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19. Examples of treatment

using TENS

The examples of treatment shown on the

following pages only represent a small

selection of the treatment methods that are

possible. Do not always use the treatment

methods shown and do not use them on

all patients.

19.1 Neck, shoulder and arm pain, headaches

caused by a pain in the cervical spine

Indication: Pain in the neck, shoulders and arms,

headaches caused by a problem in the cervical

spine

19.2 Neck and shoulder pain

Indication: muscular tension, degenerative

changes, whiplash injury, pain in the neck and

head

NB: Do not apply the electrode plaster to

the points where there is most pain.

19.3 Pain in the elbow

Use for “tennis elbow”!

NB: Apply the electrode plasters above

and below the point where there is pain.

19.4 Pain in the region of the lumbar spine

Indication: muscular tension, degenerative

changes

19.5 Pain in the knee

Indication: arthritis of the knee, pain in the knee

following an operation or accident, e.g. following

a sports injury

Содержание DIGITAL TENS

Страница 1: ...eters 45 10 3 Selecting the operating mode 46 10 4 Pre setting the duration of treatment 48 10 5 Switching the programme lock on and off 48 11 Calling up and re setting the usage monitoring facility 49 12 Cleaning and caring for your Digital TENS 50 12 1 Cleaning 50 12 2 Changing the self adhesive electrodes 50 12 3 Changing the battery 50 12 4 Storing your Digital TENS 50 13 What to do if there s...

Страница 2: ...r attention to the fact that something is wrong with our bodies Acute pain helps us to recognise the early onset of disease and to treat it Chronic pain is not a natural condition It occurs as the result of a fault in the affected nerve cells and no longer functions as a warning Chronic pain is persistent recurrent pain that lasts for longer than 3 6 months Chronic pain occurs irrespective of its ...

Страница 3: ...nful You will only feel a gentle prickling or vibration on the skin The Digital TENS has two independently controllable output channels and offers you a choice of ﬁve modes of TENS operation and two modes of EMS operation Particular advantages of the Digital TENS Easy to use at home or away Freedom to move whilst using the appliance Always available No known side effects when used as intended 4 Yo...

Страница 4: ...h the Digital TENS has no effect on non speciﬁc pain such as non speciﬁc headaches In EMS operating mode The EMS operating mode is only suitable for the following areas of application The treatment of muscular atrophy muscular dystrophy caused by inactiveness enforced rest illness or degeneration Muscular re education building up the muscles The prevention of post operative venous thrombosis The t...

Страница 5: ...cture The stimulation current may cause or increase bleeding if the patient has recently undergone an operation and strong muscular contractions could adversely affect the healing process on swollen or inﬂamed areas of the patient s body e g over varicose veins or where there is phlebitis over areas of the body which are affected by cancer 4 5 Other points to consider Do not use the Digital TENS o...

Страница 6: ...batteries Keep the batteries away from children 5 How to protect the Digital TENS The electronics of the Digital TENS are affected by humidity and moisture Do not hold the Digital TENS under running water do not dip it into water or other liquids and do not carry it when swimming or in a sauna The Digital TENS is sensitive to heat Do not expose the Digital TENS to direct sunlight and do not place ...

Страница 7: ...Digital TENS appliance 3 4 self adhesive electrodes on protective ﬁlm 4 1 re sealable bag for storing the self adhesive electrodes 5 2 electrical cables 6 9 V battery 7 Instruction manual 1 Open the storage case Keep the storage case so that you can put the Digital TENS away safely in it after each treatment 2 Check that all the parts have been supplied 3 Check the delivered goods for any possible...

Страница 8: ...d remove it 3 Insert the battery The ribbon pull must lie under the battery Insert the face of the battery with the connections into the left side of the battery compartment Then carefully press the battery down on the right side until it snaps into place Make sure that the positive and negative poles are inserted the right way round 4 Close the battery compartment Replace the faceplate and push i...

Страница 9: ...t You can choose between a treatment lasting 15 30 or 60 minutes The setting applies to both channels 5 Width Set Width ENT Pulse width Use these buttons to increase or decrease the width of the pulse Each time you press on the button you increase or decrease the width of the pulse by 10 µs If you hold the button down the increase or decrease in the pulse width is accelerated The setting applies t...

Страница 10: ...39 7 8 On the reverse not visible ...

Страница 11: ...operating mode 8 S Synchronous operation EMS mode 9 A Alternating operation EMS mode 10 WIDTH Displays the pulse width in µs only in TENS operating modes 11 R AT E Displays the pulse frequency in Hz 12 Displays the setting for the duration of the treatment in minutes 13 Shows that the battery needs changing 14 Shows that the current settings are locked 15 ON Cycle switch on time in seconds only in...

Страница 12: ...lation current can lead to muscle cramps and thus to suffocation Do not attach the self adhesive electrodes to the area of the carotid sinus the area at the front of the neck over the carotid sinus nerve In patients with a sensitive carotid sinus reﬂex the stimulation current may result in cardiac arrest Do not attach the self adhesive electrodes to the inside of the mouth or in the immediate vici...

Страница 13: ... the points where you want to apply the self adhesive electrodes as recommended by your doctor or therapist Do not shave the areas concerned 2 Use a mild soap solution to clean the skin at the points where you want to apply the self adhesive electrodes Rinse off the soap solution well and dab the skin with a towel until it is thoroughly dry 3 Connect the two way adaptor of the self adhesive electr...

Страница 14: ... your doctor or therapist Do not overstretch the skin when you stick on the electrodes Lay the self adhesive electrode lightly onto the skin and then press the electrode gently from the centre to the outside The self adhesive electrodes must adhere ﬁrmly to the skin Replace with new self adhesive electrodes when the adhesive has become weak 6 Connect the supply cable to the output jack on the Digi...

Страница 15: ...ght on off knobs anticlockwise until you hear a click 11 Remove the self adhesive electrodes from the skin by pushing a ﬁngertip under each electrode and lifting it off in the direction of the hair growth Always pull the self adhesive electrodes by the plaster and never by the wires The wires may break if subjected to too much mechanical stress 12 Stick the self adhesive electrodes back onto the p...

Страница 16: ...ervals to the next possible higher or lower adjustment 5 Setting the pulse frequency Press the RATE button or until the display shows the required pulse frequency Each time the button is pressed the display jumps in 5 Hz intervals to the next possible higher or lower adjustment 6 Close the faceplate 10 2 Setting the EMS parameters 1 Switch the Digital TENS on 2 Press the MODE button until the symb...

Страница 17: ...g from 1 to 30 seconds Each time the button is pressed the display jumps in 1 sec intervals to the next possible higher or lower adjustment Saving all the time settings Press the ENT button brieﬂy This saves your settings 10 3 Selecting the operating mode We recommend that all your treatment parameters including pulse frequency pulse width and pulse strength are individually checked and set by a d...

Страница 18: ...frequency reduces accordingly and vice versa The modulated pulse strength drops from the default setting to 20 of the default setting and then returns to the default setting The modulated pulse frequency drops from the default setting to 45 of the default setting and then returns to the default setting One complete cycle lasts 6 seconds The pulse frequency width and strength are adjustable SDW Str...

Страница 19: ...2 Press the TIME button until the symbol in the display shows the required duration of treatment You can choose between a treatment lasting 15 30 or 60 minutes Each time the button is pressed the display jumps to the next pre set option When the pre set duration of treatment has elapsed the stimulation stops automatically and the display on the Digital TENS goes out 10 5 Switching the programme lo...

Страница 20: ...octor or therapist to check for how long the patient has used the Digital TENS 1 Switch both channels of the Digital TENS off 2 Press the TIME button and at the same time switch on at least one channel of the Digital TENS You are now in set up mode The display shows the total duration of usage of the Digital TENS in hours The duration of usage displayed includes the time from the last re setting o...

Страница 21: ...t the new self adhesive electrode to the supply cable 12 3 Changing the battery Change the battery if the Change battery warning appears in the display see the section on Displays or if no display appears after you have switched on the Digital TENS Change the battery as described in the section on Inserting the battery Only use a battery in the Digital TENS if it conforms to the speciﬁcation in th...

Страница 22: ...ngth is set too low Increase the pulse strength The cables are not properly connected Check all the cable connections and insert the cables ﬁrmly A supply cable or an electrode is faulty Change the supply cable or electrode The Digital TENS is faulty Send the Digital TENS to our Service Department see Service and Warranty The self adhesive electrode does not stick The adhesive on the electrode has...

Страница 23: ...ollowed or have not been followed in full Any further claims or compensation are likewise excluded Send your rejected appliance together with the sales slip or receipt and a description of your complaint to our Service Department Please also enclose the Warranty certiﬁcate if you wish to make a claim under the Warranty Batteries and self adhesive electrodes are excluded from the Warranty 16 Waste ...

Страница 24: ...1060 hPa Power supply 9V battery alkaline non rechargeable Channels 2 channels insulated between the channels Pulse rate frequency 1 160 Hz adjustable 1 Hz interval 1 20 Hz 5 Hz interval 20 160 Hz Pulse width duration TENS 50 260 µs adjustable 10 µs interval EMS 250 µs ﬁxed Pulse strength amplitude Adjustable from 0 80 mA per channel Maximum 500 Ω DC Supply voltage 0 110 V no load operation Electr...

Страница 25: ...inst electric shock by maintaining the leakage current at a level that conforms to standards Type B The applied part is insulated Type F Follow the instructions The product meets the safety requirements of EU Directive 93 42 EC innovative business promotion GmbH Germany Transkutane elektrische Nervenstimulation Transcutaneous Electrical Nerve Stimulation TENS elektrische Muskelstimulation Electric...

Страница 26: ... caused by a problem in the cervical spine 19 2 Neck and shoulder pain Indication muscular tension degenerative changes whiplash injury pain in the neck and head NB Do not apply the electrode plaster to the points where there is most pain 19 3 Pain in the elbow Use for tennis elbow NB Apply the electrode plasters above and below the point where there is pain 19 4 Pain in the region of the lumbar s...

Страница 27: ...nkle 20 Examples of treatment using EMS Some of the examples shown here should be understood to be only suggestions and should not be used on all patients in every case 20 1 Biceps upper arm Indication muscle stimulation 20 2 Triceps upper arm Indication muscle stimulation 20 3 Firm abdominal muscles Indication muscle stimulation ...

Страница 28: ...57 20 4 Firm back muscles Indication muscle stimulation 20 5 Quadriceps upper thigh Indication muscle stimulation 20 6 Calf muscles Indication muscle stimulation ...

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