Manual Cefar Primo Pro Tens (page 12 of 22) (English)

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No. Program name Frequency Pulse duration Treatment time Preset time Program description Examples of indications/

Electrodeplacement no.

1Conventional TENS 80 Hz 180 µs No limit (minimum 30 minutes). – – minutes Conventional TENS (high-frequency stimulation) is the first choice for both acute

and long-term pain, both neurogenic and nociceptive. Conventional TENS is

based on the Gate Control theory, which states that electric stimulation of A-beta

fibers inhibits impulse transfer in the pain pathways.

As a rule, the electrodes should be placed on or near the painful area, or over

an area segmentally related to the painful area. Adjust the amplitude so that

the stimulation gives strong, but pleasant paraesthesia – tingling. When using

high-frequency stimulation, it’s important to ensure that the patient has normal

sensory of touch in the area where the electrodes are placed.

Neck pain ..........................................3

Shoulder pain ....................................4

Elbow pain .........................................8

Rheumatic pain .............................. 10

Fractured rib ................................... 16

Lumbago .................................. 13, 14

Menstrual pain ............................... 17

Phantom limb pain ......................... 18

Hip pain ......................................... 20

Osteoarthritic pain in the knee.. 22, 23

Wound healing ................................ 24

2Burst TENS 2 Hz 180 µs 20–45 minutes, 3 times a day.

Remember that Burst TENS can

cause muscle soreness.

– – minutes Burst TENS (low-frequency stimulation) is usually most effective for radiating

(projected) pain in the arms and legs (rhizopathy), for conditions with reduced

or changed sensory of touch, for deep muscular pain, or when the post-treat-

ment effect of Conventional TENS is too short. Burst TENS treatment alleviates

pain by stimulating muscles to release the body’s own morphine-like substances,

endorphins.

Place the electrodes on a muscle in the painful area so that a visible contraction

occurs, or on acupuncture points in the painful area. The stimulation should feel

pleasant and give visible muscle contractions. Remember that the patient often

feels the stimulation clearly before contractions become visible.

Mononeuropathy ............................. 11

Central pain .................................. 6, 7

Cervical rhizopathy .............................5

Sciatica .......................................... 19

Knee pain ....................................... 23

3Modulated pulse dura-

tion stimulation

80 Hz 70–180 µs No limit (minimum 30 minutes). – – minutes Modulated pulse duration stimulation is a type of high-frequency stimulation

where the pulse duration varies continuously. This can cause an undulating sen-

sation, which may be more pleasant than a constant pulse duration. Use program

3 for pain alleviation and a massage effect on muscles like the trapezius.

Trapezius pain .......................... 12, 25

Lumbago .................................. 13, 14

For more examples, see Program 1.

4Treating sensitive areas/

Facial treatment

80 Hz 60 µs No limit (minimum 30 minutes). – – minutes Program 4 has a shorter pulse duration than the other programs. A short pulse

duration is suitable for treating sensitive, nerve-rich areas like the face and high

up on the neck. With a shorter pulse duration the amplitude can be increased,

which makes it easier to find the right level without the patient experiencing pain.

Tension type headache ......................1

Facial pain .........................................2

Neck pain ..........................................3

Postherpetic neuralgia .................... 15

5Mixed-frequency TENS 80 Hz/

2 Hz

180 µs Up to 3 hours per day. – – minutes Mixed frequency stimulation is also called Han stimulation (3 sec at 2 Hz and 3

sec at 80 Hz). Stimulation frequencies switch every three seconds, giving a com-

bination of high- and low-frequency stimulation, which can offer a more effective

treatment.

Place the electrodes as you would for low-frequency stimulation – on a muscle in

the painful area.

Neck pain ..........................................3

Shoulder pain ....................................4

Lumbago .................................. 13, 14

Hip pain ......................................... 20

Thigh pain ...................................... 21

6Nausea treatment 10 Hz 180 µs About 10 minutes per session.

Sessions can be given as often

as every other hour or as little as

three times a day.

10 minutes Program 6 is specially designed for treating nausea. Place the black electrode on

acupuncture point PC6 (inside of the wrist) and the red one on acupuncture point

TE5 (outside of the wrist).

Postoperative nausea.........................9

Chemotherapy-induced nausea ..........9

7CEFAR Flow TENS 80 Hz 70–180 µs No limit (minimum 30 minutes) – – minutes Always use 2 channels and 4 electrodes with Program 7. A modulated pulse dura-

tion stimulation is obtained, but since the channels are alternately active, a mas-

saging, pumping effect is experienced.

Place the electrodes as for high-frequency stimulation when a pain relieving and

massaging effect is desired.

Trapezius pain .......................... 12, 25

Lumbago ........................................ 14

Thigh pain ....................................... 26

Shoulder pain ....................................4

7. PROGRAMS/PRESET PROGRAMS

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Cefar Primo Pro Tens Quick start guide - Dutch - 1 pages

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