IACER S.r.l.
13 of 36 MNPG148 Rev. 02 02/07/15
T12
Total time 20 min
frequency 90 Hz
impulse width 50
s
Total time 10 min
frequency 70 Hz
impulse width 60
s
Total time 10 min
frequency 50 Hz
impulse width 90
s
T13
Total time 20 min
frequency 90 Hz
impulse width 50
s
Total time 20 min
frequency 70 Hz
impulse width 60
s
T14
Total time 1 min
frequency 150 Hz
impulse width 200
s
Total time 30 min
Frequency 90 Hz
impulse width 60
s
Total time 10 min:
(3Hz-200
s x 7sec
50%+ 1Hz 200
s x 3
sec 60% + 30Hz-200
s
x 5 sec 50%) x 40 cycles
TENS 1 • Conventional TENS
Program used for analgesic purposes; its purpose is to induce the organism into blocking pain at the
spine, in accordance with the “Gate Control Theory” by Melzack and Wall. Pain impulses leave part
of the body (for example the hand) and run along the nerve tracts (through small-diameter nerve
fibres) until they reach the central nervous system where the impulses are interpreted as pain.
Conventional tens activates large-diameter nerve fibres, blocking the path of small-diameter nerve
fibres at the spine. So action is mainly taken against the symptom: to simplify it further, the wire
transmitting pain information is obstructed.
Treatment duration should be no less than 30/40 minutes. Conventional tens is a current that can be
used to treat general everyday pain. The average number required to benefit from the treatment is
10/12 per day (there are no contraindications for up to double this amount).
The program has a duration of 40 minutes in a single phase. The program can be repeated at the end
of the session for particularly persistent pain. The nature of the impulse means that the patient may
experience an “addictive” effect due to which the impulse will be felt less and less: if necessary the
intensity can be increased by one level to counter this effect.
Position of electrodes: form a square above the painful area as shown in illustration 1.
TENS 2 • Endorphinic TENS
This type of stimulation produces two types of effects according to how the electrodes are positioned:
positioning the electrodes in the dorsal region, see photo 08 in the positions manual, promotes the
endogenous production of morphine-like substances capable of raising the pain perception threshold;
positioning the electrodes to form a square above the painful area as shown in illustration 1 produces
a vascularizing effect. Vascularization increases arterial flow and consequently aids the removal of
algogenic substances and helps to restore normal physiological conditions.
Treatment duration 30 minutes in a single phase, daily frequency.
Do not position the electrodes close to inflamed areas.
Intensity adjusted for good solicitation of the part stimulated, the sensation must be similar to that of
a massage.
TENS 3 • TENS at maximum values
Very short duration, 3 minutes. Blocks pain impulses peripherally creating a proper anaesthetising
effect in the area treated. This type of stimulation is suitable for injuries or bruises when rapid action is
required. The intensity selected is the maximum tolerable value (well in excess of conventional tens,
and therefore with considerable contraction of the muscles surrounding the area treated). That is the
reason why such stimulation is undoubtedly the least tolerated but is extremely effective. This type of
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