TensCare Perfect EMS User manual

INSTRUCTIONS FOR USE
READ CAREFULLY BEFORE USE

1 Introducon     1
2 HowTENSWorks    1
3How EMS Works 2
4 SideEects     7
5Contents 8
6 InstallaonofBaeries   8
7  BeltClip     10
8 TheProgrammes    11
9 ProgrammeSengs    12
10  ControlsandDisplay    19
11 Using the Manual Programme ‘M’ 26
12  ConnecngLeadWires   28
13 PosioningofElectrodePads  29
14  GeneralAdvice    39
15 Troubleshoong    40
16 Cleaning     41
17 Contraindicaons,Cauons&Warnings 42
18  AccessoriesandSpares   47
19  Guarantee     47
20  WEEE      48
21 TechnicalSpecicaon   49
22  EMCPrecauons    51
CONTENTS
Secon Page No.

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1.INTRODUCTION
Device Descripon & Principles of Design
ThePerfectEMSisadualchannelTENS&EMSunit
withdigitalcontrolsforeasyuse.Achoiceofsixpre-set
programmesandfourmanuallyadjustableprogrammes
areavailable.Theoperaonofthecontrolsisdescribedin
detailinSecons8to11.
TheTensCarePerfectEMSisadualchannelTENS&EMS
unit.
It has:
 •Twoindependentstrengthcontrolsforusewith
 2padsor4
 •90mAoutputover1KOhmload
 •Pre-setmodesincludingWarmUp,Endurance,
 PowerandBulk
 •ManualTENSprogramsgivingrangeof1-120Hz
 instepsof1;50-250uSinstepsof50
 •ManualEMSprogramsgivingrangeof1-80Hz
 instepsof1;50-350uSinstepsof10
 •Programmerofupto90minutes
 •ProgramRetenonandUsageMemory

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2.HOW“TENS”WORKS
TENSstandsforTranscutaneousElectricalNerve
Smulaon.
TENSblocksnervesignalsandsmulatestherelease
ofendorphins-yourbody’sownnaturaldefences
againstpain.TENSissafe,drug-freeandhasbeenused
successfullybythousandsofpainsuerers.
TENS sends gentle smulaon through the skin which
works in TWO ways:
Pain Gate
TENS smulates the sensory
 nerves, which carry touch
and temperature signals.
These nerves go to the same
 connecons in the spine as
the nerves carrying pain. A
strong sensory signal will
blockthepainsignaltravelling
up the spine to the brain.
This is known as closing the
“Pain Gate” and takes eect
quite quickly aer the unit
is switched on. You can use
TENS several mes a day,
for as long as you need to.

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Endorphin Release
At low frequency sengs, and
slightly stronger outputs, TENS
drives the motor nerves to
produce a small, repeve
musclecontracon.Thisisseen
bythebrainasexerciseandthis
promotesthereleaseofendorphins–yourbody’sown
naturalpainkiller.Thereliefbuildsupandnormallytakes
about40minutestoreachamaximumlevelwhichcan
lastforhoursaerthemachineisswitchedo.
ByusingTENSyoucanexpecttoachieveasignicant
reduconinpain,ifnotcompleterelieffrompain.
 •TENSiseecveforpainfromaverywiderange
 ofcauses.
 •Itdoesn’tappeartoproviderelieffrominternal
 painotherthanperiodpain.
 •Youcanuselowfrequency(<10Hz)programmes
 onacupuncturepoints,toachievesimilareects
 toacupuncture.
 •Withneurogenicpain(causedbyinamed
 nerves)suchasshinglesandneuralgia,TENS
 mayiniallyincreasethepain.Werecommend
 thatyouonlyuseTENSforthesecondions
 undermedicalsupervision.

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• YoucansafelyuseTENSaslongasitgivesyou
painrelief.Theeectmaywearoaerafew
hours(thisiscalled“accommodaon”).Ifthis
happens,takeabreakofanhourorsobefore
tryingagain.TheEndorphinReleasesengs
shouldnotbeusedformorethanabout40
minutes.Likeanyexercise,sengsthatcause
musclemovementmaycauseachingmusclesif
usedtoolong.
3. HOW‘EMS’WORKS
EMSstandsforElectricalMuscleSmulaonand
hassuccessfullybeenusedinmedicalrehabilitaon
andtrainingincompevesports.EMSproduces
intensiveandeecvemuscularcontracon,generang
extraordinarytrainingeectsandrapidlyenhancing
performance.
Inrehabilitaon,EMSisawell-establishedmethodfor
treatmentofabroadeldofmusculoskeletaldiagnoses.
Electricalsmulaonofanintactperipheralnervous
systemmaycreatemotorresponsesinpaentswith
impairedorlostabilityforvoluntarymuscleacvity.
EMS is commonly used for:
NeuromuscularFacilitaon,MuscleRe-educaon,Muscle
Training,Prevenon/SlowingofAtrophy/Hypotrophy,
PrevenngPostoperaveMuscleWeakness,Reducon
ofSpascity,MaintainingorIncreasingRangeofMoon,

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TrainingofParalPeripheralNerveDamagewithSigns
ofReinnervaon,TreatmentofScoliosis,Inconnence
Treatment.
EMSisacomplementtootherphysicaltherapyand
shouldalwaysbecombinedwithacvemobility,strength,
coordinaonandfunconaltraining.
Intraining,thetechnologyforelectrotherapyisused
forallkindsofmuscularexercise-warm-up,strength,
speed,power,resistance,endurance,recoveryandalso
forrehabilitaon.EMSiswellknownandworksasan
excellentcomplementtoregulartraining.
Advantages of EMS
UseofEMSmayleadtofasterprogressinthepaent’s
treatmentprogram.Themethodissimpleand
appropriatefortreatmentintheclinicalsengaswellas
forself-treatmentathome.
Successfulathletesallovertheworldhavediscoveredthe
advantagesofelectricalmusclesmulaon,suchasan
increaseofthelocalcirculaonandthesizeofthemuscle
bres.EMSalsohelpstoraisetheintakeofoxygen
aswellasimprovingthemetabolicexchangeandthe
consumponofenergyoftheuser.

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How EMS Works
Muscularacvityisproducedbythecentraland
peripheralnervoussystemstransmingelectricalsmuli
tothemusclesofourbody.EMSusesexternalelectrical
impulsesthatworkthroughtheskintosmulatethe
nervessupplyingaspecicmusclegroup.
Themusclereactsindierentwaysdependingonthe
strengthofcurrent,duraonandfrequencyofthe
electricalimpulse.
Musclesaremadeupoftwodierenttypesofbre:
1.Redbreisslowercontracngandaerobicworking.
2.Whitebreisfasteracngandcapableofanaerobic
working.
Theproporonsofredandwhitebresdependonthe
waythemuscleisused.
Fibrecanbeconvertedfromonetypetotheother,
dependingonthesignalsitreceives.Thisisknownasthe
Trophiceect.
Dierentfrequencieshavedierenteects;low
frequencies(1-10Hz)coupledwithlongimpulsemes,
forexample,haveapurifyingandrelaxingeectthrough
individualcontracons,wherebythecirculaoninthe
treatedmuscleissimultaneouslyimprovedandremoval
ofmetabolicendproductsissupported(lymphac
drainage).Theoxygensupplytothemuscleisimproved.

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Incontrast,bymeansofarapidsuccessionof
contracons(brillaon),mediumfrequencies(20-50
Hz)canputahighlevelofstrainonthemuscle,thus
promongthemuscularstructure.
Thepadsarenormallyplacednearthemusclemotor
nerveandtheunittransmitsasmulusthroughtheskin,
withachoiceofspecictherapeucpaerns.Thecorrect
posioningofthepadsisimportant(pleaseseepages
33-38).
4. SIDEEFFECTS
TherearenoknownsideeectstoTENSuseandlong-
termTENSuseisnotharmful.IfyouareusingTENS
forlongperiodsofme,ensureyouallowtheskin
underneaththepadstobreathebymovingthepads
everysooen.
IfyouareusingEMSforlongperiodsofme,allow
adequaterestmebetweensessionstoallowyour
musclesmetorelax.Ifyouexperiencemuscleaching,
simplyreducethestrengthofthemachineorallowyour
musclestorestunltheachingdisappears.

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5. CONTENTS
Thispackcontains:
• PerfectEMSPainReliefUnit
• Packof4,50x50mm,
Self-AdhesiveElectrodePads(E-CM5050)
• BeltClip
• 2xAA1.5V(TypeLR6)AlkalineBaeries
• 2xLeadWire(L-CPT)
• InstruconManual
• Storage Pouch
6. INSTALLATIONOFBATTERIES
i) Removebeltclipby
sliding down

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ii) Removebaerycoverby
pullingontag
iii) Insertbaeries
Ensurethatthebaeriesareinsertedtherightway
asshowninbaerycompartmentandthatthe
ribbon is behind them
iv) Replacebaerycoverandbeltclip.
LOW BATTERY
Whenthebaeriesarerunninglow,alow
baeryindicatorwillshowonthescreen
anditisimportanttochangethebaeriesas
soonaspossible.
RECHARGEABLE BATTERIES
Theunitwillworkwithrechargeablebaeries,but
thedisplaymayappeardimandoutputmaybe
reduced.

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STORAGE
RemovebaeriesfromyourPerfectEMSiftheunitis
unlikelytobeusedforalongperiod.Some types of
baery may leak corrosive uid.
Alwaysdisposeofbaeriessafely.
7. BELTCLIP
AbeltclipisprovidedtoallowyoutoaachthePerfect
EMStoyourclothing.Slidetheclipalongthebackofthe
unitunlitlocksinposion.
Youcanalsohangtheunitfromyourneckusingtheholes
oneachshoulderoftheunit.Forsafety,usethreador
woolthatwillsnapeasilyiftheunitsnagsonsomething.
Battery Warnings:
Keep batteries out of reach of small children.
If battery leakage occurs and comes in contact
with skin or eyes, wash thoroughly with water and
consult your GP.
Do not attempt to recharge alkaline batteries.
Do not pierce, expose to temperature of >600C, or
leave near sources of heat
Do not connect the device unless the battery
cover is in place

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8. THEPROGRAMMES
ThePerfectEMShassixdierent,speciallydeveloped
EMSprogrammes(A-F),twomanualEMSprogrammes
(G-H)andtwomanualTENSprogrammes(S-T).
ThereisnooneTENSsengforaparcularcondion
andthebestchoicevariesfromonepersontoanother,
eveniftheyhavethesametypeofpain.
Eachuserneedstoselectboththeprogrammeandthe
posioningofthepadsthatisbestforthem.Youmay
needtotryafewposions/programmesbeforending
theonethatsuitsyou.
Thefollowinggridsummarisestheprogrammesavailable:
USAGE
TENScanbeusedforaslongasisnecessary.Connuous
treatmentisnebutelectrodepadsshouldbe
reposionedregularly(atleastevery12hours)toallow

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theskintobeexposedtotheair.
EndorphinReleaseworksbeerwhenthestrengthishigh
enoughtocausesmallmusclecontracons.Bestresults
areachievedatbetween20and40minutes.Longeruse
maycausemuscleache.
IfyouareusingEMSforlongperiodsofme,allow
adequaterestmebetweensessionstoallowyour
musclesmetorelax.Ifyouexperiencemuscleaching,
simplyreducethestrengthofthemachineorallowyour
musclestorestunltheachingdisappears.
9. PROGRAMMESETTINGS
TheeectofElectricalSmulaononthebodydepends
onthefollowingcurrentsengs:
Pulse Waveform
Thisdescribesthemefunconoftheexcitaon
currentwhichmaybeeithermonophasicorbiphasic.
Withmonophasicpulsetrains,thecurrentowsinone
direcon.Withbiphasicpulses,theexcitaoncurrent
alternatesitsdirecon(thecurrentowsbackandforth).

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ThePerfectEMSusesonlybiphasicpulsetrainsasthey
reducestrainonthemuscle,leadingtolessmuscle
fagueaswellassaferapplicaonandalsoreducethe
riskofskinirritaonundertheelectrodepads.
Pulse Frequency
Frequencyindicatesthenumberofindividualpulsesper
secondandisindicatedinHz(Hertz=pulsespersecond).
Itcanbecalculatedbyworkingouttheinversevalueof
theperiodicme.
Dierenttypesofmusclebresreactpreferenallyto
dierentfrequencies.
Slow-responsebrestendtoreacttolowerpulse
frequenciesupto15Hz,whilefast-responsebresonly
respondtofrequenciesoverapproximately35Hz.
Withpulsesofapproximately45~70Hz,thereis
permanenttensioninthemuscle(tetany)combinedwith
prematuremusclefague.Higherpulsefrequenciescan
thereforepreferablybeusedforelascityandmaximum
strengthtraining.
Thinkofweightliing:ahigherpulsefrequency
correspondstohigherweights.

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For TENS:
Afrequencyof110Hzisgoodatblockingpainsignals.
Alowfrequencyof4or10Hzallowsforthereleaseof
endorphins,thebody’snaturalpainreliefmechanism.
Pulse Width
Pulsewidthisusedtoindicatetheduraonofan
individualpulseinmicroseconds(millionthsofasecond).
Pulsewidthalsodeterminesthepenetraondepthof
thecurrent.Ingeneral,agreatermusclemassrequires
agreaterpulsewidth.AhigherPulseWidthisalsomore
likelytoacvatepainnerves,sothereisanebalance
betweenmaximummusclesmulaonandtolerable
sensaon.
EMS:50μSforsmallmusclesliketheface,upto350μSfor
largemuscles.
TENS:50to250μS.Thepainreliefeectdoesnotseem
tobeverydependentonPulseWidth,sothechoice
dependsmainlyoncomfort.Generallyasengof200μS
iseecve.

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Pulse Strength
Sengthestrengthisdependentoneachindividualuser
andisdeterminedbyanumberofparameterssuchas
applicaonsite,skincirculaon,skinthicknessaswellas
qualityofelectrodecontact.Theactualsengshould
beeecvebutshouldneverproduceanyunpleasant
sensaonsuchaspainatthesiteofapplicaon.
InTENSprogrammes,youshouldalwaysbeawareofa
strongnglingsensaon,butanysengwhichleadsto
painmustbeavoided.
Withprolongedapplicaon,youmayneedtoincrease
strengthasnervesgetusedtothesmulaonand
becomelesssensive(knownasaccommodaon).
InEMSprogrammes,theobjectistoproducepowerful
musclecontracons.Thestrengthofthecurrentshould
beincreasedtoaboutthreemesthelevelatwhichyou
canrstfeelthengling,ortoashighasyoucanstand
withoutcausingpain.
Youwillprobablyfeelthatelectricalcontraconismore
powerfulthanavoluntarycontracon,becausethe
currentalsosmulatesyoursensorynerves.Thesignals
haveapain-relievingeect.Youmayndthesensaon
uncomfortabletostartwith,sothatyoumaynotget
uptotherapeucstrengthatthestartoftreatment.

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Thestrengthcanbeincreasedduringthecourseofthe
treatment,asyoubecomeaccustomedtothesensaon.
Voluntarymuscularacvityismoreeecvethan
smulaonanditmayimproveprogressifyoucombine
voluntarycontraconwithsmulaon.Thepowerful
musclecontraconscausedbyelectricalsmulaongive
risetotrainingaches,whichusuallydisappearwithina
week.Aertreatmentnglingsensaonsmayconnue
oryourskinmayfeelnumb,thisisnormal.
WORKisthemeinsecondsthatmuscleissmulated
(notincludingRampme).ThePerfectEMSoersarange
ofworkperiodsfrom1-40seconds.
RESTisthemeinsecondsatzerostrengthinbetween
smulaon(i.e.whenthemuscleisatrest).
ThePerfectEMSoersarangeofrestperiodsfrom1-40
seconds.TheEMSprogrammesuseanAcveRest–low
frequencypulseshelptoclearmetabolitesinbetween
Workperiods.
Work/Rest Rao. Ifyouareworkingmusclesyouneed
toallowarestperiodtoallowmetabolitestoclear.At
sengsabove20Hz,youshouldallowatleasttwiceas
longaRestastheWorkme.
Thinkingofweightliingagain:withhigherpulse
frequency(largeweight)useahighStrength,shortWork
me,andlongRestmetosimulateasmallnumberof
repeons.

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RAMP isthemeinsecondstakentomoveupanddown
betweenzeroandthesetsmulaonstrength(i.e.the
metakentomovebetweentheWorksmulaonand
theRestperiod).ThePerfectEMSoersRampperiods
from0–5seconds.
Constant and Burst Modes
TheTENSprogrammesoerachoiceofmodes.
Constant modeiswhenthesensaonisconnuous
versus Burstmodewhenthesensaoncomesinbursts
(onando).BurstgivesacombinaonofPainGateand
EndorphinReleasebutthesqueezingfeelingmaynotbe
ascomfortable.
9.2MANUALTENSPROGRAMMES(S-T)
InTENSManualprogrammes(S-T)youcanselectand
changethefollowingparametersusingthe‘T’mer
buon:
Parameter to Change Display Symbol Flashes
FREQUENCY    Hz
PULSEWIDTH   μS
CONSTANT/BURST   C/B
TreatmentTimer(minutes)  min