Enraf Nonius TensMed S84, Operating Manual

Page 1: ...PASSION FOR MOTION Operating Manual TensMed S84 ...

Page 2: ...Enraf Nonius 1 TensMed S84 Operating Manual ...

Page 3: ...Enraf Nonius 2 Enraf Nonius B V P O Box 12080 3004 GB Rotterdam The Netherlands Tel 31 0 10 20 30 600 Fax 31 0 10 20 30 699 Info enraf nonius nl www enraf nonius com Art Number 1427 781_40 January 2009 ...

Page 4: ...ng 16 7 PROGRAMS 19 7 1 Preset Programs TENS 19 7 2 Preset Programs NMES 19 7 3 Custom Programs 20 8 ACCESSORIES 20 9 MAINTENANCE 20 10 TROUBLESHOOTING 20 11 FREQUENTLY ASKED QUESTIONS 21 12 TECHNICAL DATA 22 12 1 Specifications 22 12 2 Used Symbols 23 12 3 EMC details 23 13 ORDERING DETAILS 27 14 CLINICAL GUIDE 27 14 1 Introduction to Neuromuscular Electrical Stimulation NMES 27 14 1 1 Integrated...

Page 5: ...15 2 4 TONING 44 15 2 5 DRAINAGE 47 15 2 6 UROLOGY 49 15 2 7 HEMIPLEGIA 51 16 INTRODUCTION TO TENS 56 16 1 Placement of electrodes 56 16 1 1 Stimulation 56 16 1 2 Nociceptive and neurogenic pain 57 16 2 TENS GENERAL 57 16 3 Nociceptive Pain 58 16 4 TENS NEUROGENIC 64 17 DERMATOME AND MYOTOME CHART 68 ...

Page 6: ...r possible shortcomings of the product To the maximum extent permitted by applicable law in no event will Enraf Nonius or its suppliers or resellers be liable for any indirect special incidental or consequential damages arising from the use of or inability to use the product including without limitation damages for loss of goodwill work and productivity computer failure or malfunction or any and a...

Page 7: ...y as stated in the operating instructions Only Enraf Nonius accessories should be used with the stimulator Never use the Tensmed S84 on patients who have sensitivity problems or are unable to let you know if they feel any discomfort however slight WARNING People with implanted electronic equipment such as pacemakers and intracardiac defibrillators must not be treated with the TensMed S84 Pregnant ...

Page 8: ...output power of the stimulator Observe caution if you use the stimulator while driving Unintentional stimulation changes might extract focus from the driving and create a hazardous situation 5 INTENDED USE 1 2 5 1 TENS for Pain Management TENS Transcutaneous Electrical Nerve Stimulation gives good results in acute and chronic pain conditions of many kinds It is clinically proven and used daily by ...

Page 9: ...ation may be reduced by use of an alternate conductive medium or an alternative electrode placement Effectiveness of this treatment is dependent upon patient selection Adverse Effects In general TENS currents do not cause skin irritation and burns beneath the electrodes due to the characteristics of these currents 5 2 NMES NMES Neuro Muscular Electrical Stimulation is used successfully both in med...

Page 10: ...e of therapeutic electrical stimulation during pregnancy Stimulation should not be applied over swollen infected or inflamed areas of skin eruptions e g phlebitis thrombophlebitis varicose veins etc See also chapter 3 Precautionary Instructions for general Warnings and Precautions Precautions Adequate precautions should be taken when treating individuals with suspected or diagnosed heart problems ...

Page 11: ...el 2 intensity of stimulation Press and hold the button to increase or decrease the amplitude continuously Note Always increase the amplitude cautiously 5 LCD Display On this display menu you have the overview over all programs parameters and settings 6 INCREASE DECREASE Increases and decrease the amplitude in channel 3 intensity of stimulation Press and hold the button to increase or decrease the...

Page 12: ... be too high resistance or cable breakage See chapter TROUBLESHOOTING BATTERY STATUS The charge state of the battery is indicated by a small battery icon on the screen If the battery icon contains just two lines this means that power is running low Stop the session and recharge the unit If the START symbol normally displayed above the channel 4 button is not visible and the battery icon is flashin...

Page 13: ...Connect the patient cables to the unit Warning Use only stimulation cables supplied by Enraf Nonius Do not place electrodes in water Do not apply solvent of any kind to the electrodes For hygiene reasons each patient must have his own set of electrodes Never use the same electrodes on different patients 1 Change language Press the ON OFF 1 continuously during 5 seconds The different languages appe...

Page 14: ...S TENS CUSTOM PROGRAMS PROGRAMMING 2 Select a function in the MAIN MENU Press the button to select a function Push confirmation button to select MAIN MENU NMES TENS CUSTOM PROGRAMS PROGRAMMING 3 Select application field Press the button to select an application field Push confirmation button to select NMES REHAB SPORT FITNESS UROLOGY HEMIPLEGIA ...

Page 15: ... 2 FACILITATION 5 Select BODY PART Press the button to select a Body Part Push START button BODY PART SHOULDER NO TENS START 6 Start the therapy Press the button to adjust in channel 1 and all other channels if desired Push the STOP to interrupt the treatment Push the return button to return to the previous menu ATROPHY k 24 50 05 00 STOP 00 0 00 0 00 0 00 0 ...

Page 16: ...MAIN MENU NMES TENS CUSTOM PROGRAMS PROGRAMMING STEP 2 Press the button to select a function Push confirmation button to select PROGRAMMING NMES TENS STEP 3 Press the button to select an application field Push confirmation button to select NMES CONVENTIONAL MOD PHASE DURATION MODULATED FREQUENCY BURST SEQUENTIAL CONVENT ...

Page 17: ... STEP 5 Overwrite the name and push the SAVE button to store the program You can retrieve the program under CUSTOM PROGRAMS in the main menu ENTER NAME P_CONTINUOUS CONV A Z SAVE 6 5 Sequential programming Note Sequential programming is only possible with NMES Step 1 Press the button to select programming Push confirmation button to select MAIN MENU NMES TENS CUSTOM PROGRAMS PROGRAMMING ...

Page 18: ...RAMMING NMES TENS STEP 3 Press the button to select SEQUENTIAL CONVENT or SEQ MOD FREQUENCY Push confirmation button to select NMES CONVENTIONAL MOD PHASE DURATION MODULATED FREQUENCY BURST SEQUENTIAL CONVENT STEP 4 Press the button to pulse width Modify the parameter with the buttons under symbols P_SEQUENTIAL CONVE 0 30 00 180 µs 04 00 26 00 02 00 SAVE ...

Page 19: ...Press the button to select the time in sequence 2 Modify the with the buttons Push the button under Modify the frequency with the buttons under symbols in sequence 2 and also the ramp up Hold time ramp down time in seconds for sequence 2 Repeat step 5 for sequence 3 Push SAVE button to store P_SEQUENTIAL CONVE 0 30 00 180 µs 04 00 26 00 02 00 SAVE STEP 7 Overwrite the name and push the SAVE button...

Page 20: ...ast in this manual Some programs offers a second TENS option When the TENS option is selected channel 1 and 2 having the parameters from the selected program Channel 3 and 4 will have a modulated TENS program 7 2 Preset Programs NMES The TensMed S84 offers additional to the TENS programs 75 NMES programs adjusted to either smaller or larger muscle groups These programs are created under 5 groups R...

Page 21: ...kin In connection with stimulation make sure that the electrodes are firmly in place When using carbon rubber electrodes use plenty of electrode gel and avoid drying out by applying tape around all the edges of the electrodes Rinse the carbon rubber electrodes and the skin with water after use Do not use detergent for the electrodes Self adhesive multi use electrodes are re moistened if necessary ...

Page 22: ...t your Enraf Nonius dealer Enraf Nonius will only be responsible for service and repairs performed by Enraf Nonius or a distributor appointed by Enraf Nonius 11 FREQUENTLY ASKED QUESTIONS CAN ANYONE USE ELECTRICAL STIMULATION People with implanted electrical equipment for example a pacemaker or an intracardiac defibrillator must not be treated with electrical stimulation Pregnant women should not ...

Page 23: ...rehabilitation NMES and pain relief TENS and features 107 preset programs and 15 custom programs Treatment with electrical stimulation requires the stimulation current to penetrate the resistance of the skin and the electrode about 1000 ohms The TensMed s can penetrate this resistance and maintain a current of up to 99 5 mA With a change in load from 100 to 1000 ohms the stimulation current change...

Page 24: ... worn out stimulator in accordance with local and national regulations Water protection index IPX0 IEC 60529 There is no need to apply sterilization or disinfection method when using the Tensmed S84 The Tensmed S84 is not suitable for use in the presence of flammable anaesthetic mixtures with air or with oxygen or nitrous oxide enriched environments The mode of operation defined for the Tensmed S8...

Page 25: ...e relative humidity should be at least 30 Electrical fast transient burst IEC 61000 4 4 2 kV for power supply lines 1 kV for input output Lines not applicable Surge IEC 61000 4 5 1 kV line s to line s 2 kV line s to earth not applicable Voltage dips short interruptions and voltage variations on power supply input lines IEC 61000 4 11 5 U T 95 dip in U T for 0 5 cycle 40 U T 60 dip in U T for 5 cyc...

Page 26: ...pment should be used no closer to any part of the Tensmed S84 including cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter Recommended separation distance d 3 5 3 P d 3 5 3 P 80 MHz to 800 MHz d 7 3 P 800 MHz to 2 5 GHz where P is the maximum output power rating of the transmitter in watts W according to the transmitter manuf...

Page 27: ...e TensMed S84 The TensMed S84 is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the TensMed S84 can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the TensMed S84 as recommended below according to the maximum output p...

Page 28: ...n NMES NMES is used successfully both in medical rehabilitation and as a complement to athletic training on all levels NMES is a clinical internationally well established treatment method in orthopaedics and neurology NMES stimulates motor nerves to create muscle contractions or vibrations and is usually applied to innervated muscles It also stimulates sensory nerves which eases pain Applied to ce...

Page 29: ...uscle Try various placements for the best possible muscle contraction The distance between the electrodes must be at least 3 cm and no more than 30 cm Each program has a diagram with suggested placements of two or more electrodes 14 1 4 Stimulation The aim of the treatment is to create muscle contractions Increase the amplitude above the somatosensory threshold until a motor response occurs The co...

Page 30: ...ication Post operative muscles that have been immobilized for some time or are weakened Body Zone SHOULDER Muscle deltoid infraspinal supraspinal teres minor Placement of the electrodes Use 4 small or 2 large electrodes Vary the placement to find the optimum location Feel free to combine training with active movements Body Zone UPPERARM Muscle brachial brachial biceps brachial triceps Placement of...

Page 31: ... large electrodes Vary the placement to find the optimum location Feel free to combine training with active movements Body Zone THIGH KNEE Muscle Quadriceps rectus femoris Placement of the electrodes Use 4 small or 2 large electrodes Vary the placement to find the optimum location Feel free to combine training with active movements Body Zone LOWERLEG Muscle anterior tibial posterior tibial peronea...

Page 32: ...des Vary the placement to find the optimum location Intensity Visible muscle contractions without pain Treatment Time 24 50 minutes ATROPY Sequence 1 Sequence 2 Sequence 3 Time min 5 00 19 50 Pulse duration μs 250 250 Frequency Hz 5 25 40 Ramp up time sec 2 Hold time sec 4 Ramp down time sec 1 Rest Time sec 10 ...

Page 33: ...uring the rest time The aim is to keep the muscle prepared for the next contraction and to decrease training aches afterwards The active rest should cause muscle vibrations but not contractions When the amplitude drops to 0 0 mA after the stimulation time increase the amplitude for the active rest until visible muscle vibrations is seen FORCE Indication Post operative muscles that have been immobi...

Page 34: ...mall or 2 large electrodes Vary the placement to find the optimum location Feel free to combine training with active movements Body Zone HIP Muscle gluteus medius gluteus maximus tensor fascia latae Placement of the electrodes Use 4 small or 2 large electrodes Vary the placement to find the optimum location Feel free to combine training with active movements Body Zone THIGH KNEE Muscle Quadriceps ...

Page 35: ... Modulation time sec 10 Rest Frequency Hz 5 Ramp up time sec 3 Hold time sec 8 Ramp down time sec 1 Active rest sec 17 Active rest is 5 Hz ramp up 1 sec hold time 15 sec ramp down 1 sec 15 1 3 MOBILISATION 1 2 The training focuses on neuromuscular facilitation which primarily improves mobility Each program consists of one sequence for training mobility with alternating stimulation Stimulation alte...

Page 36: ...the electrodes Use 4 small or 2 large electrodes Vary the placement to find the optimum location Feel free to combine training with active movements Body Zone LOWER ARM Muscle carpal flexors carpal extensors brachioradial muscle Placement of the electrodes Use 4 small or 2 large electrodes Vary the placement to find the optimum location Feel free to combine training with active movements Body Zone...

Page 37: ...rodes Use 4 small or 2 large electrodes Vary the placement to find the optimum location Feel free to combine training with active movements Body Zone LOWERLEG Muscle anterior tibial posterior tibial peroneal gastrocnemial Placement of the electrodes Use 4 small or 2 large electrodes Vary the placement to find the optimum location Feel free to combine training with active movements Body Zone FOOT M...

Page 38: ...sequences with different aims The three sequence programs always start with a warm up and end with a recovery sequence to ensure balanced training The warm up and recovery sequences generate muscle vibrations to increase circulation in the muscle When the sequences changes the amplitude sinks to half the previous level to allow a comfortable transition This means that the amplitude must be increas...

Page 39: ...imum strength development and increases muscle mass Recommended for people whose sports require maximum strength Body Zone SHOULDER Muscle deltoid Body Zone UPPERARM Muscle brachial brachial biceps brachial triceps Body Zone LOWER ARM Muscle carpal flexors carpal extensors brachioradial muscle ...

Page 40: ...equire that a warning be given concerning the application of electrodes to the thorax increased risk of cardiac fibrillation Body Zone HIP Muscle gluteus medius gluteus maximus tensor fascia latae Body Zone THIGH KNEE Muscle femoral biceps quadriceps Body Zone LOWERLEG Muscle anterior tibial posterior tibial peroneal gastrocnemial ...

Page 41: ...Ramp up time sec 6 1 75 2 Hold time sec 0 6 9 56 Ramp down time sec 6 1 25 2 Active rest time sec 18 15 2 2 RESISTANCE FORCE RESISTANCE FORCE Indication Improves the capacity to develop a high level of force over a long time delays muscle fatigue Recommended for sports that require intense muscle work over a long time Body Zone SHOULDER Muscle deltoid infraspinal supraspinal teres minor Feel free ...

Page 42: ...e latissimus dorsi pectorals abdominals Current International standards require that a warning be given concerning the application of electrodes to the thorax increased risk of cardiac fibrillation Body Zone HIP Muscle gluteus medius gluteus maximus tensor fascia latae Body Zone THIGH KNEE Muscle femoral biceps quadriceps ...

Page 43: ... 14 15 Pulse duration μs 220 220 220 Frequency Hz 3 10 50 70 3 Modulation time sec Rest Frequency Hz 5 Ramp up time sec 6 1 75 2 Hold time sec 0 8 14 56 Ramp down time sec 6 1 25 2 Active rest time sec 10 15 2 3 RECOVERY RECOVERY Indication Increases the ability to recover maximum muscle capacity after training or competition through improved circulation and elimination of lactic acid Body Zone SH...

Page 44: ...pal extensors brachioradial muscle Body Zone BACK TRUNK Muscle latissimus dorsi pectorals abdominals Current International standards require that a warning be given concerning the application of electrodes to the thorax increased risk of cardiac fibrillation Body Zone HIP Muscle gluteus medius gluteus maximus tensor fascia latae ...

Page 45: ...Intensity Visible muscle vibrations Treatment Time 10 minutes RESISTANCE Sequence 1 Sequence 2 Sequence 3 Time min 10 Pulse duration μs 220 Frequency Hz 3 15 2 4 TONING TONING Indication Helps maintain the muscles tone and is an effective complement to other training Body Zone SHOULDER Muscle deltoid Feel free to combine training with active movements ...

Page 46: ...pal extensors brachioradial muscle Body Zone BACK TRUNK Muscle latissimus dorsi pectorals abdominals Current International standards require that a warning be given concerning the application of electrodes to the thorax increased risk of cardiac fibrillation Body Zone HIP Muscle gluteus medius gluteus maximus tensor fascia latae ...

Page 47: ... tibial peroneal gastrocnemial Intensity Medium intensity muscle vibrations Treatment Time 25 minutes TONING Sequence 1 Sequence 2 Sequence 3 Time min 5 15 5 Pulse duration μs 220 220 220 Frequency Hz 5 25 40 3 Modulation time sec Ramp up time sec 2 2 2 Hold time sec 04 56 6 04 56 Ramp down time sec 2 1 2 Rest time sec 8 ...

Page 48: ...programs which means that the muscles are stimulated one after each other in a series Body Zone SHOULDER Muscle deltoid infraspinal supraspinal teres minor Feel free to combine training with active movements Body Zone UPPERARM Muscle brachial brachial biceps brachial triceps Body Zone LOWER ARM Muscle carpal flexors carpal extensors brachioradial muscle Body Zone BACK TRUNK Muscle abdominals spina...

Page 49: ...ior tibial posterior tibial peroneal gastrocnemial Intensity Visible muscle vibrations Note There are 42 loops Sequence 1 is on channel 1 2 only Sequence 2 is on channel 1 2 3 4 Treatment Time 20 39 minutes DRAINAGE Sequence 1 Sequence 2 Sequence 3 Pulse duration μs 400 400 400 Frequency Hz 50 50 0 Ramp up time sec 1 5 1 5 0 Hold time sec 3 3 19 Ramp down time sec 0 1 5 0 ...

Page 50: ... between 5 and 10 Hz This type of stimulation has a relaxing effect on the bladder which is often hyperactive The stimulation should be as strong as possible without being painful Treatment time about 15 minutes 2 3 times a week 38 URGE INCONTINENCE In case of urge incontinence the stimulation aims to relax the overactive bladder by stimulating the perineal nerves to reflexively Treatment Time 15 ...

Page 51: ...ce can be poorly functioning perineal muscles To help identify the muscles and to strengthen the perineal muscles an intermittent stimulation of about 50 Hz is ideal The stimulation must be as strong as possible without being painful and it s helpful if the patient participates actively in the muscle contractions Treatment time about 15 minutes 3 5 times a week We suggest that this training is com...

Page 52: ...indications like shoulder pain If the patient has a disrupted perceptive ability with reduced attention called hemi inattention or neglect training of this function can also be integrated into the treatment NMES treatment should not be solely passive but used actively in the training situation HEMIPLEGIA SHOULDER Intensity Visible muscle contractions without pain ideally resulting in movement Trea...

Page 53: ...nt Time 20 18 minutes Placement of electrodes 2 large electrodes Vary the placement to find the optimum location Muscles brachial triceps carpal extensors Sequence 1 Sequence 2 Sequence 3 Time min 20 18 Pulse duration μs 200 Frequency Hz 40 Ramp down time sec 2 Stimulation time sec 14 Ramp up time sec 4 Rest time sec 22 ...

Page 54: ...es Placement of electrodes Combine 2 small and 2 large electrodes Vary the placement to find the optimum location Muscles gluteus medius gluteus maximus tensor fascia latae quadriceps Sequence 1 Sequence 2 Sequence 3 Time min 19 49 Pulse duration μs 400 Frequency Hz 40 Ramp up time sec 4 Stimulation time sec 18 Ramp down time sec 2 Rest time sec 18 ...

Page 55: ...nt Time 19 49 minutes Placement of electrodes 2 or 4 medium electrodes Vary the placement to find the optimum location Muscles antererior tibial Nerve peroneal Sequence 1 Sequence 2 Sequence 3 Time min 19 49 Pulse duration μs 250 Frequency Hz 40 Ramp up time sec 4 Stimulation time sec 18 Ramp down time sec 2 Rest time sec 18 ...

Page 56: ...out pain Treatment Time 30 minutes Placement of electrodes Place the electrodes on the muscle agonist or antagonist Sequence 1 Sequence 2 Sequence 3 Time min 29 58 Pulse duration μs 250 Frequency Hz 40 Ramp up time sec 4 Stimulation time sec 8 Ramp down time sec 2 Rest time sec 17 ...

Page 57: ... can lead to more efficient treatment 16 1 Placement of electrodes High frequency TENS the electrodes are preferably placed over or near the painful region You can also place the electrodes in the same dermatome as the pain see the dermatome chart on page 68 paravertebrally on both sides of the spine or on the opposite side of the body Place the negative electrode the cathode black pin over the mo...

Page 58: ...ENERAL Indications nociceptive and neurogenic pain Intensity Clear feeling of current without pain Conventional TENS Frequency 80 Hz Pulse duration 180 µs Treatment Time 30 minutes Modulated Phase Duration Frequency 80 Hz Pulse duration 75 180 µs Modulation time 2 seconds Treatment Time 30 minutes BURST TENS 2 HZ Frequency 2 Hz Pulse duration 180 µs Treatment Time 30 minutes BURST TENS 4 Hz Freque...

Page 59: ...ime min 30 Pulse duration μs 170 Frequency Hz 70 SPINE COMPRESSION Intensity Clear feeling of current without pain Treatment Time 30 minutes Time min 30 Pulse duration μs 180 Frequency Hz 70 FRACTURE PAIN Intensity Clear feeling of current without pain Treatment Time 30 minutes Time min 30 Pulse duration μs 180 Frequency Hz 80 ...

Page 60: ...d risk of cardiac fibrillation Time min 30 Pulse duration μs 70 140 Frequency Hz 80 Modulation time sec 3 M TRAPEZIUS PAIN Intensity Clear feeling of current without pain Treatment Time 30 minutes Current International standards require that a warning be given concerning the application of electrodes to the thorax increased risk of cardiac fibrillation Time min 30 Pulse duration μs 80 200 Frequenc...

Page 61: ...current without pain Treatment Time 30 minutes Time min 30 Pulse duration μs 150 Frequency Hz 80 THORACAL BACK PAIN Intensity Clear feeling of current without pain Treatment Time 30 minutes Current International standards require that a warning be given concerning the application of electrodes to the thorax increased risk of cardiac fibrillation Time min 30 Pulse duration μs 180 Frequency Hz 20 60...

Page 62: ... 40 100 Modulation time sec 3 SHOULDER PAIN Intensity Clear feeling of current without pain Treatment Time 30 minutes Time min 30 Pulse duration μs 75 180 Frequency Hz 80 Modulation time sec 3 ELBOW PAIN Intensity Clear feeling of current without pain Treatment Time 30 minutes Time min 30 Pulse duration μs 75 180 Frequency Hz 60 Modulation time sec 2 ...

Page 63: ...150 Frequency Hz 60 Modulation time sec 2 FINGER PAIN Intensity Clear feeling of current without pain Treatment Time 30 minutes Time min 30 Pulse duration μs 100 Frequency Hz 70 HIP PAIN Intensity Clear feeling of current without pain Treatment Time 30 minutes Time min 30 Pulse duration μs 80 200 Frequency Hz 80 Modulation time sec 3 ...

Page 64: ...rrent without pain Treatment Time 30 minutes Time min 30 Pulse duration μs 75 180 Frequency Hz 80 Modulation time sec 2 ANKLE PAIN Intensity Clear feeling of current without pain Treatment Time 30 minutes Time min 30 Pulse duration μs 75 180 Frequency Hz 70 ...

Page 65: ...he treatment must be altered or stopped One alternative is to treat the patient on the contralateral side CERVICAL RHIZOPATHY Intensity Visible muscle vibrations without pain Treatment Time 30 minutes Time min 30 Pulse duration μs 180 Burst Frequency Hz 2 LOW BACK SCIATICA Intensity Clear feeling of current and visible muscle contractions without pain Treatment Time 30 minutes Sequence 1 Sequence ...

Page 66: ...ntensity Clear feeling of current and visible muscle contractions without pain Treatment Time 30 minutes Time min 30 Pulse duration μs 60 150 Frequency Hz 80 Modulation time sec 2 PHANTOM LIMB Intensity Clear feeling of current and visible muscle contractions without pain Treatment Time 30 minutes Time min 30 Pulse duration μs 90 200 Frequency Hz 80 Modulation time sec 2 ...

Page 67: ...rent without pain Note If the patient has reduced sensitivity test what amplitude the patient prefers on the undamaged side Treatment Time 20 minutes Time min 20 Pulse duration μs 200 Frequency Hz 100 SPASTICITY Intensity Clear feeling of current without pain Note If the patient has reduced sensitivity test what amplitude the patient prefers on the undamaged side Treatment Time 30 minutes Time min...

Page 68: ... without pain Treatment Time 25 minutes Time min 25 Pulse duration μs 180 Burst Frequency Hz 2 MONONEUROPATHY Intensity Clear feeling of current without pain Treatment Time 30 minutes Current International standards require that a warning be given concerning the application of electrodes to the thorax increased risk of cardiac fibrillation Time min 30 Pulse duration μs 75 170 Frequency Hz 70 Modul...

Page 69: ...Enraf Nonius 68 17 DERMATOME AND MYOTOME CHART ...

Page 70: ...Enraf Nonius 69 ...

Page 71: ...Enraf Nonius B V Vareseweg 127 3047 AT Rotterdam P O Box 12080 3004 GB Rotterdam The Netherlands T 31 0 10 20 30 600 F 31 0 10 20 30 699 E info enraf nonius nl www enraf nonius com ...