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User and applications manual
User and applications
manual
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Tabl
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I. WARNINGS1. Counter-indications 42. Safety measures 4
II. PRESENTATION1. Reception of equipment and accessories 72. Presentation of the device 73. Guarantee 84. Maintenance 85. Storage conditions 86. Use conditions 87. Elimination 88. Standards 99. Patent 910. Normalised symbols 911. Technical information 9
III. DIRECTIONS FOR USE AND INSTRUCTIONS1. Inserting and replacing the batteries 102. Connections 103. Preliminary settings: language, light intensity and sound volume 114. Selecting your motivation 115. Selecting a programme 126. Personalising a programme 127. During the stimulation session 138. Electricity consumption 149. Problems and solutions 15
IV. HOW DOES IT WORK?1. Motor nerve stimulation (EMS) 162. Stimulation of the sensitive nerves 16
V. USE PRINCIPLES1. Placement of electrodes 172. Stimulation positions 183. Setting the stimulation energy level 184. Progression in the levels 18
VI. PROGRAMMES AND SPECIFIC APPLICATIONS1. Your motivation: Aesthetic 202. Your motivation: Health 233. Your motivation: Sport 26
VII. TABLE WITH PLACEMENTS OF ELECTRODES AND STIMULATION POSITIONS 302
TABLE OF CONTENTFOREWORD
Before using the device, Compex recommends that you read this manual carefully. In particular, we recommend that you read chapter I (“Warnings”) and chapter VI(“Programmes and specific applications”).
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For help…
…or answers to your questions, please do not hesitate to contact the follow-ing Compex subsidiaries:
BENELUXCompex19, av. du Pré de ChallesF – 74940 Annecy-le-VieuxFax: +33 (0) 4 50 09 25 70
Belgique/BelgïeHotline: 0800 99104(numéro gratuit/gratis nummer)E-mail: [email protected]
NederlandHotline: 0800 022 2593 (Gratis nummer)E-mail: [email protected]
Luxembourg/LuxemburgHotline: +33 450 10 24 63E-mail: [email protected]
ESPAÑAMediCompex Ibérica, S.L.Rambla Catalunya 2,1º DerechaE – 08007 BarcelonaHotline: 0900 801 280(número gratuito)Fax: +34 93 342 42 33E-mail: [email protected]
SUISSE/SCHWEIZ/SVIZZERACompex Médical SAZ.I. “Larges Pièces A”Chemin du DéventCH – 1024 ÉcublensHotline/FR: 0848 11 13 12 (tarif interurbain)Hotline/DE: 0848 11 13 13 (Fernbereich)Fax: +41 (0)21 695 23 61E-mail: [email protected]
DEUTSCHLAND & ÖSTERREICHCompex Medical GmbH Rheingaustr. 94D – 65203 WiesbadenFax: +49 (0)611 690 7474
DeutschlandHotline: 01805 266 739 (€ 0.12)E-mail: [email protected]
ÖsterreichHotline: 0810 102 515 19 (Ortstarif)E-mail: [email protected]
FRANCECompex19, av. du Pré de ChallesF – 74940 Annecy-le-VieuxHotline: 0811 02 02 74 (prix appel local à partir d’un poste fixe)Fax: +33 (0) 4 50 09 25 70E-mail: [email protected]
ITALIACompex Italia SrlVia Simonetta, 25I – 28921 Verbania Intra (VB)Tel.: +39 0323 511 911Fax: +39 0323 511 959E-mail: [email protected]
EXPORT DEPARTMENTCompex19, av. du Pré de ChallesF – 74940 Annecy-le-VieuxTel.: +33 (0) 4 50 10 24 80Fax: +33 (0) 4 50 09 25 70E-mail: [email protected]
Compex Médical SASwitzerlandwww.compex.info
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s Compex in close proximity to anyother medical device, please consultits manufacturer or your doctor.■Do not disconnect the stimulatorelectrode cables during the sessionwithout first switching off the stimulator.■Never connect stimulation cables toan external electrical power supplybecause of risk of electrical shock.■Never use the Compex if it is dam-aged (case, cables, etc.) or if the bat-tery compartment is open. There is arisk of electrical discharge.■Keep the Compex and its acces-sories out of the reach of children.■Do not allow any foreign items(soil, water, metal, etc.) to enter intothe Compex and the battery compartment.■Sudden temperature variations cancreate droplets in the device due tocondensation. Use the device onlyonce it reached ambient temperature.■Do not use the Compex while driv-ing or operating machinery.■Do not use the stimulator in themountains at an altitude higher than3.000 metres.
Where you should never applyelectrodes…■To the head.■Counter-laterally: Do not use thetwo poles of the same channel (oneelectrode connected to thepositive/red pole and one electrodeconnected to the negative/blackpole) on either side of the body cen-treline (eg: right arm and left arm).■To or in the vicinity of skin lesionsof any kind (wounds, inflammations,burns, irritations, eczema, etc.).
Precautions when using the electrodes■Only use the electrodes suppliedby Compex. Other electrodes may
have electrical properties that areunsuitable for the Compex stimulator.■Do not remove or move the elec-trodes during a stimulation sessionwithout first switching off the instrument.■Do not plunge the electrodes intowater.■Do not apply a solvent of anykind to the electrodes.■Before applying the electrodes, itis recommended to wash and de-grease the skin, and then dry it.■Apply the whole surface of theelectrodes to the skin.■For very important reasons of hy-giene, each user must have his ownelectrode set. Do not use the sameelectrodes on different people.■Do not use a set of electrodes formore than fifteen sessions, as thequality of the contact between theelectrode and the skin, which is important for the comfort and effectiveness of stimulation, pro-gressively degrades.■ In certain people with very sensi-tive skin, redness may be observedunder the electrodes after a stimula-tion session. Generally, this rednessis completely harmless and disap-pears after 10 to 20 minutes. How-ever, avoid starting a stimulationsession on the same area until theredness is no longer evident.
Precautions when using the batteries■Do not open the battery compart-ment without first switching off thestimulator.■Use only alkaline batteries 1.5 V,size AA, LR6. Never use batterieswith other characteristics.■All the four batteries must be replaced at the same time.
I. WARNINGS
1. Counter-indications
Important counter-indications■Cardiac stimulator (pacemaker)■Epilepsy■Pregnancy (no positioning in theabdominal area)■Serious arterial circulatory prob-lems in the lower limbs■Abdominal or inguinal hernia
Precautions when using theCompex■After trauma or a recent operation(less than 6 months)■Muscular atrophy■Persistent pains■Need for muscular rehabilitation
In all of the above cases, you are advised to:■never use the Compex for pro-longed periods without medical advice;■ consult your doctor if you are inany doubt whatsoever;■ read this manual carefully, in par-ticular chapter VI, which provides in-formation concerning the effects andindications of each stimulation pro-gramme.
Osteosynthesis equipmentThe presence of osteosynthesis equipment(metallic equipment in contact with thebone: pins, screws, plates, prostheses, etc.)is not a contra-indication for the use ofCompex programmes. The electrical cur-rent of the Compex is specially designed tohave no harmful effect with regard to os-teosynthesis equipment.
2. Safety measures
What you should not do withthe Compex■Do not use the Compex in water orin a humid atmosphere (sauna, hy-drotherapy, etc.).■Never carry out an initial stimula-tion session on a person who isstanding. The first five minutes ofstimulation must always be per-formed on a person who is sitting orlying down. In rare instances, veryhighly strung people may have avagal reaction. This is of psychologi-cal origin and is connected with afear of the muscle stimulation as wellas surprise at seeing one of theirmuscles contract without having in-tentionally contracted it themselves.This vagal reaction produces a feel-ing of weakness with a fainting ten-dency, slowing down of the heartrateand a reduction in arterial bloodpressure. If this does occur, all that isrequired is to stop the stimulationand lie down with the legs raised for the time it takes for the feeling of weakness to disappear (5 to10 minutes).■Never allow movement resultingfrom muscular contraction during astimulation session. You should al-ways stimulate isometrically; thismeans that the extremities of the limbin which a muscle is being stimulatedmust be firmly fixed, so as to preventthe movement that results from contraction.■Do not use the device at less than1.5 metres from a short-wave device,a micro-wave device or high fre-quency (H.F.) surgical equipment toavoid the risk of causing skin irrita-tions or burns under the electrodes. Ifyou are in any doubt about using the
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2. Presentation of the device
A – The stimulator
B – 4 batteries
C – One set of electrode cables (blue, green,yellow, red)
D – 2 bags containing the electrodes1 bag with 4 small electrodes (5 x 5 cm)1 bag with 2 large electrodes (5 x 10 cm)
E – A user and applications manual
F – A poster with the pictures for the place-ments of electrodes and the stimulation positions
H
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I
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II. PRESENTATION
1. Reception of equipment and accessories
Your stimulator is supplied with:
G – “On/Off” switch
H – “i” button
I – Sockets for the 4 electrode cables
J – Electrode cableschannel 1 = blue channel 2 = greenchannel 3 = yellow channel 4 = red
K – “+”/“–” keys of the 4 stimulation channels
L – Battery compartment
M – Belt clip socket
L
M
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s ■Batteries must be positioned ac-cording to the diagram inside the bat-tery compartment.■Do not allow any foreign items(object, water, sand, dust, etc.) toenter into the battery compartment.■Always close the battery compart-ment before switching off the device.■Remove immediately the batteries ifthe Compex “bleeps” continuously,
in case of abnormal heating or smell,or if smoke comes from the device.■Never leave the batteries insideyour device if you do not intend touse it for a long period of time. Bat-teries may leak and damage yourunit. If the batteries show signs of aleak, avoid contact with skin, eyesand clothing. In case of contact, washsurface with water and contact yourdoctor.
A
C
F
E
D
B
ance parameters. The characteristicsare systematically verified and vali-dated for each device manufactured.These characteristics are stable anddo not vary when used under normalconditions.If your device seems to not functionas expected, regardless of the situa-tion, contact an official Compex serv-ice centre for assistance.Medical and health professionalsmust refer to local legislation for in-formation related to maintenance.Normally, these laws require verifica-tion of certain criteria at regular intervals.
5. Storage conditions
The storage conditions must not ex-ceed the following figures:Storage temperature: from -20°C to 45°C
Max. relative humidity: 75%
Atmospheric pressure: from 700 hPa to 1060 hPa
Never leave the batteries inside yourdevice if you do not intend to use itfor a long period of time.
6. Use conditions
Temperature of use: from 0°C to 40°C
Max. relative humidity: from 30% to 75%
Atmospheric pressure: from 700 hPa to 1060 hPa
Do not use in an explosion risk area.
7. Elimination
For environmental protection the de-vice, the batteries and its accessorieshave to be eliminated with specialwaste.
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n The Compex is a class II deviceunit with its own internal electric
power, with type BF applied sections.The “On/Off” switch is a multi-function key:
Functions Symbol N° (according to CEI 878)
On/Off (2 positions, stable) 01-03
Waiting or preparationfor part of the unit 01-06
Stop (switching off) 01-10
11. Technical information
General pointsPower supply: 4 alkaline batteries1.5 V, size AA, LR6Case: PlasticDimensions: Length: 137 mm; width:94 mm; height: 33 mmWeight: 320 g
NeurostimulationAll electrical specifications are givenfor a charge between 500 and 1000ohms per channel.Channels: Four independent and individually ad-justable channels electrically insulated from eachother and from ground
Impulse shape: Constant rectangular currentcompensated to eliminate any direct currentcomponent to avoid any residual skin polarisation
Maximum current of an impulse: 80 milliamperes
Intensity increase interval:– Manual stimulation intensity adjustment: 0-389 (energy units)– Minimum interval: 0.5 mA
Impulse duration: from 50 to 350 microseconds
Maximum quantity of electricity per impulse: 56microcoulombs (2 x 28 µC compensated)
Typical rise time for an impulse: 3 microseconds(between 20% and 80% of maximum current)
Impulse frequency: from 1 to 150 Hertz
Batteries must be disposed of in ac-cordance with your country’s na-tional laws governing the disposal ofsuch items.
Batteries must never be disposed of ina fire. There is a risk of explosion.
8. Standards
The Compex is based directly onmedical technology.To guarantee your safety, the design,manufacturing and distribution ofCompex are in conformity with therequirements of the European Direc-tive 93/42/CEE.The device is in conformity with thestandard for general safety rules forelectromedical devices IEC 60601-1,the standard for electromagneticcompatibility IEC 60601-1-2 and thestandard for special safety rules fornerve and muscle stimulators IEC60601-2-10.Current international standards (IEC60601-2-10 AM1 2001) require that awarning be given concerning the ap-plication of electrodes to the thorax(increased risk of cardiac fibrillation).
9. Patent
Case: Patent pending
10. Normalised symbols
IMPORTANT: Under someconditions, the effective figure
for the stimulation pulses can exceed10 mA and 10 V. The informationgiven in this handbook must bestrictly observed.
3. Guarantee
The Compex stimulators are contrac-tually covered with a guarantee of 2(two) years. Register on our web site:www.compex.info.The Compex guarantee comes intoeffect on the date of purchase of thedevice.The Compex guarantee applies to thestimulator (goods and work) anddoes not cover cables and electrodes.It covers all the defects resulting froma problem of quality of the materialor from a defective manufacture. Theguarantee does not apply if the de-vice was damaged further to a shock,an accident, a false operation, an in-sufficient protection against the hu-midity, a dumping or a repair notmade by our after-sales services.
The guarantee is valid only on pres-entation of proof of purchase.
Legal rights are not affected by thisguarantee.
4. Maintenance
To clean your unit, use a soft dusterand an alcohol-based cleaning prod-uct, which does not contain any sol-vents. In fact, solvents could damagethe plastic parts, especially the panelcovering the screen of your Compex.The user must not attempt any repairsto the device or any of its accessories.Never dismantle the Compex contain-ing high-voltage parts because of riskof electrical discharge.Compex Médical SA declines all re-sponsibility for damages and conse-quences resulting from any attempt toopen, modify or repair the device orany of its components by a person ora service centre not officially ap-proved by Compex Médical SA.Compex stimulators do not requirecalibration or verification of perform-
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3b To set the contrast of the display, press the“+”/“–” key of channel 2 (“+” to increase the pre-ferred percentage and “–” to reduce it).
3c To set the sound volume, press the “+”/“–” ofchannel 3 (“+” to increase the preferred percent-age and “–” to reduce it).
3d To confirm the parameters selected, pressthe “On/Off” switch. Your stimulator saves youroptions. It is now ready for use with the settingsyou selected.
4. Selecting your motivation
To switch on your stimulator, brieflypress the “On/Off” switch on the leftof the Compex. A musical signal canbe heard and a screen showing thedifferent motivations is displayed.Before choosing a programme, youshould select the desired motivation.
4a 4b4a4c
Fig.4
4a To select the desired motivation, press the“+”/“–” key of channel 1 (to go to the left) or chan-nel 3 (to go to the right), until the desired motiva-tion is displayed in a frame.
4b To confirm your choice and to move on to theprogramme selection screen (see the next sec-tion: “Selecting a programme”), press the “+”/“–”key of channel 4.
4c Press the “On/Off” key to switch off the stimulator.
2. Connections
2a Sockets for the four electrode cables
2b Battery compartment
2c Socket for the after-sales service
The electrical impulses generated bythe Compex are transmitted to the
nerves by self-adhesive electrodes.The choice of the size, the connection andthe correct positioning of the electrodes areessential factors for ensuring effective andcomfortable stimulation. So they requireparticular care.To do all this – and for information on therecommended stimulation positions – referto the pictures and pictograms on theposter, and to the “Table with placementsof electrodes and stimulation positions” inchapter VII. The specific applications con-tained in chapter VI also provide usefulrelevant information.
1. Inserting and replacingthe batteries
Before opening the battery compart-ment, you are strongly advised to takecareful note of the counter-indica-
tions and safety measures detailed at thebeginning of this manual (chapter I:“Warnings”).
Before using the unit for the first timeand to make it work, you must insertthe four batteries delivered with yourdevice into the battery compartmenton the back of your device.
III. DIRECTIONS FOR USE ANDINSTRUCTIONS
Before using the unit for the first time, you are strongly advised to take careful note ofthe counter-indications and safety measures detailed at the beginning of this manual(chapter I: “Warnings”), as this powerful equipment is neither a toy nor a gadget!
Use only alkaline batteries 1.5 V, sizeAA, LR6. Never use batteries with
other characteristics
1a To insert the batteries into your device, re-move the battery cover.
1b Insert the batteries according to the dia-gram inside the compartment and close the bat-tery cover again.
Fig.2 – Base of device
2a 2a2c
2b
2a 2a
1a
1b
Fig.1
Connecting the electrodes and cablesThe electrode cables are connected tothe stimulator through sockets on thebase of the device.Four cables can be connected simul-taneously to the four channels of thedevice.For easier use and better identifica-tion of the four channels, we adviseyou to follow the colour of the elec-trode cables and the stimulator sockets:blue = channel 1 yellow = channel 3green = channel 2 red = channel 4
3. Preliminary settings:language, light intensity and sound volume
Before using the unit for the firsttime, you should select the workinglanguage of the device which is dis-played on the options screen. Pro-ceed as per the instructions describedbelow.Afterwards, for the greatest comfort,Compex offers you a number of set-ting options (operating language se-lection, display contrast setting andsound volume setting).To do this, display the options screenby pressing the “On/Off” switch onthe left of the Compex and hold itdown for a few seconds.
3a 3b 3c3d
Fig.3
3a To select the language of your choice, pressthe “+”/“–” key of channel 1 (to go up or down),until the desired language is displayed in whitecharacters on a black background.
Setting stimulation energyWhen the programme starts, the Com-pex prompts you to increase the stim-ulation energy, a key factor for theeffectiveness of the stimulation.
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7e By pressing the “On/Off” key, you can returnto the previous screen.
Programme progressionStimulation does really start whenthe stimulation energy has been in-creased. The screens that are dis-played during stimulation allow youto observe the progression of the ses-sion. These screens may differ fromone programme to another. The ex-amples reproduced below are suffi-cient for you to understand thegeneral rules.
7a The Compex “bleeps” and the symbols of thefour channels flash, changing from “+” to “000”:the four channels are at 0 energy. You must in-crease the stimulation energy so that the stimula-tion can start. To do this, press the “+” of the keysof the relevant channels, until the desired settingis reached.If you want to increase the energy level of all fourchannels simultaneously, press the “i” button, lo-cated below the “On/Off” key. You can also increasethe energy level of three first channels, by press-ing the “i” button twice, or the energy level of twofirst channels only, by pressing three times thisbutton.Once you activate the “i” button, the associatedchannels are highlighted in white on a black background.
7b Remaining time in minutes and seconds.
7c The animated rising convection symbol repre-sented the warming-up sequence.
7d Session progression scale. For details on howit works, see the following section (“Programmeprogression”).
7a
8a8d
8e8b
8f
9a 9d
9b
9f
8c
9c
7b
7c
7e
7d
9e
Fig.8
Fig.9
Fig.7
channel 3 (to go up or down), until the desiredlevel of work is displayed.
6d Total programme time in minutes.
6e By pressing the “On/Off” key, you can returnto the previous screen.
6f To confirm your selection and start the pro-gramme, press the “+”/“–” key of channel 4.
7. During the stimulation session
8a-9a Remaining time (in minutes and sec-onds) before the end of the programme.
Level 1 Level 2 Level 3
6c Certain programmes allow you to adjust thelevel of work. To do this, press the “+”/“–” key of
5. Selecting a programme
6a 6b 6c 6f
6d
6e
Fig.6
vbAbdomen and Lower back
fButtocks
cThighs
jLegs and Feet
mForearms and Hands
eShoulders and Arms
tdThorax and Back
5c After selecting the desired programme,press the “+”/“–” key of channel 4 which, depend-ing on the programme selected, displays thesymbol or .a) = the stimulation session starts imme-diately;b) = a parameter setting screen displays.
STARTOK START
OK
To choose a programme, it is particu-larly useful to consult chapter VI ofthis manual (“Programmes and spe-cific applications”).Regardless of the motivation you se-lected in the previous step, a list con-taining a select number ofprogrammes appears on the screen.
5a To select the desired programme, press the“+”/“–” key of channel 1 (to go up or down), untilthe desired programme is displayed in whitecharacters on a black background.
5b Press the “On/Off” key to return to the previ-ous screen.
5a 5c
5b
Fig.5
6. Personalising a programme
The programme personalisationscreen is not available for all
programmes!
6a Certain programmes require manual selec-tion of the muscular group that you want to stim-ulate and a figurine is displayed above channel 1.To select your desired group, press the “+”/“–”key of channel 1 (to go up or down). The sevenmuscular groups are displayed in succession inblack on the figurine:
Current international standards re-quire that a warning be given con-cerning the application of electrodes
to the thorax (increased risk of cardiacfibrillation).
6b The warming-up sequence suggested forsome programmes is active by default (an ani-mated rising convection symbol above theheater). If you prefer to skip this sequence, pressthe “+”/“–” key of channel 2.
Warming-up No warming-up
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Device faultA fault may happen during use. Thefollowing screen is displayed:
If this message appears, switch offthe device and remove the batteries.Please contact the hotline, noting thiserror code.If, for any reason, you experienceany other trouble with your device,please contact the hotline mentionedand approved by Compex MédicalSA.
Before using your stimulator for thefirst time, insert the four batteries intothe battery compartment (see section1: “Inserting and replacing the batteries”).The symbol of a small battery indi-cates the charge level of the batteries.12a The small battery is empty and it is ani-mated: batteries are flat. You must replace them(see section 1: “Inserting and replacing the batteries).
12b The symbol normally displayedabove the “+”/“–” key of channel 4 has disap-
START
Electrode fault
13a
14a
Fig.13
Fig.14
Fig.15
9. Problems and solutions
12a
12b
Fig.12
peared ( ): The batteries are completelyflat. It is no longer possible to use the device.Change the batteries immediately (see section 1:“Inserting and replacing the batteries”).
13a-14a The Compex “bleeps” andalternatively displays the symbol of a couple ofelectrodes and an arrow pointing to the channelwhere a problem has been detected. Above, thestimulator has detected an electrode fault onchannel 2. This message may mean that:1) there is no electrode connected to this channel;2) the electrodes are old, worn out and/or thecontact is poor: try using new electrodes;3) the electrode cable is defective: try it usinganother channel. If cable shows a default again,please replace.
8b-9b A small animated symbol indicating themotivation to which the programme belongs.
8c-9c Session progression scale:The progression scale is composed of three dis-tinct parts: the programme consists of threestimulation sequences, i.e., warming up (lighthatching /left), the actual work (black area/cen-tre) and relaxation at the end of the programme(heavier hatching/right).The progression scale can be also entirelyhatched: the programme then consists of a sin-gle stimulation sequence.The small cursor located just below the scalemoves horizontally and indicates precisely thestate of progression of the programme (here:start of the first sequence, i.e., the work sequence).
8d-9d Contraction and active rest time bar:This bar is displayed at the right of the progres-sion scale, but only during the work sequence. Itindicates the duration of the contraction and ac-tive rest times.8d The cursor is located under the black (left)part of the bar: you are in a muscular contrac-tion phase.9d The cursor is located under the hatched(right) part of the bar: you are in an active restphase.
The stimulation energy during theactive rest phase is automatically set
at 50% of the stimulation energy duringthe muscular contraction.
8e-9e Bar charts:8e The muscular contraction phase is repre-sented by the bar charts of the stimulationchannels used (which become black during thecontraction phase).9e The active rest phase is represented by thebar charts of the stimulation channels used(which become hatched during the active restphase).
8f-9f You can interrupt the programme mo-mentarily ( = “PAUSE”) by pressing the“On/Off” key. If you wish to restart the session,simply press the “+”/“–” key of channel 4.
After an interruption, stimulationrestarts at 80% of the stimulation
energy set before the .STOP
STOP
11a
11b
Fig.11
11a At the end of the session, you hear a musi-cal signal and a small flag is displayed.
11b It is then only necessary to switch off thestimulator by pressing the “On/Off” key ( ).
8. Electricity consumption
Use only alkaline batteries 1.5 V, size AA, LR6.Never leave the batteries inside your
device if you do not intend to use it for along period of time. Batteries may leakand damage your unit. If the batteriesshow signs of a leak, avoid contact withskin, eyes and clothing. In case of contact,wash surface with water and contact yourdoctor.
The Compex runs on four alkalinebatteries 1.5 V. Their working life de-pends on the programmes and stimu-lation energy used.
OFF
Adjusting stimulation energy
10a During the session, the Compex “bleeps”and some symbols start to flash above the activechannels (over the energy indications): the Com-pex is prompting you to increase the stimulationenergy level. If you cannot support an increase ofthe energy, just ignore this message.
End of programme
10a
Fig.10
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1. Placement of electrodes
It is recommended that you complywith the suggested placements. To do
this, refer to the pictures and pictogramsshown on the poster and to the “Table withplacements of electrodes and stimulationpositions” in chapter VII.
A stimulation cable consists of twopoles:– a positive pole (+) = red connection
– a negative pole (–) = black connection
A different electrode must be con-nected to each of the two poles.Note: It is possible and normal tohave an electrode arrangement that
tive fibres creates an increase in theproduction of endorphins and, there-fore, a reduction of pain.
leads one electrode connection freefrom a cable.Depending on the characteristics ofthe current used for each programme,the electrode connected to the posi-tive pole (red connection) is more ef-fective when placed in a “strategic”position.For all muscle electrostimulation pro-grammes, i.e., programmes involvingmuscle contractions, it is important toplace the positive polarity electrodeon the muscle motor point.The choice of electrode size (large orsmall) and the correct positioning ofthe electrodes on the muscular groupto be stimulated are determinant andessential factors for the effectiveness
Benefits of electrostimulation
With pain programmes, electrostimu-lation can be used to treat localizedsharp or chronic pains as well asmuscular pains.
Electrostimulation is a very effective way to makeyour muscles work:
■ with significant improvement of different mus-cular qualities,■ without cardio-vascular or mental fatigue,■ with limited stress on the joints and tendons.
Electrostimulation thus allows a greater quantityof work by the muscles compared with voluntaryactivity.To be effective, this work must involve the great-est possible number of muscular fibres. Thenumber of fibres working depends on the stimu-
V. USE PRINCIPLESThe use principles presented in this section should be considered generalrules. For all programmes, it is recommended that you read carefully the infor-mation and advice on use presented in chapter VI of this manual (“Pro-grammes and specific applications”).
lation energy. It will therefore be necessary touse the maximum tolerable energy. The usercontrols this aspect of stimulation. The higherthe stimulation energy, the greater the numberof muscular fibres that are working and, there-fore, the more significant the progressachieved.To maximize your results, Compex recommendsthat you complement your electrostimulationsessions with other efforts, like:
■ regular exercise,■ proper and healthy nutrition,■ balanced lifestyle.
Do not use the pain programmes for along period without medical advice.
IV. HOW DOES IT WORK?
The principle of electrostimulation isto stimulate nerve fibres by means ofelectrical impulses transmitted byelectrodes.The electrical impulses generated byCompex stimulators are high-qualityimpulses – ensuring safety, comfortand efficiency – that stimulate differ-ent types of nerve fibres:– the motor nerves to stimulate a muscular re-sponse. The quantity of work and the benefits ob-tained depend on the stimulation parameters.This is known as electromuscularstimulation(EMS).
– certain types of sensitive nerve fibres to obtainanalgesic or pain-relieving effects.
1. Motor nerve stimulation(EMS)
In voluntary activity, the order formuscular work comes from the brain,which sends a command to the nervefibres in the form of an electrical sig-nal. This signal is then transmitted tothe muscular fibres, which contract.The principle of electrostimulationaccurately reproduces the processobserved during a voluntary contrac-tion. The stimulator sends an electri-cal current impulse to the nervefibres, exciting them. This excitationis then transmitted to the muscular fi-bres causing a basic mechanical re-sponse (= muscular twitch). Thelatter constitutes the basic require-ment for muscular contraction.This muscular response is completelyidentical to muscular work controlledby the brain. In other words, themuscle cannot distinguish whetherthe command comes from the brainor from the stimulator.The parameters of the Compex pro-grammes (number of impulses per
second, contraction time, rest time,total programme time) subject themuscles to different types of work,according to muscular fibres. In fact,different types of muscular fibresmay be distinguished according totheir respective contraction speed:slow, intermediate and fast fibres.The fast fibres will obviously pre-dominate in a sprinter, while amarathon runner will have more slow fibres. With a good knowledge of humanphysiology and a perfect mastery ofthe stimulation parameters of the var-ious programmes, the muscular workcan be directed very precisely to-wards the desired goal (muscular re-inforcement, increased blood flow,firming up, etc.).
2. Stimulation of the sensitive nerves
The electrical impulses can also ex-cite the sensitive nerve fibres to ob-tain an analgesic or pain-relievingeffect.The stimulation of the tactile sensitivenerve fibres blocks the transmissionof pain by the nervous system. Thestimulation of another type of sensi-
Use
pri
ncip
les
Electricalimpulse
Motornerve
Stimulatedmuscle
Basic mechanical response = muscular twitch
Excitation Excitation transmission
Use
pri
ncip
les
19
Pro
gram
mes
and
spe
cific
app
licat
ions
18
VI. PROGRAMMES AND SPECIFICAPPLICATIONSThe applications that follow are given by way of example. They provide a bet-ter understanding of how electrostimulation sessions can be combined withvoluntary activity.
You can of course choose a musculargroup different from the one indi-cated, depending on the activitiesyou practice or the body area youwish to stimulate.The specific applications provide youinformation on the placement ofelectrodes and the stimulation posi-tion to adopt. This information is rep-resented by numbers (placement ofelectrodes) and letters (stimulationposition). They refer to the “Tablewith placements of electrodes and
stimulation positions” in chapter VIIand to the poster with the picturesfor the placements of electrodes andthe pictograms for the body posi-tions. The table also indicates thestimulation energy to use, accordingto the programme.You must select in the device themuscular group indicated on the fig-urine. When no figurine appears (-),it is not necessary to choose the muscular group: the selection is automatic.
www.compex.infoYou will find additional applications on our Internet site (www.compex.info).
These protocols will help you to determine the best procedure to follow depending on your needs (choice of the programme, muscular group, duration,
placement of the electrodes, body position).
of the stimulation. Therefore, alwaysuse the size of electrodes shown inthe pictures. Unless you have otherspecific medical instructions, alwaysfollow the placement directions in thepictures. If necessary, find the bestposition by slightly moving the posi-tive polarity electrode, so as to obtainthe best muscle contraction or the po-sition that seems most comfortable.
Compex Group disclaims all responsi-bility for electrodes positioned in anyother manner.
2. Stimulation positions
To determine the stimulation positionto adopt depending on the placement
of the electrodes and the chosen pro-gramme, refer to the pictures and pic-tograms on the poster and to the “Tablewith placements of electrodes and stimula-tion positions” in chapter VII.
The stimulation position depends onthe muscular group to be stimulatedand the programme chosen.For the programmes involving power-ful muscular contractions, the muscleshould always be stimulated in an iso-metric fashion. Consequently, youshould fix the extremity of the stimu-lated limb(s) firmly. In this way, youprovide maximum resistance to themovement and prevent any shorten-ing of the muscle during the contrac-tion, which could create cramp painsand serious stiffness after the session.For example, when stimulating thequadriceps, the user should be in aseated position with the ankles fixedwith straps to prevent extension ofthe knees.For the other types of programmes(for example, the Health programmesand the Active recovery programme),
which do not involve powerful mus-cular contractions, position yourselfas comfortably as possible.
3. Setting the stimulationenergy level
In a stimulated muscle, the numberof recruited fibres depends on thestimulation energy. For the pro-grammes involving powerful muscu-lar contractions, it is thereforeabsolutely necessary to use maximumstimulation energy, always at the limitof what you can support, so as to in-volve the greatest possible number offibres.The “Table with placements of elec-trodes and stimulation positions” inchapter VII provides information onthe energy to use, depending on theselected programme.
4. Progression in the levels
In general, it is not advisable to gothrough the different levels quicklywith the intention of reaching level 3as fast as possible. In fact, the differ-ent levels correspond to progresswith electrostimulation.The simplest and most usual proce-dure is to start with level 1 and raisethe level when changing to a newstimulation cycle.At the end of a cycle, you may eitherstart a new cycle at the next level upor do some maintenance at the rateof 1 session a week at the last levelreached.
21
Pro
gram
mes
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cific
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licat
ions
20
Pro
gram
mes
and
spe
cific
app
licat
ions You want to firm your thighs and sculpt
your bodyThe Toning, Firming and Shaping pro-grammes impose perfectly adaptedand progressive work on the mus-cles. This very intensive muscular ac-tivity (hundreds of seconds ofsustained contractions) first tones andfirms your muscles, then redefinestheir contours to sculpt your body.In this example, the person wants towork on her thighs. It is of coursepossible to stimulate other muscles aswell. Also, the same stimulation rou-tine can be applied to several muscu-lar groups during the same cycle.Cycle duration: 12 weeks
Weeks 1-4: 4 x Toning 8G c/week
Weeks 5-8: 4 x Firming 8G c/week
Weeks 9-12: 4 x Shaping 8G c/week
At the end of a cycle, you may either start a newcycle at the next level up or do some mainte-nance at the rate of 1 session Shaping a week atthe last level reached
You want to firm your arms and improvethe elasticity of the skinThe Toning, Firming and Shaping pro-grammes are intended for peoplewho have just lost weight or peoplewhose skin has lost its tone and elas-tic qualities over the years. The greatefficacy of these programmes allowsthe restoration of strong muscles, afirm body and a shapely figure. Thecombination with the Elasticity pro-gramme increases the oxygen flow inthe skin, intensifies cellular ex-changes and activates the elastic fi-bres so as to retighten the skin andrestore its elasticity.
In this example, the person wants towork on her arms. It is of course pos-sible to stimulate other muscles aswell. Also, the same stimulation rou-tine can be applied to several muscu-lar groups during the same cycle.Cycle duration: 12 weeks
Weeks 1-4: 3 x Toning 19D, 20D or 21De/week
Weeks 5-8: 3 x Firming 19D, 20D or 21De/week; 3 x Elasticity 19D, 20D or 21De/ week
Weeks 9-12: 3 x Shaping 19D, 20D or21D e/week; 3 x Elasticity 19D, 20D or21D e/week
At the end of a cycle, you may either start a newcycle at the next level up or do some mainte-nance at the rate of 1 session Shaping and1 session Elasticity a week at the last levelreached
You want to improve the circulation andfluid exchange in your legsPoor circulation in the veins fre-quently causes a build-up of lym-phatic fluid and blood in the legs.The deep, massage-like sensationscreated by the Lymphatic drainageprogramme is very effective for acti-vating the lymphatic circulation andeliminating excess fluid and toxins,resulting in improved skin quality.Cycle duration: 8 weeks, 3 x/week
Programme: Lymphatic drainage 25◊ j
ToningThe use of this programme will helpyou to tone up your muscles and pre-pare them before the more intensivework of firming. You will quickly re-cover a tonic, firm and well shapedbody.
FirmingThis programme is very useful if youwant to increase firmness and restorethe elastic quality of the supportingtissues. It also compensates for insuf-ficient muscular activity by specifi-cally putting to work some flabbyareas.
ShapingThis programme is your partner ifyou want to define and shape yourbody, when your muscles are alreadyfirm. Your figure will visibly take ona new shape.
ElasticityThis programme increases circulationand cellular exchange to improve theelastic quality of the skin. It may beused as a complement to the Toning,Firming and Shaping programmes.
Lymphatic drainageThe deep, massage-like sensationsproduced by this programme activatecirculation and fluid exchange. Ex-cess water and accumulated toxinsare eliminated allowing the skin toregenerate under purified conditions.
AbsCombining the beneficial effects ofthe Firming and Shaping programmesadapted to the specificities of themuscles of the abdominal belt, thisprogramme will enable you to reduceyour waist line, while improving themuscular support of the abdominalwall.
ButtocksThis programme subjects the but-tocks muscles to the most appropri-ate work for improving your figure.Its hyper-tensor effect is the ideal so-lution for restoring or improving thetone of the buttocks region.
1. Your motivation: AestheticYou are concerned about your appearance, and you want to have a firm bodyand a harmonious figure. However, an inadequately balanced diet and notenough activity, regardless of why, does not seem to allow you to obtain thelook you desire.The targeted effects of the Aesthetic programmes will help you in your effortsto preserve a healthy life style and to benefit from the positive effects of in-tense muscular activity: toned muscles, a well-shaped figure and a sculptedbody. Used regularly, these programmes will help you to recover or maintainyour figure.
Programmes
Specific applications
22
Pro
gram
mes
and
spe
cific
app
licat
ions
23
Pro
gram
mes
and
spe
cific
app
licat
ions
Pain management TENSAll painful phenomena and, in partic-ular, pains due to sports-relatedpathological conditions, can be effec-tively attenuated using this pro-gramme that blocks the transmissionof pain by the nervous system.
Chronic painThanks to its analgesic action, thisprogramme provides rapid relief incase of chronic muscular pains (back,lower back pains, etc.). It reactivatesthe circulation, oxygenates andloosens up tense muscles.
DecontractureThis programme provides an excel-lent means for reducing sharp and lo-calized muscular tensions (eg:lumbago or stiff neck) and obtaininga relaxing and particularly pleasanteffect.
Heavy legsThis programme is intended to elimi-nate the sensation of weight and dis-comfort in the legs that is felt inparticular circumstances (followingprolonged standing positions, exces-
sively high ambient temperature, hor-monal imbalance related to the men-strual cycle, etc.). It quickly producesa sensation of lightness and supple-ness.
Cramp preventionBy restoring the balance of the bloodflow, this specific programme pre-vents the onset of cramps during thenight or after physical effort.
Relaxing massageThis programme is indicated for re-ducing unpleasant muscular tensionsand creating a relaxing sensation ofwell-being, in particular after a tiringday. It induces a state of very pleas-ant optimal relaxation.
2. Your motivation: HealthMinor localized pains and uncomfortable physical sensations are often the re-sult of unavoidable and repetitive daily situations: an incorrect posture sittingin front of a computer, prolonged standing, hours and hours spent in a car, atelephone regularly held between the shoulder and the cheek, etc. If stress andfatigue are added to all this, muscular tensions, back pains and other bloodflow problems frequently appear.The different stimulation principles of the Health programmes will cause yourpains and unpleasant sensations to disappear, improving your well-being andyour comfort in daily life.
Programmes
The use of Pain management TENS,Chronic pain and Decontracture
programmes should not be prolongedwithout medical advice.
You want to reduce your waist and toneup your abdominal beltThe Abs programme is especially ap-propriate for improving the qualitiesof support and firmness of the ab-dominal belt muscles. The variouswork routines, associated with thetonic massage performed during therest phases, guarantee beneficial re-sults on the waist line.Cycle duration: 3 weeks, 4 x/week
Programme: Abs 49I -At the end of a cycle, you may either start a newcycle at the next level up or do some mainte-nance at the rate of 1 session a week at the lastlevel reached
Your objective is to improve the firmnessand shape of your buttocksThe considerable amount of progres-sive and specific work of the but-tocks muscles produced by theButtocks programme effectively in-creases the firmness of these mus-cles. The shape of the buttocksimproves progressively, with benefi-cial effects on the whole figure.Cycle duration: 3 weeks, 4 x/week
Programme: Buttocks 9A,B,L -At the end of a cycle, you may either start a newcycle at the next level up or do some mainte-nance at the rate of 1 session a week at the lastlevel reached
25
Pro
gram
mes
and
spe
cific
app
licat
ions
24
Pro
gram
mes
and
spe
cific
app
licat
ions
You want to prevent cramps in the calf musclesMany people suffer from cramp inthe calf muscles, which can appearspontaneously during rest at night oras a result of prolonged muscular ef-fort. The phenomenon of cramp mayin part be caused by a disequilibriumof blood flow in the muscles.To improve the blood flow and pre-vent the onset of cramp, the Compexoffers a specific stimulation pro-gramme that will allow you to obtainpositive results.Cycle duration: 5 weeks, 1 x/day, at the end ofthe day or at night
Programme: Cramp prevention 25◊ j
You want to prevent uncomfortablemuscular tension in the back of the neckRemaining seated for long periods,associated with repetitive arm move-ments (as is frequently the case infront of a computer screen), oftenprovokes increased tension in theback of the neck muscles. Any othercondition of stress may also createsituations leading to a state of exces-sive muscular tension, which is oftenresponsible for painful or uncomfort-able sensations.The in-depth effects produced by theRelaxing massage programme easesuch painful sensations, with a partic-ularly relaxing effect.Cycle duration: To be used on the back of the neckmuscles, whenever an occasional sensation ofpainful muscular tension is felt; to be repeated, ifnecessary, in cases of particularly strong muscu-lar tension
Programme: Relaxing massage 15◊d
You have recent and acute muscle painsin the back of the neck or the lower backregion (stiff neck, lumbago)Due to a sudden or inappropriatemovement, an incorrect sleeping po-sition or cold weather, a sharp painmay be felt in the back of the neckor lower back area. This is musclestiffness, in which case it is recom-mended to consult a doctor.In order to relax the muscles andeliminate the pain, the Decontractureprogramme can be an effective solution.Cycle duration: 1 week, 2 x/day, with a 10minute break between the 2 sessions, thenadapt according to how the pain develops
Programme: Decontracture 15◊ d (stiff neck)or 33◊ b (lumbago)
You want to prevent the feeling ofheaviness and discomfort in the legsThe feeling of heaviness in the legs isdue to a temporary deficiency in thevenous return. The insufficient sup-ply of oxygen to the tissue, and inparticular the muscles, that resultsfrom this situation, causes the un-pleasant feeling in the legs.Use of the Heavy legs programme ac-celerates the return of blood to theveins and has an important relaxingeffect on the sore muscles.Cycle duration: To be used whenever an occa-sional feeling of heaviness in the legs occurs
Programme: Heavy legs 25J –
Specific applications
You have hand and wrist pains (eg: painsfollowing prolonged use of a computermouse)Remaining for a long time in certaininappropriate working positions andthe micro-traumas caused by therepetitive use of a computer mousecan lead to a wide range of painfulphenomena.Hand and wrist pains are the mostfrequent and can be treated very ef-fectively using the Pain managementTENS programme.Cycle duration: 1 week, min. 1 x/day, then adaptin relation to painful episodes
According to requirements, the Pain manage-ment TENS programme can be repeated severaltimes during the same day
Programme: Pain management TENS 39◊ -
You have muscular tensions in the back of the neck, middle of the back or lowerback regionPains in the back area or the back ofthe neck are due to a stiffness of themuscles, with accumulation of toxins.The pain can then become continu-ous or appear after only a few minutes spent working in an un-favourable position (for example,working in front of a computerscreen).These chronic pains can be treatedeffectively with the Chronic pain pro-gramme. In addition to its pain-reducing effect, it reactivates the cir-culation and relaxes the stiff muscles.Cycle duration: 4 week, 2 x/day, with a 10 minutebreak between the 2 sessions
Programme: Chronic pain 15◊d (back of theneck), 13◊d (middle of the back) or 12◊b(lower back region)
27
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gram
mes
and
spe
cific
app
licat
ions
26
Pro
gram
mes
and
spe
cific
app
licat
ions You want to start muscle training with
electrostimulationIf you are a sedentary person, a sud-den increase of muscular activityoften triggers off severe and very un-comfortable muscle sores. It fre-quently entails major disruptions ofthe normal movements associatedwith everyday life, for instance,climbing up and, above all, goingdown stairs.To avoid this kind of inconvenience,the Muscle starter programme con-trols very progressive work speciallysuited to the muscles of a beginnerwhich have never been stimulated bya Compex device.Cycle duration: 3 weeks, 2 x/week
Programme: Muscle starter 8G cAt the end of a cycle, you may either start a newcycle at the next level up or do some mainte-nance at the rate of 1 session a week at the lastlevel reached
You want to develop harmonious armmuscles with a moderate increase inmuscle volumeMost voluntary physical activities,such as jogging and cycling, requirethe arm muscles to do only limitedwork. That is why it is particularlyimportant to compensate this under-utilisation with electrostimulation sessions.The Muscle building programme allowsto impose a lot of specific work tothe muscles of the upper part of yourbody and thus ensures the harmo-nious development of your arms,with firm and well shaped muscles.Cycle duration: 5 weeks, 4 x/week
Eg for 1 week
Mon: 45’-1h of voluntary physical activity(jogging, swimming, cycling, fitness activity,etc.), then 1 x Muscle building 19D, 20Dor 21D eTue: Rest
Wed: 1 x Muscle building 19D, 20D or21D eThu: 45’-1h of voluntary physical activity (jog-ging, swimming, cycling, fitness activity, etc.)
Fri: 1 x Muscle building 19D, 20D or 21D eSat: Rest
Sun: 1 x Muscle building 19D, 20D or21D e
At the end of a cycle, you may either start a newcycle at the next level up or do some mainte-nance at the rate of 1 session a week at the lastlevel reached
Specific applications3. Your motivation: SportYou run, you swim, at times you roller-skate or simply, walk. Ultimately, youcan’t always do as much as you like or as promised. Regardless, with a mini-mum of motivation, you know you could do more to remain in the best shapeall year round.In this context, the Sport programmes put you more in control of reachingyour goals. They will help you to maintain your energy and vitality, so that youcan take full advantage of all your physical activities.
Programmes
Combined workoutBy subjecting your muscles to differ-ent working routines, this pro-gramme has been designed tomaintain your overall physical condi-tion or to reactivate your musclesafter a period of rest and before amore intense and targeted physical orsports activity.
Active recoveryThrough a strong increase of theblood flow and an accelerated elimi-nation of muscular contraction waste,this programme stimulates and acti-vates your muscular recovery. It has arelaxing and soothing effect after par-ticularly sustained muscular work orstrenuous physical activity.
Muscle starterIf you are not regularly active, thisprogramme will help you activateyour muscles and ease you back tosome physical activity. This is a greatprogramme to initiate your experi-ence with electrostimulation.
Muscle buildingThis programme will help you notonly to obtain firm and well shapedmuscles, but also to develop in a bal-anced manner your musculature ingeneral (strength, volume, tone). Ifyou have never used electrostimula-tion, we recommend you start withthe Muscle starter programme.
The following table will help you to determine which electrode placement andassociated stimulation position to adopt, depending on the chosen pro-gramme. It should be read together with the poster:
■ the numbers in the table refer to the electrode placement pictures on the poster;
■ the letters to the pictograms of the corresponding body positions.
The table also indicates the stimulation energy to use, according to the programme.
Example:
28
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29
Tabl
e w
ith p
lace
men
ts o
f el
ectr
odes
and
stim
ulat
ion
posi
tionsVII. TABLE WITH PLACEMENTS OF
ELECTRODES AND STIMULATION POSITIONS
Toning 8 G c
POSTER
G
8
You want to recover better and fasterafter an effortA session with the Active recovery programme, which accelerates thedrainage of toxins, will help you torelax your muscles and to restoreyour muscular balance faster, what-ever type of activity you practice.The programme is usually used be-tween 15 minutes and 3 hours after aphysical effort. If the result is insuffi-cient, the session can be repeated im-mediately a second time. It is alsopossible to repeat a session the fol-lowing day, if it is found that achesand/or spasms persist.An example of how to use this pro-gramme is suggested under the appli-cation “You want to use a variedmuscle training approach”.
You want to use a varied muscle training approachThrough these eight sequences thatautomatically follow each other, theCombined workout programme im-poses various kinds of stimulationduring the same session. It does notemphasise any particular kind ofmuscular performance, but ratherallow you to reach the right level inall kinds of muscular work (en-durance, resistance, strength).Cycle duration: 6 weeks, 2-3 x/week
Eg for 1 week
Mon: 1 x Combined workout 8G c, then1 x Active recovery 8◊cTue: Normal training
Wed: 1 x Combined workout 8G c, then1 x Active recovery 8◊cThu: Normal training
Fri: 1 x Combined workout 8G c, then1 x Active recovery 8◊c (optional)
Sat: Normal training or other outdoor physical activity
Sun: Rest
At the end of a cycle, you may either start a newcycle at the next level up or do some mainte-nance at the rate of 1 session a week at the lastlevel reached
31AEST
HETIC
To
ning
Firm
ing
Shap
ing
Elast
icity
Lym
phat
ic dr
ainag
e
Abs
Butto
cks
● ● ● ✱ ✱ ● ●
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
L L L ◊ ◊ - -
- - - - - - -
- - - - - - -
I I I ◊ ◊ - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
C C C ◊ ◊ - -
I I D ◊ ◊ - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - I -
Ener
gy
HEAL
THPa
in m
anag
emen
t TEN
SCo
ver t
he pa
inful
area
(eg.
: 26,
35,
36,
37,
38,
39)
; Com
forta
ble po
sition
Chro
nic pa
inPo
sitive
elec
trode
on th
e pain
ful p
oint (
eg.:
12, 1
3, 1
5); C
omfo
rtable
posit
ion
Deco
ntra
ctur
ePo
sitive
elec
trode
on th
e pain
ful p
oint (
eg.:
24) o
r sta
ndar
d plac
emen
t (01
-23)
; Com
forta
ble po
sition
Heav
y leg
s
Cram
p pre
vent
ion
Relax
ing m
assa
ge
✺ ✱ ✱ ✱ ✱ ✱
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- ◊ ◊
- ◊ ◊
- - -
- - -
- - -
- - -
- - -
Ener
gy
SPOR
TM
uscle
star
ter
Mus
cle bu
ilding
Com
bined
wor
kout
Activ
e rec
over
y
● ● ● ✱ ● ✱ ✺
- - - -
- - - ◊
- - - ◊
- - - -
- - - -
- - - ◊
- - - -
- - - -
- - - ◊
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
C C C ◊
I I I ◊
- - - -
- - - -
- - - -
- - - -
- - - -
Ener
gy
= M
axi
mum
tole
rable
energ
y= P
ronounce
d t
wit
ches
= T
ickl
ing s
ensa
tion
◊= C
om
fort
able
posi
tion
-= N
on a
pplic
able
Lett
ers
in t
he t
able
refe
r to
pic
togra
ms
for
the b
ody
posi
tions
in t
he p
ost
er
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
30
Tabl
e w
ith p
lace
men
ts o
f el
ectr
odes
and
stim
ulat
ion
posi
tions
SPOR
TM
uscle
star
ter
Mus
cle bu
ilding
Com
bined
wor
kout
Activ
e rec
over
y
AEST
HETIC
To
ning
Firm
ing
Shap
ing
Elast
icity
Lym
phat
ic dr
ainag
e
Abs
Butto
cks
● ● ● ✱ ✱ ● ●
◊ ◊ ◊ ◊ ◊ - -
A A A ◊ ◊ - -
A A A ◊ ◊ - -
A A A ◊ ◊ - -
IL IL IL ◊ ◊ - -
E E E ◊ ◊ - -
E E E ◊ ◊ - -
G G G ◊ ◊ - -
ABL
ABL
ABL ◊ ◊ - ABL
I I I ◊ ◊ - -
I I I ◊ ◊ - -
B B B ◊ ◊ - -
B B B ◊ ◊ - -
B B B ◊ ◊ - -
B B B ◊ ◊ - -
B B B ◊ ◊ - -
H H H ◊ ◊ - -
C C C ◊ ◊ - -
D D D ◊ ◊ - -
D D D ◊ ◊ - -
D D D ◊ ◊ - -
F F F ◊ ◊ - -
F F F ◊ ◊ - -
- - - - - - -
- - - - ◊ - -
Ener
gy
HEAL
THPa
in m
anag
emen
t TEN
SCo
ver t
he pa
inful
area
(eg.
: 26,
35,
36,
37,
38,
39)
; Com
forta
ble po
sition
Chro
nic pa
inPo
sitive
elec
trode
on th
e pain
ful p
oint (
eg.:
12, 1
3, 1
5); C
omfo
rtable
posit
ion
Deco
ntra
ctur
ePo
sitive
elec
trode
on th
e pain
ful p
oint (
eg.:
24) o
r sta
ndar
d plac
emen
t (01
-23)
; Com
forta
ble po
sition
Heav
y leg
s
Cram
p pre
vent
ion
Relax
ing m
assa
ge
✺ ✱ ✱ ✱ ✱ ✱
- ◊ ◊
- ◊ ◊
- ◊ ◊
- ◊ ◊
- ◊ ◊
- ◊ ◊
- ◊ ◊
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- - -
JL ◊ -
Ener
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● ● ● ✱
◊ ◊ ◊ ◊
A A A ◊
A A A ◊
A A A ◊
IL IL IL ◊
E E E ◊
E E E ◊
G G G ◊
ABL
ABL
ABL ◊
I I I ◊
I I I ◊
B B B ◊
B B B ◊
B B B ◊
B B B ◊
B B B ◊
H H H ◊
C C C ◊
D D D ◊
D D D ◊
D D D ◊
F F F ◊
F F F ◊
- - - -
- - - ◊
Ener
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© Compex Médical SA – All rights reserved – 03/04 – Art. 884862/V.1
