pain originates in joints the skeleton muscles skin viscera or nervous system Why For an acute pain you need pain relief to take part in daily activities and avoid enter a vicious circle For chronic pain you need a way to handle your daily life TENS has no side effects and is easy to use How TENS utilises the nervous system s own pain relief mechanisms and is based on the Gate control theory This theory states that stimulating A Beta fibres the sensory nerve fibres that conduct pressure touch and vibration inhibits impulse transfer in the pain pathways Frequency 80 or 100 Hz Pulsewidth appropriate to the sensivity of the treated area and the patient You can choose between 100 Hz level 1 30 us very sensitive level 2 50 us level 3 70 us or 80 Hz 180 ys normal Example Neck pain shoulder pain elbow pain rheumatic pain fractured rib lumbago menstrual pain phantom limb pain hip pain and osteoarthritic pain Electrodes As a rule the electrodes should be placed on or near the painful area or over an area segmentally related to the painful area See Position of the electrodes It is important to ensure that the patient has normal sensory of touch in the area where the electrodes are placed Intensity The stimulation should give a strong but pleasant paraesthesia
58. imulation should feel pleasant and give visible muscle twitches Remember that the patient often feels the stimulation before contractions become visible Visible muscle twitches are the key factor for effectiveness of the treatment Option 2 2 Yes If the patient experience discomfort during stimulation the 2 2 function allows this program ch 1 2 to be combined with a TENS program ch 3 4 to produce the muscular twitches more quickly and more comfortably ul mi morasoo V Thotasoo Y Renabaco DECONTRACTION Frequency Treatment time 1Hz 20 min LL a ES oO 2 H x a N N ENG When TENS is the first choice for acute and long term pain both neurogenic and nociceptive Good results are observed above all when the pain originates in joints the skeleton muscles skin viscera or nervous system Mixed TENS is also called Han stimulation Stimulation frequencies switch every three seconds giving a combination of 80 Hz and 2 Hz stimulation which can offer a more effective treatment Why For an acute pain you need pain relief to take part in daily activities and avoid enter a vicious circle For chronic pain you need a way to handle your daily life TENS has no side effects and is easy to use How Mixed TENS utilises the nervous system s own pain relief mechanisms and is based on the Gate control theory see TENS and also on the release of the body s own morphine lik
59. iscomfort during stimulation the 2 2 function allows this program ch 1 2 to be combined with a TENS program ch 3 4 to produce the muscular twitches more quickly and more comfortably Y Mi Thetasoo Theta500 Rehab400 LUMBOSCIATICA Frequency Pulse width Treatment time 5 Hz 250 us 20 min lu a ES oO 2 H x a w o ENG LUMBAGO When Lumbago is principally the result of a sharp and intense contraction of the lower back muscles lumbar region Why To obtain a reduction in the muscular tension How Muscular twitches produced by a very low frequency 1 Hz reduce the muscle tension during rest of the muscles stimulated Electrodes Electrodes positioned according to the lower back muscle where you want to reduce tension See Position of the electrodes Intensity The stimulation should feel pleasant and give muscle twitches if possible visible or at least palpable Remember that the patient often feels the stimulation before contractions become visible Option 2 2 Yes If the patient experiences discomfort during stimulation the 2 2 function allows this program ch 1 2 to be combined with a TENS program ch 3 4 to produce the muscular twitches more quickly and more comfortably v Mi Thetasoo Theta500 Rehab400 LUMBAGO Frequency Pulse width Treatment time 1 Hz 250 us 20 min lu
60. it the most from the circulatory effects use all 4 channels and place the 8 electrodes so that the contractions work in the direction towards the heart Depending on the muscles being stimulated follow the recommended placement See special recommendations on previous page Increase the stimulation energy progressively until a distinct vibration with visible muscle twitches is obtained Please note that for the pain relief sequence 100 Hz the intensity has to be readjusted so a clear tingling sensation is perceived Intensity Option 2 2 No The 2 2 function is not available in this program since all four channels are in use V M thetasoo Theta500 Rehab400 UNDULATED MASSAGE 2 17 MIN lu a 2 oO 4 X S H E A 1st Sequence All 4 channels 2nd Sequence All 4 channels 3rd Sequence Activating Channels 1 2 3 4 4th Sequence Activating Channels 1 2 3 4 Repeats x 4 Repeats x 3 Frequency 4Hz 100 Hz Mod 4 8 Hz 100 Hz Time 1 min 1 min 32s 40s
61. n of ramp down 2s 0 755 0 5s 3s V mi mneteso0 thetasc0 Rehabsoo SHAPING LEVEL 3 25 MIN Warm up Contraction Active rest Final recovery phase Frequency 6Hz 40 Hz 4Hz 3 Hz Duration of ramp up 1 55 1 5s 0 5s 1 55 Duration of phase 2 min 6s 8s 3 min Duration of ramp down 2s 0 755 0 5s 3s Indication To be used on the waist muscles after firming of the abdomen Effects To work specifically on the waist Electrodes Intensity Maximum tolerable stimulation energy Electrodes positioned as indicated according to the muscle to be stimulated See Position of the electrodes Option 2 2 Yes V Mi thetasoo V thetesoo v Rehab400 REFINEMENT LEVEL 1 13 MIN Warm up Contraction Active rest Final recovery phase Frequency 6 Hz 30 Hz 4 Hz 3 Hz Duration of ramp up 1 55 5s 0 5s 1 55 Duration of phase 2 min 10s 6s 3 min Duration of ramp down 2s 1 55 0 5s 3s f ni ThetaSao IV spans Rehab400 REFINEMENT LEVEL 2 15 MIN Warm up Contraction Active rest Final recovery phase Frequency 6 Hz 30 Hz 4 Hz 3 Hz Duration of ramp up 1 55 5s 0 55 1 55 Duration of phase 2 min 10s 6s 3 min Duration of ramp down 2s 1 5s 0 5s 3s V mi meteso0 thetasc0 Rehabsoo REFINEMENT LEVEL 3 17 MIN Warm up Contraction Active rest Final recovery phase Fre
62. of ramp up 1 55 1s Duration of phase 4s 21s Duration of ramp down 1 55 1s lu a ES oO l 2 i a EN ul ENG When When there is a venous insufficiency with oedema Why To drain the deep veins and transport the fluid upwards without the risk of aggravating the oedema How The first stage of the program transports the fluid towards the thigh by a contraction of the leg muscle Then in the second stage the contraction of the thigh muscles transports the blood further upwards as long as the leg muscles remains contracted in order to prevent a backflow Electrodes Electrodes for channels 1 and 2 on the calf muscles Gastrocnemius and on the poplietal nerve For channel 3 place electrodes on Quadriceps For channel 4 place electrodes on Hamstrings See Position of the electrodes Intensity Maximum tolerable stimulation energy which is one of the key factors for the effectiveness of the treatment The higher the stimulation energy the greater the number of muscular fibers motor units working Option 2 2 No The 2 2 function is not available on this program since all four channels are in use CA V Thetaso0 Rehab400 VENOUS INSUFFICIENCY 2 21 MIN 1stContraction 2ndContraction Rest ch 1 2 ch 1 2 3 4 Frequency 50 Hz 50 Hz 0 Hz Duration of ramp up 1 55 1 55 Os Duration of phase 3s 3s 195 Duration of ramp down 0s 1 55 Os
63. on energy the greater the number of muscular fibers motor units working Option 2 2 Yes V Mi rhetasoo Y Thetaso0 v Rehab490 STRENGTH LEVEL 1 33 MIN Warm up Contraction Active rest Final recovery phase Frequency 5Hz 75Hz 4Hz 3Hz Duration of ramp up 1 55 1 5s 0 5s 1 5s Duration of phase 5 min 4s 19s 10 min Duration of ramp down 2s 0 755 0 5s 3s V mi neteso0 Rehab400 STRENGTH LEVEL 2 35 MIN Warm up Contraction Active rest Final recovery phase Frequency 5 Hz 83 Hz 4 Hz 3 Hz Duration of ramp up 1 55s 1 55 0 5s 1 55 Duration of phase 5 min 4s 23s 10 min Duration of ramp down 2s 0 755 0 5s 3s f Mi ThetaSoo Theta500 Rehab400 STRENGTH LEVEL 3 38 MIN Warm up Contraction Active rest Final recovery phase Frequency 5 Hz 90 Hz 4 Hz 3 Hz Duration of ramp up 1 55 1 5s 0 5s 1 55 Duration of phase 5 min 4s 27s 10 min Duration of ramp down 2s 0 755 0 5s 3s Indication EXPLOSIVE STRENGTH For athletes who practice a discipline in which explosive strength is an important factor in performance To increase the capacity for instantaneous maximum force Recommended use is three times a week Effects This program increases the speed at which the level of strength is attained and improves the efficiency of explosive actions like jumping sp
64. on of phase 2 min 6s 6s 3 min Duration of ramp down 2s 1 5s 0 755 3s Active rest Frequency modulated 4 8 Hz alternating on the four channels V mi mmereso0 L Thetasoo Rehabaoo BUTTOCKS LEVEL 3 28 MIN Warm up Contraction Contraction Active rest Final recovery phase 1 50 51 60 Frequency 6 Hz 24 Hz 40 Hz 3Hz Duration of ramp up 1 55 3s 1 5s 1 55 Duration of phase 2 min 6s 6s 3 min Duration of ramp down 2s 1 55 0 755 3s Active rest Frequency modulated 4 8 Hz alternating on the four channels lu a ED oO al z Y H Z a oO w ENG lu a 2 oO 4 X S H E A A Indication To be used as a complement to the Firming and Shaping programs Effects To improve the circulation and skin elasticity Electrodes Electrodes positioned as indicated according to the muscle to be stimulated See Position of the electrodes Intensity Stimulation energy sufficient to provoke strong muscle twitches Option 2 2 Yes L EETA LENS IM esas ELASTICITY LEVEL 1 12 MIN 1st 2nd 3rd 4th 5th 6th Sequence Sequence Sequence Sequence Sequence Sequence Frequency 5Hz 7 Hz 9 Hz 6 Hz 3 Hz 1 Hz Duration of phase 2 min 2 min 2 min 2 min 2 min 2 min W mS Vf rnetaso0 Riehab400 ELASTICITY LE
65. own 2s Os Os 3s Contraction peak Hz 1 2 10 2 2 15 3 2 20 4 2 25 5 2 35 6 2 45 7 2 55 8 2 65 9 2 75 LL a ES oO x 2 H i a oO ul ENG Indication For athletes who wish to improve their performance in long duration sporting events Recommended use is one session three times a week Effects This program improves the oxidative capacity aerobic capacity in the stimulated muscles Electrodes Depending on the muscle being stimulated follow the recommended placement See Position of the electrodes For endurance on the key muscles involved in the discipline practiced Intensity Maximum tolerable stimulation energy which is one of the key factors for the effectiveness of the treatment The higher the stimulation energy the greater the number of muscular fibers motor units working Option 2 2 Yes V mi metesn0 V Thetasoo Y Ronabaoo ENDURANCE LEVEL 1 55 MIN Warm up Contraction Active rest Final recovery phase Frequency 5 Hz 10 Hz 3 Hz 3 Hz Duration of ramp up 1 55 0 5s 0s 1 5s Duration of phase 5 min 8s 2s 10 min Duration of ramp down 2s 0 55 Os 3s v Mi Thetas00 Lm Rehab400 ENDURANCE LEVEL 2 55 MIN Warm up Contraction Active rest Final recovery phase Frequency 5Hz 12 Hz 3Hz 3Hz Duration of ramp up 1 5 s 0 5s 0s 1 543 Duration of phase 5 min 8s
66. quency 6Hz 30 Hz 4Hz 3 Hz Duration of ramp up 1 55 5s 0 55 1 55 Duration of phase 2 min 10s 6s 3 min Duration of ramp down 2s 1 5s 0 5s 3s lu a ES oO l 2 x a me ENG lu a oO X H i A N Indication A special program designed for strengthening and firming the abdominal muscles Effects Encourage slimming of the waist by improving abdominal muscular support Electrodes Electrodes positioned as indicated according to the muscle to be stimulated See Position of the electrodes Intensity Maximum tolerable stimulation energy Option 2 2 Yes V mi Theta800 Theta500 Rehab400 ABS LEVEL 1 28 MIN Warm up Contraction Contraction Active rest Final recovery phase 1 50 51 60 Frequency 6 Hz 20 Hz 30 Hz 3 Hz Duration of ramp up 1 5 s 3s 3 5s 1 5s Duration of phase 2 min 6s 7s 3 min Duration of ramp down 2s 1 5s 1 55 3s Active rest Frequency modulated 4 8 Hz alternating on the four channels v Mt Thetasoo Theta500 Rehab400 ABS LEVEL 2 28 MIN Warm up Contraction Contraction Active rest Final recovery phase 1 50 51 60 Frequency 6 Hz 22 Hz 30 Hz 3 Hz Duration of ramp up 1 55 3s 3 5 s 1 55 Duration of phase 2 min 6s 7s 3 min Duration of ramp down 2s 1 55 1 55 3s Active rest Frequency modulated 4 8 Hz alternating on the
67. rea preferably over tender points See Position of the electrodes Find the right electrode position with very slight changes of the electrodes Intensity The stimulation should give a strong tingling undulating sensation without being painful It is important that the energy level is adjusted during the treatment because this is one of the key factors for the effectiveness of the treatment Option 2 2 Yes Y Mi Thetasoo Theta500 Rehab400 CERVICAL PAIN HI Frequency Pulse width Modulation time Treatment time 80 Hz 60 160 us 2s 30 min lu a ES oO 2 H i a w ul ENG lu a 2 oO 4 X S H E A THORACIC BACK PAIN When Thoracic back pain often result from chronic contractions of the dorsal paravertebral muscles Erector spinae and is due to e g degeneration or positions in which the muscles of the spinal columna remain under tension for long periods of time Why For pain relief and increased circulation How The stimulation alleviates pain by stimulating muscles to release the body s own morphine like substances endorphins The muscle twitches also increase the local blood circulation Electrodes Preferably use two stimulation channels Place one electrode on a tender point and the other electrode of the same channel on Erector spinae above or below the first electrode depending on whether the pain irra
68. reatment Option 2 2 Yes v Mi Thetasoo Theta500 Rehab400 KNEE PAIN Frequency Pulse width Modulation time Treatment time 80 Hz 75 180 us 2s 30 min lu a ES oO l 2 x a w a ENG lu a 2 oO 4 X S H E A TRAPEZIUS PAIN Electrodes When Trapezius muscle pain may result from e g heavy or repetitive lifting overuse poor or awkward postures non ergonomic work stations but also underlying medical conditions such as arthritis and cervical disc disease Why For pain relief How The stimulation inhibits impulse transfer in the pain pathways Gate control In this program the pulse width varies continuously This causes an undulating sensation which gives a massage effect on the Trapezius muscle The electrodes should be placed in the painful area preferably over tender points See Position of the electrodes Find the right electrode position with very slight changes of the electrodes It is important to ensure that the patient has normal sensory of touch in the area where the electrodes are placed Intensity The stimulation should give a strong tingling undulating sensation without being painful It is important that the energy level is adjusted during the treatment because this is one of the key factors for the effectiveness of the treatment Option 2 2 Yes V mi mneresc0 Theta500 Rehabsoo TRAPEZIU
69. rest Final recovery phase Frequency 6 Hz 75 Hz 4 Hz 3 Hz Duration of ramp up 1 55 1 5s 0 5s 1 55 Duration of phase 2 min 4s 22s 3 min Duration of ramp down 2s 0 755 0 5s 3s Massage TONING MASSAGE Indication To prepare the muscles in an ideal manner before a physical activity that is one time or irregularly performed The program consists of sequences altering with vibrations or contractions Effects Activation of blood circulation For recovery of the muscular contractile parts The program has an invigorating effect Electrodes Depending on the muscle being stimulated follow the recommended placement See Position of the electrodes Intensity Increase the stimulation energy progressively until distinct visible muscle twitches contractions are obtained Make sure that the stimulation energy is sufficient in order to impose significant muscle contractions Option 2 2 Yes W mi metasco Y Theta500 Mf retateanss TONING MASSAGE 29 MIN 1st Sequence 2nd Sequence 3rd Sequence 4th Sequence 5th Sequence Vibrations with Freq Modulation gt gt gt 1 8 Hz Contraction 10 reps 8 reps Relaxation gt gt 6th Sequence 7th Sequence 8th Sequence 9th Sequence Vibrations with Freq Modulation gt gt 1 8 Hz Contraction 7 reps 6 reps Relaxation gt gt lu a ES oO 2 H i a N o ENG lu a 2 oO 4
70. rinting etc Electrodes Depending on the muscle being stimulated follow the recommended placement See Position of the electrodes Intensity Option 2 2 Yes Maximum tolerable stimulation energy which is one of the key factors for the effectiveness of the treatment The higher the stimulation energy the greater the number of muscular fibers motor units working V Mi Thetasoo Y thetasco v Rehab400 EXPLOSIVE STRENGTH LEVEL 1 32 MIN Warm up Contraction Active rest Final recovery phase Frequency 5Hz 104 Hz 1Hz 3Hz Duration of ramp up 1 55 0 755 0 5s 1 55 Duration of phase 5 min 3s 28s 10 min Duration of ramp down 2s 0 5s 0 5s 3s vf ni Theta800 pm Rehab400 EXPLOSIVE STRENGTH LEVEL 2 32 MIN Warm up Contraction Active rest Final recovery phase Frequency 5 Hz 108 Hz 1 Hz 3 Hz Duration of ramp up 1 55 0 755 0 5s 1 55 Duration of phase 5 min 3s 29s 10 min Duration of ramp down 2s 0 5s 0 5s 3s V mi mnetaso0 Theta500 Renab4s00 EXPLOSIVE STRENGTH LEVEL 3 34 MIN Warm up Contraction Active rest Final recovery phase Frequency 5Hz 111 Hz 1Hz 3Hz Duration of ramp up 1 5s 0 75s 0 5s 1 5 s Duration of phase 5 min 3s 32s 10 min Duration of ramp down 2s 0 5s 0 5s 3s LL a ED oO ES X 2 H Z a o ENG lu a oO 4 X S H
71. rogressively until a distinct vibration with visible muscle twitches is obtained Option 2 2 No The 2 2 function is not available in this program since all four channels are in use V M thetasoo Theta500 Rehab400 UNDULATED MASSAGE 1 17 MIN 1st Sequence All 4 channels 2nd Sequence Activating Channels 1 2 3 4 3rd Sequence Activating Channels 1 2 3 4 4th Sequence Activating Channels 1 2 3 4 Repeats x 6 Repeats x 6 Repeats x 6 Frequency 6 Hz 6 Hz 1 Hz 6 Hz Time 2 min 24s 24s 24s 5th Sequence 6th Sequence 7th Sequence 8th Sequence Activating Activating Activating All 4 channels Channels 1 2 3 4 Channels 1 2 3 4 Channels 1 2 3 4 Repeats x 6 Repeats x 6 Repeats x 6 Frequency 1Hz 6Hz 1Hz 2Hz Time 24s 24s 24s 1 min lu a ES oO 2 x a co w ENG UNDULATED MASSAGE 2 Indication For use in order to eliminate the feeling of muscular discomfort and to reduce body tensions The program consists of sequences with vibrations in combination with pain relief For an every day use or when necessary Effects This program produces a pleasant wavelike effect which increases the circulation and activates the lymphatic systems In some of the sequences the stimulation is alternated between the four channels First channel one is activated then channel 2 and so on Electrodes To benef
72. rove their muscular strength an important quality for many physical activities This program could be an ideal complement to voluntary indoor training Recommended use is three sessions a week Option 2 2 Yes Effects Improved contractile capacities of the muscular fibers Improved muscular strength with a slight increase in volume Electrodes Depending on the muscle being stimulated follow the recommended placement See Position of the electrodes Intensity Maximum tolerable stimulation energy which is one of the key factors for the effectiveness of the treatment The higher the stimulation energy the greater the numbers of muscular fibers motor units working V Mi Thetasoo Y Thetasoo v Rehab400 POWER LEVEL 1 22 MIN Warm up Contraction Active rest Final recovery phase Frequency 6Hz 65 Hz 4Hz 3 Hz Duration of ramp up 1 55 1 5s 0 5s 1 55 Duration of phase 2 min 4s 18s 3 min Duration of ramp down 2s 0 755 0 5s 3s IV nicus IM meteso0 Rehab400 POWER LEVEL 2 23 MIN Warm up Contraction Active rest Final recovery phase Frequency 6 Hz 70 Hz 4 Hz 3 Hz Duration of ramp up 1 55 1 5s 0 5s 1 55 Duration of phase 2 min 4s 20s 3 min Duration of ramp down 2s 0 755 0 5s 3s IV mi reason Theta500 Rehab400 POWER LEVEL 3 25 MIN Warm up Contraction Active
73. s one of the key factors for the effectiveness of the treatment Option 2 2 Yes V mi mnerasoo Theta500 Rehab4oo LOWER BACK MUSCLE PAIN Frequency Pulse width Modulation time Treatment time 40 100 Hz 250 us 3s 30 min When LUMBOSCIATICA Patients suffering from lumbosciatica present lumbar pain that often originates from chronic contractions of the paravertebral muscles In addition involvement of the spinal nerveroot leads to irrradiation of pain a greater or lesser distance along the path of the sciatic nerve and in some cases one or other of its branches common perineal or tibial Why For pain relief and increased circulation How Electrodes The stimulation alleviates pain by stimulating muscles to release the body s own morphine like substances endorphins The muscle twitches also increase the local blood circulation Two electrodes are placed over the sciatic nerve root exit sites L4 L5 L5 S1 Two other electrodes are placed on the path of the sciatic nerve one of the lower part of the buttock and the other on the posterior face of the thigh See Position of the electrodes Intensity The stimulation should feel pleasant and give muscle twitches if possible visible or at least palpable Remember that the patient often feels the stimulation before contractions become visible Option 2 2 Yes If the patient experience d
74. sun es ues neca tino 34 Cervical pain HI Thoracic back pain MForisigiais Sri 37 lower back muscle pallizc ieess e eoe ee He Si eben rto audios E a Aei 38 I mbosciatica c 5 eere eroe o rtr re eto pese eso xt sco ostna eaa Um ae doamewaesincce 39 S8 Loro 40 Epicondyliti rfe EE 41 Torticollis 242 AVRIL A siasiss UT 43 ELTAT iE 44 uds rte GE 44 Venous insufficiency 1 45 VENOUS INSUPTICIENCY ARES 46 Arterial insufficiency 1 sinc ceur e ode dote ue Ente ep Res EVE saisncciennnneisis etn 47 Arterial insufficiency 2 iere eee wsisisine svesinisiewia dE sion a n aside au Ense pua CRUS 48 Cramp prevention cios se ev eene too ne eu queen e ob venie epp as EAT O aub VR 49 e i igrziuo per 50 Specific treatment Asonist Antagonist oiiro n AEA oetd e vo udo pole Sua iu ovxdes AA 51 Atrophy ReinfOrcement ore poste sorore emen ae noue E sa ee tealnsien 51 SPAStiCity Mec asad nemonuee vememalmoonudmonsameieegins 53 Haemiplegic TOOL scscscancssunenasiscsicasesedsawiadonesneses E TAE EEE capes 53 SPASLIGILY epe DM DN 54 Sho lder subluxatioh 4 5 ninni E p Leno Eher kae AEAEE REETA 55 ETinp lt ree semenmcemmeentumcr EANES 56 Haemophilia Disuse atrophy Reinforcement eene 56 Aesthetic ores del oque b Los BARI EPUM ev se ode Rue XU deen ug UU e sue a nU MENDES jr Firming Shaping RefiliemellE oso ros doors en NEA
75. the contraction time the contraction feels more comfortable The contraction starts with lower freq and ends with the highest frequency Example Increased strength for shoulder muscles by stimulation on the Rhomboid muscles Post operative stimulation on Quadriceps the medial vastus in particular Electrodes Electrodes positioned as indicated according to the muscle to be stimulated See Position of the electrodes Intensity Maximum tolerable stimulation energy which is one of the key factors for the effectiveness of the treatment The higher the stimulation energy the greater the number of muscular fibers motor units working Try to gradually increase the energy level during a treatment session Option 2 2 Yes W mi etasoo Vi thetasoo Y Ronabaoo ATROPHY MOD FREQUENCY 30 MIN Warm up Contraction Active rest Final recovery phase Frequency 6 Hz 25 40 Hz 4 Hz 3 Hz Duration of ramp up 1 55 2s 0 5s 1 55 Duration of phase 2 min 4s 8s 3 min Duration of ramp down 2s 1s 0 5s 3s FORCE MOD FREQUENCY When To maintain muscular strength during immobilization or to increase muscular strength for a specific muscle muscle group Why The program focuses on the Type II fibers to improve stamina in the muscle How By modulating the frequency for a period of time that is equal to the contraction time the contraction feels more comfortable
76. the effectiveness of the treatment Option 2 2 Yes If the patient experiences discomfort during stimulation the 2 2 function allows this program ch 1 2 to be combined with a TENS program ch 3 4 to produce the muscular twitches more quickly and more comfortably Y Mi Thetasoo Theta500 Rehab400 LOWER BACK PAIN Frequency Pulse width Treatment time 5 Hz 250 us 20 min lu a ES oO 2 H i a w N ENG lu a 2 oO 4 X S H E A LOWER BACK MUSCLE PAIN When Lower back muscle pain is one of the most common reasons for which patients seek medical attention This program is recommended to shorten recovery time and as symptomatic therapy Why For pain relief How The stimulation inhibits impulse transfer in the pain pathways Gate control To avoid adaption this program has a continuous variation of the stimulation frequency Electrodes Asa rule the electrodes should be placed on or near the painful area or over an area segmentally related to the painful area See Position of the electrodes It is important to ensure that the patient has normal sensory of touch in the area where the electrodes are placed Intensity The stimulation should give a strong tingling sensation without being painful It is important that the energy level is adjusted during the treatment because this i
77. the energy level during a treatment session Option 2 2 If the patient experiences discomfort and pain during stimulation the 2 2 function allows this program ch 1 2 to be combined with a pain relief program ch 3 4 LA RS V Thetasoo LE REINFORCEMENT LEVEL 1 20 MIN Warm up Contraction Active rest Final recovery phase Frequency 6Hz 75Hz 4Hz 3 Hz Duration of ramp up 1 55 1 55 0 5s 1 5s Duration of phase 2 min 4s 10s 3 min Duration of ramp down 2s 0 755 0 5s 3s W mixes V Thetasoo V Rehabaoo REINFORCEMENT LEVEL 2 20 MIN Warm up Contraction Active rest Final recovery phase Frequency 6 Hz 85 Hz 4 Hz 3 Hz Duration of ramp up 1 55s 1 55 0 5s 1 5 s Duration of phase 2 min 4s 8s 3 min Duration of ramp down 2s 0 755 0 5s 3s lu a ES oO 2a 2 H x a ENG NEURO REHAB SLOW START When NMES is an excellent complement to traditional physiotherapy for several neurological diagnostics like stroke The treatment could be used passively but preferably used actively in the training situation Why To aid facilitation and relearning of motor skills How This program has a slow 4 seconds ramp up time of the contraction and a long rest phase Experience shows that this design of the program is more suitable for patients within this diagnose group Example Increase function of a subluxated shoulder
78. thout active rest Electrodes Place one electrode on the Deltoid and one on the Supraspinatus Put a large electrode over the Acromion See Position of the electrodes Intensity Gradually increase the intensity until maximum tolerable level is reached Sufficient intensity in this case must be used in order to obtain a contraction that creates a visible decrease the gap between Humerus and Acromion and centers the Humeral head in the Glenoidal cavity Option 2 2 Yes If the patient experience discomfort during stimulation the 2 2 function allows this program ch 1 2 to be combined with a TENS program ch 3 4 to produce the contractions more comfortably v M2 Thetasoo Theta500 Rehab400 SHOULDER SUBLUXATION 25 MIN Contraction Rest Frequency 40 Hz 0 Hz Duration of ramp up 3s Os Duration of phase 8s 8s Duration of ramp down 1 55 Os lu a ES oO l 2 i a ul ul ENG lu a oO 4 X S H E A Haemophilia HAEMOPHILIA DISUSE ATROPHY REINFORCEMENT Patients with Haemophilia often have a limited possibility of voluntary activity and for those with a varying severity of haemarthrosis intra articular bleeding NMES could be an alternative Electrodes Why To avoid that an intra articular bleeding haemarthrosis results in a disuse athrophy and secondarily reduced protection of the joint which makes the joint mor
79. timulation should give a strong tingling sensation without being painful It is important that the energy level is adjusted during the treatment because this is one of the key factors for the effectiveness of the treatment Option 2 2 Yes vf Ii Thetaeoo Theta500 Rehab400 ARTHRALGIA Frequency Pulse width Modulation time Treatment time 50 150 Hz 50 us 2s 20 min lu a ES oO l 2 x a EN w ENG Vascular When For use when a swelling of the feet and ankles occur together with a feeling of the legs being very heavy Neither varicose veins nor organic injury can be observed Why Muscle contractions will compress the deep veins of the legs and eject the venous blood upwards This will help to eliminate the edema and re oxygenate the tissue The stimulation will also help to overcome the tension and tendency to cramp How The program will automatically progress through three treatment sequences Starting with 7 Hz which allows hyper oxygenation and an increase in the venous return of the blood Next sequence with 5 Hz helps to achieve an endorphin effect The treatment ends with 3 Hz and a muscular relaxation phase A position lying on the back with legs raised is preferred Electrodes Electrodes positioned on the calf muscles Gastrocnemius As indicated according to the muscle to be stimulated See Position of the electrodes Intensity Ma
80. tion of ramp down 2s 0 755 0 5s 3s v M2 Thetasoo Theta500 Rehab400 TONING LEVEL 3 25 MIN Warm up Contraction Active rest Final recovery phase Frequency 6 Hz 18 Hz 4 Hz 3 Hz Duration of ramp up 1 55s 1 55 0 5s 1 5s Duration of phase 2 min 6s 8s 3 min Duration of ramp down 2s 0 755 0 5s 3s lu a oO 4 X S H E A ul co Indication To be used as the main treatment for muscle firming Firming programs represent exercise of medium intensity and are aimed to improve muscular density without causing muscle soreness Effects To regain muscle firmness and restore the support function of the muscles Electrodes Electrodes positioned as indicated according to the muscle to be stimulated See Position of the electrodes Intensity Maximum tolerable stimulation energy Option 2 2 Yes V Mi thetasco Y thetasco v Rehab400 FIRMING LEVEL 1 22 MIN Warm up Contraction Active rest Final recovery phase Frequency 6Hz 22Hz 4Hz 3 Hz Duration of ramp up 1 55 1 55 1s 1 55 Duration of phase 2 min 8s 5s 3 min Duration of ramp down 2s 0 755 1s 3s f ni Theta800 Cee Rehab400 FIRMING LEVEL 2 22 MIN Warm up Contraction Active rest Final recovery phase Frequency 6 Hz 24 Hz 4 Hz 3 Hz Duration of ramp up 1 5s 1
81. under the electrode placement illustration The optimum position depends on the type of program and which body part you wish to stimulate When you use massage programs such as Relaxing massage it is important that you are in a position were you can relax properly Combination of the 2 2 function and the Mi Technology Please note that when you use the 2 2 function the Mi Scan function can still be used on channels 1 and 2 but is only available for the programs Endorphinic Reinforcement and Disuse atrophy on channels 3 and 4 The functions Mi Range Mi Tens and Mi Action can not be used in this state For further information please see List of programs in the User manual Mi Theta 600 Two Mi sensors are included in the kit and provides the possibility of fully using the Mi technology with Mi Action Mi Range Mi Tens and Mi Scan Theta 500 This device is Mi ready By purchasing two cables with Mi sensors it is possible to take the advantage of the Mi technology with Mi Range Mi Tens and Mi Scan Rehab 400 The Mi technology is not available for this device COMMON TREATMENT Rehabilitation When DISUSE ATROPHY After a long period of immobilization or diminished movement a normally innervated muscle suffers from a decrease in volume How Slow twitch fibers type are particularly affected by this disuse By using frequencies creating tetanic contractions of the Type fibers In order to modif
82. w the recommended placement See Position of the electrodes Intensity Increase the stimulation energy progressively until a distinct vibration with visible muscle twitches is obtained Option 2 2 Yes IM mi metes20 cao Rehab400 REVIVING MASSAGE 23 MIN 1st 2nd 3rd 4th 5th 6th Sequence Sequence Sequence Sequence Sequence Sequence Frequency 2 Hz 4 Hz 6 Hz 8 Hz 6 Hz 4 Hz Time 2 min 2 min 2 min 2 min 2 min 2 min 7th 8th 9th 10th 11th 12th Sequence Sequence Sequence Sequence Sequence Sequence Frequency 2Hz 2Hz 6Hz 8Hz Freq mod Freq mod 2 8 Hz 2 8 Hz Time 2 min 2 min 2 min 2 min 2 min 30s ENG lu a 5 oO X H 3 A ANTI STRESS MASSAGE Indication This program could be used for relaxation and well being after activity or stressful situations Enables a very effective decontraction of the muscle due to the comfortable vibrations that increase the circulation and help the muscles to relax The program consists of sequences with vibrations For an every day use or when necessary Effects Creates an increase in blood flow in the treated region which also improves the tissue oxygenation Promotes the elimination of muscular toxins and gives a comfortable relaxation to the muscles Electrodes Depending on the muscle being stimulated follow the recommended placement See Position of the electrodes Intensity Increase th
83. with identical duration for the agonist and antagonist Atrophy 2 and Reinforcement 2 These programs have contractions with twice the duration for the antagonist compared to the agonist The frequencies of the atrophy programs focus on Type fibers and reinforcement on Type II fibers Electrodes Electrodes positioned as indicated according to the muscle to be stimulated See Position of the electrodes Intensity Sufficient intensity in this case must be used in order to obtain mobilization up to the maximum range of movement Option 2 2 No The 2 2 function is not available in this program since all four channels are in use Note Ch 1 2 alternate with ch 3 4 v Mi Thetasoo Theta500 Rehab400 ATROPHY 1 21 MIN Sequence 1 Sequence 1 Sequence 2 Sequence 2 Ago Antago Ago Antago Frequency 35 Hz 0 Hz 0 Hz 35 Hz Duration of ramp up 1 55 Os Os RIS Duration of phase 6s 6s 6s 6s Duration of ramp down 0 755 Os Os 0 755 v Ii Thetaeco Theta500 Rehab400 ATROPHY 2 21 MIN Sequence 1 Sequence 1 Sequence 2 Sequence 2 Ago Antago Ago Antago Frequency 35 Hz 0 Hz 0 Hz 35 Hz Duration of ramp up 1 55 Os Os 1 55 Duration of phase 8s 8s 4s 8s Duration of ramp down 0 755 0s Os 0 75 s lu a ES oO 4 z Y i a ul BN ENG v Mt Thetasoo Theta500 Rehab400 REINFORCEMENT 1 16
84. ximum tolerable stimulation energy which is one of the key factors for the effectiveness of the treatment The higher the stimulation energy the greater the numbers of muscular fibers motor units working Option 2 2 Yes v Mi Thetasoo Theta500 Rehab400 HEAVY LEGS 21 MIN 1st sequence 2nd sequence 3rd sequence Frequency 7 Hz 5 Hz 3 Hz Duration of ramp up 1 55 1s 1s Duration of phase 7 min 7 min 7 min Duration of ramp down 0 5s 0 5s 6s lu a oO 4 X S H E A A A When In a stage when there is a venous insufficiency without oedema Why To achieve maximum drainage of the veins and combat the stasis How The program consists of short tetanic contractions separated by long active pauses to increase the blood flow Place the patient comfortably in a lying down position Electrodes Electrodes positioned on the calf muscles Gastrocnemius and on the poplietal nerve As indicated according to the muscle to be stimulated See Position of the electrodes Intensity Maximum tolerable stimulation energy which is one of the key factors for the effectiveness of the treatment The higher the stimulation energy the greater the numbers of muscular fibers motor units working Option 2 2 Yes M gies LN Rehab400 VENOUS INSUFFICIENCY 1 21 MIN Contraction Active rest Frequency 50 Hz 8 Hz Duration
85. y factors for the effectiveness of the treatment The higher the stimulation energy the greater the number of muscular fibers motor units working Option 2 2 Yes IV mi rnecancn Rehab400 CORE STABILIZATION LEVEL 1 33 MIN Warm up Contraction Active rest Final recovery phase Frequency 5Hz 40 Hz 4Hz 3Hz Duration of ramp up 1 55 1 5s 0 5s 1 5s Duration of phase 5 min 5s 10s 10 min Duration of ramp down 2s 0 755 0 5s 3s v Mi Thetaso0 Theta500 Rehab400 CORE STABILIZATON LEVEL 2 35 MIN Warm up Contraction Active rest Final recovery phase Frequency 5 Hz 45 Hz 4 Hz 3 Hz Duration of ramp up 1 55 1 5s 0 5s 1 5s Duration of phase 5 min 6s 9s 10 min Duration of ramp down 2s 0 755 0 5s 3s V ni messe Theta500 Rehab400 CORE STABILIZATON LEVEL 3 36 MIN Warm up Contraction Active rest Final recovery phase Frequency 5 Hz 50 Hz 4 Hz 3 Hz Duration of ramp up 1 55 1 55 0 5s 1 5s Duration of phase 5 min 7s 8s 10 min Duration of ramp down 2s 0 755 0 5s 3s ENG lu a 2 oO 4 X S H E A N EN ACTIVE RECOVERY Indication To improve and accelerate the muscle recovery after an intensive exercise Use this program within three hours after a session of intensive training or after a competition A second session about six hours after the
86. y the program as the patient progresses use level 1 for the first two weeks before changing into level 2 the subsequent weeks Electrodes Electrodes positioned as indicated according to the muscle to be stimulated See Position of the electrode Intensity Maximum tolerable stimulation energy which is one of the key factors for the effectiveness of the treatment The higher the stimulation energy the greater the number of muscular fibers motor units working Try to gradually increase the energy level during a treatment session Option 2 2 If the patient experiences discomfort and pain during stimulation the 2 2 function allows this program ch 1 2 to be combined with a pain relief program ch 3 4 Y Mi Thetasoo v Theta500 v Rehab400 DISUSE ATROPHY LEVEL 1 25 MIN Warm up Contraction Active rest Final recovery phase Frequency 6Hz 35Hz 4Hz 3Hz Duration of ramp up 1 55 1 55 0 5s 1 55 Duration of phase 2 min 6s 7s 3 min Duration of ramp down 2s 0 755 0 5s 3s V mi trerasco Iv vincas IV eatis DISUSE ATROPHY LEVEL 2 25 MIN Warm up Contraction Active rest Final recovery phase Frequency 6Hz 45 Hz 4Hz 3 Hz Duration of ramp up 1 55s 1 55 0 5s 1 5s Duration of phase 2 min 6s 5s 3 min Duration of ramp down 2s 0 755 0 5s 3s lu a ES oO 2a 2 H x a ENG PREVENTION OF DISUSE ATROPHY When Aft
87. you manually start the stimulation Increase the current for the first contraction To trigger the stimulation push the button shortly on ch 1 for the next contraction Electrodes Put one electrode under the fibula head at the passage of the Peroneal nerve Depending of the desired position of the foot place the other electrode on Anterior Tibialis or on the Peroneus muscle See Position of the electrodes Intensity Sufficient intensity in this case must be used in order to obtain a contraction that prevents the foot from dropping in the swing phase of gait Option 2 2 No vf Mi Thetasoo Theta500 Rehab400 HEMIPLEGIC FOOT 13 MIN TRIGGERED Frequency 50 Hz Duration of ramp up 0 5s Duration of phase 1 5s Duration of ramp down 0 255 lu a ES oO 2 H x a ul w ENG When In varying degrees of increased muscular tonus mainly in the antigravity muscles Spasticity is due to a lesion of the central nervous system In time spasticity could lead to contracture and a reduction in range of movement Why NMES of a muscle antagonist to a spastic muscle makes it possible to reduce the spasticity by inhibition of the motor neurons of the spastic muscle via the reciprocal inhibition reflex How This program has a very long and gradual ramp up in order to avoid a stretch reflex on the spastic muscle No active rest with low freq stimulation between

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