TRM Dolito, Руководство оператора

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Dolito Bedienungsanleitung / Operators Manual
32
TENS (Transcutaneous
Electrical Nerve Stimulation)
TENS as a scientifically recognised method for pain relief therapy is a suitable
aid for pain for many doctors. The stimulating electrical current impulses being
produced by then nerve stimulator Dolito are transferred from the electrodes to
the skins nerve fibres. The effect of pain relief begins at the start of the appli-
cation and also usually prolongs after the stimulation period. This achievement
is due to two different mechanisms:
Gate-Control-Effect:
The pain is transferred over the nerve fibres of the body to the brain. There the
pain is perceived. Through stimulus of the nerves the nerve stimulator Dolito
prevents further transmission of the pain signals to the brain. The pain sensa-
tion can so be eased or inhibited.
Beta-endorphins-release:
The TENS-therapy stimulates the synthesis and release of beta-endorphins.
Beta-endorphins as bodily synthesised peptides, which have a similar effect as
morphine for pain relief, but without the side effects that morphine carries (e.g.
breathing depression).
TENS is available in three different treatment modes.
1.
Continuous Tens (CONT): Electrical impulses are exchanged between
the electrodes in a continuous ongoing mode back and forth. They block
the transmitting nerve bands. At this traditional treatment, it is possible
that the body gets used rather quickly to the stimulus and the effect there-
fore subsides in case of prolonged treatment.
1a A special kind of continuous mode is named Dense-Disperse-Stimula-
tion (CONT + BURST) according to Prof. Han. The permanent alterna-
tion of frequency between 2 Hz and 100 Hz within a few seconds (2-4
secs.) raises the output of different analgesic substances.
2. Modulated Tens (MOD): By changing the parameters (frequency, pulse
width and/or intensity) regularly and automatically, the sensation of an
increasing and decreasing current is produced. Therefore the body will
adapt distinctly delayed to the electrical impulses.
3. Burst (BST): 9 impulses with a set frequency and pulse range, twice per
second are emitted. This artificially produced frequency of 2 Hz is able to
increase the production of the bodies own endorphins and therefore re-
lieve pain in a more natural way.