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Chattanooga Wireless Professional User Manual

Summary of Wireless Professional

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    Wireless professional user manual en.

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    Q u i c k s ta rt g u i d e 1 en wireless professional note - it is strongly advised to carefully read the contraindications and safety measures described in chapter 1 and 2 in this manual before using your device. - for detailed information on usage also see chapters 3 to 14 of this manual. 1. Turn...

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    Q u i c k s ta rt g u i d e 2 en wireless professional 7. Validate everything by pressing the button below the start symbol. If the mi-scan function is activated, a short sequence of measures is performed. Throughout the duration of the test, it is important to stay still and be perfectly relaxed. W...

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    C o n t e n t s 3 en wireless professional 1. How to use the medical equipment (intended use) ..........................................................................................7 1.1 fields of application ...........................................................................................

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    C o n t e n t s 4 en wireless professional 5.7 ending the treatment ......................................................................................................................................................................46 5.8 performance check ............................................

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    C o n t e n t s 5 en wireless professional 9. Technical data, standards, guarantee, patents ............................................................................................... 85 9.1 technical data .............................................................................................

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    C o n t e n t s 6 en wireless professional 13.1.3 program category vascular .................................................................................................................................................131 13.1.4 conditioning i ........................................................

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    1 . H o w t o u s e t h e m e d i c a l e q u i p m e n t ( i n t e n d e d u s e ) 7 en wireless professional note - this manual is considered as an accessory of the therapy unit and therefore it should accompany it at all times. - the specific instructions provided given here are conditions for th...

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    1 . H o w t o u s e t h e m e d i c a l e q u i p m e n t ( i n t e n d e d u s e ) 8 en wireless professional 1.3 indications the physiotherapy unit is indicated in the treatment of most musculoskeletal injuries and diseases as well as in postoperative treatment after joint surgeries and in the tre...

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    1 . H o w t o u s e t h e m e d i c a l e q u i p m e n t ( i n t e n d e d u s e ) 9 en wireless professional note metalwork and/or prosthesis equipment the presence of metalwork and/or prosthesis equipment (metallic equipment in contact with the bone: pins, screws, plates, prostheses, etc.) is not...

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    2 . S a f e t y i n f o r m at i o n 10 en wireless professional definitions it is mandatory to read the safety statements before using the physiotherapy unit. The safety statements are classified as follows: safety information danger! This term indicates an imminent hazard. If not avoided, this haz...

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    2 . S a f e t y i n f o r m at i o n 11 en wireless professional warning! Patient hazard - - only authorized individuals are allowed to operate the wireless professional. Individuals are authorized after receiving training in the operation of the unit and reading this operating on manual. - before u...

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    2 . S a f e t y i n f o r m at i o n 12 en wireless professional - never allow muscular contraction during a stimulation session to result in movement. You should always stimulate isometrically; this means that the extremities of the limb in which a muscle is being stimulated must be firmly fixed, s...

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    2 . S a f e t y i n f o r m at i o n 13 en wireless professional - do not use the wireless professional in water or in a humid atmosphere (sauna, bath, shower etc.) that would cause electronic failure. - water protection. The unit is not protected from the ingress of water - when connecting the unit...

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    2 . S a f e t y i n f o r m at i o n 14 en wireless professional warning! Equipment malfunction - these warnings can cause equipment malfunctions that result in patient hazards - magnetic and electrical fields are capable of interfering with the proper performance of the unit. For this reason make s...

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    2 . S a f e t y i n f o r m at i o n 15 en wireless professional caution! Patient hazard - these cautions need to be observed to avoid the risk of electrical shock or other negative effects to the patient. - do not apply stimulation close to metal. Remove jewellery, piercings, belt buckles or any ot...

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    2 . S a f e t y i n f o r m at i o n 16 en wireless professional caution! Equipment damage - - do not let the modules get in contact with massage oils or any other products of the same type that could damaged the device or its accessories. - check that the voltage and frequency ratings of your local...

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    2 . S a f e t y i n f o r m at i o n 17 en wireless professional note - for best results, wash and clean the skin of any oil and dry it before attaching the electrodes. - never use a set of adhesive electrodes for more than 15 sessions as the quality of the contact between the electrode and the skin...

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    3 . D e s c r i p t i o n o f t h e w i r e l e s s p r o f e s s i o n a l 18 en wireless professional 3.1 device components and accessories model: wireless professional 4ch part number: 2532xxx your kit contains (included in delivery): quantity description part number 2 remote control 00113x 4 sti...

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    3 . D e s c r i p t i o n o f t h e w i r e l e s s p r o f e s s i o n a l 19 en wireless professional model: wireless professional 2ch part number: 25326xx your kit contains (included in delivery): quantity description part number 1 remote control 00113x 2 stimulation modules 984350 1 basic 2 ch d...

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    3 . D e s c r i p t i o n o f t h e w i r e l e s s p r o f e s s i o n a l 20 en wireless professional 3.2 explanation of symbols (connections and nameplates) 3.2.1 symbols on device and ac power supply read the user manual or operating instructions caution! Observe warnings set forth in operation ...

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    3 . D e s c r i p t i o n o f t h e w i r e l e s s p r o f e s s i o n a l 21 en wireless professional 20xx latex free ref non-ionising radiation latex not made with natural latex rubber 20xx latex free ref keep away from direct sunlight.

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    3 . D e s c r i p t i o n o f t h e w i r e l e s s p r o f e s s i o n a l 22 en wireless professional alternating current input on ac power supply direct current output from power supply protection class ii equipment. The ac power supply device has double insulation. The wireless professional is a...

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    3 . D e s c r i p t i o n o f t h e w i r e l e s s p r o f e s s i o n a l 23 en wireless professional indoor use only the geprüfte sicherheit (“tested safety”) or gs mark indicates that the equipment meets german and, if available, european safety requirement for electrical devices. Here, approved...

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    3 . D e s c r i p t i o n o f t h e w i r e l e s s p r o f e s s i o n a l 24 en wireless professional 3.3 description of the device components 3.3.1 remote control note emergency stop function: by pressing the central button or the on/off button on one of the modules during stimulation, the device...

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    3 . D e s c r i p t i o n o f t h e w i r e l e s s p r o f e s s i o n a l 25 en wireless professional 3.3.2 modules a module is composed of two pods. A on/off button (press briefly to switch on, press for 1 second to switch off, during stimulation press to pause) • flashing green led: ready • flas...

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    3 . D e s c r i p t i o n o f t h e w i r e l e s s p r o f e s s i o n a l 26 en wireless professional 3.4 description of key accessories 3.4.1 smart 4ch docking station and removeable tablet a removable tablet b connector to charge the remote control c docking bay to position the modules to be rec...

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    3 . D e s c r i p t i o n o f t h e w i r e l e s s p r o f e s s i o n a l 27 en wireless professional 3.4.2 basic 2 ch docking station a remote control charging connector b location for positioning the modules c location for positioning the modules to be recharged d charger plug a b c d.

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    3 . D e s c r i p t i o n o f t h e w i r e l e s s p r o f e s s i o n a l 28 en wireless professional 3.4.3 the motor point pen note - for detailed information on the usage of the motor point pen please see rev. 6.1 - always use the conductive gel that comes with the product with the motor point p...

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    3 . D e s c r i p t i o n o f t h e w i r e l e s s p r o f e s s i o n a l 29 en wireless professional 3.5 description of key displays shown 3.5.1 display in programme category selection mode (home screen) a b a header showing date, time and battery status b current chosen program category (marked ...

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    3 . D e s c r i p t i o n o f t h e w i r e l e s s p r o f e s s i o n a l 30 en wireless professional 3.5.2 display in programme selection mode a name of the programme category b additional programme information c visualisation of programme options d back to main menu e adding programme to favouri...

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    3 . D e s c r i p t i o n o f t h e w i r e l e s s p r o f e s s i o n a l 31 en wireless professional 3.5.3 diplay when programm is selected, modules need to be turned on, mode a total programme time (minutes) b module activation indication c module battery level d back to previous menu e skip fun...

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    3 . D e s c r i p t i o n o f t h e w i r e l e s s p r o f e s s i o n a l 32 en wireless professional 3.5.4 display during treatment a total remaining programme time (min) b energy level bar graph for each channel c energy level for each channel d intensity background is: dark background = active ...

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    3 . D e s c r i p t i o n o f t h e w i r e l e s s p r o f e s s i o n a l 33 en wireless professional 3.5.5 display during pause in treatment a maximum energy level achieved by the channel during contraction phases b back to previous menu c skip function allows you to skip programme sequences (not...

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    3 . D e s c r i p t i o n o f t h e w i r e l e s s p r o f e s s i o n a l 34 en wireless professional 3.5.6 display at the end of a treatment note - for programs using the mi-range feature the percentage of time spent above the minimum threshold will be displayed as well. - to turn the unit off, p...

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    4 . D e v i c e s e t u p 35 en wireless professional 4.1 smart 4ch docking station - connecting the unit, performance check connect the ac adapter supplied with your device to the removable tablet of the docking station (b) and plug it into a power socket. Also connect the docking station’s usb cab...

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    4 . D e v i c e s e t u p 36 en wireless professional 4.2 charging the remote control and the modules charge the remote control by plugging it into the docking station. Take care that the usb connector is pluged into the remote control. Note - the remote control can be charged by using the usb conne...

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    4 . D e v i c e s e t u p 37 en wireless professional a b a first led blinking = low battery second led blinking = battery level average, a session can be performed third led blinking = good battery level all leds are lit and not blinking any more = battery completely full b the led above the button...

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    4 . D e v i c e s e t u p 38 en wireless professional 4.3 multi-sessions mode – synchronisation with few remotes and smart 4ch docking station smart 4ch docking station is able to synchronise any wireless professional module(s) and remote(s) plugged on it. Modules plugged on the station will be auto...

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    4 . D e v i c e s e t u p 39 en wireless professional 4.4 basic 2ch docking station - connecting the unit, performance check connect the ac adapter supplied with your device to the docking station and then plug it into a power outlet. It is strongly recommended that you fully charge the remote contr...

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    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 40 en wireless professional see also chapter “description of the wireless professional” 1. Turn the remote control on, by pressing the on/off button. 2. Upon activation the screen displays a list that gives you access to...

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    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 41 en wireless professional 5.2 adjust treatment options for most programmes, different options can be enabled or disabled. For detailed descriptions of the options available see: chapter “treatment options” 1. Press the...

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    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 42 en wireless professional 5.4 body positioning of the patient to determine the stimulation position to be used based on the position of the electrodes and the programme chosen, please refer to the images of where the e...

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    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 43 en wireless professional 5.5 connecting the modules to the electrodes once the electrodes are stuck to the skin of the patient, fix the pods by sliding them onto the electrode snap until it clicks into place. Note the...

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    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 44 en wireless professional 5.6 starting the treatment before starting the stimulation, the remote control asks you to turn on the modules, one after the other, by pressing their button on/off. For each module detected b...

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    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 i...

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    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 46 en wireless professional 5.7 ending the treatment when the preset therapy time elapses: • the device stops the therapy session automatically • the intensity of all channels drops to 0. You can stop a treatment as well...

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    6 . T r e at m e n t o p t i o n s , f u n c t i o n s a n d d e v i c e s e t t i n g s 47 en wireless professional 6.1 how to use the motor point pen the motor point pen supports in locating the optimal electrode position for the mucle stimulation (e.G.: locating the motor point of the vastus medi...

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    6 . T r e at m e n t o p t i o n s , f u n c t i o n s a n d d e v i c e s e t t i n g s 48 en wireless professional locating the motor point with the wireless professional: e.G.: locating the motor point of the vastus medialis of the quadriceps 1. Apply a large electrode at the top of the thigh (th...

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    6 . T r e at m e n t o p t i o n s , f u n c t i o n s a n d d e v i c e s e t t i n g s 49 en wireless professional 6.2 treatment options – muscle intelligence™ technology mi-scan (automatic): manual selection: just before starting a session of neuro-muscular electrostimulation, mi-scan analyses th...

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    6 . T r e at m e n t o p t i o n s , f u n c t i o n s a n d d e v i c e s e t t i n g s 50 en wireless professional 6.2.2 energy management mi-range: this function indicates the minimum energy threshold for programmes whose effectiveness requires obtaining vigorous muscular twitches. The mi-range f...

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    6 . T r e at m e n t o p t i o n s , f u n c t i o n s a n d d e v i c e s e t t i n g s 51 en wireless professional mi-action (voluntary): 6.2.3 triggering of contraction in default set up, all trigger functions are deactivated, but can be activated where available. This is a way of working in whic...

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    6 . T r e at m e n t o p t i o n s , f u n c t i o n s a n d d e v i c e s e t t i n g s 52 en wireless professional if the twitches are not significant enough, the unit beeps and a + sign appears on channels: you must increase the stimulation energy to get good twitching. Similarly, in order to mak...

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    6 . T r e at m e n t o p t i o n s , f u n c t i o n s a n d d e v i c e s e t t i n g s 53 en wireless professional 6.3 available functions 6.3.1 the favourite list for a fast and easy access to the most frequently used programs, they can be added to the program category “favourites”. It is possibl...

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    6 . T r e at m e n t o p t i o n s , f u n c t i o n s a n d d e v i c e s e t t i n g s 54 en wireless professional 6.3.2 the lock out function the lock out function can be basically activated and deactivated within the menu for the settings at the remote control. If basically activated: the remote...

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    6 . T r e at m e n t o p t i o n s , f u n c t i o n s a n d d e v i c e s e t t i n g s 55 en wireless professional if enabled, the function allows you to lock the device in a certain configuration before giving it to the patient. When the function is active the patient can perform only the basic o...

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    6 . T r e at m e n t o p t i o n s , f u n c t i o n s a n d d e v i c e s e t t i n g s 56 en wireless professional 6.3.3 the synchronisation signal synchronisation signal: this function allows you to notify the user by means of a sound signal of the beginning of a muscle contraction. Before each c...

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    6 . T r e at m e n t o p t i o n s , f u n c t i o n s a n d d e v i c e s e t t i n g s 57 en wireless professional 6.3.4 identify modules the identify modules function allows you to allocate different colors to the different modules for an easier identification of the channels during usage. It can...

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    6 . T r e at m e n t o p t i o n s , f u n c t i o n s a n d d e v i c e s e t t i n g s 58 en wireless professional 6.4 available device settings back light intensity: the backlight intensity can be set in 5%-steps from 10% up until 100%. Default setting: 100% buzzer volume: the buzzer volume can b...

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    6 . T r e at m e n t o p t i o n s , f u n c t i o n s a n d d e v i c e s e t t i n g s 59 en wireless professional pairing of new module: the pairing of new module function enables you to add a new module to the remote control (usually done automatically by the unit). 1 up 4 modules can be operate...

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    6 . T r e at m e n t o p t i o n s , f u n c t i o n s a n d d e v i c e s e t t i n g s 60 en wireless professional 6.5 wireless professional software (firmware update remote control, customised programs, patient history) the wireless professional software is a software to be installed on your comp...

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    6 . T r e at m e n t o p t i o n s , f u n c t i o n s a n d d e v i c e s e t t i n g s 61 en wireless professional 6.5.2 additional functions of the software, when having a wireless professional device when having a wireless professional device the software allows you additional functions to be us...

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    6 . T r e at m e n t o p t i o n s , f u n c t i o n s a n d d e v i c e s e t t i n g s 62 en wireless professional 6.5.2.1 history list when having the remote control synchonised with your computer, all performed treatments will be shown in this list in the order they had been performed, including...

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    6 . T r e at m e n t o p t i o n s , f u n c t i o n s a n d d e v i c e s e t t i n g s 63 en wireless professional 6.5.2.2 create a patient’s list and monitor their treatment progress the patient list will show all patients you added to this list, the notes you made on them and the history of thei...

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    6 . T r e at m e n t o p t i o n s , f u n c t i o n s a n d d e v i c e s e t t i n g s 64 en wireless professional 6.5.2.3 create customized stimulation programs when having a wireless professional the software allows you to create your own stimulation programs. It is possible to adjust the treatm...

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    6 . T r e at m e n t o p t i o n s , f u n c t i o n s a n d d e v i c e s e t t i n g s 65 en wireless professional to create your own treatment program the first time: 1. Click on program 2. Click on the architecture symbol your program is selected to have 3. Enter a name for the program (mandator...

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    6 . T r e at m e n t o p t i o n s , f u n c t i o n s a n d d e v i c e s e t t i n g s 66 en wireless professional all programs that had been synchronised with your remote control, will be shown in a separate program category called “personalised programs”. Please note: • programs from the persona...

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    6 . T r e at m e n t o p t i o n s , f u n c t i o n s a n d d e v i c e s e t t i n g s 67 en wireless professional 6.5.2.4 remote synchronisation during the synchronisation process, selected custom programs will be automatically transferred to your device and will be available under the “personali...

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    6 . T r e at m e n t o p t i o n s , f u n c t i o n s a n d d e v i c e s e t t i n g s 68 en wireless professional 6.5.2.5 configuration/settings within the configuration/setting menu, it is possible to change the application configuration by selecting different languages. The following languages ...

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    6 . T r e at m e n t o p t i o n s , f u n c t i o n s a n d d e v i c e s e t t i n g s 69 en wireless professional 6.5.2.6 help the help tap contains a summary of all information required to use the software, including the warnings..

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    7 . T r o u b l e s h o o t i n g 70 en wireless professional 7.1 errors shown on display problem possible cause solution electrode failure poor electrode connection to the module check that the electrodes are properly connected to the module. Poor electrode connection to the skin check if the elect...

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    7 . T r o u b l e s h o o t i n g 71 en wireless professional modules out of range the remote control shows the out of range symbol. Shown on the channel where the problem was detected (in this case channel 1): problem possible cause solution no connection with modules modules are out of range from ...

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    7 . T r o u b l e s h o o t i n g 72 en wireless professional battery level problem possible cause solution module battery low during the stimulation a module may turn out to be discharged. Stop the stimulation and recharge the discharged module. The remote control shows a discharged battery symbol....

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    7 . T r o u b l e s h o o t i n g 73 en wireless professional 7.2 behaviour of the module leds problem possible cause solution the led blinks alternately green and red the module is out of range or is not recognised by the remote control. A. Check the remote control is properly turned on. B. Check t...

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    7 . T r o u b l e s h o o t i n g 74 en wireless professional 7.3 behaviour of the docking station leds problem possible cause solution the docking station’s central led lights red modules can’t be charged due to no connection to tablet or main power. A. Ensure that the modules are properly placed i...

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    7 . T r o u b l e s h o o t i n g 75 en wireless professional 7.4 others problem possible cause solution the stimulator is not working device not answering if the remote control is on, but does not respond to pressing the key pad buttons: a. Press the on/off button for 2 seconds to turn the device o...

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    7 . T r o u b l e s h o o t i n g 76 en wireless professional problem possible cause solution display does not come on low batteries load batteries weak stimulation with loaded batteries electrodes dried out, lost their adhesive power and have no adequate connection to th skin. Replace electrode ele...

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    7 . T r o u b l e s h o o t i n g 77 en wireless professional problem possible cause solution stimulation on one channel (side) only electrodes a. Worn or damaged b. Improper placement leadwires among modules worn or damaged a. Replace. B. Reposition electrode. Electrodes must be a minimum of 2 inch...

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    8 . C a r e , m a i n t e n a n c e , t r a n s p o rt, e n v i r o m e n ta l s tat e m e n t 78 en wireless professional 8.1 care warning! Shock hazard - remove the power cord of the tablet from the wall outlet before cleaning. Shock hazard, equipment damage - - liquids must not enter the device a...

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    8 . C a r e , m a i n t e n a n c e , t r a n s p o rt, e n v i r o m e n ta l s tat e m e n t 79 en wireless professional warning! Shock hazard, equipment damage - do not attempt to repair the stimulator or any of its accessories. Never dismantle the device because of risk of electric shock. Djo gl...

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    8 . C a r e , m a i n t e n a n c e , t r a n s p o rt, e n v i r o m e n ta l s tat e m e n t 80 en wireless professional caution! Equipment damage - only use the original transport bag for carrying the device around. 8.3 transport 8.3.1 transport of the 4ch device key components and the tablet (of...

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    8 . C a r e , m a i n t e n a n c e , t r a n s p o rt, e n v i r o m e n ta l s tat e m e n t 81 en wireless professional caution! Equipment damage - only use the original shipping box for shipping the device. Djo cannot be held liable for transport damage if the device is not packed in its origina...

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    8 . C a r e , m a i n t e n a n c e , t r a n s p o rt, e n v i r o m e n ta l s tat e m e n t 82 en wireless professional caution! Equipment damage - only use the original transport bag for carrying the device around. 8.3.3 transport of the 2ch device key components 1. Turn the device and it’s comp...

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    8 . C a r e , m a i n t e n a n c e , t r a n s p o rt, e n v i r o m e n ta l s tat e m e n t 83 en wireless professional caution! Equipment damage - only use the original shipping box for shipping the device. Djo cannot be held liable for transport damage if the device is not packed in its origina...

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    8 . C a r e , m a i n t e n a n c e , t r a n s p o rt, e n v i r o m e n ta l s tat e m e n t 84 en wireless professional 8.4 enviromental statement, expected life the wireless professional device is electronic equipment and may include substances that can damage the environment. It must not be dis...

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    9 . T e c h n i c a l d ata , s ta n d a r d s , g u a r a n t e e , p at e n t s 85 en wireless professional 9.1 technical data 9.1.1 general information model: wireless professional 4ch part number: 2532xxx mdd: class iia ip class: ip22 applied part: type bf power supplies: remote control battery:...

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    9 . T e c h n i c a l d ata , s ta n d a r d s , g u a r a n t e e , p at e n t s 86 en wireless professional 9.1.2 neuro-stimulation parameters all electrical specifications are given for an impedance of 500-1,000 ohms per channel. 9.1.3 rf data the wireless professional may be affected by other de...

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    9 . T e c h n i c a l d ata , s ta n d a r d s , g u a r a n t e e , p at e n t s 87 en wireless professional 9.1.4 information on electromagnetic compatibility (emc) the wireless professional is designed to be used in typical environments that have been approved in accordance with the emc safety st...

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    9 . T e c h n i c a l d ata , s ta n d a r d s , g u a r a n t e e , p at e n t s 88 en wireless professional 9.2 standards to guarantee your safety, the wireless professional has been designed, manufactured, and distributed in compliance with the requirements of european directive 93/42/eec, as ame...

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    1 0 . E m c ta b l e s 89 en wireless professional 10. Emc tables the wireless professional needs special emc precautions and must be installed and started according to the emc information supplied in this manual. All rf wireless transmission systems can affect the wireless professional. The use of ...

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    1 0 . E m c ta b l e s 90 en wireless professional 10.2 electromagnetic immunity recommendations and declaration by the manufacturer concerning electromagnetic immunity wireless professional is designed for use in the electromagnetic environment stipulated below. The buyer or user of the wireless pr...

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    1 0 . E m c ta b l e s 91 en wireless professional recommendations and declaration by the manufacturer concerning electromagnetic immunity wireless professional is designed for use in the electromagnetic environment stipulated below. The buyer or user of the wireless professional must ensure it is u...

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    1 0 . E m c ta b l e s 92 en wireless professional 10.3 recommended separation distances recommended spacing between a portable and mobile communication device and the wireless professional the wireless professional is designed for use in an electromagnetic environment in which radiated rf waves are...

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    1 1 . C o n ta c t 93 en wireless professional we would be happy to answer any questions you may have about our products and services. Please contact your local dealer, or your corresponding djo global site. Djo global sites are listed on the backside of the cover. For technical service from djo glo...

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    1 2 . E l e c t r o t h e r a p y t h e o ry 94 en wireless professional 12.1 introduction in recent years, significant progress has been made in field of electrotherapy of which many users are still largely unaware. Changes and improvements in electrotherapy are so numerous that this discipline app...

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    1 2 . E l e c t r o t h e r a p y t h e o ry 95 en wireless professional we will therefore need to understand the fundamental law that it must observe in order to find the optimum qualities of this current. This first chapter aims to provide a reminder and explanation of this law. This is followed b...

  • Page 97

    1 2 . E l e c t r o t h e r a p y t h e o ry 96 en wireless professional weiss therefore discovered the mathematical relationship that links the pulse duration with the amount of electricity required to produce the stimulation. Understandably, he called this relationship the “fundamental formula”: 𝑄...

  • Page 98

    1 2 . E l e c t r o t h e r a p y t h e o ry 97 en wireless professional the rheobase, which is the minimum intensity that must be achieved in order to produce stimulation even if the pulse duration is very long, actually corresponds to the coefficient 𝑖 of the weiss formula which has dimensions of ...

  • Page 99

    1 2 . E l e c t r o t h e r a p y t h e o ry 98 en wireless professional the chronaxy corresponds to the time value when 𝑄 = 0 i.E. 𝑄 = 𝑞 + 𝑖𝑡 if 𝑄 = 0 therefore 𝑞 + 𝑖𝑡 = 0 therefore 𝑖𝑡 = 𝑞 and 𝑡 = 𝑞 /𝑖 fig. 4 12.1.2 summary electrical stimulation, i.E. Reducing resting potential to the stimulation ...

  • Page 100

    1 2 . E l e c t r o t h e r a p y t h e o ry 99 en wireless professional 12.1.3 references 1. Physiologie volume ii le système nerveux et muscle charles kayser, ed. Flammarion 2. Lapicque, l: définition expérimentale de l’excitabilité soc. Biologie 77 (1909), 280-283 3. Lapicque, l: la chronaxie et ...

  • Page 101

    1 2 . E l e c t r o t h e r a p y t h e o ry 100 en wireless professional 12.2.2.2 type of establishment of the electrical stimulation wave according to weiss’ law 𝑄 = 𝑖𝑡 + 𝑞 therefore 𝐼 𝑡 = 𝑖𝑡 + 𝑞 therefore (𝐼 − 𝑖) 𝑡 = 𝑞 with 𝑖 = rheobase 𝑖 is a current which resists the stimulation current 𝐼 if th...

  • Page 102

    1 2 . E l e c t r o t h e r a p y t h e o ry 101 en wireless professional 12.2.2.3 shape of the electrical stimulation wave when the stimulation current has vertically reached an intensity higher than the rheobase, how should it develop in order to offer maximum comfort? With minimum intensity, it m...

  • Page 103

    1 2 . E l e c t r o t h e r a p y t h e o ry 102 en wireless professional 12.2.2.4 duration of rectangular electrical pulse first of all, it must be specified that this is in a specific pulse duration phase. Weiss’ law is used for stimulation pulse durations close to the excitation constants 𝑘. In t...

  • Page 104

    1 2 . E l e c t r o t h e r a p y t h e o ry 103 en wireless professional the electrical energy passing through the skin and tissue is minimal for duration of the stimulation current, i.E. For a pulse duration, which is found by calculating the derivative of the energy curve at the minimum energy po...

  • Page 105

    1 2 . E l e c t r o t h e r a p y t h e o ry 104 en wireless professional 12.2.2.5 compensation for the rectangular pulse every time stimulation needs to be produced, a rectangular pulse current is sent out, which has the same duration as the chronaxy of the nerve structure that needs to be stimulat...

  • Page 106

    1 2 . E l e c t r o t h e r a p y t h e o ry 105 en wireless professional 12.2.3 summary the pulse current that is able to produce excitation (action potential) and also offer the patient the maximum amount of comfort can be called the optimum current. This pulse must have the following characterist...

  • Page 107

    1 2 . E l e c t r o t h e r a p y t h e o ry 106 en wireless professional it must be stated that 𝑘 does not depend on the shape and qualities of the stimulation current; it is a feature of the neuron itself, which expresses the time factor of its tendency to return the membrane potential to the rest...

  • Page 108

    1 2 . E l e c t r o t h e r a p y t h e o ry 107 en wireless professional the excitation process is therefore determined by two time constants: 𝑘 the excitation constant 𝜆 the accommodation constant these are independent from each other. This means that, to a large extent, 𝜆 can be modified by exper...

  • Page 109

    1 2 . E l e c t r o t h e r a p y t h e o ry 108 en wireless professional fig. 2 cathode we can therefore see the intensity-duration relationship appear, which gives the time at which v passes s for different current intensities. The useful times are even shorter when the current is more intense (fi...

  • Page 110

    1 2 . E l e c t r o t h e r a p y t h e o ry 109 en wireless professional 12.3.3 excitation by a current with any shape it is possible to determine the equation for the local potential v and to calculate its value at any given point in time with any given shape of current. An equation can also be de...

  • Page 111

    1 2 . E l e c t r o t h e r a p y t h e o ry 110 en wireless professional 12.3.5 hydraulic model of excitation it is possible to set up a hydraulic model that corresponds exactly to excitation. This model allows a better understanding of excitation and may be used to represent the development of the...

  • Page 112

    1 2 . E l e c t r o t h e r a p y t h e o ry 111 en wireless professional two examples a - currents of long duration and low intensity in order that level v reaches threshold d, a certain volume of water is necessary (likened to a certain quantity of electrical charges). If this water is supplied sl...

  • Page 113

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 112 en wireless professional 13.1 standard version programs and their usage within the standard version treatment categories and their programs are: vascular 131 heavy legs 131 venous insufficiency i 132 venous insufficiency ii 133 arterial infuff...

  • Page 114

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 113 en wireless professional 13.1.1 program category rehabilitation i category rehabilitation program treatment of disuse atrophy when? A muscle that is normally innervated, after a period of immobilisation or diminished movement, rapidly decrease...

  • Page 115

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 114 en wireless professional disuse atrophy, level 1 (25 min) warm up contraction active rest final recovery phase frequency 6 hz 35 hz 4 hz 3 hz duration of ramp-up 1.5 s 1.5 s 0.5 s 1.5 s duration of phase 2 min 6 s 7 s 3 min duration of ramp-do...

  • Page 116

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 115 en wireless professional category rehabilitation program reinforcement when? For use either on previously atrophied muscles which have regained their volume as a result of electrostimulation through disuse atrophy treatment programmes, or as a...

  • Page 117

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 116 en wireless professional reinforcement, level 1 (20 min) warm up contraction active rest final recovery phase frequency 6 hz 75 hz 4 hz 3 hz duration of ramp-up 1.5 s 1.5 s 0.5 s 1.5 s duration of phase 2 min 4 s 10 s 3 min duration of ramp-do...

  • Page 118

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 117 en wireless professional category rehabilitation program prevention of disuse atrophy when? After an operation or a bone fracture, a limb or a section of a limb is immobilised, the muscles of this part of the body are affected very quickly by ...

  • Page 119

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 118 en wireless professional prevention of disuse atrophy, level 1 (54 min) warm up contraction active rest final recovery phase frequency 6 hz 30 hz 4 hz 3 hz duration of ramp-up 1.5 s 3 s 1.5 s 1.5 s duration of phase 2 min 5 s 14 s 3 min durati...

  • Page 120

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 119 en wireless professional category rehabilitation program muscle lesion when? It is well known that early but well-controlled muscle work has a positive impact on the scarring process of the muscle fibres and the connective supporting tissues. ...

  • Page 121

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 120 en wireless professional muscle lesion (30 min) warm up contraction active rest final recovery phase frequency 6 hz 40 hz 4 hz 3 hz duration of ramp-up 1.5 s 6 s 1.5 s 1.5 s duration of phase 2 min 3 s 10 s 3 min duration of ramp-down 2 s 1.5 ...

  • Page 122

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 121 en wireless professional category rehabilitation program motor point when? It is advisable to use this programme before all initial muscle electrostimulation sessions in order to precisely locate the motor points for each person. Locating the ...

  • Page 123

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 122 en wireless professional category pain relief program 100 hz tens or frequency-modulated tens when? Gate control, which is activated during tens stimulation, is particularly effective for the relief of localised pain of non-muscular origin. It...

  • Page 124

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 123 en wireless professional tens frequency level pulse width treatment time 100 hz 1 30 µs 20 min 100 hz 2 50 µs 20 min 100 hz 3 70 µs 20 min frequency modulated tens frequency level pulse width modulation time treatment time 50-150 hz 1 30 µs 2 ...

  • Page 125

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 124 en wireless professional category pain relief program pulse width modulated tens when? Gate control, which is activated during tens stimulation, is particularly effective for the relief of localised pain of non-muscular origin. It is particula...

  • Page 126

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 125 en wireless professional category pain relief program endorphinic when? An increase in the tension of the contractured muscle fibres and the crushing of the capillary network resulting from this causes a decrease in the blood flow and a gradua...

  • Page 127

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 126 en wireless professional endorphinic frequency pulse width treatment time 5 hz 200 µs 20 min category pain relief +tens option yes. - a minimum of 1 channel with muscular work imposed by the disuse atrophy programme. - a maximum of 3 channels ...

  • Page 128

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 127 en wireless professional category pain relief program burst when? The burst programme is an type of endorphinic programme, which has a less pronounced vascular effect than endorphinic. It may be used in the same way to relieve pain following a...

  • Page 129

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 128 en wireless professional category pain relief program mixed burst / tens alternated when? Described by han, modulated stimulation burst tens successively activates (every 3 seconds) the gate control mechanism and releases endogenous opioid sub...

  • Page 130

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 129 en wireless professional category pain relief program decontracturing when? This type of treatment is indicated to relieve pain following acute muscle contractures (torticollis, lumbago, etc.). It will also reduce muscle tension in the contrac...

  • Page 131

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 130 en wireless professional decontraction frequency treatment time 1 hz 20 min.

  • Page 132

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 131 en wireless professional 13.1.3 program category vascular category vascular program heavy legs when? The problem of “heavy legs” occurs when venous blood return sometimes does not take place, but does not cause any damage to the body. Heat, ce...

  • Page 133

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 132 en wireless professional category vascular program venous insufficiency 1 when? In the event of venous insufficiency without oedema. Why? To increase the general blood flow so as to improve the circulation of the interstitial fluid and increas...

  • Page 134

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 133 en wireless professional category vascular program venous insufficiency 2 when? In the event of venous insufficiency without oedema. Why? To encourage drainage of the deep veins and of the oedema. How? Encourage venous blood return using a seq...

  • Page 135

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 134 en wireless professional category vascular program arterial insufficiency 1 when? Arterial insufficiency in the lower limbs is conventionally divided into four clinical stages. These four stages (i, ii, iii, iv) depend on the approximate sever...

  • Page 136

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 135 en wireless professional category vascular program arterial insufficiency 2 when? Arterial insufficiency in the lower limbs is conventionally divided into four clinical stages. These four stages (i, ii, iii, iv) depend on the approximate sever...

  • Page 137

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 136 en wireless professional category vascular program cramp prevention when? For people suffering from cramps which may appear spontaneously at rest during the night or following prolonged muscular effort. These cramps can be partially due to an ...

  • Page 138

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 137 en wireless professional category vascular program capillarisation when? The 8 hz frequency produces the greatest increase in blood flow in young patients who are in a good state of physical health. Use of the capillarisation programme must th...

  • Page 139

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 138 en wireless professional capillarisation continuous stimulation frequency 8 hz duration of ramp-up 1.5 s duration of phase 25 min duration of ramp-down 1.5 s.

  • Page 140

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 139 en wireless professional 13.1.4 conditioning i category conditioning i program resistance when? For athletes wishing to increase their ability to sustain intense and prolonged exertion, or to develop their ability to maintain or repeat a muscu...

  • Page 141

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 140 en wireless professional resistance, level 2 (28 min) warm up contraction active rest final recovery phase frequency 5 hz 55 hz 6 hz 3 hz duration of ramp-up 1.5 s 1.5 s 0.5 s 1.5 s duration of phase 5 min 8 s 7 s 10 min duration of ramp-down ...

  • Page 142

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 141 en wireless professional category conditioning i program strength when? For athletes practising a discipline which requires strength and speed. Why? An increase in maximum strength and muscle contraction speed. Pulse width to make it as comfor...

  • Page 143

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 142 en wireless professional strength, level 2 (35 min) warm up contraction active rest final recovery phase frequency 5 hz 83 hz 4 hz 3 hz duration of ramp-up 1.5 s 1.5 s 0.5 s 1.5 s duration of phase 5 min 4 s 23 s 10 min duration of ramp-down 2...

  • Page 144

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 143 en wireless professional category conditioning i program active recovery when? To facilitate and accelerate muscle recuperation after intense exertion. Use this programme during the three hours which follow a period of intense training or a co...

  • Page 145

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 144 en wireless professional 13.2 full version programs and their usage (indication specific programs) note - the full version offers additional programs to the standard version. - additional programs to already at standard version existing progra...

  • Page 146

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 145 en wireless professional conditioning ii 190 potentiation 190 endurance 191 explosive strength 193 plyometry 195 hypertrophy 196 muscle building 198 low back reinforcement 200 core stabilization 202 recovery plus 204 toning massage 205 relaxin...

  • Page 147

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 146 en wireless professional 13.2.1 rehabilitation ii category rehabilitation ii program hip prosthesis when? Except where there are complications, as soon as possible following the surgical implantation of a total hip replacement. Why? To restore...

  • Page 148

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 147 en wireless professional hip prosthesis, level 1 (30 min) warm up contraction rest final recovery phase frequency - 35 hz - - duration of ramp-up - 1.5 s - - duration of phase - 6 s 6 s - duration of ramp-down - 0.75 s - - hip prosthesis, leve...

  • Page 149

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 148 en wireless professional category rehabilitation ii program patellofemoral syndrome when? In conjunction with the rehabilitation of centred (post-traumatic chondropathy) or decentred (external subluxation of the patella) patellofemoral syndrom...

  • Page 150

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 149 en wireless professional patellofemoral syndrome level 1 = disuse atrophy, level 1 (30 min) warm up contraction rest final recovery phase frequency - 35 hz - - duration of ramp-up - 1.5 s - - duration of phase - 6 s 6 s - duration of ramp-down...

  • Page 151

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 150 en wireless professional category rehabilitation ii program acl when? As a supplement to rehabilitation of a ligamentoplasty of the anterior cruciate ligament of the knee. The programme can be used early as it does not put any stress on the te...

  • Page 152

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 151 en wireless professional acl (30 min) 1st contraction (ch 1+2) hamstrings 2nd contraction (ch 1+2+3+4) hamstrings + quadriceps active rest frequency 40 hz 40 hz 4 hz duration of ramp-up 1.5 s 3 s 0.5 s duration of phase 3 s 6 s 8 s duration of...

  • Page 153

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 152 en wireless professional category rehabilitation ii program rotator cuff when? In addition to the rehabilitation of rotator cuff tendinopathies, after sedation of acute pain and manual correction of joint misalignment. Why? To develop the acti...

  • Page 154

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 153 en wireless professional rotator cuff, level 2 (25 min) warm up contraction active rest final recovery phase frequency 6 hz 45 hz 4 hz 3 hz duration of ramp-up 1.5 s 1.5 s 0.5 s 1.5 s duration of phase 2 min 6 s 5 s 3 min duration of ramp-down...

  • Page 155

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 154 en wireless professional category rehabilitation ii program back/trunk stabilisation when? After an episode of low back pain, once the pain has been relieved. Muscular work by electrostimulation has the advantage of being carried out isometric...

  • Page 156

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 155 en wireless professional category rehabilitation ii program cardiac rehabilitation when? In addition to the aerobic exercises suggested during cardiac rehabilitation. Why? Heart failure limits the capacity for exertion linked, in part, to chan...

  • Page 157

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 156 en wireless professional category rehabilitation ii program atrophy (modulated frequency) when? Use on weakened muscles following immobilisation or restricted activity. Why? The programme imposes a work regime adapted to the physiology of the ...

  • Page 158

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 157 en wireless professional atrophy, modulated frequency (30 min) warm up contraction active rest final recovery phase frequency 6 hz 25-40 hz 4 hz 3 hz duration of ramp-up 1.5 s 2 s 0.5 s 1.5 s duration of phase 2 min 4 s 8 s 3 min duration of r...

  • Page 159

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 158 en wireless professional category rehabilitation ii program reinforcement (modulated frequency) when? For use either on previously atrophied muscles which have regained their volume as a result of electrostimulation with disuse atrophy treatme...

  • Page 160

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 159 en wireless professional force, mod. Frequency (30 min) warm up contraction active rest final recovery phase frequency 6 hz 35-60 hz 4 hz 3 hz duration of ramp-up 1.5 s 3 s 0.5 s 1.5 s duration of phase 2 min 8 s 15 s 3 min duration of ramp-do...

  • Page 161

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 160 en wireless professional category agonist / antagonist program atrophy / reinforcement when? The alternate stimulation of the two antagonistic muscle groups has the advantage of allowing the active mobilisation of a joint while inducing muscle...

  • Page 162

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 161 en wireless professional atrophy 1 (21 min) sequence 1 agonist sequence 1 antagonist sequence 2 agonist sequence 2 antagonist frequency 35 hz 0 hz 0 hz 35 hz duration of ramp-up 1.5 s 0 s 0 s 1.5 s duration of phase 6 s 6 s 6 s 6 s duration of...

  • Page 163

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 162 en wireless professional reinforcement 1 (16 min) sequence 1 agonist sequence 1 antagonist sequence 2 agonist sequence 2 antagonist frequency 70 hz 4 hz 4 hz 70 hz duration of ramp-up 1.5 s 0.5 s 0.5 s 1.5 s duration of phase 4 s 3 s 3 s 4 s d...

  • Page 164

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 163 en wireless professional 13.2.3 programmes for haemophiliacs category programmes for haemophiliacs program atrophy / reinforcement when? To prevent disuse atrophy or restore muscular qualities in haemophilia patients suffering from arthropathy...

  • Page 165

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 164 en wireless professional haemophilia, disuse atrophy, level 2 (32 min) contraction rest frequency 45 hz 0 hz duration of ramp-up 6 s 0 s duration of phase 5 s 9 s duration of ramp-down 1.5 s 0 s haemophilia, disuse atrophy, level 1 (25 min) co...

  • Page 166

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 165 en wireless professional haemophilia, reinforcement, level 1 (15 min) contraction rest frequency 70 hz 0 hz duration of ramp-up 6 s 0 s duration of phase 3 s 10 s duration of ramp-down 1.5 s 0 s haemophilia, reinforcement, level 2 (20 min) con...

  • Page 167

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 166 en wireless professional 13.2.4 neurological category neurological program hemiplegic foot when? One of the problems faced by hemiplegics is the greater or lesser degree of difficulty in raising the toe of the foot. Consequently, this produces...

  • Page 168

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 167 en wireless professional hemiplegic foot (13 min, triggered) contraction frequency 50 hz duration of ramp-up 0.5 s duration of phase 1.5 s duration of ramp-down 0.25 s.

  • Page 169

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 168 en wireless professional category neurological program spasticity when? Spastic hypertonia develops in the different types of lesions of the central nervous system pathways. Since it is no longer under the control of the higher nervous centres...

  • Page 170

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 169 en wireless professional spasticity (21 min, triggered) contraction rest frequency 35 hz 0 hz duration of ramp-up 4.5 s 0 s duration of phase 5 s 5 s duration of ramp-down 3 s 0 s.

  • Page 171

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 170 en wireless professional category neurological program hemiplegic shoulder when? The shortage of suspensory muscles in the humeral head combined with spasticity of the pectoralis major can often be a cause of a lower subluxation of the shoulde...

  • Page 172

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 171 en wireless professional shoulder subluxation (25 min) contraction rest frequency 40 hz 0 hz duration of ramp-up 3 s 0 s duration of phase 8 s 8 s duration of ramp-down 1.5 s 0 s.

  • Page 173

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 172 en wireless professional category neurological program slow start neuro rehabilitation when? Electrostimulation is an excellent complement to traditional kinesiotherapy for many central neurological diseases such as hemiplegia. Treatment must ...

  • Page 174

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 173 en wireless professional neuro rehab (slow start), level 1 (20 min) warm up contraction rest final recovery phase frequency 6 hz 35 hz - 3 hz duration of ramp-up 1.5 s 4 s - 1.5 s duration of phase 2 min 5 s 15 s 3 min duration of ramp-down 2 ...

  • Page 175

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 174 en wireless professional 13.2.5 pain relief ii category pain relief ii program tens 80hz when? Gate control, which is activated during tens stimulation, is particularly effective for the relief of localised pain of non-muscular origin. It is p...

  • Page 176

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 175 en wireless professional category pain relief ii program knee pain when? To relieve knee-joint pain, irrespective of its cause (gonarthrosis, rheumatoid polyarthritis, chondromalacia, etc.) why? For the relief of pain. How? Using the gate cont...

  • Page 177

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 176 en wireless professional category pain relief ii program trapezius muscle pain when? As with all muscular pains, pain in the trapezius muscles can best be relieved by endorphin stimulation. However, tens stimulation may be preferable for the f...

  • Page 178

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 177 en wireless professional category pain relief ii program shoulder pain when? To relieve shoulder pain following a mechanical conflict, an inflammatory disorder, shoulder surgery, or inflammatory tendinopathy. Why? For the relief of pain. How? ...

  • Page 179

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 178 en wireless professional category pain relief ii program fracture pain when? In addition to other analgesic treatments during the first few days after a simple immobilisation or osteosynthetic surgery on a fracture. Extended use for rib fractu...

  • Page 180

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 179 en wireless professional category pain relief ii program cervical pain when? Neck pain most often results from chronic contractures of the levator scapulae muscle and/or the upper trapezius and is due, for example, to non-ergonomic work postur...

  • Page 181

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 180 en wireless professional category pain relief ii program thoracic back pain when? Thoracic back pain is most commonly a result of chronic contractures of the paravertebral back muscles (erector spinae) and is, for example, due to spinal osteoa...

  • Page 182

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 181 en wireless professional category pain relief ii program low back pain when? Low back pain most frequently results from chronic contractures of the paravertebral lumber muscles. It may be caused by a mechanical conflict, vertebral osteoarthrit...

  • Page 183

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 182 en wireless professional lower back pain frequency pulse width treatment time 5 hz 250 μs 20 min.

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    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 183 en wireless professional category pain relief ii program lumbosciatica when? Patients with lumbosciatica have lumbar pain which is most commonly caused by chronic contractures of the paravertebral lumbar muscles. In addition, involvement of th...

  • Page 185

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 184 en wireless professional lumbosciatica frequency pulse width treatment time 5 hz 250 μs 20 min category pain relief ii +tens option yes. - a minimum of 1 channel with muscular work imposed by the disuse atrophy programme. - a maximum of 3 chan...

  • Page 186

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 185 en wireless professional category pain relief ii program lumbago when? This type of treatment is indicated to relieve pain following acute muscle contractures in the low back region. It will also reduce tension in the contracted muscles to fac...

  • Page 187

    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 186 en wireless professional lumbago frequency pulse width treatment time 1 hz 250 μs 20 min.

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    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 187 en wireless professional category pain relief ii program epicondylitis when? Epicondylitis is manifested by acute pain located at the point of insertion of the extensor muscles for the wrist and fingers onto the lateral epicondyle. The epicond...

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    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 188 en wireless professional category pain relief ii program torticollis when? This type of treatment is indicated to relieve pain following acute muscle contractures in the neck region. It will also reduce tension in the contracted muscles to fac...

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    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 189 en wireless professional category pain relief ii program arthralgia when? Various factors such as obesity, age, trauma, poor posture, etc. Are detrimental to the joints. These detrimental factors may cause the joints to deteriorate and to beco...

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    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 190 en wireless professional 13.2.6 conditioning ii category conditioning ii program potentiation when? For optimal muscle preparation immediately before a competition. The session should be carried out 10 minutes prior to the start. Why? To incre...

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    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 191 en wireless professional category conditioning ii program endurance when? For athletes who wish to improve their performance during long sporting trials/ disciplines. Why? To improve the oxidative capacity of the stimulated muscles and to aid ...

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    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 192 en wireless professional endurance, level 2 (55 min) warm up contraction active rest final recovery phase frequency 5 hz 12 hz 3 hz 3 hz duration of ramp-up 1.5 s 0.5 s 0 s 1.5 s duration of phase 5 min 8 s 2 s 10 min duration of ramp-down 2 s...

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    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 193 en wireless professional category conditioning ii program explosive strength when? For athletes who practise a discipline where explosive strength is a significant performance factor. To increase the maximum capacity for instantaneous power. W...

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    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 194 en wireless professional explosive strength, level 2 (32 min) warm up contraction active rest final recovery phase frequency 5 hz 108 hz 1 hz 3 hz duration of ramp-up 1.5 s 0.75 s 0.5 s 1.5 s duration of phase 5 min 3 s 29 s 10 min duration of...

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    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 195 en wireless professional category conditioning ii program plyometry when? To develop muscular explosive power by imposing a stress similar to that induced by voluntary plyometry exercises while reducing stress on joints and tendons. Why? Incre...

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    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 196 en wireless professional category conditioning ii program hypertrophy when? For body-building enthusiasts and athletes wishing to increase their muscle mass. Possibility of combining this programme with voluntary training. Why? Increase the vo...

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    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 197 en wireless professional hypertrophy, level 2 (32 min) warm up contraction active rest final recovery phase frequency 5 hz 50 hz 9 hz 3 hz duration of ramp-up 1.5 s 1.5 s 0 s 1.5 s duration of phase 5 min 5 s 7 s 10 min duration of ramp-down 2...

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    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 198 en wireless professional category conditioning ii program muscle building when? For those who wish to improve overall muscle quality in balance with a discrete effect on increasing muscular volume. Why? To improve muscular trophicity, and incr...

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    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 199 en wireless professional muscle building, level 2 (25 min) warm up contraction active rest final recovery phase frequency 6 hz 45 hz 4 hz 3 hz duration of ramp-up 1.5 s 1.5 s 0.5 s 1.5 s duration of phase 2 min 6 s 9 s 3 min duration of ramp-d...

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    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 200 en wireless professional category conditioning ii program low back reinforcement when? The low back muscles play an important role in protecting the lumbar region. Some sporting activities, such as rowing, require specific work from the low ba...

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    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 201 en wireless professional lower back reinforcement, level 2 (35 min) warm up contraction active rest final recovery phase frequency 5 hz 45 hz 4 hz 3 hz duration of ramp-up 1.5 s 1.5 s 0.5 s 1.5 s duration of phase 5 min 6 s 9 s 10 min duration...

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    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 202 en wireless professional category conditioning ii program core stabilisation when? The abdominal muscles and the muscles in the low back area are very important for all sporting activities. Good neuromuscular control and stabilisation of the t...

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    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 203 en wireless professional core stabilisation, level 2 (35 min) warm up contraction active rest final recovery phase frequency 5 hz 45 hz 4 hz 3 hz duration of ramp-up 1.5 s 1.5 s 0.5 s 1.5 s duration of phase 5 min 6 s 9 s 10 min duration of ra...

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    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 204 en wireless professional category conditioning ii program recovery plus when? To promote muscle recuperation following an exhausting exertion that caused cramps or is likely to induce them when the activity is stopped. Why? To increase blood f...

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    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 205 en wireless professional category conditioning ii program toning massage when? Specific massage programme that includes some short muscle contractions. This programme can supplement traditional heating or even replace it if traditional heating...

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    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 206 en wireless professional category conditioning ii program relaxing massage when? To eliminate uncomfortable or painful sensations resulting from an exaggerated increase in muscle tone. Why? To allow a decrease in muscle tension. To drain away ...

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    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 207 en wireless professional category conditioning ii program anti-stress massage when? This programme can be used for relaxation and well-being after physical activity or a stressful situation. It provides very effective muscle relaxation through...

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    1 3 . Av a i l a b l e t h e r a p y p r o g r a m s 208 en wireless professional anti-stress massage (21 min) 1st sequence 2nd sequence 3rd sequence 4th sequence frequency 3 hz 2 hz 1 hz freq. Mod. 1-6 hz time 2 min 1 min 30 s 40 s 5th sequence 6th sequence 7th sequence 8th sequence frequency freq....

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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 209 en wireless professional 14.1 overview indication page disuse atrophy rehabilitation (standard protocol) 211 rehabilitation of the peroneus muscles following an ankle sprain 213 rehabilit...

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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 210 en wireless professional indication page treatment of venous insufficiency 273 1. Venous insufficiency without oedema 273 2. Venous insufficiency with oedema 275 treatment of arterial ins...

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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 211 en wireless professional 14.2 disuse atrophy rehabilitation (standard protocol) example: disuse atrophy of the quadriceps traumas of the locomotive system can be extremely diverse (fractu...

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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 212 en wireless professional 14.2.3 electrode position during neurostimulation for motor stimulation purposes, the general rule is to position a small electrode on the motor point of the musc...

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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 213 en wireless professional 14.2.5 stimulation energy in nmes, the stimulation energy is directly responsible for spatial recruitment: the higher the stimulation energy, the higher the perce...

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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 214 en wireless professional 2. Muscle reinforcement: allows the peroneus muscles to contract with enough strength to oppose the stress applied to the ankle joint. This aspect of rehabilitati...

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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 215 en wireless professional 14.3.3 electrode position a single channel is enough for the stimulation of the peroneus muscles. A small electrode is placed under the head of the fibula, at the...

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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 216 en wireless professional 14.4 rehabilitation of low back muscles muscular insufficiency of the muscles that provide stability of the lumbar region is often the cause of common low back pa...

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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 217 en wireless professional 14.4.3 electrode position two channels are needed for the stimulation of the abdominal muscles: four large electrodes are positioned on the abdomen, one above, on...

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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 218 en wireless professional 14.4.5 associated exercises for the first two weeks: on each contraction induced by the stimulation, the patient must: • breathe out slowly • pull in the stomach ...

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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 219 en wireless professional 14.5.1 lateral tracking an essential cause of the mal tracking, of the patella is determined by an imbalance between the different heads of the quadriceps muscle....

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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 220 en wireless professional 14.5.1.3 electrode position only one channel is used. • place a small electrode on the distal motor point of the vastus medialis, which innervates the oblique fib...

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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 221 en wireless professional 14.5.1.5 stimulation energy in nmes, the stimulation energy is directly responsible for spatial recruitment: the higher the stimulation energy, the higher the per...

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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 222 en wireless professional 14.5.2.1 protocol • week 1: patellofemoral syndrome level 1 • weeks 2 – 3: patellofemoral syndrome level 2 • week 4 then maintenance: patellofemoral syndrome leve...

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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 223 en wireless professional 14.5.2.3 electrode position in this programme, 3 stimulation channels are used for the quadriceps. This is because of the need to work with the knee extended in o...

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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 224 en wireless professional 14.6 acl ligamentoplasty ruptures of the anterior cruciate ligament (acl) of the knee are among the most common accidents in sports trauma. Reconstructive surgery...

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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 225 en wireless professional 14.6.1 protocol weeks 1 – 16: acl during the first two weeks of treatment, the following 3 objectives must be worked towards and achieved: • eliminate muscle wast...

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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 226 en wireless professional 14.6.3 electrode position the stimulation sequence means that the order of channel numbers must be complied with, as the stimulation of the hamstrings must start ...

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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 227 en wireless professional 14.6.5 stimulation energy as always in nmes, the objective of the rehabilitation therapist is to motivate the patient to tolerate the highest possible stimulation...

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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 228 en wireless professional 14.7 rehabilitation of the gluteal muscles following total hip replacement orthopaedic surgery to the hip and, in particular, the fitting of a prosthesis, results...

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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 229 en wireless professional 14.7.3 electrode position two channels are used, one for stimulation of the gluteus maximus and the other for the gluteus medius. • a small electrode is placed at...

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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 230 en wireless professional 14.8 rehabilitation of the shoulder the “specific properties” of the shoulder joint are complex and particularly demanding at a functional level. The shoulder mus...

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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 231 en wireless professional • itoi e, motzkin ne, morrey bf, an kn; bulk effect of rotator cuff on inferior glenohumeral stability as function of scapular inclination angle: a cadaver study;...

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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 reali...

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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 233 en wireless professional and, in case of persistent pain: phase 3 continuation of the stimulation of the supraspinous and infraspinous muscles. The electrodes are positioned in the same w...

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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 234 en wireless professional 14.8.1.5 stimulation energy phase 1: the stimulation energy must be gradually increased to obtain a clear tingling sensation. Phase 2 and 3: the stimulation energ...

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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 235 en wireless professional 14.8.2 shoulder instabilities shoulder instabilities are one of the most common pathologies, and their treatment remains a difficult challenge. Trauma, repeated m...

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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 236 en wireless professional 14.8.2.3 electrode position phases 1 and 2: three channels for stimulation of the deltoid and the spinal muscles. For the deltoid: • one small electrode is placed...

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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 237 en wireless professional 14.8.2.4 patient position phases 1 and 2: the first stimulation sessions are conducted on a patient seated, with the upper limb in the reference position, the for...

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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 238 en wireless professional 14.8.3 adhesive capsulitis the secec (european society for surgery of the shoulder and the elbow) gives the following clinical definition for retractile capsuliti...

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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 239 en wireless professional 14.8.3.3 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: one stimulation c...

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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 240 en wireless professional 14.8.3.5 stimulation energy phase 1: the stimulation energy must be gradually increased to obtain a clear tingling sensation. Phase 2: the stimulation energy must...

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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 241 en wireless professional 14.8.4 cardiac rehabilitation chronic heart failure causes functional impairment associated with the intricate physiopathological mechanisms involved between the ...

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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 242 en wireless professional 14.8.4.1 protocol cardiac rehabilitation. 14.8.4.2 treatment frequency three to six sessions a week for four to eight weeks. 14.8.4.3 electrode position the quadr...

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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 243 en wireless professional 14.8.4.5 stimulation energy in nmes, the stimulation energy is directly responsible for spatial recruitment: the higher the stimulation energy, the higher the per...

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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 244 en wireless professional 14.9 reflex sympathetic dystrophy (or complex regional pain syndrome) reflex sympathetic dystrophy (rsd) is a disease that physiotherapists frequently see and whi...

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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 245 en wireless professional depending on the stage of development, other signs may appear: - the skin becomes cold with sweating, oedema and cyanosis developing in the more advanced stages. ...

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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 246 en wireless professional 14.9.3 electrode position use three channels • two channels are used with four large electrodes to cover the painful area. • the third channel uses small electrod...

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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 247 en wireless professional lower limb: distal rsd of the lower limb: • four large electrodes are used to surround the ankle and foot. • a small electrode is placed in the middle of the popl...

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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 248 en wireless professional 14.9.5 stimulation energy the stimulation energy must first be adjusted on the third channel, which stimulates the target nerve at the axilla, supraclavicular, po...

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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 249 en wireless professional 14.10 endorphinic treatment of rachialgia and radiculalgia this chapter deals with the analgesic treatment of spinal pain (rachialgia) and nerve root pain (radicu...

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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 250 en wireless professional spinal pain is an extremely common painful state that can result from a wide variety of anatomical lesions and various physiopathological mechanisms. Whatever the...

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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 251 en wireless professional 14.10.1 endorphinic treatment of cervical pain chronic contractures of the levator scapulae and/or superior trapezius are often responsible for the painful sympto...

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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 252 en wireless professional 14.10.1.4 patient position the patient is placed in the position most comfortable for him/her: prone position or seated facing a medical table with a chest suppor...

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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 253 en wireless professional 14.10.2 endorphinic treatment of thoracic back pain whatever the trigger, chronic contractures of the dorsal paravertebral muscles (erector spinae) are responsibl...

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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 254 en wireless professional 14.10.2.4 patient position the patient is placed in a position he/she finds the most comfortable: in the prone or side lying position, or seated. 14.10.2.5 stimul...

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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 255 en wireless professional 14.10.3 endorphinic treatment of low back pain chronically contractured lumbar paravertebral muscles are often the source of pain felt by patients with lumbago. A...

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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 256 en wireless professional 14.10.3.3 electrode position three stimulation channels are used. In the low back pain programme, endorphinic stimulation is always used on channels 1 and 2, whil...

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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 257 en wireless professional 14.10.3.5 stimulation energy the energy must firstly be adjusted on the third channel (tens). The energy is gradually increased until the patient feels a strong t...

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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 258 en wireless professional 14.10.4 treatment of lumbosciatic pain patients suffering from lumbosciatic pain most often present lumbar pain that commonly originates from chronic contractures...

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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 259 en wireless professional 14.10.4.3 electrode position two stimulation channels are used, ensuring they are switched on in the correct order, as this determines the order in which the chan...

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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 260 en wireless professional 14.10.4.5 stimulation energy the energy is gradually increased on the second channel (tens), in order to cause a distinctive tingling sensation along the painful ...

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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 261 en wireless professional 14.11 hemiplegia - spasticity this chapter examines the treatment of problems specific to the hemiplegic patient, including spasticity, which is found not only in...

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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 262 en wireless professional 14.11.1 dorsiflexion of the hemiplegic foot one of the problems in hemiplegic patients is the greater or lesser degree of difficulty that they encounter when rais...

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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 263 en wireless professional 14.11.1.3 electrode position a single channel is sufficient to stimulate the levator muscles of the foot. A small electrode is placed on the motor point of the ti...

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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 264 en wireless professional 14.11.2 spasticity reminder spasticity or spastic hypertonia is a term which describes the condition of paretic or paralysed muscles showing different symptoms to...

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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 265 en wireless professional in fact, hoffmann’s reflex in a muscle, produced by a stimulus, is reduced in amplitude when the motor nerve of the antagonist muscle is stimulated. Nmes is an ef...

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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 266 en wireless professional 14.11.2.1 protocol spasticity: length of treatment to be adjusted depending on progress. If the patient is experiencing associated pain symptoms, tens stimulation...

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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 267 en wireless professional 14.11.2.5 stimulation energy always work with an energy that is too low to produce muscle fibre stimulation in the spastic muscles. The stimulation energy must ho...

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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 268 en wireless professional 14.11.3 the hemiplegic hand in hemiplegic patients, the hand and wrist show paresis or even paralysis with more or less pronounced spasticity of the flexor muscle...

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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 269 en wireless professional 14.11.3.4 patient position the patient is seated beside a table. The elbow and forearm rest on the table, the shoulder is in a functional position, with the elbow...

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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 270 en wireless professional 14.11.4 the hemiplegic shoulder reminder one of the specific problems commonly encountered in hemiplegic patients is subluxation of the paretic or paralysed shoul...

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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 271 en wireless professional 14.11.4.2 treatment frequency one 25-minute session per day, five days per week, for 4 weeks. Regular treatment carried out in one single session per week may the...

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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 272 en wireless professional 14.11.4.5 stimulation energy the energy is gradually increased for each contraction until the maximum tolerable energy level is reached. The therapist plays a fun...

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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 273 en wireless professional 14.12 treatment of venous insufficiency unlike occasionally experiencing heavy legs, venous insufficiency is a result of organic damage to the vein walls which cl...

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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 274 en wireless professional 14.12.1.2 treatment frequency 3 to 6 sessions per week for approximately 6 weeks to treat the acute episode. It is then recommended to keep up treatment with a fe...

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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 275 en wireless professional 14.12.2 venous insufficiency with oedema the presence of oedema, particularly when it does not go upon wakening, completely changes the electrical stimulation pro...

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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 276 en wireless professional for this program, it is therefore particularly important to follow the order of channel numbers below: for the calf (channels 1 and 2): • a small electrode is pla...

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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 277 en wireless professional the two other negative poles are connected to the two outputs of a large electrode placed on the upper part of the calf, just below the popliteal fossa. 14.12.2.4...

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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 278 en wireless professional 14.13 treatment of arterial insufficiency in the lower limbs we will limit this chapter to insufficiency of the arteries in the lower limbs. High blood pressure, ...

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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 279 en wireless professional 14.13.1 stage ii arterial insufficiency with intermittent claudication (stage ii), the muscle fibres suffer from an oxygen shortage during physical activity. The ...

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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 280 en wireless professional 14.13.1.3 electrode position two stimulation channels are required for each leg. • a small electrode is placed just under the head of the fibula on the common per...

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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 281 en wireless professional 14.13.2 stage iii arterial insufficiency the same benefit can be obtained using low frequency electrostimulation in stage iii arterial insufficiency. In this case...

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