11
12
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EMS : wave form
4.3.2. TENS PROGRAMMES
Traditional transcutaneous neurostimulation programme :
A common transcutaneous neurostimulation programme is performed with a high frequency
stimulation. This stimulation is intended to block the transmission of the pain signal to the nervous
system. Generally, people use traditional transcutaneous neurostimulation for a session of about 30
minutes. It is possible to use these programmes for a variable period and frequency according to
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adjust the intensity of the programme, avoiding any painful or unpleasant sensation.
Burst transcutaneous neurostimulation programme :
A burst programme (Burst TENS) allows high frequency stimulation in the form of series of
impulses. It enables the release of endorphins. It is possible to use the transcutaneous neuro-
stimulation in bursts for 30 minutes. The frequency can be up to several times per day, 3 times
for example. For a sensation of strong stimulation, it is advisable to adjust the intensity of the
burst programme. An unpleasant feeling may then appear. You can also adjust the intensity of
the programme at a level leading to perceptible muscle contractions in the stimulation area.
These contractions are not dangerous. However, if you experience discomfort, it is advisable to
decrease the intensity of the programme, change or move the electrodes. The burst transcuta-
neous electrical neurostimulation (Burst TENS) can trigger a muscle contraction in the area of
stimulation. We therefore ask you to perform this programme at rest.
Summary Table of the TENS Programmes
TENS
Impulses
Treatment
site
Name
Treatment
time
Treatment
phases
Frequency
(time)
Width
in μS
Wave form
Description
Shoulder
Shoulder
pain and
wrinkled
shoulder
froissée
30min
Phase 1
2Hz (10s)
250
CONT
Continuous
output
Phase 2
4Hz (8s)
250
Phase 3
6Hz (6s)
250
Lumbar
areas
Pain in
the lower
back
30min
Phase 1
80Hz (20s)
250
CONT
Continuous
output
Phase 2
80Hz (20s)
250
Phase 3
75Hz (4s)
250
Phase 4
10Hz (20s)
250
Phase 5
70Hz (4s)
250
Phase 6
65Hz (4s)
250
Elbow
Pain in the
elbow
30min
Phase 1
2Hz (3s)
200
HANS
Alternating
output
Phase 2
100Hz (3s)
150
Forearm
Pain in the
forearm
30min
Phase 1
2Hz (3s)
200
HANS
Alternating
output
Phase 2
100Hz (3s)
150
HANS
Wrist
Pain in
the wrist
and carpal
tunnel
syndrome
30min
Phase 1
2Hz
250
CONT
Continuous
output
Hip
Pain in
the hip
30min
Phase 1
6Hz (30s)
250
CONT
Continuous
output
Phase 2
6Hz (30s)
250
Phase 3
8Hz (20s)
250
Phase 4
8Hz (20s)
250
Phase 5
10Hz (20s)
250
Phase 6
10Hz (20s)
250
Thigh
Sciatic pain
30min
Phase 1
100Hz
200
EMS
Up : 0,5s
Con : 7s
Down : 0,5s
Rest : 7s
Knee
Knee pain
30min
Phase 1
100Hz
150
BURST
On : 0,25s