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1 4 . H O W T O U S E T H E W I R E L E S S P R O F E S S I O N A L O N S P E C I F I C
I N D I C AT I O N S
232 EN WIRELESS PROFESSIONAL
14.8.1.2 treatment frequency
Phase 1:
One to several consecutive TENS sessions for the first to third initial treatments, before performing the
manual joint realignment techniques.
In case of hypertonicity of the pectoralis major muscle, a session can be carried out using the
Decontracture programme on the pectoralis major muscle to reduce excessive muscular tension that
could impede the medial spin correction techniques.
Phase 2:
Three to five sessions per week until the pain disappears
Phase 3:
Three to five sessions per week until the end of treatment
When the patient has recovered good motor control of the stabilizing muscles, it is beneficial to perform
the last sessions of the treatment in mi-ACTION mode. When this function is active, the initiation of the
electrically induced contraction requires voluntary contraction on the part of the patient. For this exercise,
it is recommended that the mi-sensor be positioned on the electrode placed on the infraspinous muscle
and to ask the patient to perform a voluntary isometric contraction of his/her lateral rotators.
14.8.1.3 electrode position
Phase 1
Four large electrodes are placed in such a way as to cover the whole shoulder as well as possible.
Phase 2
A small electrode is placed on the fleshiest part of the infraspinous fossa and the other small electrode
is positioned on the external part of the supraspinous fossa but not over rear deltoid as this result
in unwanted shoulder extension. For optimum effectiveness, the positive pole should preferably be
positioned on the infraspinous muscle.
If the patient is still experiencing pain, TENS can be combined using the other channels. The specific
placement of electrodes for TENS used for phase 1 will be applied to channels 2 and 3.