Chattanooga Wireless Professional, Руководство пользователя, Страница: 46 / 283

5 . H O W t O P e r F O r M a t r e at M e N t, P e r F O r M a N c e c H e c k
45 EN WIRELESS PROFESSIONAL
Note
- Be careful to respect the order of activation of the modules, the activation order corresponds to
the channel numbering.
- Colored modules process is described in the document to ease identification if needed.
- Press the central button on the Remote Control, or the On/Off button on one of the modules
during stimulation, the device pauses.
Stimulation energy settings (intensity level)
For programmes which cause muscle contractions, it is important to use the maximum stimulation
energies, i.e. always at the limit of what the patient is able to tolerate.
This means that, in a stimulated muscle, the number of fibres working depends on the stimulation
energies.
The maximum stimulation energies must therefore be used in order to engage as many fibres as possible.
Below a significant stimulation energy, the number of fibres engaged in the stimulated muscle is too low
to considerably improve the quality of the muscles.
The maximum energy will not be reached during the first session but after at least 3 sessions, during which
the energy to produce strong muscle contractions will be increased gradually so that the patient becomes
accustomed to electrostimulation.
After the warm-up, which should produce clear muscle twitching, the stimulation energies must be
increased progressively contraction by contraction throughout the work sequence.
The energies used should also be increased session by session.
For teNS treatments, stimulation is only sensory.
The intensity must therefore be increased until the patient has a pins and needles sensation (tingling) that
is not considered painful.
For neuromuscular electrostimulation programmes which do not cause tetanic muscle contractions
(frequencies < 10Hz), the energies must be increased gradually until muscle twitching is produced that can
be clearly seen or felt.
Progression through the different levels
Generally speaking, it is not advisable to progress through the levels too quickly and to aim to reach the
maximum level too quickly.
The different levels correspond to progression in rehabilitation using electrostimulation.
Furthermore and without exception, level 1 is the starting point and should be used until the therapeutic
targets have been reached.
One of these targets is for the patient to be able to tolerate a significant amount of stimulation energy.
Stimulation energies should therefore be given priority in order to have a many fibres working as possible
before changing the level.