Enraf Nonius TensMed S84 User manual

PASSION FOR MOTION
Operating Manual
TensMed S84

Enraf-Nonius 1
TensMed S84
Operating Manual

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
[email protected]
www. enraf-nonius.com
Art. Number: 1427.781_40
January 2009

Enraf-Nonius 3
Contents
1FOREWORD ......................................................................................... 5
1.1 This Manual........................................................................................... 5
2PRODUCT LIABILITY .......................................................................... 5
3INSTALLATION .................................................................................... 6
4PRECAUTIONARY MEASURES ......................................................... 6
5INTENDED USE.................................................................................... 7
5.1 TENS for Pain Management ................................................................. 7
5.1.1 Indication/ Contraindications ......................................................... 7
5.2 NMES .................................................................................................... 8
5.3.1 Indication/Contraindications for NMES ......................................... 9
6OPERATION ....................................................................................... 10
6.1 Overview Control Buttons ................................................................... 10
6.2 Display Symbols.................................................................................. 11
6.3 Step-by-Step-Use................................................................................ 12
6.4 Single programming ............................................................................ 15
6.5 Sequential programming ..................................................................... 16
7PROGRAMS ....................................................................................... 19
7.1 Preset Programs – TENS.................................................................... 19
7.2 Preset Programs – NMES................................................................... 19
7.3 Custom Programs ............................................................................... 20
8ACCESSORIES .................................................................................. 20
9MAINTENANCE.................................................................................. 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 Training ...................................................................... 27
14.1.2 Indications ................................................................................... 28
14.1.3 Placement of electrodes.............................................................. 28
14.1.4 Stimulation................................................................................... 28
15 NMES PROGRAMS............................................................................ 29
15.1 REHAB ............................................................................................ 29
15.1.1 ATROPHY ................................................................................... 29
15.1.2 FORCE........................................................................................ 32
15.1.3 MOBILISATION 1 + 2.................................................................. 34
15.1.4 FACILITATION............................................................................ 37

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15.2 SPORT ............................................................................................ 37
15.2.1 MAXIMUM FORCE ..................................................................... 38
15.2.2 RESISTANCE FORCE................................................................ 40
15.2.3 RECOVERY ................................................................................ 42
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