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MODES OF OPERATION: Protocol reference sheet
PROTOCOL APPLICATION
Reference Sheet
PROTOCOL / CLINICAL INDICATION
STIMULATION PARAMETERS
MECHANISM OF ACTION
APPLICATION TECHNIQUE
INFRARED THERAPY
Temporary relief of pain, muscle spasm,
stiffness and increase local blood circulation.
45.4KHz, 62.5KHz, and 83.3KHz
50% DF 1 min per frequency
Cycles through all frequencies
continuously during the treatment
Mild to moderate heat from the IR Therapy pad, and photo stimulation effects on tissue
increase circulation and reduce pain and muscle spasm.
Target tissue - superficial and deep. Apply over or through the painful area or over the
involved spinal segments. Apply over the incision for post op pain management. Set
treatment time to 15 minutes for sub-acute to chronic, 7 minutes for acute.
PADS SENSORY
Symptomatic relief of pain from localized
dermatome or segmental origin.
5000Hz – 80/120 BPS Continuous
Vector OFF
Treatment time of 15 minutes
Sensory stimulation activates A-beta fibers causing the release of spinal Enkephalin
and Dynorphin to block pain at the segmental level (Gate Control). Duration of relief is
typically from 30 min to 2 hrs. Fast onset of relief usually within 20 minutes.
Target tissue - superficial and deep. Bilateral bipolar or quadripolar through the painful
area or over the involved spinal segments. Apply parallel to incision line for post op pain
management. Set intensity to elicit a pleasant tingling sensation, just below muscle
contraction.
PADS MOTOR
Symptomatic relief of pain with inflammation, and
pain of generalized or multisegmental nature.
2500Hz – 2/6 BPS continuous
Vector OFF
Treatment time of 15 minutes
Motor level stimulation activates motor and A-delta fibers causing the release of
Bendorphin systemically. Duration of relief is typically from 2-6 hours. Slow Onset of
relief usually within 30 minutes to 1 hour.
Target tissue - superficial and deep. Bipolar placement over local and distal acu / trigger
points; quadripolar placement over area of local pain; or quadripolar placement at spinal
segment. Set intensity to elicit a moderate motor twitch.
PADS SENSORY-MOTOR
Symptomatic relief of pain with inflammation,
pain of local, generalized single or multi-
segmental nature.
5000Hz – 100/2 BPS continuous
Treatment time of 30 minutes
Combines sensory and motor stimulation. Starts with sensory and ends with motor.
Less aggressive protocol. Duration of relief is typically from 2-6 hours. Faster onset of
relief usually within 20 minutes.
Target tissue - superficial and deep. Bipolar placement over local and distal acu / trigger
points; quadripolar placement over area of local pain; or quadripolar placement at spinal
segment. Set intensity to elicit a strong tingling sensation just below muscle contraction.
PADS MOTOR-SENSORY
Symptomatic relief of pain with inflammation,
and pain of local generalized, single or multi
segmental nature.
5000Hz – 15/2/100 BPS continuous
Treatment time of 30 minutes
Combines motor and sensory stimulation. Starts with motor and ends with sensory.
More aggressive protocol. Duration of relief is typically from 2-6 hours. Slower onset of
relief usually within 30 minutes.
Target tissue - superficial and deep. Bipolar placement over local and distal acu / trigger
points; quadripolar placement over area of local pain; or quadripolar placement at spinal
segment. Set intensity to elicit a moderate motor twitch.
PADS SEQ MOTOR-SENSORY
Symptomatic relief of pain with inflammation,
pain of local, generalized single or
multisegmental nature.
5000Hz – 2/15/100 BPS continuous
Treatment time of 30 minutes
Combines motor and sensory stimulation. Starts at 2 Hz for 15 sec, 15 Hz for 15 sec
then 100Hz for 15 sec. The cycle repeats continuously during operation. Duration of
relief is typically from 2-6 hours. Faster onset of relief usually within 20 minutes.
Target tissue - superficial and deep. Bipolar placement over local and distal acu / trigger
points; quadripolar placement over area of local pain; or quadripolar placement at spinal
segment. Set intensity to elicit a moderate muscle twitch.
PADS NERVE BLOCK
Symptomatic relief of pain from localized
dermal or segmental origin.
5000Hz Continuous
Treatment time of 15 minutes
Block pain by causing temporary nerve block via reactive depolarization (Conduction
block) of the pain signal to the spinal input. Also known as Wedensky Inhibition.
Duration of relief is typically from 1-2 hours. Fast onset of relief during treatment.
Target tissue - superficial and deep. Bipolar placement over local nerve. Quadripolar
placement over area of local pain. Quadripolar placement at spinal segment. Set intensity
to elicit a numb gripping sensation, just below muscle contraction.
PROBE SENSORY
Symptomatic relief of pain from localized
dermatome or segmental origin.
5000Hz - 80/120 BPS continuous
Treatment time of 60 sec
Sensory stimulation activates A-beta fibers releasing spinal Enkephalin and Dynorphin
to block pain at the segmental level (Gate Control). Duration of relief is typically from 30
min to 2 hrs. Fast onset of relief during treatment.
Target tissue - superficial and deep. Monopolar placement over local and distal acu / trigger
points and over area of local pain. Set intensity to elicit a strong sensory - tingling
sensation.
PROBE MOTOR
Symptomatic relief of pain with inflammation, and
pain of generalized or multisegmental nature.
5000Hz – 4/13 BPS continuous
Treatment time of 60 sec
Motor level stimulation activates motor and A-delta fibers causing the release of
Bendorphin systemically. Duration of relief is typically from 2-6 hours. Fast onset of
relief during treatment.
Target tissue - superficial and deep. Monopolar placement over local and distal acu / trigger
points or over area of local pain. Set intensity to elicit a strong pulsing or just visible muscle
twitch based on patient tolerance. Increase as adaptation occurs during point stimulation.
PROBE NOXIOUS
Symptomatic relief of chronic and acute pain
with inflammation, and pain of generalized or
multisegmental nature.
Pulsed DC 4 Hz cont/-
Polarity
Treatment time of 60 sec
Noxious level stimulation activates C and A-delta fibers causing the release of
Bendorphin systemically and triggering descending inhibition from the brainstem.
Duration of relief is typically from hours to days. Fast onset of relief during treatment.
Target tissue - superficial and deep. Monopolar placement over local and distal acu /
trigger points or over area of local pain. Set intensity to elicit a strong pulsing or hot needle
sensation based on patient tolerance. Increase as adaptation occurs during point
stimulation.
PROBE NERVE BLOCK
Symptomatic relief of pain from localized
dermal or segmental origin
5000Hz Continuous
Treatment time of 60 sec
Block pain by causing temporary nerve block via reactive depolarization (Conduction
block) of the pain signal to the spinal input. Also known as Wedensky inhibition.
Duration of relief is typically from 1-2 hours. Fast onset of relief during treatment.
Target tissue - superficial and deep. Monopolar placement over local acu / trigger points or
over area of local pain. Set intensity to elicit a numb gripping sensation.
Increase as adaptation occurs during point stimulation.
OPERATIONAL SEQUENCE (Infrared)
OPERATIONAL SEQUENCE (In Stimulation)
OPERATIONAL SEQUENCE (Probe)
Press INFRARED button until screen reads "INFRARED THERAPY"
Press START / STOP once to activate the treatment timer.
T15 will display in upper right corner.
Adjust treatment time if necessary using the TIME/PARAMETER button.
The treatment will end at the preset time or if the safety switch is pressed.
Press selected Modality button until screen displays desired Protocol
Press START / STOP and treatment time will display in upper right corner.
Set Outputs A and B to obtain desired sensation per Application Technique.
Adjust treatment time if necessary using the TIME/PARAMETER button.
The treatment will end at the end of the preset time or if the safety switch is pressed.
Press selected Modality button until screen displays the desired Protocol
Locate the acu/trigger point using palpation and impedance measurement
Press START / STOP on the probe and T60 will display in upper right corner of the display.
Set Output using the probe controls to obtain the desired sensation per Application Technique.
Adjust treatment time if necessary using the TIME/PARAMETER button.
The treatment will end in 60 seconds or if the start/stop switch is pressed.