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CONTENTS INTRODUCTION

1. PERFORMANCE FR DE IT ES EN ENGY Man gyera 15 11 Page 250 INTRODUC TION A Please read this manually carefully prior to using your Compex stimulator You are strongly advised to read chapter I Warnings of this manual The Compex Performance is a stimulator intended for muscular training and pain relief Any person excepted those mentioned in the chapter I Warnings can use the Compex Performance CONTENTS WARNINGS 1 Counter indications 202 2 Safety measures 202 Il PRESENTATION 1 Reception of equipment and accessories 200 2 Guarantee 200 3 Maintenance 200 4 Storage and transport conditions 206 5 Conditions of use 206 6 Elimination 206 7 Standards 206 8 Patents 206 JY Normalised symbols 206 10 Technical characteristics 20 II HOW DOES ELECTROSTIMULATION WORK 208 IV USAGE GUIDELINES 1 Electrode positions 260 2 Stimulation positions 260 3 Adjusting stimulation energies 260 4 Progression in the levels 261 o Alternation of stimulation sessions voluntary training 261 V THE M TECHNOLOGY 1 Practical rules of use 263 PERFORMANCE FR DE IT ES EN ENGY Man eo 15 11 Page 251 VI HOW IT WORKS 1 Description of the stimulator 265 2 Connections 266 3 Preliminary settings 266 4 Selecting a programme categor 267 0 Selecting a programme 267 6 Personalising a programme 268 7 During the stimulation session 268 8 Consumption and recharging 27 1 9 Problems and solutions
2. Page 277 M functions if M sensor cable sold separately connected M scan M scan M scan PERFORMANCE FR DE IT ES EN ENGY Man sae 15 11 Page Explosive strength Fartlek Programmes Effects Increase in the speed at which a level of strength is reached Improvement in effectiveness of explosive gestures relaxation shoot etc Training and preparation of muscles for all kinds of muscular work endurance resistance strength explosive strength through different working sequences Stimulation Uses i energies For athletes practising a discipline in which explosive strength is an important factor in performance Maximum bearable energy 0 999 At the beginning of the season to reinitialise the muscles after a period of stoppage and before more intensive more specific training periods Maximum bearable energy 0 999 During the season for By those who do not want to favour a single type of performance and who prefer to subject their muscles to different work regimes 278 M2 functions if M2 sensor cable sold separately connected M2 scan M2 scan To define the level of Sport programmes in relation with your personal characteristics please see the training planner available on our website www compex info At the end of a cycle you may either start a new cycle at the next level up or do some maintenance at the rate of 1 session a week at the
3. Duration of the cycle To be used on the muscles in the back of the neck whenever an occasional sensation of painful muscular tension is felt to be repeated if necessary in cases of particularly strong muscular tension Programme Relaxing massage 15V Treatment of a localised sensation of heaviness or an occasional state of fatigue The many stresses of everyday life are often responsible for uncomfortable or even painful physical sensations A circulation slowdown is often the result of insufficient physical activity frequently aggravated by the need in one s working life to remain in the same position for many hours in a seated position for example Without the very least gravity this simple vascular slowing is however often the source of unpleasant sensations e g heaviness often localised in the lower limbs but also sometimes in another part of the body The Reviving massage programme produces in the greatest comfort a reactivation of the blood circulation that allows an acceleration of tissue oxygenation and the elimination of painful sensations due to insufficient physical effort Duration of the cycle To be used on the calf muscles whenever an occasional sensation of heaviness is felt to be repeated if necessary in cases of persistent discomfort Programme Reviving massage 25V amp PERFORMANCE FR DE IT ES EN ENGY Man FR 4 02 08 15 11 Page 293 Use of the Regen
4. E gt PERFORMANCE FR DE IT ES EN ENGY Man F Programmes Modulated TENS Endorphinic Decontrac ture Cervical pain Effects Blocks transmission of pain by the nervous system Analgesic effect through the release of endorphins Increases blood flow Reduced muscular tension Relaxing effect Analgesic effect through the release of endorphins Increases blood flow All acute or chronic localized pain To combat chronic muscular pain To combat recent and localized muscular pain Analgesic current specifically adapted to pains in the back of the neck 14 02 08 15 11 L Stimulation energies Progressively increase stimulation energies until a pronounced tickling sensation can be felt under the electrodes Progressively increase stimulation energies until you obtain clearly visible muscular twitches Progressively increase stimulation energies until you obtain clearly visible muscular twitches Progressively increase stimulation energies until you obtain clearly visible muscular twitches Page 295 M functions if M2 seNsor cable sold separately connected M2 teENs M2 scan M2 RANGE M2 scan M2 RANGE M2 scan M2 RANGE PERFORMANCE FR DE IT ES EN ENGY Man acne Programmes Thoracic back pain Low back pain Lumbago Epicondylitis Effects Analgesic effect through the release of endorphins Increases blood flow Analg
5. Weeks 1 2 Disuse atrophy Weeks 3 6 Muscle growth Programmes Disuse atrophy and Muscle growth 18C Development of the abdominal belt to prevent pain in the lumbar region low back pain Low back pain arises most frequently among subjects who do not have sufficient musculature in the abdominal region These muscles in fact represent a veritable natural corset the role of which is to protect the low back region from excessive stress of all kinds This is why it is referred to as the abdominal belt After a bout of low back pain when the pain has stopped a common recommendation is to improve the efficiency of the abdominal and back muscles to prevent any recurrence The Disuse atrophy programme imposes a large amount of work on the abdominal muscles without requiring the harmful or even dangerous positions often adopted when voluntary exercises are carried out incorrectly An abdominal belt that has greater streneth and endurance can then satisfactorily fulfil its role of protecting the low back region Duration of the cycle 4 weeks 1 x day Programme Disuse atrophy 10 Development of the low back muscles to prevent pain in the lumbar region low back pain Like the muscles of the abdominal region the muscles of the low back lumbar muscles also play a role in protecting the low back region Subjects whose low back muscles are inadequately effective are particularly prone to low back pain Once the pain
6. button twice to increase the levels in the first 3 channels and 3 times to increase the levels in the first 2 channels When you press the i button the associated channels are highlighted in white on a black background Programme progression Stimulation actually starts when the stimulation energy has been increased The examples reproduced below are sufficient to understand the general rules PERFORMANCE FR DE IT ES EN ENGY Man gyera 15 11 Page 270 Session sequences Warm up Work period Relaxation 7 r 2 r aal 1947 E nae Elstar 174 100 174 100 8a 838b 8c 8d Be Remaining time in minutes and seconds before the end of the programme Time bar showing contraction time and active rest time It can be seen during work sequence fig 8 8a Press the On Off button to interrupt the programme momentarily To restart it simply G So press the channel 4 button The session will resume at 80 of the energy levels that were in elic use prior to the interruption mi 8 b c d e The different energies reached ually z aa e a during the contraction phase are shown by a ple E a series of black bar graphs that of the rest phase energies are shown by hatched bar graphs fig 3 Ja Sb 3c IJd Je N B Active rest phase stimulation energies are automatically set at 50 of contraction energies These can be modified during the rest phase Once modified they will be totally independent of t
7. 1 kV differential mode 2 KV common mode lt 5 VT trough gt 95 of VT for 0 5 cycle lt 40 VT trough gt 60 of VT for 5 cycles lt 70 VT trough gt 30 of VT for 25 cycles lt 5 VT trough gt 95 of VT for 5 seconds Observance level 6 kV at the contact 8 kV in air Not applicable System battery powered Not applicable System battery powered Not applicable System battery powered NOTE VT is the AC supply voltage before application of the test level PERFORMANCE FR DE IT ES EN ENGY Man oe 15 12 Page 309 ELECTROMAGNETIC IMMUNITY The Compex Performance is designed for use in the electromagnetic environment stipulated below The buyer or user of the Compex Performance must ensure it is used in this recommended environment Electromagnetic environment recommendations Floors must be wood concrete or ceramic tiles If floors are covered with synthetic material the relative humidity must be maintained at a minimum of 30 The quality of the power supply should be that of a typical commercial or hospital environment The quality of the power supply should be that of a typical commercial or hospital environment The quality of the power supply should be that of a typical commercial or hospital environment If the Compex Performance user requires continuous operation during mains power cuts we recommend that the Compex Performance is powered by a UPS or a battery Magnetic fields at
8. 2 2 VII PROGRAMMES AND SPECIFIC APPLICATIONS 1 Warm up category 2 4 2 Sport category 2 7 J Fitness category 284 4 Body sculpt category 208 0 Recovery category 290 6 Pain relief category 294 7 Rehabilitation category 300 8 Test category 304 VIII EMC TABLE ELECTROMAGNETIC COMPATIBILITY 305 PERFORMANCE FR DE IT ES EN ENGY Man oe 15 11 Page 252 WARNINGS 1 Counter indications Important counter indications Cardiac stimulator pacemaker Epilepsy Pregnancy do not use on abdominal region Serious arterial circulation problems in lower limbs Abdominal or inguinal hernia Precautions when using the Compex After trauma or a recent operation less than 6 months Muscular atrophy Persistent pains Need for muscular rehabilitation Osteosynthesis equipment The presence of osteosynthesis equipment metallic equipment in contact with the bone pins screws plates 2 Safety measures What you should not do with the Compex and the m system Do not use the Compex or the M2 sensor system in water or in a humid atmosphere sauna hydrotherapy etc Do not use the Compex or M sensor system in oxygen rich environments Never carry out an initial stimulation session on a person who is standing The first five minutes of stimulation must always be performed on a person who is sitting or lying down In rare instances people of a nervous disposition may experience a prostheses etc i
9. 5 hours moderate speed then 1 x Capillarization 80 4 Programmes Endurance 8G and Capillarization 8V 4 PERFORMANCE FR DE IT ES EN ENGY Man sae 15 11 Page 279 Preparation for a runner training three times a week who wishes to progress in endurance half marathon marathon Running as many miles as possible is essential in order to improve performance in endurance events However the strain on tendons and joints this type of training causes is today universally recognised Integrating Compex electrostimulation into the training of the long distance runner offers an excellent alternative that can help to overcome this problem The Endurance programme which results in improving the capacity of muscles to consume oxygen and the Capillarization programme of the Warm up category which develops the capillaries in the muscles allow greater endurance to be achieved while limiting the weekly mileage and therefore the risk of injury Duration of the cycle 8 weeks 3 x week Eg for 1 week Mon Rest Tue 1 x Endurance 86 Wed e Voluntary training warm up 20 then 1 2 series of 6 x 30 fast 30 slow e Slow jogging at the end of the session then 1 x Capillarization 8V 4 Thu 1 x Endurance 86 4 Fri Rest Sat Loose 60 jogging then 1 x Endurance 8G 4 Sun Extended 1 5 hour run moderate speed then 1 x Capillarization 8V 4 Programmes Endurance 8G and Capillarization 8V 4 PER
10. a period During this period of competition muscle qualities should be maintained by means of one weekly session of stimulation carried out using the Strength programme It is also essential to leave a sufficiently long interval between this single weekly stimulation session and the day of the competition 3 days minimum The Active recovery programme of the Recovery category which must be used during the first three hours after the match as well as after each session of intensive training restores muscle equilibrium more quickly Duration of the cycle During the sport season 1 x week Eg for 1 week Mon Rest Tue Collective training then 1 x Active recovery 8V 4 if training is intensive Wed 1 x Strength 8G 4 Thu Collective training then 1 x Active recovery 8V if training is intensive Fri Rest Sat Rest Sun Match then 1 x Active recovery BV 4 within the 3 hours that follow the competition Programmes Strength 8G and Active recovery 80 4 Pre season preparation of the explosive strength of the quadriceps for an athlete training three times a week long jump or high jump sprinting etc For other disciplines the choice of muscles to be stimulated may be different refer if necessary to the training planner on our website www compex info For all sports where the essential performance factor is explosive muscle strength specific muscle preparation is the main factor in pre season prepa
11. category session is recommended after the most intensive training It accelerates the rate of muscle recovery and reduces fatigue during the period of the season when the amount of training is high Duration of the cycle 6 8 weeks 3 x week Eg for 1 week Mon 1 x Resistance 8G 4 Tue Voluntary training on the track Wed 1 x Resistance 8G 4 Thu Voluntary training on the track then 1 x Active recovery 80 4 Fri Rest Sat Rest Sun 1 x Resistance 8G 4 followed by session voluntary training on the track Programmes Resistance 8G and Active recovery 80 4 Preparation for a cyclist training three times a week who wishes to improve his power Developing the strength of the thigh muscles is always beneficial for the competitive cyclist Certain forms of training on the bicycle hill work can make a contribution in this respect However results will be more spectacular if additional training using Compex muscular stimulation is undertaken at the same time The special regime of muscle contractions of the Strength programme and the large amount of work to which the muscles are subjected allow a significant increase of the strength of the thigh muscles Moreover the Active recovery programme of the Recovery category carried out within three hours of the most intensive training encourages muscular recuperation and makes it possible to follow on with qualitative training under optimum conditions Duration of
12. in the low back has disappeared people are often advised to strengthen the low back muscles with a view to preventing the recurrence of painful episodes However carrying out voluntary back exercises often presents serious difficulties for people who suffer from low back pain That is why electrostimulation of the low back muscles using the Disuse atrophy programme is one of the preferred methods to improve the efficiency of these muscles Duration of the cycle 4 weeks 1 x day Programme Disuse atrophy 14B PERFORMANCE FR DE IT ES EN ENGY Man FR 4 02 08 15 11 Page 303 Strengthening of the lateral peroneus muscles after ankle sprain The purpose of the lateral peroneus muscles is to maintain the stability of the ankle joint and prevent it from rotating inwardly After a sprain these muscles lose their reflex contraction capacity together with much of their strength Regaining competent lateral peroneal muscles after a sprain is a fundamental step without which recurrence is very probable To do their job correctly the lateral peroneals must be strong enough to prevent the foot twisting inwards but they must also contract reflexively at the precise moment when the heel tilts inwards To develop both of these aspects strength and speed of contraction you should use the Reinforcement programme which produces efficient lateral peroneal muscles and therefore helps to prevent recurrence Duration of
13. is automatic If the Compex is fitted with the M sensor cable sold separately the muscle group is selected automatically There is therefore no need to look at the small figurine Example ic DaN Endurance programme 8G ik J E EEE Inside cover of the manual oe eee x E gt F a For the 4 basic workout programmes Endurance Resistance Strength Explosive strength we advise you to consult the training planner on our website www compex info An interactive question and answer system takes you to a personalised training plan PERFORMANCE FR DE IT ES EN ENGY Man aa p 1 Warm up category Programmes Capillariza tion Toning massage Potentiation Effects Considerable increase in blood output Capillaries develop Activation of blood circulation Arousal of contractile muscular properties Revitalising effect Increase contraction speed and the amount of power gained Reduce effort required by nerves to reach maximum strength In the period before competition for those participating in endurance or resistance sports To improve endurance in those whose fitness level is not hig To prepare the muscles in an ideal manner before an unusual one time physical activity For optimum muscle preparation immediately before competition 15 11 Stimulation energies Progressively increase stimulation energies until you obtain clearly visible muscular twitch
14. sensor cable is connected to the stimulator The figures in channel 4 will automatically change during the test as the sensor records different measurements The 4 buttons will be disabled for the duration of the test Once the test is complete you will automatically be taken to the default programme start screen and prompted to increase the stimulation energies Adjusting stimulation energies When you start a programme you will be prompted to increase the stimulation energies This is critical to the success of any treatment To find out what energy level needs to be reached for each programme refer to the specifc applications Session progression scale For details on how it works see the following section Programme progression Programme time in minutes and seconds ro 2510 oH Elso ooo OOO OOO OOO Ja 7b 7c 7d Te The animated rising convection symbol represented the warming up sequence 7a Press the On Off button to place the unit in Pause mode 7b c d e The Compex bleeps and the symbols of the four channels flash changing from to 000 the four channels are at OOO energy You must increase the stimulation energy so that the stimulation can start To do this press the buttons for the relevant channels until the desired setting is reached If you want to increase the energy level of all four channels simultaneously press the i button located below the On Off button Press the i
15. shape or even to develop a rock hard abdomen All this can be achieved without the minimum stress and danger for the lumbar spine Duration of the cycle 10 weeks Weeks 1 5 3 x Muscle building 10 A all of the abdominal belt or 111 rectus abdominis muscles week Weeks 6 10 3 x Muscle definition 101 amp all of the abdominal belt or 111 amp rectus abdominis muscles week Progression in the levels Weeks 1 5 Muscle building Step to the next level every week Weeks 6 10 Muscle definition Step to the next level every week Programmes Muscle building and Muscle definition 10 or 111 PERFORMANCE FR DE IT ES EN ENGY Man cae 15 11 Page 288 4 Body sculpt category oo M2 functions Stimulation Programmes Effects Uses if M sensor cable energies sold separately connected At the end of a cycle you may either start a new cycle at the next level up or do some maintenance at the rate of 1 session a week at the last level reached ble ly PERFORMANCE FR DE IT ES EN ENGY Man sae 15 11 Page 289 Specific applications To firm and sculpt the body The Toning Firming and Shaping programmes impose perfectly adapted and progressive work on the muscles This very intense muscular activity hundreds of seconds of sustained contractions first tones and firms your muscles then redefines their contours to sculpt your body In this example we assume that the fitness enthusiast wants to w
16. the cycle 4 weeks 1 x day Weeks 1 4 Reinforcement Week 5 and following weeks Reinforcement 1x week if you take part in a dangerous sporting activity Programme Reinforcement 2A 4 PERFORMANCE FR DE IT ES EN ENGY Man aa p Test category Programmes Effects Uses 15 12 Page Stimulation energies Refer to the quick startup guide Demo Test your Compex in 5 minutes 304 M functions if M sensor cable sold separately connected M2 scan M2 tENS M2 RANGE ble ly PERFORMANCE FR DE IT ES EN ENGY Man A 15 12 Page 305 VII EMC TABLE Electromagnetic Compatibility The Compex Performance needs special EMC precautions and must be installed and started according to the EMC information supplied in this manual All RF wireless transmission systems can affect the Compex Performance The use of accessories sensors and cables other than those recommended by the manufacturer may result in stronger emissions or reduce the immunity of the Compex Performance The Compex Performance should not be used beside or stacked on top of any other equipment If you must use it side by side or on top of another system you should check that the Compex Performance works properly in the chosen configuration PERFORMANCE FR DE IT ES EN ENGY Man oe 15 12 Page 306 RECOMMENDATIONS AND DECLARATION BY THE MANUFACTURER CONCERNING ELECTROMAGNETIC EMISSIONS The Compex Performance is in
17. the cycle 8 weeks 3 x week Eg for 1 week Mon Rest Tue 1 x Strength 8G 4 Wed e Cycle training 45 moderate speed then 5 10 times on a 500 700 m hill rapidly PERFORMANCE FR DE IT ES EN ENGY Man FR 4 02 08 15 11 Page 281 e Recovery during descent e Inactivity 15 20 then 1 x Active recovery 8V 4 Thu 1 x Strength 8G 4 Fri Rest Sat 60 cycle training moderate speed then 1 x Strength 8G 4 Sun e Cycling 2 5 3 hours moderate speed e Muscle strengthening on hills use of a high gear ratio remaining seated then 1 x Active recovery 8V 4 Programmes Strength 8G and Active recovery 80 4 Preparation for a swimmer training three times a week who wishes to improve his swimming power In swimming developing the propulsive force of the upper limbs is an important factor in improving performance Certain forms of voluntary training practised in the water can contribute to this However integrating Compex muscular stimulation into the voluntary training programme makes it possible to achieve far better results The special muscular contraction regime of the Strength programme and the large amount of work to which muscles are subjected will allow you to increase significantly the strength of the latissimus dorsi key muscles for the swimmer Moreover the Active recovery programme of the Recovery category carried out within three hours of the most intensive training
18. the positioning of the electrodes slightly The stimulation effect causes discomfort E The electrodes are beginning to lose adhesion and no longer provide good contact on the skin E The electrodes are worn and need to be replaced E Change the positioning of the electrodes slightly PERFORMANCE FR DE IT ES EN ENGY Man gyera 15 11 Page 273 VIL PROGRAMMES AND SPECIFIC APPLICATIONS The following applications are given by way of example They will give you a better understanding of how electrostimulation sessions can be combined with voluntary activity They will help you to determine the best procedure to follow according to your needs programme selection muscle group time electrode placement body position You can also choose a muscle group different to the one indicated depending on the way you exercise or the area of the body that you want to stimulate The specific applications will provide you with information on electrode placement and the stimulation position to adopt This information is given as a number electrode positioning and a letter body position These refer to the pictures showing placement of the electrodes and the pictograms showing the body positions on the inside cover of the manual If the Compex is not fitted with the M sensor cable the muscle group to be selected in the device is shown on the small figurine If this does not appear there is no need to choose a muscle group selection
19. to follow closely the recommendations below concerning the specific application in order to benefit from the positive effects of this treatment Duration of the cycle 1 week before competition 2 x day with a 10 minute break between the 2 sessions Programme Capillarization 8V Prevention of contractures in the muscles of the back of the neck for cyclists During voluntary training or competitions some athletes experience the problem of contractures in support muscles for example the back of the neck for cyclists Use of the Capillarization programme reduces and may resolve this problem The marked increase 1n blood circulation and development of the capillary system improve the oxygenation of fibres and their exchanges with the blood The muscle therefore becomes less prone to contractures Duration of the cycle 3 weeks 1 x day Programme Capillarization 15V PERFORMANCE FR DE IT ES EN ENGY Man FR 4 02 08 15 11 Page 276 Muscular and circulation conditioning before physical activity People who regularly practise sports are well aware of the transition which is often painful between a rest activity and an occasional physical effort The objective of the usual warming up techniques is to respond to this need to activate progressively the physiological functions involved in one time physical activity This physiological need is also very desirable for moderate but unusual physical efforts as i
20. 1 Page 265 VI HOW IT WORKS You are strongly advised to carefully read the counter indications and safety measures described at the start of this manual chapter 1 Warnings prior to using your stimulator p a H performance A OO TS A On Off button B i button used to Increase stimulation energies in several channels simultaneously Access the LAST menu the last programme used C Sockets for the 4 stimulation cables D Stimulation cables Channel 1 blue Channel 2 green Channel 3 yellow Channel 4 red E buttons for the 4 stimulation channels F Socket for the charger G Rechargeable battery compartment H Belt clip socket 2 Connections Connecting the cables The stimulator cables plug into the 4 sockets on the front of the device Four cables can be connected simultaneously to the four channels of the device Both the sockets and the cables are colour coded to simplify use and facilitate identification of the different channels blue channel 1 yellow channel 3 green channel 2 red channel 4 The Performance stimulator bears the label M ready in other words it can use certain functions of the m technology if a stimulation cable fitted with the M2 senson system is connected This cable sold separately gives access to the M scan M tens and M Rance functions It is connected to any one of the four stimulation channel sockets located on the fro
21. 4 followed by 1 x Capillarization 4V Wed Rest Thu Voluntary training focused on the muscles of the lower limbs followed by active work on the calf muscles 3 series of 5 repetitions at 90 of the Fmax then 1 x Body Building 4A 4 followed by 1 x Capillarization 4V 4 Fri Voluntary training focused on the muscles of the upper limbs followed by active work on the calf muscles 3 series of 5 repetitions at 90 of the Fmax then 1 x Body Building 4A 4 followed by 1 x Capillarization 4V 4 Sat Voluntary training focused on the muscles of the muscles of the trunk followed by active work on the calf muscles 3 series of 5 repetitions at 90 of the Fmax then 1 x Body Building 4A 4 followed by 1 x Capillarization 4V 4 PERFORMANCE FR DE IT ES EN ENGY Man amo 15 11 Page 287 Sun Rest Programmes Body Building 4A and Capillarization 4V 4 Developing and sculpting your abdominal belt To restore or develop the qualities of your abdominal muscles they must do a lot of intensive work Also the voluntary exercises of the abdominal belt required to achieve results are unpleasant and often also dangerous Indeed if they are not performed correctly they can cause crushing of the lumbar spine accompanied as a consequence by the onset or ageravation of pain in the lower back Compex offers a specific stimulation mode to make your abdominal belt firmer improve its tone and give it a more harmonious
22. FORMANCE FR DE IT ES EN ENGY Man FR 4 02 08 15 11 Page 280 Pre season preparation of lactic capacity for a resistance sport with three active training sessions per week 800 metres track cycling etc Example of planning to develop the lactic capacity resistance of the quadriceps For other disciplines the choice of muscles to be stimulated may be different to determine these muscles in relation to your sporting discipline refer to the training planner on our website www compex info During pre season preparation for sports that make great demands on the lactic anaerobic system intense effort sustained over as long as possible it is essential not to neglect specific muscle preparation Stimulation of the quadriceps or a different key muscle group depending on the discipline practised by means of the Resistance programme results in improved anaerobic power as well as greater muscle tolerance to high concentrations of lactates The practical benefits will be obvious improved performance thanks to better muscular resistance to fatigue for exercises of the lactic anaerobic type In order to optimise the effects of this preparation you are advised to supplement it with Capillarization sessions carried out during the week leading up to the competition see Warm up category Achieving peak form before competition for resistance sports eg 800 metres 1 500 metres etc An Active recovery session of the Recovery
23. In other words the muscle cannot distinguish whether the command comes from the brain or from the stimulator The parameters of the Compex programmes number of impulses per second contraction time rest time total programme time subject the muscles to different types of work according to muscular fibres In fact different types of muscular fibres may be distinguished according to their respective contraction speed slow intermediate and fast fibres Fast fibres will obviously predominate in a sprinter while a marathon runner will have more slow fibres With a good knowledge of human physiology and a perfect mastery of the stimulation parameters of the various programmes muscular work can be directed very precisely towards the desired goal muscular reinforcement increased blood flow firming up etc Electrical pulse i Excitation oe 4 ie Transmission of the excitation Motor nerve Stimulated muscle Elementary mechanical response twitch 2 Stimulation of the sensitive nerves The electrical impulses can also excite the sensitive nerve fibres to obtain an analgesic or pain relieving effect The stimulation of the tactile sensitive nerve fibres blocks the transmission of pain by the nervous system The stimulation of another type of sensitive fibres creates an increase in the production of endorphins and therefore a reduction of pain With pain relief programmes elect
24. ameter and capacity of muscle fibres damaged during under activity or inactivity imposed by some kind of pathological problem Restoration of muscle volume Increase the strength of a muscle previously atrophied Increase the strength of a muscle affected by a pathological process Treatment to combat any reduction of muscle volume as a result of trauma necessitating immobilisation accompanying degenerative lesions to joints After a period of using the Disuse atrophy treatment as soon as the muscle shows signs of a slight recovery of volume or tone Until the virtually complete restoration of muscle volume At the end of rehabilitation when the muscle has regained normal muscle volume From the onset of rehabilitation for non atrophied muscles Stimulation energies Maximum bearable energy 0 999 Maximum bearable energy 0 999 Maximum bearable energy 0 999 300 M functions if M sensor cable sold separately connected M2 scan M2 scan M2 scan ble ly PERFORMANCE FR DE IT ES EN ENGY Man F A In a rehabilitation process it is essential initially to treat the atrophy i e regain normal muscle volume before attempting to increase the strength of the muscle using the Reinforcement programme The use of programmes of the Rehabilitation category must under no circumstances replace rehabilitation sessions carried out in the presence
25. apy on os 15 11 Page 267 3e Press the channel 4 button to validate your selection and depending on whether you have the symbol Of fz a the stimulation session starts immediately b w a parameter setting screen appears N B Press the i button to access the LAST menu LAST To make your Compex more pleasant and easier to use the LAST menu allows you to directly access the last used programme To access the menu press the i button before selecting a programme This function can be accessed from the programme category screen fig 2 or the programme list screen fig 3 LAST FARTLEK i IE m m m 4h 4c Ad 4e fig 4 4a 4a Press the On Off button to return to the previous screen 4d Press the channel 3 button to personalize the programme Ge Press the channel 4 button to execute the programme PERFORMANCE FR DE IT ES EN ENGY Man gyera 15 11 Page 268 6 Personalising a programme Current international standards require that a warning be given concerning the application of electrodes to the thorax increased risk of cardiac fibrillation N B If a cable fitted with the M sensor oh system sold separately is connected to the device the muscle group is selected Mi automatically The programme personalisation screen is not available for all programmes Ble ES GE EZ 5c Press the channel 2 button to stop the fig 5 Da 5b 5c 5d De warming up sequence c
26. ation is shown on the screen a complete charge may take 1 5 hours The battery icon is animated while the battery is recharging When fully charged the icon will be full and the total time taken to recharge the battery will flash on the screen Simply disconnect the charger the Compex will turn off automatically PERFORMANCE FR DE IT ES EN ENGY Man gyera 15 11 Page 272 9 Problems_and _ solutions The stimulator is not working FLEASE CONTACT Electrode fault alle Aa HEF 02 HENIS 1 70 ERROR 7 0 0 p iig IU a m Se IE m a m et ae i er hah d fig 14 E If an error screen appears while the equipment is in use note the error number in the example in fig 15 The Compex bleeps and alternatively error 1 0 0 and contact the displays the symbol of a pair of consumer service stated and electrodes and an arrow pointing to the approved by Compex M dical SA channel where a problem has been detected In the example above the stimulator has detected an error in channel 1 Check that electrodes are connected to this channel E Check whether the electrodes are old worn and or the contact is poor try using new electrodes E Try using the stimulation cable on a different channel If the cable is still showing a fault replace it Stimulation is not producing the usual sensation Check that all the settings are correct and ensure the electrodes are positioned properly E Change
27. e definition Effects Improvement in muscle development Balanced increase in muscle tone and volume Increase in muscular volume Increase in the diameter of the muscle fibres Improvement in muscular resistance Increase in muscle tone without marked increase in volume to build up firm muscles To improve the musculature in general strength volume tone For body building enthusiasts and users who want to increase their muscle mass For those who want very firm and wiry muscles but without a great muscle volume increase Stimulation energies Maximum bearable energy 0 999 Maximum bearable energy 0 999 Maximum bearable energy 0 999 M2 functions if M sensor cable sold separately connected M2 scan M2 scan M2 scan At the end of a cycle you may either start a new cycle at the next level up or do some maintenance at the rate of 1 session a week at the last level reached ble ly PERFORMANCE FR DE IT ES EN ENGY Man FR 4 02 08 15 11 Page 285 Specific applications Preparation for a fitness enthusiast who wants to develop harmonious shoulder muscles with a moderate increase in muscle volume Most voluntary exercise such as jogging ot cycling puts little stress on the shoulder muscles That is why it is particularly important to compensate this under utilisation by associating Compex sessions with your voluntary training schedule The Muscle building pr
28. encourages muscular recuperation and makes it possible to follow on with qualitative training under optimum conditions Duration of the cycle 8 weeks 3 x week Eg for 1 week Mon Rest Tue 1 x Strength 18C Wed e 20 30 swimming training different styles then 5 10 times 100 m with pull boy e Recovery 100 m backstroke e Return to gentle 15 then 1 x Active recovery 180 4 Thu 1 x Strength 18C Fri Rest Sat 1 hr swimming training including some technical work then 1 x Strength 18C Sun e 20 30 swimming training different styles then 5 10 times 100 m with paddles e Recovery 100 m backstroke e Return to gentle 15 then 1 x Active recovery 180 4 Programmes Strength 18C and Active recovery 180 Pre season preparation for a team sport football rugby handball volleyball etc Planning example to develop the strength of the quadriceps Depending on the sport being practised a different muscle group may be chosen During the preparatory pre season period for team sports it is essential not to neglect specific muscle preparation In most team sports the qualities of speed and strength make all the difference Stimulation of the quadriceps or a different key muscle depending on the sport concerned by means of the Compex Strength programme will result in increased speed of contraction and muscular strength The practical benefits will be obvious improvement in starti
29. equency 1 to 150 Hz PERFORMANCE FR DE IT ES EN ENGY Man FR 4 02 08 15 11 Page 258 II HOW DOES ELECTROSTIMULATION WORK The principle of electrostimulation is to stimulate nerve fibres by means of electrical impulses transmitted by electrodes The electrical pulses generated by Compex stimulators are high quality pulses offering safety comfort and efficiency which can stimulate different types of nerve fibres 1 the motor nerves to stimulate a muscular response The quantity and the benefits obtained depend on the stimulation parameters and this is known as electro muscular stimulation EMS 2 certain types of sensitive nerve fibres to obtain analgesic or pain relieving effects 1 Motor nerve stimulation EMS In voluntary activity the order for muscular work comes from the brain which sends a command to the nerve fibres in the form of an electrical signal This signal is then transmitted to the muscular fibres which contract The principle of electrostimulation accurately reproduces the process observed during a voluntary contraction The stimulator sends an electrical current impulse to the nerve fibres exciting them This excitation is then transmitted to the muscular fibres causing a basic mechanical response muscular twitch The latter constitutes the basic requirement for muscular contraction This muscular response is completely identical to muscular work controlled by the brain
30. eration The session is composed of 6 stimulation programme to eliminate sequences that follow on automatically muscle fatigue more quickly 1st sequence painkilling effect cross country running 2 sequence significant increase in blood football basketball tennis output etc and restore good 3 sequence tetanic contractions to muscular sensations more restore muscular sensations quickly 4 sequence activation of the oxidative The Regeneration programme known also as the day after programme must be used on key muscles for the discipline being practised In this example key muscles for the cross country runner quadriceps will be stimulated For other disciplines the choice of muscles to be stimulated may be different Note that this type of programme is particularly beneficial for all sports where competitions are repeated at frequent intervals during tournaments and cups in various sports The stimulation session using the Regeneration programme must be carried out the day after a competition to replace or supplement so called restoration training which can therefore be less intensive Contrary to the Active recovery programme which provokes no tetanic contractions and which must be used during the three hours after the competition or intensive training the Regeneration programme is a form of light training which in addition to an analgesic effect and an increased blood flow aims to impose a small degree of anaer
31. es Progressively increase stimulation energies until you obtain clearly visible muscular twitches Check that the stimulation energy is sufficient to impose significant muscular contractions Maximum bearable energy 0 999 The energy is adjusted during the phases of the programme when the muscle relaxes and reacts with simple muscle twitches Page 274 M2 functions if M sensor cable sold separately connected M2 scan M2 RANGE M2 scan M2 RANGE M2 scan ible tly PERFORMANCE FR DE IT ES EN ENGY Man FR 4 02 08 15 11 Page 275 Specific applications Preparation for seasonal endurance activity eg hiking bicycle touring Sporting physical activities that last a long time walking cycling cross country skiing etc require strong muscles with a good capillary circulation so that the muscle fibres can be properly oxygenated When a long duration physical activity is not practised or not practised regularly enough the muscles lose their capacity to effectively consume oxygen and the capillary system becomes rarefied This lack of muscular quality makes exercising uncomfortable and limits the speed of recuperation and is responsible for many unpleasant side effects such as drowsiness contractures cramp and swelling To restore to muscles their endurance and ensute full activation of the capillary system the Compex offers a very efficient mode of stimulation Duration of the cyc
32. es will be applied on the sprinter s quadriceps immediately before the start of his race or races in the event of qualifying events The specific muscular activation of the Potentiation programme allows the maximum level of performance to be attained in the very first seconds of the race Duration of the cycle 1 x Always carry out the session as soon as possible before the start and at all events not more than 10 minutes before the start After 10 minutes the phenomenon of potentiation of muscle fibres quickly wears off Programme Potentiation 86 4 Pro En Re PERFORMANCE FR DE IT ES EN ENGY Man F 2 Sport category Programmes Endurance Resistance Strength Effects Improvement in the ability of stimulated muscles to absorb oxygen Improvement in performance in endurance sports Improvement in lactic muscular activities Improvement in performance for resistance sports Increase in maximum strength Increase in muscular contraction speed For athletes who wish to improve their performance in long duration sporting events For competitive athletes who wish to increase their capacity to obtain intense and prolonged effort For competitive athletes practising a discipline that requires strength and speed 14 02 08 15 11 p Stimulation energies Maximum bearable energy 0 999 Maximum bearable energy 0 999 Maximum bearable energy 0 999
33. es from the charger or the Compex Do not recharge the battery in a confined space carrying case etc There is a risk of fire or electric shock Keep the Compex and its accessories out of reach of children Do not allow any foreign bodies soil water metal etc to penetrate the Compex the battery compartment and the charger Sudden temperature changes can cause condensation to build up inside the stimulator To prevent this allow it to reach ambient temperature before use Do not use the Compex while driving or operating machinery Do not use the stimulator at altitudes of over 3 000 metres Where never to apply the electrodes In the vicinity of the head Counter laterally i e do not use two poles connected to the same channel on opposite sides of the body On or near skin lesions of any kind wounds swelling burns irritation eczema etc Precautions when using the M sensor system To access the Compex s M technology functions it is essential to connect the M2 sensor cable before switching on the device Avoid connecting the M sensor cable when the Compex is switched on Do not disconnect the M sensor cable while the sensor is being used To work correctly the M2 sensor system must not be blocked or subjected to pressure PERFORMANCE FR DE IT ES EN ENGY Man eo 15 11 Page 254 Precautions when using the electrodes Only use electrodes supplied by Compex Other electrodes may
34. esic effect through the release of endorphins Increases blood flow Reduced muscular tension Relaxing effect Blocks transmission of pain by the nervous system Analgesic current specifically adapted to pain in the thoracic region below the back of the neck and above the low back Analgesic current specifically adapted to persistent low back pain lumbar region Analgesic current specifically adapted to sharp and sudden low back pain lumbar region Analgesic current specifically adapted to persistent pain in the elbow 15 11 Page Stimulation energies Progressively increase stimulation energies until you obtain clearly visible muscular twitches Progressively increase stimulation energies until you obtain clearly visible muscular twitches Progressively increase stimulation energies until you obtain clearly visible muscular twitches Progressively increase stimulation energies until a pronounced tickling sensation can be felt under the electrodes 296 M2 functions if M2 sensor cable sold separately connected M2 scan Ml2 RANGE M2 scan M2 RANGE M2 scan M2 RANGE M TEns The use of Pain relief programmes should not be prolonged without medical advice If the pain is great and or persistent you are advised to consult a doctor Only a doctor can make an accurate diagnosis and put in place therapeutic actions designed to encourage the disappearance of the disorde
35. f fig 9 and 10 It should be noted however that statistics are not available for all programmes D22 000 OOO Oo fig 11 8 Consumption and recharging A Never recharge the stimulator without first disconnecting the stimulation cables Always use the charger supplied by Compex to recharge the batteries The Compex runs on rechargeable batteries The battery s life depends on the programmes and stimulation energy used We strongly recommend you fully charge the battery before using your Compex for the first time as this will improve its autonomy and life span If you do not use your device for a long period of time please recharge the battery regularly Electricity consumption The charge state of the battery is indicated by a small battery icon on the screen 2 f i eal Ae Fs EE ES Bc fig 12 If the battery icon contains just two lines this means that power is running low Stop the session and recharge the unit If the symbol normally displayed above the channel 4 button is not visible and if the small battery icon is flashing the batteries are flat It is no longer possible to use the device Recharge immediately Recharging Remove all stimulation cables from the stimulator before recharging it Connect the charger to the mains and then connect the stimulator to the charger The charge menu illustrated below appears automatically 2 fig 13 The duration of the charging oper
36. f M sensor cable sold separately connected M2 scan M2 RANGE M2 scan PERFORMANCE FR DE IT ES EN ENGY Man FR 4 02 08 15 11 Page 292 Specific applications You want to recover better and faster after exercise A session with the Active recovery programme which accelerates drainage of toxins will help you to relax your muscles and to restore your muscular balance faster whatever the type of exercise taken This programme is normally used between 15 minutes and 3 hours after exercise If the result is insufficient the session may be repeated immediately a second time A session can also be repeated on the following day in the event of persistent stiffness and cramp Duration of the cycle To be used throughout the season Programme Active recovery 8V 4 Treatment of uncomfortable muscular tensions in the back of the neck Remaining in a seated position for long periods associated with repetitive movements of the upper limbs as is frequently the case in front of a computer screen is often responsible for an uncomfortable f or even painful increase of muscle tension of the back of the neck muscles Any other condition of stress may also create situations leading to a state of excessive muscular tension which is often responsible for painful or uncomfortable sensations The in depth effects produced by the Relaxing massage programme ease such painful sensations with a particularly relaxing effect
37. f the back of the neck remain tense for long periods of time for example working in front of a computer screen may be responsible for the onset of pain in the back of the neck or on either side of the base of the neck in the upper back These pains are due to a contracture of the muscles of which the prolonged tension crushes the blood vessels and prevents the blood from supplying and oxygenating the muscle fibres If this phenomenon is prolonged there is an accumulation of acid and the blood vessels atrophy The pain then becomes continuous or can appear after only a few minutes spent working in an unfavourable position These chronic pains in the back of the neck can be treated effectively with the Cervical pain programme which reactivates the circulation drains accumulations of acid oxygenates the muscles develops the capillaries and relaxes the contractured muscles Duration of the cycle 4 weeks 2 x day with a 10 minute break between the 2 sessions You are advised to consult your doctor if no improvement is observed after the first week of use Programme Cervical pain 15V Muscular pain in the thoracic region thoracic back pain Vertebral arthritis and positions in which the muscles of the spinal column remain under tension for long periods of time are often responsible for the onset of pain in the middle of the back which is accentuated with fatigue Pressure of the fingers on the muscles on either side of
38. f the Fmax then 1 x Body Building 20D 4 followed by 1 x Capillarization 20V 7 Fri Rest Sat Voluntary training focused on the muscles of the upper limbs followed by active work on the biceps 3 series of 5 repetitions at 90 of the Fmax then 1 x Body Building 20D followed by 1 x Capillarization 20V 7 Sun Rest Programmes Body Building 20D and Capillarization 20V 7 PERFORMANCE FR DE IT ES EN ENGY Man sae 15 11 Page 286 Muscle volume for a body builder training at least five times a week In this example we assume that the body builder wants to work on his her calves but it is of course possible to stimulate other muscles as well Also this Body Building programme can be applied to several muscular groups at the same time e g calves then biceps Duration of the cycle 12 weeks 5 x week Progression in the levels Week 1 Body Building level 1 Weeks 2 3 Body Building level 2 Weeks 4 5 Body Building level 3 Weeks 6 8 Body Building level 4 Weeks 9 12 Body Building level 5 Eg for 1 week Mon Voluntary training focused on the muscles of the lower limbs followed by active work on the calf muscles 3 series of 5 repetitions at 90 of the Fmax then 1 x Body Building 4A 4 followed by 1 x Capillarization 4V 4 Tue Voluntary training focused on the muscles of the upper limbs followed by active work on the calf muscles 3 series of 5 repetitions at 90 of the Fmax then 1 x Body Building 4A
39. have electrical properties that are unsuitable for the Compex stimulator Always turn off the stimulator before moving or removing any electrodes during a session Do not place the electrodes in water Do not apply solvents of any kind to the electrodes For best results wash and clean the skin of any oil and dry it before attaching the electrodes Attach the electrodes in such a way that their entire surface is in contact with the skin For obvious reasons of hygiene each usert must have his her own electrode set Do not use the same electrodes on different people Never use a set of adhesive electrodes for more than 15 sessions as their bonding power deteriorates over time and optimal contact is very important for both user comfort and efficacy Some people with very sensitive skin may experience redness under the electrodes after a session Generally this redness is completely harmless and disappears after 10 to 20 minutes Never start another stimulation session in the same area however if the redness is still visible Il PRESENTATION 1 Reception of equipment and_accessories Your kit contains 515000 1 stimulator 68301x 1 charger 601131 1 set of black Snap connectors for electrodes colour coded blue green yellow red 602076 2 bags of small electrodes 5x 5cm 602077 2 bags of large electrodes 5 x 10 cm 88573x 2 user and specific application manuals 88562x 2 quick start guides Tes
40. he contraction energies N B If your Compex emits a beeping sound and the symbols under the active channels begin to flash the stimulator is suggesting you Ble E a increase the level of the stimulation energies If you are working at the maximum tolerance level fig 10 10a 10b 10c 10d 10e simply ignore this message Fig 9 For programmes inducing muscular Statistics contractions the indication MAX shows the maximum energy level reached per channel Your stimulator includes a statistics menu during contraction phases AVG indicates the that allows you to view in real time the average stimulation energy level used by the important information for a programme different channels during the contraction phase To access the statistics screen you must Fig 10 In low frequency programmes the put the stimulator into the Pause mode M2 Rance function symbolised by a single or wait for the end of the programme square bracket shows what percentage of stimulation time was spent in the optimal energy range 9e 10e Press the channel 4 button to resume the programme at the point where it was interrupted PERFORMANCE FR DE IT ES EN ENGY Man gyera 15 11 Page 271 End of programme At the end of each session a small flag will be displayed on the screen and a short melody will be played To switch off the stimulator press the On Off button Depending on the programmes usage statistics may be displayed c
41. he level when changing to a new stimulation cycle At the end of a cycle you may either start a new cycle at the next level up or do some maintenance at the rate of 1 session a week at the last level reached 5 Alternation of stimulation sessions voluntary training The stimulation sessions can be done outside or during voluntary training When voluntary training and stimulation are done during the same session it is generally recommended that the voluntary training be done first followed by the stimulation This means that the voluntary training is not done on muscle fibres which are already tired This is particularly important for strength and explosive strength training However in resistance training it can be very useful to proceed in the reverse order Before the voluntary training by means of stimulation for resistance a PERFORMANCE FR DE IT ES EN ENGY Man oe 15 11 Page 262 specific pre fatigue session is carried out on the muscle fibres without general and cardio vascular fatigue In this way the voluntary effort on the prepared fibres will push the glycolytic metabolism faster and further PERFORMANCE FR DE IT ES EN ENGY Man aa 15 11 Page 263 V THE m TECHNOLOGY M stands for muscle intelligence all enhances your comfort and the items referring to this technology are __ therapeutic efficacy preceded by the symbol m M scan This technology takes into account the E This funct
42. ion adapts the specific features of each of our muscles electrostimulation session to the and thus offers stimulation adapted to physiology of each user Just before their characteristics starting the work session M scan It s simple as the data is transmitted to probes the chosen muscle group and the stimulator automatically automatically adjusts the stimulator It s personalised as each of our muscles is parameters to the excitability of this unique area of the body It is a truly personalised measurement The Performance stimulator bears N B The M scan function operates the label M reaoy as it can use as soon as a stimulation cable fitted certain functions of the M technology with the M sensor system sold if a stimulation cable fitted with the separately is connected to the M sensor system sold separately is stimulator connected E This function is implemented at the start of the programme by a short 1 Practical rules of use sequence during which measurements are taken a horizontal bar scans the figurine at the left of the screen E Throughout the entire measurement To access the M functions make test you must remain completely still sure that the stimulation cable fitted with and be perfectly relaxed The M sensor the M sensor system sold separately is system is very sensitive the smallest connected before you turn on the stimulator Avoid connecting the stimulation cable fitted with the M seNsor sys
43. l above the Compex Performance should be monitored to ensure it is operating properly NOTE VT is the AC supply voltage before application of the test level PERFORMANCE FR DE IT ES EN ENGY Man gyera 15 12 Page 311 ELECTROMAGNETIC IMMUNITY The Compex Performance is designed for use in the electromagnetic environment stipulated below The buyer or user of the Compex Performance must ensure it is used in this recommended environment Electromagnetic environment recommendations Portable and mobile RF communication devices must only be used relative to the Compex Performance and its wiring at a distance which is not less than the spacing recommended and calculated using the appropriate equation for the transmitter s frequency Recommended Spacing d 1 2 PP 80 MHz to 800 MHz d 2 3 PP 800 MHz to 2 5 GHz Where P is the maximum output power of the transmitter in watts W set by the manufacturer s specifications and where d is the recommended spacing in metres m The field intensity of RF fixed transmitters as determined by an electromagnetic survey must be less than the observance level to be found in each frequency range Interference may occur close to any appliance identified by the following symbol Co Electromagnetic wave propagation is modified by absorption and reflection due to buildings objects and persons In the event of abnormal operation new measures may then be imposed such as realignment or
44. last level reached ible tly Specific applications Preparation for a cyclist training three times a week who wishes to improve endurance performance Effort expended over a long period of time makes demands on the aerobic metabolism for which the decisive factor is the quantity of oxygen consumed by the muscles To progress in endurance it is therefore necessary to increase as much as possible the supply of oxygen to the muscles stimulated by this type of effort Because oxygen is conveyed by the blood it is essential to have an efficient cardiovascular system due to voluntary training under certain conditions However a muscle capacity to consume the oxygen it receives oxydative capacity can also be improved by following a specific work regime The Endurance programme of the Sport category leads to a significant improvement in the consumption of oxygen by muscles Combining this programme with the Capillarization programme of the Warm up category which develops the network of intramuscular capillaries is particularly beneficial and allows endurance athletes to improve their performance levels Duration of the cycle 8 weeks 3 x week Eg for 1 week Mon Rest Tue 1 x Endurance 8G 4 Wed Cycling workout at 1 5 hours moderate speed then 1 x Capillarization 80 4 Thu 1 x Endurance 86 4 Fri Rest Sat 60 cycle training moderate speed then 1 x Endurance 8G 4 Sun Cycle trip for 2
45. lbow All tendons of the muscles that allow us to stretch our hand wrist and fingers end at the small external bone mass of the elbow epicondyle Hand and finger movements therefore transmit tensions that are concentrated in the tendon endings at this bone mass When hand movements are repetitive as is the case for painters tennis players or even those who constantly use the mouse of a computer system small injuries accompanied by inflammation and pain develop in the region of the epicondyle This is known as epicondylitis which is characterised by pain around the external bone mass of the elbow when pressure is applied or when the forearm muscles are contracted The Compex Epicondylitis programme supplies specific current to combat this type of pain It acts effectively as a supplement to rest However it is necessary to consult your doctor if the pain gets worse or does not disappear quickly after a few sessions Duration of the cycle 1 week min 2 x day then adapt according to any change in the pain According to requirements the Epicondylitis programme can be repeated several times during the same day Programme Epicondylitis 36V PERFORMANCE FR DE IT ES EN ENGY Man F 14 02 08 15 11 Page 7 7 Rehabilitation category Programmes Disuse atrophy Muscle growth Reinforce ment Effects Reactivation of the trophic action of muscle fibres damaged during atrophy Increased di
46. le 6 8 weeks before starting the hike 3x week alternating muscular groups every other day Programmes Capillarization 8V 4 and Capillarization 25V 4 Achieving peak form before competition for resistance sports eg 800 metres 1 900 metres mountain biking mountain stage in cycling cycling pursuit on track 200 metres swimming slalom Sports that require maximum effort lasting between 30 seconds and 5 minutes are the so called resistance sports Rapid fibres must work at a capacity close to their maximum and be capable of maintaining this intensive work throughout the event without weakening in other words the rapid fibres must be resistant The Capillarization programme which produces a very significant increase in the blood flow in the muscles brings about development of the intramuscular capillary system capillarization This erowth of the capillaries works best if it occurs around the rapid fibres In this way the latter s exchange surface with the blood increases allowing an improved supply of glucose better diffusion of oxygen and quicker evacuation of lactic acid Capillarization therefore allows the rapid fibres to be more resistant and to maintain their optimum capacity over a longer period However prolonged or too frequent use of this programme may induce a modification of rapid fibres into slow fibres thereby risking a decline in performance for strength and speed sports It is therefore important
47. lized pain in the biceps However the pain may affect other muscular groups The practical application illustrated below remains valid but it is then necessary to place the electrodes on the muscular group concerned Duration of the cycle 4 weeks 2 x day with a 10 minute break between the 2 sessions You are advised to consult your doctor if no improvement is observed after the first week of use Programme Endorphinic 20V 7 Contracture eg localized contracture in external side of the calf After tiring muscle work intense training or a sporting competition certain muscles or certain parts of muscles often remain tense and slightly painful These are known as muscular contractures which should disappear after a few days with rest good rehydration a balanced food intake with mineral salts and application of the Decontracture programme The phenomenon of contracture frequently affects the calf muscles but can also occur with other muscles In this case simply follow the same practical recommendations as below but place the electrodes on the muscular group concerned Duration of the cycle 1 week 1 x day You are advised to consult your doctor if no improvement is observed after the first week of use Programme Decontracture 24V 4 PERFORMANCE FR DE IT ES EN ENGY Man FR 4 02 08 15 11 Page 298 Chronic muscular pain in the back of the neck cervical pain Positions in which the muscles o
48. losing the small animated rising convection symbol above the radiator 5a Press the On Off button to return to the 5d Press the channel 3 button to choose the previous screen programme difficulty level 5b Some programmes require manual selection Se Press the channel 4 button to confirm of the muscle group you want to stimulate This your choices and launch the programme muscle group is shown in black on a small figurine above channel 1 Use the channel 1 button to select your chosen group The seven 7 During the stimulation muscle groups proposed aa shown successively session in black on the small figurine mR Abdomen and lower back Preliminary M scan test i Buttocks A Thighs The M scan test is launched only if a cable fitted with the M sensor system in Legs and feet sold separately is already connected to the stimulator when this is turned on Forearms and hands It is essential that you remain completely still and relaxed during the entire test A Shoulders and arms If the M sensor system is connected the test starts immediately after programme RR Thorax and back selection and personalisation 15 11 Page 269 PERFORMANCE FR DE IT ES EN ENGY Man gyera mil Bl sTop ooo 000 ooo OZO fig 6 Ga 6b 6c 6d Ge 6a Press the On Off button to interrupt the test at any moment To relaunch the test from the start press any of the 4 buttons Ge The m logo above channel 4 indicates that the M
49. movement of the Compex Performance b Above the frequency amplitude from 150 kHz to 80 MHz the field intensity must be lt 3 V m NOTE VT is the AC supply voltage before application of the test level
50. ng and movement speed jumping kicking etc An Active recovery session of the Recovery category taken after the most intensive workouts accelerates the muscular recovery rate and reduces cumulative fatigue during the period of the season PERFORMANCE FR DE IT ES EN ENGY Man FR 4 02 08 15 11 Page 282 Duration of the cycle 6 8 weeks 3 x week Eg for 1 week Mon 1 x Strength 8G 4 Tue Collective training then 1 x Active recovery 8V 4 Wed 1 x Strength 8G 4 Thu Collective training then 1 x Active recovery 8V 4 Fri 1 x Strength 8G 4 Sat Rest Sun Collective training or friendly match then 1 x Active recovery 8V 4 Programmes Strength 8G and Active recovery 80 4 Maintaining results achieved during preparation for team sports during the competitive period football rugby handball volleyball etc This example concerns only athletes who have completed a full cycle of training by electrostimulation at least 6 weeks as part of their pre season preparation The weekly session of stimulation with the Strength programme should be carried out on the same muscle groups as those stimulated during the preparation period in our example the quadriceps During the season when matches are played regularly care should be taken not to overtrain the specific musculature On the other hand nor should the benefits of preparation be lost by suspending stimulation training for too long
51. nt of the device and two electrodes are clipped on to it in the same way as for a conventional cable Connecting the charger The Compex has considerable operating autonomy as it uses rechargeable batteries To recharge them use the charger supplied with your device and connect it to the front of the device then plug the charger in a socket Remove any stimulation cables connected to the stimulator before recharging it We strongly recommend you fully charge the battery before using it for the first time as this will improve its autonomy and life span PERFORMANCE FR DE IT ES EN ENGY Man gyera 15 11 Page 266 3 Preliminary settings Before using the unit for the first time you should select the working language of the device which is displayed on the options screen Follow the instructions below Afterwards for the greatest comfort Compex offers you a number of setting options choice of language screen contrast adjustment adjusting backlighting and sound volume setting To change any of these settings bring up the options screen by holding the On Off button on the left of the stimulator for a few seconds ENGLISH FRANCAIS DEUTSCH ITALIANO ESFARIL NEDERLANDS AUTO IE ea cee eee a fig 1 Ja th 1c Id fe 1b Use the channel 1 button to choose the language you wish to use 1c Use the channel 2 button to adjust the contrast of the screen 1d Use the channel 3 button to adjust the vol
52. nufactured and distributed in compliance with the requirements of European Directive 93 42 EC on medical devices The Compex also complies with the IEC 60601 1 standard on general safety requirements for electro medical devices the IEC 60601 1 2 standard on electromagnetic compatibility and the IEC 60601 2 10 standard on particular safety requirements for nerve and muscle stimulators Current international standards require that a warning be given concerning the application of electrodes to the thorax increased risk of cardiac fibrillation The Compex also complies with Directive 2002 96 EEC on waste electrical and electronic equipment WEEE 8 Patents The Compex incorporates several innovations with patents pending 9 Normalised symbols A Caution Read the user manual or operating instructions symbol no 0434 IEC 60878 nN The Compex is a class II device with internal electric power and type BF applied parts symbol no 5333 TEC 60878 ee mE Waste electrical and electronic equipment WEEE marking according to EN 50419 standard The On Off button is a multi function button symbol no 5009 IEC 60878 Functions On Off two stable positions Waiting or preparation for part of the unit Stop turns system off 10 Technical characteristics General information 941210 Battery unit Nickel metal hybrid NiMH rechargeable 4 8V 2 1 200 mA h 68301x Chargers Only bat
53. o From 80 MHz to From 800 MHz to 80 MHz 800 MHz 2 5 GHz d 1 2 PP d 1 2 PP d 2 3 PP Maximum transmitter output power W In the case of transmitters whose maximum output power is not shown in the table above the recommended spacing of d metres m can be calculated using the appropriate equation for the transmitter frequency where P is the maximum output power of the transmitter in watts VW as set by the transmitter manufacturer NOTE 1 At 80 MHz and at 800 MHz the spacing for high frequency amplitude is applied NOTE 2 These guidelines may not be appropriate for some situations Electromagnetic wave propagation is modified by absorption and reflection due to buildings objects and persons PERFORMANCE FR DE IT ES EN ENGY Man oe 15 12 Page 308 RECOMMENDATIONS AND DECLARATION BY THE MANUFACTURER The Compex Performance is designed for use in the electromagnetic environment stipulated below The buyer or user of the Compex Performance must ensure It is used in this recommended environment Electrostatic discharge DES IEC 61000 4 2 Rapid electrical transients in bursts of noise IEC 61000 4 4 Surge currents IEC 61000 4 5 Voltage trough short power cuts and voltage variations on power supply input lines IEC 61000 4 1 1 Magnetic field at mains frequency 50 60 Hz IEC 61000 4 8 Test level IEC 60601 6 kV at the contact 8 kV in air 2 kV for power supply lines 1 kV for input output lines
54. obic training and likewise to provoke slight tetanic contractions that are not tiring making it possible to reactivate the proprioceptive pathways Energy pathways are also gently stimulated allowing their metabolic equilibrium to re establish itself metabolic pathway 5th sequence significant increase in blood output 6 sequence relaxing effect Duration of the cycle To be used throughout the season according to the frequency of competitions the day after each competition Programme Regeneration 8G 4 PERFORMANCE FR DE IT ES EN ENGY Man cane 15 11 Page 294 6 Pain relief category Table of pathologies Pre Neuralgia of the upper limb Modulated TENS See application page brachial neuralgia 297 Chroni lar pai S licati y ronic muscular pain Endorphinic ee application page polymyalgia 297 Contracture eg localized contracture in Decontracture external side of the calf En Chronic muscular pain in the back of S the neck Cervical pain see eee pags ar cervical pain See application page 297 Muscular pain in the thoracic region thoracic back pain See application page Thoracic back pain 099 D Muscular pain in the low back region See application page low back pain pow Baek pain 299 Sharp and recent muscular pains SO acer affecting a muscle in the low back Lumbago ee pag lumbago Chronic elbow pain epicondylitis tennis elbow See application page Epicondylitis 999
55. of the physiotherapist Although the restoration of initial muscular qualities is a key factor in the process of rehabilitation other aspects joint mobility vigilance residual pain etc can only be dealt with effectively by a competent health professional Some pathologies and some post operative rehabilitations require special precautions during use you are therefore always advised to seek the opinion of your doctor or physiotherapist before using any of the programmes of the Rehabilitation category At the end of a cycle you may do some maintenance at the rate of 1 session a week at the last level reached Bera 15 11 Page 301 Specific applications Atrophy of the quadriceps as a result of trauma The quadriceps is a voluminous muscle located in the anterior part of the thigh It is the main muscle that allows you to stretch the knee its role is therefore essential for walking running climbing stairs etc Any trauma affecting a lower limb therefore results in a wasting of this muscle the reduction of muscle volume being more or less serious depending on the duration of the period of inactivity This atrophy is normally spectacular when it occurs after trauma to the knee particularly if the trauma was treated by means of surgical intervention The programmes of the Rehabilitation category are specifically designed to treat the deterioration of muscle fibres that results from such a process The progressivene
56. ogramme imposes a lot of specific work to the muscles of the upper part of your body and thus ensures the harmonious development of your shoulders with firm and well shaped muscles Unlike voluntary exercises involving heavy weights that can be traumatic for your joints and tendons stimulation with Compex involves no or very little stress for your joints and tendons Duration of the cycle 5 weeks 4 x week alternating muscular groups Progression in the levels Weeks 1 5 Step to the next level every week Eg for 1 week Mon 45 1 hour of voluntary exercise jogging swimming cycling fitness activity etc then 1 Muscle building 17H Tue Rest Wed 1 x Muscle building 18C Thu 45 1h of voluntary physical activity jogging swimming cycling fitness activity etc Fri 1 x Muscle building 17H 7 Sat Rest Sun 1 x Muscle building 18C Programme Muscle building 18C and 17H f Muscle volume for a body builder Despite repeated efforts during their voluntary training many body builders encounter difficulties in developing certain muscle groups The specific stimulation imposed on muscles by the Body Building programme significantly increases the volume of the stimulated muscles In addition for a similar session time the Compex Body Building programme provides a greater volume gain than voluntary training The additional training imposed by this stimulation programme on muscles n
57. olves testing performance and safety parameters at regular intervals 4 Storage and transportation conditions The Compex contains rechargeable batteries This is why it must be stored and transported in accordance with the following conditions Storage and transportation temperature 20 C to 45 C Maximum relative humidity 75 Atmospheric pressure 700 hPa to 1 060 hPa 5 Conditions _of_use Usage temperature 0 C to 40 C Relative humidity 30 to 75 Atmospheric pressure 700 hPa to 1 060 hPa Do not use in areas where there is a risk of explosion 6 Elimination The main purpose of the 2002 96 EEC Directive is to prevent the creation of waste electrical and electronic equipment WEEE and to reduce the amount of waste to be disposed of by encouraging reuse recycling and other forms of recovery The wheelie bin pictogram with the bar through it means that the equipment cannot be discarded with household refuse but that it must be collected selectively The equipment must be delivered to a suitable collection point for treatment By doing so you will be contributing to the safeguarding of natural resources and health Batteries must be disposed of in compliance with relevant national regulatory requirements PERFORMANCE FR DE IT ES EN ENGY Man gyera 15 11 Page 256 7 Standards The Compex complies with current medical standards To guarantee your safety the Compex has been designed ma
58. ore extremely important to use maximum PERFORMANCE FR DE IT ES EN ENGY Man F stimulation energies up to 999 in order to recruit the maximum number of fibres Below a significant stimulation energy level it is pointless for an average user to do stimulation sessions In fact the number of fibres involved in the stimulated muscle is too low for any interesting improvement in the performance of that muscle The more fibres that are recruited the greater the improvement that will be seen If only 1 10 of the fibres of a muscle work under stimulation only that 1 10 can progress That is obviously much less appreciable than if 9 10 of the fibres work and can therefore progress You should therefore take care to work with maximum stimulation energies i e always at the limit of what you can suppott There is obviously no need for you to reach the maximum stimulation energy right from the first contraction of the first session of the first cycle If you have never used Compex stimulation before you should do only half of the desired programme during the first 3 sessions with sufficient energy to produce powerful muscular contractions to familiarise yourself with the technique of electrostimulation You can then start your first stimulation cycle with your own specific programme and level After the warm up which must produce very clear muscular twitches you should raise the stimulation energy progressively from con
59. ork on her arms It is of course possible to stimulate other muscles as well Also this stimulation routine can be applied to several muscular groups at the same time e g arms then thighs Duration of the cycle 13 weeks Weeks 1 3 4 x Toning 21D 4 week Weeks 4 8 4 x Firming 21D week Weeks 9 13 4 x Shaping 21D 4 week Progression in the levels Weeks 1 3 Toning Step to the next level every session Weeks 4 8 Firming Step to the next level every week Weeks 9 13 Shaping Step to the next level every week Programmes Toning Firming and Shaping 21D 7 PERFORMANCE FR DE IT ES EN ENGY Man sales p 9 Recovery category Programmes Active recovery Relaxing massage Effects Marked increase in blood flow Accelerates the elimination of waste from the muscular contraction Endorphinic effect see Pain category Relaxing effect Reduced muscular tension Drainage of the toxins responsible for the exaggerated increase of muscular tone Effect of well being and relaxation To improve and accelerate the muscle recovery after an intensive exercise To be used during the first 3 hours after each session of intensive training or after a competition To eliminate uncomfortable or painful sensations following an exaggerated increase of muscular tone 15 11 Page Stimulation energies Progressively increase stimulation energies until you obtain clearly visible m
60. ot sufficiently receptive to traditional training provides a solution for the harmonious development of all muscle groups without recalcitrant areas To obtain optimum progress you are advised to 1 Precede the Body Building sessions with short voluntary training focused on streneth for example 3 series of 5 repetitions at 90 of maximum force 2 Carry out a Capillarization of the Warm up category session directly after the Body Building session Muscle volume for a body builder training three times a week In this example we assume that the body builder wants to work on his her biceps which he she considers to be his her weak point It is of course possible to stimulate other muscles as well Also this Body Building programme can be applied to several muscular groups at the same time e g biceps then calves Duration of the cycle 8 weeks 3 x week Progression in the levels Week 1 Body Building level 1 Weeks 2 3 Body Building level 2 Weeks 4 5 Body Building level 3 Weeks 6 8 Body Building level 4 Eg for 1 week Mon Rest Tue Voluntary training focused on the muscles of the lower limbs followed by active work on the biceps 3 series of 5 repetitions at 90 of the Fmax then 1 x Body Building 20D followed by 1 x Capillarization 20V Wed Rest Thu Voluntary training focused on the muscles of the trunk followed by active work on the biceps 3 series of 5 repetitions at 90 o
61. pex or M sensor system if you are connected to a high frequency surgical instrument as this could cause skin irritation or burns under the electrodes Do not use the Compex or M sensor system within X metre see EMC table of short wave or microwave devices as this could alter the currents generated by the stimulator If you are in any doubt as to the use of the Compex close to another medical device seek advice from the manufacturer of the latter or from your doctor Do not use the Compex stimulator or Mi sensorn system in areas where unprotected devices are used to emit electromagnetic radiation Portable communications equipment can interfere with electrical medical equipment Only use stimulation cables supplied by Compex Do not disconnect any stimulation cables during a session while the stimulator is switched on Switch the stimulator off first Never connect stimulation cables to an external power supply There is a risk of electric shock Only use rechargeable battery units supplied by Compex Never recharge the stimulator without first disconnecting the stimulation cables Always use the charger provided by Compex to recharge the batteries Never use the Compex or the charger if it is damaged case cables etc or if the battery compartment is open There is a risk of electric shock Disconnect the charger immediately if the Compex bleeps continuously if there is abnormal heating or smell or if smoke com
62. r ble ly PERFORMANCE FR DE IT ES EN ENGY Man FR 4 02 08 15 11 Page 297 Specific applications Neuralgia of the upper limb brachial neuralgia Some people suffer from arthritis in the joints of the vertebrae at the back of the neck or from arthritis or periarthritis of the shoulder These situations often give rise to pain that runs down one arm and is known as ibrachial neuraletai These arm pains that start in the shoulder or the back of the neck can be reduced with the Compex Modulated TENS programme by following the practical recommendations outlined below Duration of the cycle 1 week min 1 x day then adapt according to any change in the pain According to requirements the Modulated TENS programme can be repeated a number of times during the same day Programme Modulated TENS 35V Chronic muscular pain polymyalgia Some people suffer from muscular pain that affects several muscles or parts of different muscles at the same time The localization of this chronic pain can vary over time These continual and diffuse muscle pains are the result of chronic contractures in which acids and toxins accumulate irritating the nerves and causing pain The Endorphinic programme is particularly effective against such pain since in addition to its pain reducing effect it increases the blood flow to the contractured muscular groups and removes from them accumulations of acids and toxins Example loca
63. ration The explosive strength of muscles may be defined as the capacity of a muscle to attain a high level of maximum strength as quickly as possible To develop this quality voluntary training relies on tiring muscle training sessions that often include the risk of injury since they are necessarily carried out using heavy weights Integrating the use of the Explosive strength programme lightens the muscle training sessions while at the same time PERFORMANCE FR DE IT ES EN ENGY Man sae 15 11 Page 283 offering greater benefits and more time significant break in training the for technical work resumption of physical and or sports activity should be done progressively and Duration of the cycle 6 8 weeks 4 x week become increasingly specific It is thus normal to perform a few initial sessions with the aim of making the muscles do all kinds of work to prepare them for Eg for 1 week Mon 1 x Explosive strength 8G 4 Tue Voluntary training in stadium later training that will be more intensive Wed 1 x Explosive strength 8G 4 and more oriented towards a specific Thu Voluntary training including technical kind of performance Through these work jumping pit eight sequences that automatically follow Fri 1 x Explosive strength 8G 4 each other the Fartlek programme a aa imposes different kinds of work to the menea e stimulated muscles and thus makes them un Voluntary training in the stadium l followed by 1 x E
64. rers among these the specific currents of the Compex Low back pain programme provide an appreciable improvement and can even resolve the problem if it is essentially muscular in origin Duration of the cycle 4 weeks 2 x day with a 10 minute break between the 2 sessions You are advised to consult your doctor if no improvement is observed after the first week of use Programme Low back pain 12V Sharp and recent muscular pains affecting a muscle in the low back lumbago During back movement for example when lifting something when turning or when standing up straight after bending down a sudden pain can be triggered in the low back Those who suffer from this problem present a contracture of the low back muscles and feel a sharp pain in this region because they cannot stand completely straight they remain bent over on one side All of these symptoms indicate what is known as lumbago which is principally the result of a sharp and intense contracture of the low back muscles lumbar region In such a situation you must always consult a doctor to receive appropriate treatment In addition to such treatment the specific Compex Lumbago programme can help effectively to relax the muscles and remove the pain Duration of the cycle 1 week 1 x day You are advised to consult your doctor if no improvement is observed after the first week of use Programme Lumbago 33V Chronic elbow pain epicondylitis tennis e
65. rostimulation can be used to treat localised sharp or chronic pains as well as muscular pains Caution Do not use the pain relief programmes for a long period without medical advice PERFORMANCE FR DE IT ES EN ENGY Man eo 15 11 Page 259 Benefits of electrostimulation Electrostimulation is a very effective way to make your muscles work with significant improvement of different muscular qualities without cardio vascular or mental fatigue with limited stress on the joints and tendons Electrostimulation thus allows a greater quantity of work by the muscles compared with voluntary activity To be effective this work must involve the greatest possible number of muscular fibres The number of fibres working depends on the stimulation energy The maximum tolerable energy should therefore be used The user controls this aspect of stimulation The higher the stimulation energy the greater the number of muscular fibres that are working and therefore the more significant the progress achieved To maximise results Compex recommends that you complement your electrostimulation sessions with other efforts such as e regular physical exercise proper and healthy nutrition balanced lifestyle PERFORMANCE FR DE IT ES EN ENGY Man F ee 15 11 Page 260 IV USAGE GUIDELINES The usage guidelines presented in this section should be considered as general rules For all programmes it is recommended
66. s frequently the case for most of us treks biking jogging etc The Toning massage offers an ideal benefit in the form of optimal muscular and circulation conditioning before any type of physical effort It allows us to avoid the uncomfortable sensations usually experienced during the first few minutes of unusual physical efforts and to limit the secondary consequences of insufficient preparation aches etc Duration of the cycle To be used on the muscles during anticipated physical activity for example quadriceps in the last thirty minutes before physical activity Programme Toning massage 8V Use of Potentiation programme to optimise the effects of explosive strength sprints jumps squash football basketball etc immediately before specific training or competition The Potentiation programme should be used on the key muscles involved in the discipline practised In this example the key muscles of the sprinter quadriceps will be stimulated For other disciplines the choice of muscles to be stimulated may be different The Potentiation programme must not take the place of the voluntary warm up usually performed before the competition Activation of the cardiovascular system short accelerations becoming progressively faster practice starts and stretching will therefore be carried out by the athlete according to his normal routine A Potentiation session of short duration approximately 3 minut
67. s not a counter indication for the use of Compex programmes The electrical currents of the Compex are specially designed to have no harmful effect on osteosynthesis equipment Important E Do not use Compex stimulator programmes if you have sensitivity problems E Never use the Compex for prolonged periods without medical advice E Consult your doctor if you are in any doubt whatsoever E Read this manual carefully in particular chapter VI which provides information concerning the effects and indications of each stimulation programme vasovagal reaction This is of psychological origin and is connected with a fear of the muscle stimulation as well as surprise at seeing one of their muscles contract without having intentionally contracted it themselves A vasovagal reaction causes heart to slow down and blood pressure to drop which can make you feel weak and faint If this does occur all that is required is to stop the stimulation and lie down with the legs raised until the feeling of weakness disappears 5 to 10 minutes p PERFORMANCE FR DE IT ES EN ENGY Man FR 4 02 08 15 11 Page 253 Never allow movement resulting from muscular contraction during a stimulation session You should always stimulate isometrically this means that the extremities of the limb in which a muscle is being stimulated must be firmly fixed so as to prevent the movement that results from contraction Do not use the Com
68. ss of the work imposed by the different recommended programmes is decisive in obtaining optimum results Duration of the cycle 10 weeks 1 x day Weeks 1 2 Disuse atrophy Weeks 3 8 Muscle growth Weeks 9 10 Reinforcement Programmes Disuse atrophy Muscle growth and Reinforcement 8G 4 PERFORMANCE FR DE IT ES EN ENGY Man FR 4 02 08 15 11 Page 302 Development of the latissimus dorsi to treat and prevent tendinous shoulder pain rotator cuff syndrome The shoulder is a complex joint enabling us to make broad gestures for example raising our arms in the air During some of these movements the tendons in the shoulder can rub against ot be compressed against bony fragments of the joint When this phenomenon is repeated or occurs in certain patients who have an unfavourable anatomic constitution such damage to the tendons causes them to become inflamed and thicker resulting in a considerable increase in their degree of compression The pain often then becomes very severe preventing all movement of the shoulder it can even set in at night and cause serious sleep deprivation Appropriate medical treatment can only be put in place by consulting a doctor However electrostimulation of the latissimus dorsi by means of specific Compex programmes can reduce the distress to which tendons are subjected by increasing their freedom of movement around the shoulder joint Duration of the cycle 6 weeks 1 x day
69. t phase after each increase of the stimulation energies To ensure the correct performance of these tests you must remain perfectly still during this time Depending on the results of the measurement tests recorded by the device the level of the stimulation energies may be slightly decreased automatically It is important always to adopt the most comfortable possible stimulation position Also you should try to remain still and not contract the muscles of the stimulated area M2 RANGE This function indicates the ideal energy adjustment range for programmes whose efficiency requires vigorous muscular twitches The M rance function is therefore only available in programmes that use low stimulation frequencies less than 10 Hz For programmes allowing the use of the M rance function the stimulator checks whether you are in the ideal energy range If you are below the range the stimulator prompts you to increase the energy by displaying sions Once the stimulator has detected yout ideal adjustment area a square bracket will appear to the right of the bar graph of the channel to which the M sensor system is connected The figures in this bracket indicate the energy range you must work in order to achieve optimal results m If you set the energy level below this range the stimulator will prompt you to increase it by flashing a series of sions on the screen PERFORMANCE FR DE IT ES EN ENGY Man mepye on os 15 1
70. t that will produce the best contraction or the most comfort for you Compex disclaims all responsibility for consequences arising from electrodes placed in other positions 2 Stimulation positions This position will vary depending on the position of the electrodes the muscle group you wish to stimulate and the programme you are using For programmes involving powerful muscular contractions the muscle should always be stimulated in an isometric fashion You must therefore fix the extremities of your limbs securely In this way you provide maximum resistance to the movement and prevent any shortening of the muscle during the contraction which could create cramp pains and serious stiffness after the session For example when stimulating the quadriceps the user should be in a seated position with the ankles fixed with straps to prevent extension of the knees For other types of programmes for example Pain relief programmes and Active Recovery Relaxing massage Reviving massage or Capillarization programmes which do not induce powerful muscular contractions position yourself as comfortably as possible To determine the stimulation position to be adopted depending on the chosen placement of the electrodes and programme refer to chapter VII Programmes and specific applications 3 Adjusting stimulation energies In a stimulated muscle the number of recruited fibres depends on the stimulation energy It is theref
71. t your Compex in 5 minutes 949000 1 belt clip 680029 1 travel pouch 2 Guarantee Refer to the flyer attached PERFORMANCE FR DE IT ES EN ENGY Man oe 15 11 Page 255 3 Maintenance Do not sterilise the stimulator Clean your stimulator using a soft cloth and an alcohol based solvent free cleaning product Use only a minimum amount of liquid when cleaning the Compex Do not attempt to repair the stimulator or any of its accessories Never dismantle the Compex or the charger containing high voltage parts because of risk of electric shock Compex M dical SA declines all responsibility for any damages or consequences resulting from unauthorised attempts to open modify or repair the stimulator This may only be done by persons or repair services authorised by Compex M dical SA Your stimulator does not require calibration Each Compex stimulator is always tested and validated prior to distribution These are stable and do not vary under normal conditions Nonetheless as the Compex is a high quality electrical instrument its lifespan depends on the use that is made of it and the care and maintenance it receives during its lifetime If your stimulator contains parts that seem worn or defective please contact your nearest Compex M dical SA customer service centre regarding an upgrade Medical and health professionals are obliged to service the unit in compliance with relevant national laws and regulations This inv
72. tem when the Compex is switched on contraction or the slightest movement could disturb the measurement test E Note that certain people might feel an unpleasant tingling sensation during To work correctly the M sensor system the test must not be blocked or subjected to E Once the test is complete the symbol pressure will appear indicating that During the stimulation session the the programme can be started stimulation cable fitted with the I1 sensor system must always be connected to an M2 teENs electrode E The M tens function can be used to M sensor sold separately E This is a small sensor that links the stimulator to the electrodes M2 sensor is the key which can be used to measure certain physiological m considerably reduce the number of unwanted muscular contractions enhancing both user comfort and treatment efficacy as The M tens function can only be characteristics of the muscle analyse accessed for the Modulated TENS nang adap muan and Epicondylitis programmes parameters This tailoring of each m For these programmes the M ra ak me changing function allows you to control the oe ey stimulation energies while maintaining PERFORMANCE FR DE IT ES EN ENGY Man gyera 15 11 Page 264 them at an effective level and considerably limiting the onset of muscular contractions Short measurement tests lasting 2 to 3 seconds are carried out regularly throughout the entire programme There is a tes
73. tended for use in the electromagnetic environment specified below The customer or user of the Compex Performance should ensure that it is used in this environment The Compex Performance uses RF energy only CISPR 11 for its internal operation Consequently its RF RF emissions emissions are very low and are unlikely to interfere with any adjacent electrical device The Compex Performance is suitable for use in CISPR 11 any establishment including a private dwelling RE emissi Class B and a place connected directly to the low emissions setae voltage mains supply which powers residential buildings Harmonic emissions Not applicable IEC 61000 3 2 as Voltage fluctuations emission oscillations IEC 61000 3 3 Not applicable PERFORMANCE FR DE IT ES EN ENGY Man eo 15 12 Page 307 RECOMMENDED SPACING BETWEEN A PORTABLE AND MOBILE COMMUNICATION APPLIANCE AND THE COMPEX PERFORMANCE The Compex Performance is designed for use in an electromagnetic environment in which radiated RF waves are controlled The buyer or user of the Compex Performance can contribute to preventing electromagnetic interference by maintaining a minimum distance between FF portable and mobile communication appliances transmitters and the Compex Performance according to the table of recommendations below and according to the maximum output power of the telecommunication appliance Spacing according to the frequency of the transmitter mCISPR 11 From 150 kHz t
74. tery chargers bearing the following information can be used to recharge the batteries supplied with Compex stimulators Europe 683010 Type TR1509 06 E 133A03 Input 90 264 VAC 47 63 Hz 0 5 A max Output 9V 1 4A 15 W UK 683012 Type TR1509 06 U 133A03 Input 90 264 VAC 47 63 Hz 0 5 A max Output 9V 1 4A 15 W 601131 Black Snap connection stimulation cables Device connector 6 pin Electrode connector Female Snap Length 1 500 mm 601160 Stimulation cable fitted with M sensor accessory sold separately Device connector 6 pin Electrode connector Female Snap Length 1 500 mm PERFORMANCE FR DE IT ES EN ENGY Man mapy on os 15 11 Page 257 Protection index IPXO IEC 60529 Neuro stimulation All electrical specifications are given for an impedance of 500 1 000 ohms per channel Channels Four independent and individually adjustable channels that are electrically isolated from each other and earthed Pulse shape constant rectangular current with pulse compensation to eliminate any direct current component to prevent residual polarisation at skin level Maximum pulse intensity 120 mA Pulse intensity increments manual adjustment of stimulation intensity from O to 999 energy in minimum increments of 0 5 mA Pulse width 60 to 400 us Maximum electrical charge per pulse 96 microcoulombs 2 x 48 uC compensated Standard pulse ramp up time 3 us 20 80 of maximum current Pulse fr
75. that you read carefully the usage information and advice presented in chapter VII Programmes and specific applications 1 Electrode_positions For optimal results use the electrode positions recommended by Compex To do this refer to the pictures and pictograms shown on the inside cover of the manual Each stimulation cable has two poles A positive pole red connection A negative pole black connection A different electrode must be connected to each pole Note It is possible and normal to have an electrode arrangement that leaves one electrode connection free from a cable Depending on the characteristics of the current efficacy can be optimised in certain programmes by placing the electrode connected to the positive pole red connection strategically When working with a muscle stimulation programme programme involving muscle contractions it is important to place the positive electrode on the motor point of the muscle It is crucial to choose the right size electrodes large or small and correctly position these on the muscle group you want to stimulate to ensure the efficacy of the treatment Therefore always use the size of electrodes shown in the pictures Unless you have other specific medical instructions always follow the placement directions in the pictures Where necessary look for the best possible position by slowly moving the positive electrode over the muscle until you find the poin
76. the mains frequency should be at the level of a representative site located in a typical commercial or hospital environment NOTE VT is the AC supply voltage before application of the test level PERFORMANCE FR DE IT ES EN ENGY Man oe 15 12 Page 310 RECOMMENDATIONS AND DECLARATION BY THE MANUFACTURER The Compex Performance is designed for use in the electromagnetic environment stipulated below The buyer or user of the Compex Performance must ensure It is used in this recommended environment Test level IEC 60601 Observance level signal lines Not applicable for power supplies of devices which are battery powered RF immunity 3 Vrms IEC 61000 4 6 150 kHz to 80 MHz 3 V m 80 MHz to 2 5 GHz 10 V m 26 MHz to 1 GHz Radiated RF IEC 61000 4 3 NOTE 1 From 80 MHz to 800 MHz the spacing for high frequency amplitude is applied NOTE 2 These guidelines may not be appropriate for some situations a The field intensity from fixed transmitters such as radio telephone base stations cellular wireless and a mobile radio amateur radios AM and FM radio emissions and TV emissions cannot be predicted with any accuracy lt may therefore be necessary to consider an analysis of the electromagnetic environment of the site to calculate the electromagnetic environment coming from FF fixed transmitters If the field intensity measured in the environment where the Compex Performance is located exceeds the appropriate RF observance leve
77. the spinal column can often trigger a sharp pain These pains are due to a contracture of the muscles of which the prolonged tension crushes the blood vessels and prevents the blood from supplying and oxygenating the muscle fibres If the phenomenon is prolonged there is an accumulation of acid and the blood vessels atrophy The pain then becomes continuous or can appear after only a few minutes spent working in an unfavourable position These chronic pains in the back can be treated effectively with the Thoracic back pain programme which reactivates the circulation drains accumulations of acid oxygenates the muscles develops the capillaries and relaxes the contractured muscles Duration of the cycle 4 weeks 2 x day with a 10 minute break between the 2 sessions You are advised to consult your doctor if no improvement is observed after the first week of use Programme Thoracic back pain 13V PERFORMANCE FR DE IT ES EN ENGY Man FR 4 02 08 15 11 Page 299 Muscular pain in the low back region low back pain Low back pain is the most frequently encountered pain In a standing position the entire weight of the trunk is concentrated on the joints between the last vertebrae and the sacrum The low back region is therefore under particular strain The discs between the vertebrae are crushed and the low back muscles contractured and painful There are very many treatments for the relief of low back pain suffe
78. traction to contraction during the first three or four minutes of the work sequence You should also progress with stimulation energies used from session to session particularly during the first three sessions of a cycle A normally prepared person will already reach very significant stimulation energies during the fourth session 4 Progression inthe levels In general it is not advisable to go through the different levels quickly with the intention of reaching level 5 as fast as See 15 11 Page 261 possible In fact the different levels correspond to progress with electrostimulation The most frequent error is to change from level to level as stimulation occurs at increasingly higher stimulation energies The number of fibres subjected to stimulation depends on the stimulation energy The nature and amount of work that these fibres do depend on the programme and level The aim is first of all to progress through the electrical stimulation energies and then through the levels The more numerous the muscle fibres you stimulate the more numerous will be the fibres that are going to progress But the speed of progress of these fibres and their aptitude for operating at a higher rating depend on the programme and level used the number of sessions per week and the length of these sessions and also on intrinsic factors particular to each individual The simplest and most usual procedure is to start with level 1 and raise t
79. ume 1e Use the channel 4 button to adjust the backlighting On backlighting always on Off backlighting always off Auto backlighting activated whenever a button is pressed 1a Press the On Off button to validate the selected parameters Your stimulator saves your options lt is now ready for use with the settings you selected 4 Selecting a programme category To switch on your stimulator briefly press the On Off button on the left of the Compex A musical signal can be heard and a screen showing the different programme categories is displayed Before choosing a programme you should select the desired category WARM UP SPORT FITHESS EDDY SCULPT RECOVERY FAIN RELIEF porr EL EE E EE fig 2 2a 2b ec 2d 2e 2a Press the On Off button to switch off the unit 2b Use the channel 1 button to choose the category you wish to use 2e Press the channel 4 button to confirm your choice and access the programme selection screen N B Press the i button to access the LAST menu 5 Selecting a programme To choose a programme it is particularly useful to consult chapter VII Programmes and specific applications SPORT RESISTANCE STRENGTH EXPLOSIVE STRENGTH FARTLEK IG exo m m m fig 3 3a 3b 3c 3d 3e 3a Press the On Off button to return to the previous screen 3b Press the channel 1 button to choose a programme PERFORMANCE FR DE IT ES EN ENGY Man m
80. uscular twitches Progressively increase stimulation energies until you obtain clearly visible muscular twitches 290 M functions if M sensor cable sold separately connected M2 scan M2 RANGE M2 scan M2 RANGE Pri PERFORMANCE FR DE IT ES EN ENGY Man D o 15 11 ble Programmes ly Reviving massage Regenera tion Effects Considerable increase of blood flow in the stimulated region Improvement of tissue oxygenation Elimination of free radicals Analgesic effect through the release of endorphins Marked increase in blood flow encouraging oxygenation and drainage Activation of the oxidative metabolic pathway Reactivation of the proprioceptive pathways To contrast effectively sensations of fatigue and localised heaviness To be used the day after competition as recovery training or as a complement to this type of training the intensity of which can then be reduced Stimulation energies Progressively increase stimulation energies until you obtain clearly visible muscular twitches Progressively increase stimulation energies until you obtain clearly visible muscular twitches After 10 minutes when tetanic contractions begin the energies should be increased to the bearable maximum 0 999 After this phase of tetanic contractions reduce the energy but ensure that muscle twitches continue to remain pronounced Page 291 M functions i
81. xplosive strength 8G 4 used to all kinds of effort I i Programme Explosive strength 86 4 Duration of the cycle 1 2 weeks 4 6 x week Programme Fartlek 18C A Resuming activity after a break in training varied muscle preparation In this example we assume that the sportsman wants to work above all on the latissimus dorsi Furthermore you can also use the Fartlek programme on several muscular groups during the same cycle for example the latissimus dorsi then quadriceps The Fartlek comes from Scandinavia It involves diversified training carried on in a natural setting During training different work out routines are alternated and different muscles are stimulated For example after a few minutes of slow jogging the trainee does a series of accelerations followed by some jumps before resuming a slower jog and so on The objective is to work on different muscular qualities without however emphasising any one in particular This activity is frequently done either at the beginning of the season for general muscular reactivation or done regularly by leisure time sports enthusiasts who do not want to emphasise any particular kind of muscular performance but rather want to stay fit and reach the right level in all kinds of muscular work At the beginning of the season or after a PERFORMANCE FR DE IT ES EN ENGY Man sae 15 11 Page 284 3 Fitness category Programmes Muscle building Body Building Muscl

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