Tens Guide Gb 0107

8/3/2019 Tens Guide Gb 0107

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Guidebook

TENS/EMS

Pain therapy and muscle stimulation


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General feeling of well-being

The electrical muscle stimulation/neuromuscular stimulation

units EM40 and EM80 made by Beurer are combined TENS/

EMS/massage units. This innovative equipment offers a variety

of functions to promote a feeling of well-being: it can relieve

pain, maintain physical fitness, reduce tension, revitalize tired

muscles and combat fatigue.

A third of all European households suffers from chronical pain

(Pain in Europe Survey, 2006). Many of the affected attempt

to treat themselves. TENS (transcutaneous electrical nerve

stimulation) units can help here as they can treat physical pain

without causing side-effects.

For a general feeling of well-being our bodies need to behealthy, fit and relaxed. In these media-dominated days, a

high value is placed on having a slim, exercised and well-

proportioned body. However, the objective of a well-shaped

body requires continuous training and healthy nutrition. To

shore up your active training program, you could conceivably

use the EMS (electrical muscle stimulation) unit simply to

stimulate your muscles, or to warm them up, make them more

toned or taut, or relax them.

It is important to understand, however, that using the EMS

unit will not replace an active training program. But targeted

application of the EMS unit will cause additional stimulation

of the muscles and hence increase the result obtained during

training.

This guidebook will attempt to explain TENS and EMS in more

detail, and in particular how the Beurer units work.


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How the electrical muscle

stimulation/neuromuscularstimulation units work

Electrical muscle stimulation/neuromuscular stimulation units

work by reproducing the bodys own pulses via electrodes

that pass pulses through the skin to nerve and muscle fibers.These electrodes can be attached to many different parts of

the body as the electrical stimuli are not painful. All you can feel

sometimes is a slight tingling or vibration.

For optimal results, use should be regularly and accompanied

by physical activity, healthy eating and a balanced lifestyle. The

electrical pulses mainly affect the nerves and muscles in theapplication area.


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TENS

TENS, transcutaneous electrical nerve stimulation, has

been clinically tested and licensed as an effective, drug-free

method for the treatment of physical pain and has no side-

effects when used properly. It can even be used by lay-people

for simple applications.

The pain-relieving or pain-suppressant effect is amongst others

achieved by:

Suppression of pain transmission in nerve fibres (especially

high-frequency pulses) and

Increasing production of the bodys own endorphins (espe-

cially low-frequency pulses within TENS).

The method is scientifically validated and medically approved.This applies in particular for the following therapeutic indica-

tions:

Back pain

Point pain

Neuralgic pain

Headache

Gynecological disorders

Pain after acute injury

Pain by circulatory disorder

So that you can make a personal treatment program to suit

you, the EM 40 and EM 80 have a freeze function." see Doctors Function.


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Patients with chronic pain were treated with TENS in a survey

(Pothmann, 2003, after Eriksson and Sjlund, 1989). Selected

results obtained are presented in the table below:

Cause of painTotal

number

Type of treat-ment continuedafter 3 months(conventional

TENS)

Success rate

Neuralgia (pain along thecourse of a nerve)

43 22 63%

Dorsalgia (back pain) 7 6 86%

Central pain 18 6 67%


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EMS

Electrical muscle stimulation (EMS) is a common method

and has been used for years in rehabilitation and sports

medicine. EMS is used supplementary in the field of sport and

fitness to train muscles conventionally and achieve easier an

efficient, slim and attractive body.

The application of EMS has two directions. On the one handthe strengthening of muscles, on the other hand a relaxing

effect.

To the first cluster belong:

Muscle training to boost endurance performance and / or

Muscle training to shape desired body proportions

To the second cluster belong:

Relaxation of muscles to release muscular tension

Improvement of muscular fatigue

Speed up the regeneration of muscles after high muscular

performance (e.g. after marathon)

So that you can make a personal training program to suit you,

the EM 40 and EM 80 have a freeze function.

" see Doctors Function.


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Current parameters

The Beurer Electrical muscle stimulation/neuromuscular stimulation

units operate using four different currents, as described in more

detail below:

A. Wave (pulse shape):

This describes the time course of a single pulse

taking into account the course of the pulseintensity over the time axis. Biphasic pulses are

used in the Beurer units (symmetrical). Unlike

monophasic current pulses, they offer the benefit

of a high degree of safety to the user and low muscle fatigue.

B. Pulse frequency:

The frequency gives the number of single

pulses per second, and is quoted in Hz

(Hertz).

The frequency determines which types of muscle fiber will react

preferred. Slow-reacting fibers react to low pulse frequencies of

up to 15 Hz, quick-reacting fibers on the other hand respond

from approx. 35 Hz upwards. At pulses of approx. 45-70 Hz, the

muscles are permanently tensed and become fatigued rapidly.

Higher pulse frequencies should therefore be preferred for rapid

and maximum power training.

C. Pulse duration:

This gives the duration of a single pulse in micro-seconds. Hence pulse duration determines

amongst others the depth of penetration of the current.

In general, the following rule applies: larger muscle masses require

larger pulse durations.

D. Pulse intensity:

Adjusting the intensity is a very personal matter

and depends on the subjective experience of

each individual user. It should always be set below the pain

threshold. The adjustment depends on the treatment time, too.

In the Beurer products, the current parameters are always pre-set

to a sensible, proven level. However, you have the opportunity tomake individual adjustments in order to find the most agreeable

and promising level for you.

Before the use of the units it is always recommended to consult

a doctor to discuss the desired application.

I

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period time

biphasic pulseI

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pulse duration

monophasic pulseI

tpulse

intensity

Time


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Doctors Function

The Beurer EM 40 and EM 80 electrical muscle stimulation/

neuromuscular stimulation units offer one outstanding feature:

The Doctors Function. This is a special freeze function so that

you can call up your own specific program quickly and simply

at any time.

That is a locked program remains stored even after the unithas been switched off, and when it is turned on again this

program is called up to standby status and activated by simply

pressing the power button.

The setting of the individual program can e.g. happen after

advice of you doctor. So you gain easiest access to your per-

sonal treatment program.

Literature

Pothmann, R.: TENS Transkutane elektrische Nervenstimulation

in der Schmerztherapie, 3. Aufl. Hippokrates, Stuttgart 2003

Eriksson, M.B.E., Sjlund, B.H.: Transkutane Nerven-

stimulierung zur Schmerzlinderung, 3. Aufl., E. Fischer,

Heidelberg 1989Goepel, R.: Ist postoperative transkutane Nervenstimulation

sinnvoll? Eine klinische, randomisierte Doppel-Blind-Studie.

Schmerz-Pain-Douleur 7 (1986) 13-20

Gillert, Rulffs, Boegelein: Elektrotherapie, 3. Aufl. Pflaum Verlag,

Mnchen, 1995

Jenrich, W.: Grundlagen der Elektrotherapie, 1. Aufl., Urban &

Fischer, Mnchen, 2000


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EM 30

Abdominal Muscle Belt (EMS)

Easy to use

Flexible abdominal belt with velcro fastener

Flexible stomach belt for waist sizes from 28 to max. 52 in

(70 to max. 130 cm)

Flexible ergonomic shapeNonwearing contact electrodes made of conductive carbon

material

Electrodes with water contact (no contact gel, no

replacement)

LCD display with figurative symbols

5 training programs (22 to 31 min)Intensity adjustable from 0 up to 40

Countdown timer with remaining time

Training memory function for continuous training control

Safety switch-off/ pause function/ automatic switch-off/ key

lock

Removable control elementBelt hand washable

Battery changing indicator

The device must not be used by users of cardiac

pacemakers, epileptics, pregnant woman, people with

cardiac arrhythmias

Output voltage 70V p-p (500 Ohm load)Output current: 140 mA p-p (500 Ohm load)

Output frequency: 3080Hz

Pulse duration: 200s per phase

Waveform: symmetrical, dual-phase square wave

Batteries included


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EM 40

Transcutaneous electrical nerve stimulation

(TENS)

Electronic muscle stimulation (EMS)

Massage

Medicine- and side effect-free pain-relief

due to TENSVarious muscle stimulation (warm up,

defining, tightening and easing of the

musculature)

Increase of general well-being

2 separately adjustable channels with

4 self-adhesive electrodes

30 pre-programmed applications (TENS/

EMS/Massage)

20 programs individually adjustable (TENS/EMS)

Doctors-Function: ensuring ideal coordination with your

personal therapy program

Treatment time (between 5-90 minutes) adjustable, add timewill be shown

Back light illuminated, easy readable display

Ergonomic design, with belt clip

Safety switch-off

Output current: max. 180 mA p-p (500 Ohm load)

Output frequency: 1-120 HzPulse width: 40-250 s per pulse

Pulse form: dual-phase square pulses

With detailed instruction manual (application possibilities

included)

Batteries included (3 x AAA)

Convenient storage pouch included4 self adhesive electrodes included

Medical product


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EM 80

Transcutaneous electrical

nerve stimulation (TENS)

Electronic muscle sti-

mulation (EMS)

Massage

Medicine- and sideeffect-free pain-relief

due to TENS

Various muscle sti-

mulation (warm up, defining,

tightening and easing of the musculature)

Increase of general well-being

4 separately adjustable channels with 8 self-adhesive

electrodes

30 pre-programmed applications (TENS/EMS/Massage)

20 free programmable programs (frequency, pulse

width, on time, off time)

Doctors-Function: ensuring ideal coordination with your

personal therapy program

Treatment time (between 5-90 minutes) adjustable, add time

will be shown

Back light illuminated, easy readable display

Ergonomic design

Safety switch-off

Output current: max. 180 mA p-p (500 Ohm load)

Output frequency: 1-120 Hz

Pulse width: 40-250 s per pulse

Pulse form: dual-phase square pulses

With detailed instruction manual (application possibilities

included)

Batteries included (3 x AAA)

Convenient storage pouch included

8 self adhesive electrodes included

Medical product


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Beurer GmbH + Co. KG

Soeflinger Str. 218

D-89077 Ulm

Germany

Tel. +49-(0)731-39 89-0

www.beurer.com 756.1

28

-0107

N

o

responsibilityaccepted

for

errors

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