Manual Beurer EM 41 (page 25 of 112) (English, German, French, Italian, Polish, Turkish, Spanish)

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6.4 MASSAGE programmes

Prog. no. Massage form

1 Tap and grasp massage

2 Knead and grasp massage

3 Tap massage

4 Side of hand/pressing massage

5 Side of hand/pressing massage

6 Vibratory massage

7 Tap massage (switch between electrodes)

8 Massage jet (switch between electrodes)

9 Pressure massage jet (switch between electrodes)

10 Combination programme (switch between electrodes)

Electrodes must be placed so that they surround the muscle segments in

question. For optimal effect, electrode distance must not be greater than

approx. 15 cm.

The electrodes should not be applied to the anterior wall of the

thorax, i.e. never massage the left or right large pectoral muscle.

6.5 Information on placing the electrodes

For the desired success of any stimulation application, it is important that

electrodes are placed sensibly.

We advise you to coordinate with your doctor regarding the best electrode

positions for your intended field of application.

The electrode positions suggested inside the cover (Figs. 1– 28) serve as a

guide. The following applies when choosing electrode positions:

Electrode distance

The greater the electrode distance which is selected, the greater will be the

volume of tissue that is stimulated. This applies to the area and the depth of

the tissue volume. At the same time, however, the strength of tissue stimula-

tion decreases as the electrode distance becomes greater, which means

that, if a greater electrode distance is chosen, a greater volume is stimulated,

but stimulation is weaker. To increase stimulation, pulse intensity must then

be increased.

The following guideline holds when selecting electrode distances:

•

most reasonable distance: approx. 5 –15 cm

•

below 5 cm, it is mainly surface structures which are strongly stimulated

•

over 15 cm, large-area and deep structures are stimulated very weakly

Electrode relationship to muscle fibre orientation

Choice of current flow direction must be adapted to the muscle fibre orien-

tation according to the desired muscle layer. If surface muscles are to be

reached, the electrodes must be placed parallel to the fibre orientation (P. 2,

Fig. 16; 1A-1B/2A-2B). If deep tissue layers are to be reached, the electrodes

must be placed crosswise to the fibre orientation (P. 2, Fig. 16; 1A-2A/1B-

2B). The latter arrangement can, for example, be achieved via the cross

electrode arrangement, such as P. 2, Fig. 16; 1A-2B/2A-1B.

Channel allocation:

Channel 1 (CH1): connection left, intensity controller rocker switch left, pulse

intensity display left (CH1).

Channel 2 (CH2): connection right, intensity controller rocker switch right,

pulse intensity display right (CH2).

In the treatment of pain (TENS) using the Digital TENS/EMS machine

with its 2 separately controllable channels and in each case 2 adhesive elec-

trodes, it is advisable to either position the electrodes of one channel so that

the pain spot lies between the electrodes or else you position one electrode

directly on the pain spot and the other at least 2 – 3 cm away.

The electrodes of the second channel can be used to treat other pain spots

simultaneously or else, however, together with the electrodes of the first

channel, to surround the pain area (opposite). A cross arrangement is again

advisable here.

Massage function tip: always use all 4 electrodes to ensure optimal

treatment.

In order to extend the durability of the electrodes, use them on clean skin

which is as free as possible from hair and grease. If necessary, clean the skin

with water before application and remove the hair.

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