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CLINICAL GUIDE
INTRODUCTION
This clinical guide gives tips and practical advice on how to use the CEFAR REHAB X2 to treat common
orthopedic and neurological indications.
The guide is organized by indication area. For each indication, the guide gives the goal of treatment and
suggestions for where to place the electrodes. NMES is an active training method, and the pictures show
how NMES can be integrated with training. For each indication, appropriate programs are suggested, but
custom programs can also be created for patient-specific treatment.
A program with a short pulse duration, 200 µs, is ideal for treating smaller muscle groups, while a longer
pulse duration, 350–400 µs, is better for larger muscle groups. The length of the work time and the rest
time varies from program to program. For weaker muscles, we recommend programs with longer rest times,
to give the muscle time to rest between contractions.
Just as with other training methods, NMES treatment should be adjusted to the patient’s ability.
Depending on the muscular status and where the patient is in the rehabilitation process, treatment can
last from 5 to 60 minutes and be repeated from three times a week to twice a day. Remember that the
patient may develop sore muscles after NMES treatment.
Suitable electrode sizes are suggested for each indication. We use the electrodes sizes shown below. The
electrodes we recommend are shadowed.
1 2 3 4 5 6 7
1 ø32 mm
2 ø50 mm
3 40 x 60 mm
4 50 x 100 mm
5 80 x 130 mm
6 50 x 50 mm
7 50 x 90 mm
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