TensCare Sports TENS 2 User manual

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INSTRUCTIONS FOR USE
READ CAREFULLY BEFORE USE

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QUICK START GUIDE
Connect the unit to the electrode pads
Place the electrode pads on the
area to be treated
Press and hold the ON/OFF button
to switch the device on
Select a programme by pressing
the button PROG
Regulate the output intensity for
each channel
PROG button
Channel 2
DOWN
Select a mode by pressing the
button MODE
1
2
3
4
5
6
Channel 2 UP
Channel 1
UP
Channel 1
DOWN
MODE button
ON/OFF button

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Dear Customer,
Thank you for choosing Sports TENS 2. TensCare stands for high-quality,
thoroughly tested products for the applications in the areas of gentle electrotherapy,
muscle toning, continence management and pain relief during labour.
Please read these instructions for use carefully and keep them for later use, be sure
to make them accessible to other users and observe the information they contain.
Best regards,
Your TensCare Team

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Contents
1. INTRODUCTION.......................................................................................................................... 5
2. INTENDED USE .......................................................................................................................... 5
3. SPORTS TENS 2 FEATURES..................................................................................................... 5
4. HOW ‘EMS’ WORKS.................................................................................................................... 6
5. HOW ‘TENS’ WORKS.................................................................................................................. 7
6. CONTRAINDICATIONS, WARNINGS & CAUTIONS ................................................................... 8
7. INFORMATION ABOUT THE PROGRAMME SETTINGS.......................................................... 10
8. TENS PROGRAMMES .............................................................................................................. 12
8.1. TENS PROGRAMMES SETTINGS.................................................................................. 12
8.2. PRESET PROGRAMMES................................................................................................ 12
8.3. MANUAL PROGRAMMES ............................................................................................... 13
8.4. PROGRAMME USAGE.................................................................................................... 13
9. EMS PROGRAMMES................................................................................................................ 14
9.1. EMS PROGRAMMES SETTINGS.................................................................................... 14
9.2. PRESET PROGRAMMES................................................................................................ 15
9.3. MANUAL PROGRAMMES ............................................................................................... 16
9.4. PROGRAMME USAGE.................................................................................................... 16
10. MASSAGE PROGRAMMES.................................................................................................. 18
10.1. MASSAGE PROGRAMMES SETTINGS.......................................................................... 18
10.2. PROGRAMME USAGE.................................................................................................... 20
11. MANUAL PROGRAMMES .................................................................................................... 20
12. ELECTRODE PADS.............................................................................................................. 21
12.1. TENS ELECTRODE PLACEMENT................................................................................... 21
12.2. EMS ELECTRODE PLACEMENT.................................................................................... 23
12.3. MASSAGE ELECTRODE PLACEMENT........................................................................... 27
12.4. PAD ADVICE.................................................................................................................... 27
13. CONTENT............................................................................................................................. 28
14. UNIT INFORMATION............................................................................................................ 29
14.1. CONTROLS & DISPLAY.................................................................................................. 29
14.2. OPERATING INSTRUCTIONS......................................................................................... 30
15. SETTING UP AND USING SPORTS TENS 2 ....................................................................... 32
15.1. CHARGING THE BATTERY............................................................................................. 32
15.2. INSTALLING THE BATTERY........................................................................................... 33
15.3. CONNECTING LEAD WIRES........................................................................................... 33
15.4. PREPARING FOR SESSION........................................................................................... 33
15.5. TRAINING SESSION ....................................................................................................... 34
15.6. AFTER YOUR TRAINING SESSION................................................................................ 34
16. CLEANING & STORAGE ...................................................................................................... 34
17. EMC...................................................................................................................................... 35
18. DISPOSAL OF WASTE ELECTRICAL AND ELECTRONIC PRODUCTS (WEEE)................ 35
19. ACCESSORIES.................................................................................................................... 35
20. WARRANTY.......................................................................................................................... 36
21. TROUBLESHOOTING .......................................................................................................... 37
22. GENERAL SPECIFICATION................................................................................................. 38

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SYMBOLS USED
Attention! Please follow the instructions in the user’s instructions for use.
TYPE BF EQUIPMENT: Equipment providing a degree of protection against electric shock,
with isolated applied part. Indicates that this device has conductive contact with the end
user.
This symbol on the unit means “Refer to instructions for use”.
Temperature Limitation: indicates the temperature limits to which the medical device can
be safely exposed.
Lot Number: indicates the manufacturer’s batch code so that the batch or lot can be
identified.
Humidity Limitation: indicates the humidity limits to which the medical device can be safely
exposed.
Serial Number: indicates the manufacturer’s serial number so that a specific medical
device can be identified.
Do not dispose in household waste.
Catalogue Number: indicates the manufacturer’s catalogue number so that the device can
be identified.
Atmospheric Pressure: indicates the atmospheric limits to which the medical device can
be safely exposed.
Date of Manufacture: indicates the date which the medical device was manufactured. This
is included within the serial number found on the device (usually in the battery
compartment), either as “E/Year/Number” (YY/123456) or “E/Month/Year/Number”
(MM/YY/123456).
This medical device is indicated for home use.
This medical device is not water resistant and should be protected from liquids.
The first number 2: Protected against access to hazardous parts with a finger, and the
jointed test finger of 12 mm ø, 80 mm length, shall have adequate clearance from
hazardous parts, and protected against solid foreign objects of 12.5 mm ø and greater.
The second number 2: Protected against vertically falling water drops when enclosure is
tilted up to 15˚. Vertically falling drops shall have no harmful effects when the enclosure is
tilted at any angle up to 15˚ on either side of the vertical.
LOT
S/N
REF
IP22

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1. INTRODUCTION
Device Description & Principles of
Design
The Sports TENS 2 combines the treatment
capabilities of a TENS device, an EMS or
NMES device, and a relaxing massage
stimulator in one unit.
It sends a small and gentle stimulation
(similar to your natural nerve
impulses) to the muscles being
treated via two or four auto-adhesive
electrode pads, in order to help you to
firm and tone your body.
Muscle wastage: neuromuscular facilitation,
muscle re-education, muscle training,
prevention/slowing of atrophy/hypotrophy and
reduction of spasticity. EMS can be used to
rehabilitate muscles after a stroke.
Sports training: warm up, strength, speed,
power, resistance, endurance and recovery.
Muscle relaxation: loosening up of muscular
tension, improving muscular fatigue symptoms
and accelerating muscle regeneration.
2. INTENDED USE
Sports TENS 2 is a medical device
designed to be used in the home
healthcare environment to improve
muscle tone and bulk, as well as
provide symptomatic relief and management of
acute or chronic localisedpain and musclepain.
It is suitable for use by all who can control the
device and understand the instructions.
Do not use the device for any purpose other
than this intended use.
Warning: Not suitable for use in
children without medical supervision.
3. SPORTS TENS 2
FEATURES
•Dual Channel
Two independent channels with four electrode
pads to treat two areas at the same time.
•Comfortable Stimulation
Gentle stimulation with fine tune adjustments in
settings. EMS programmes have 3 phases:
warm up, work and cool down and active rest
for lactate clearance.
•Choice of Preset Programmes
27 EMS programmes, 10 TENS programmes,
10 massage programmes including Circulation
Booster.
•8 Manual Programmes
TENS and EMS user defined programmes with
easily adjustable settings to suit personal
needs.
•Open Circuit Detection
Automatically resets the strength to zero if the
electrode pads are not correctly applied.
•Automatic Keypad Lock
Automatic keypad locking prevents any
accidental changes in settings.
•Detachable Belt Clip
Enables the user to clip the unit onto a belt.
•Memory
Features choice of sophisticated functions:
exact history of daily usage by programme and
by time and programme retention
(automatically starts in the last programme
used).

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•Large LCD Screen
Clearly shows the operation of the unit and the
parameters being used.
Note: The electrode pads need to be
applied directly to the skin before the
intensity increase buttons will
operate. If the Sports TENS 2 detects the unit
is not properly connected to you (for example if
the electrode pads or leads come loose) then
the unit switches the intensity to zero. This
safety feature prevents any unpleasant
changes in output.
4. HOW ‘EMS’ WORKS
E.M.S. stands for Electrical Muscle Stimulation
and has successfully been used in medical
rehabilitation and training in competitive sports.
EMS produces intensive and effective muscular
contraction.
EMS is a complement to other physical therapy
and should always be combined with active
mobility, strength, coordination and functional
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 rehabilitation.
EMS is well known and works as an excellent
complement to regular training.
Advantages of EMS
Use of EMS will help to tone and shape the
body by contracting the selected muscle group.
It is particularly convenient for areas that are
famous for losing their shape and hard to
exercise such as the upper arms and the face.
Successful athletes all over the world have
discovered the advantages of electrical muscle
stimulation, such as an increase of the local
circulation and the size of the muscle fibres.
How EMS Works
Muscular activity is produced by the central and
peripheral nervous systems transmitting
electrical stimuli to the muscles of our body.
EMS uses external electrical impulses that work
through the skin to stimulate the nerves
supplying a specific muscle group.
This current then passes into the nerve fibres
controlling that part of the muscle stimulating it
to contract. So, electrical stimulation (EMS)
artificially activates a muscle for you enabling to
exercise the muscles and, as with any kind of
exercise if performed regularly, build strength
and tone.
Different frequencies have different effects; low
frequencies (1-10 Hz) coupled with long
impulse times, for example, have a purifying
and relaxing effect through individual
contractions, whereby the circulation in the
treated muscle is simultaneously improved and
removal of metabolic end products issupported
(lymphatic drainage).
In contrast, by means of a rapid succession of
contractions (fibrillation), medium frequencies
(20-50 Hz) can put a high level of strain on the
muscle, thus promoting the muscular structure.
Relaxing applications includes the
following:
•Muscle relaxation in order to loosen up
muscular tension
•Improving muscular fatigue symptoms
•Acceleratingmuscle regeneration after high
muscular performance (e.g. after a
marathon).

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Through integrated massage technology, the
Sports TENS 2 Digital TENS/EMS also offers
the possibility of reducing muscular tension and
combating fatigue symptoms using a
programmebasedonmanualmassagein terms
of sensation and effect
5. HOW ‘TENS’ WORKS
T.E.N.S. stands for Transcutaneous Electrical
Nerve Stimulation. T.E.N.S. stimulates your
body’s own natural defences against pain,
namely the release of endorphins. TENS is
totally safe and has been used successfully by
thousands of pain sufferers.
TENS sends a gentle stimulation through
the skin which works in TWO ways:
Pain Gate
It stimulates the sensory
nerves, which carry
touch and temperature
signals. These nerves
go to the same
connections 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
effect quite quickly after the unit is switched on.
When the gate is open, pain messages get
through to the brain and we feel pain. When the
gate is closed, these pain messages are
blocked and we do not feel pain.
Evidence suggests that TENS produce pain
relief in a similar way to ‘rubbing the pain better’.
The pain gate can be closed by activation of
mechanoreceptors through ‘rubbing the skin’.
Scientifically, thepain gate works by the release
of a chemical in the synapse at spinal level that
inhibits transmission of pain signal.
Endorphin Release
At low frequency
settings, and slightly
stronger outputs, TENS
drives the motor nerves
to produce a small
repetitive muscle
contraction. 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 after the machine is switched off.
By using TENS, you can expect to achieve a
significant reduction in pain - if not complete
relief from pain.
•TENS is effective for pain from a very wide
range of causes.
•TENS machines can be used to help
reduce pain from problems in muscles,
joints and nerves.
•It can be also used for people with
musculoskeletal pain such as long-term
(chronic) back pain or knee joint arthritis.
They are also often used for pain relief in
the early stages of labour (see perfect
mamaTENS), particularly whilst a pregnant
woman remains at home.
•TENS may also be usedto treat many types
of pain, such as migraine headaches,
period pain and endometriosis (see Ova+),
cystitis, sports injuries, fibromyalgia and
neuralgia, plantar fasciitis, post-operative
pain, TMJ disorder, diabetic neuropathy,

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osteo-arthritis and sometimes non-painful
conditions such as travel sickness.
•You can use low frequency (<10 Hz)
programmes on acupuncture points, to
achieve similar effects to acupuncture.
•With neurogenic pain (caused by inflamed
nerves) such as shingles and neuralgia,
TENS may start by increasing the pain. We
recommend that you only use TENS for
these conditions under medical
supervision.
You can safely use TENS as long as it gives
you pain relief. The effect may wear off after a
few hours (this is called “accommodation”). If
this happens, take a break of an hour or so
before trying again. If you use settings that
cause muscle movement for more than 40
minutes, you may experience aching muscles a
few hours later.
6. CONTRAINDICATIONS,
WARNINGS & CAUTIONS
In this manual:
Warning is used when failure to
follow the instructions may result in
serious injury or death.
A Caution is used when failure to
follow the instructions may result in a
minor or moderate injury, or damage
to the device or other property.
Notes are used to provide
clarification or recommendation.
CONTRAINDICATIONS:
•Do NOT use if you have a pacemaker (or if
you have a heart rhythm problem) or with
any electronic medical devices. Using this
unit with electronic medical devices may
cause erroneous operation of the device.
Stimulation in the direct vicinity of an
implanted device may affect some models.
Stimulation on the front of the neck can
affect your heart rate. Very strong
stimulation across the chest may cause an
extra heartbeat.
•Do NOT use during the first three months
of pregnancy. It is not known whether TENS
and EMS may affect foetal development.
•Do NOT use on the abdomen in the later
stages of pregnancy. Stop using
immediately if you experience unexpected
contractions.
WARNINGS:
Do NOT use when driving, operating
machinery, or similar actions needing
muscular control. Loose electrode
pads, damaged leads, or sudden changes in
contact may cause brief involuntary muscle
movements.
Do NOT use to mask or relieve
undiagnosed pain. This may delay
diagnosis of a progressive condition.
Do NOT use if you have, in the area
being treated: active or suspected
cancer or undiagnosed pain with a
history of cancer. Stimulation directly through a
confirmed or suspected malignancy should be
avoided as it may stimulate growth and promote
spread of cancer cells.
CAUTIONS:
Caution should be used if youhave a
bleeding disorder as stimulation may
increase blood flow to the stimulated
region.

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Caution should be used if you have
suspected or diagnosed epilepsy as
electrical stimulation may affect
seizure threshold.
Caution should be observed when
using the device at the same time as
being connected to monitoring
equipment with body worn electrode pads. It
may interfere with the signals being monitored.
Caution should be used following
recent surgical procedures.
Stimulation may disrupt the healing
process.
Caution Simultaneous connection to
high frequency surgical equipment
may result in burns and damage to
the stimulator.
Caution Strong electromagnetic
fields (electro-surgery/ microwave
cookers/ mobile phones) may affect
the correct operation of this unit. If it appears to
behave unusually, move it away from these
devices.
Caution Do not permit use by
children unable to understand the
instructions or persons with cognitive
disabilities, i.e.; Alzheimer’s disease or
dementia.
Caution Keep away from children
under 5 years of age. Long cord - risk
of strangulation in infants.
Caution should be observed when
using the Sports TENS 2 at high
strength settings. Prolonged use at
high settings may cause muscle injury or tissue
inflammation. The Sports TENS 2 is capable of
delivering outputs in excess of 10 mA (RMS) or
10 V averaged over any period of 1 sec.
DO NOT PLACE ELECTRODE PADS:
•On skin, which does not have normal
sensation. If the skin is numb too great a
strength may be used, which could result in
skin inflammation.
•On broken skin. The electrode pads could
encourage infection.
•On the front of the neck. This could cause
the airway to close, giving
breathing problems. May cause sudden
drop in blood pressure (vasovagal
response).
•Over the eyes. May affect eyesightor cause
headaches.
•Across the front of the head. Effect on
patients who have had strokes or seizures
is not known. May affect your sense of
balance. The effects of stimulation on the
brain are unknown.
ELECTRODE PADS CAUTION:
Caution: Do not ignore any allergic
reaction to the electrode pads: If a
skin irritation develops, stop using the
device, as this type of electrodes may not
be suitable for you. Alternative electrode pads
specially made for sensitive skin are available
(see E-696-SS).
Caution: Do not use this device with
leads or electrode pads other than
those recommended by the
manufacturer. Performance may vary from
specification. Electrodes with smaller surface
area may cause tissue irritation.
Note: Electrode pads supplied have
no measurable latex content.

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TO KEEP YOUR DEVICE IN GOOD
WORKING ORDER, OBSERVE THE
FOLLOWING ADDITIONAL CAUTIONS:
Caution: Do not immerse your device
in water or place it close to excessive
heat such as a fireplace or radiant
heater or sources of high humidity such as a
nebulizer or kettle as this may cause it to cease
to operate correctly.
Caution: Keep the device away from
sunlight, as long-term exposure to
sunlight may affect the rubber
causing it to become less elastic and crack.
Caution: Keep the device away from
lint and dust, as long-term exposure
to lint or dust may affect the sockets
or cause the battery connector to develop a bad
contact.
Caution: Temperature & Relative
Humidity of storage: -25°C to +70°C,
up to 93% R.H. Temperature &
Relative Humidity of transportation: -25°C to
+70°C, up to 93% R.H.
Caution: Do not attempt to open or
modify the unit. This may affect the
safe operation of the unit and will
invalidate the warranty.
Note: There are no known side
effects to use and long-term use isnot
harmful. However, the device works
your muscles and unaccustomed amounts of
exercise may produce muscle ache. If this
happens, simply reduce the strength of the
machine or allow your muscles to rest until the
aching disappears.
7. INFORMATION ABOUT
THE PROGRAMME
SETTINGS
Each programme has its own combination of
Frequency and Pulse Width settings which
allow for different muscle groups to be
exercised and toned through the electrode
pads.
•Frequency (measured in Hz - pulses per
second)
For EMS programmes:
Low frequencies (1-10 Hz) have a purifying and
relaxing effect through individual contractions.
Medium frequencies (20-50 Hz) can put a high
level of strain on the muscle, thus promoting the
muscular structure.
Higher frequencies, there is permanent tension
in the muscle (tetany) combined with premature
muscle fatigue. They are therefore preferably
used for elasticity and maximum strength
training.
For TENS programmes:
Pain gate: A high frequency of 110 Hz is good
at blocking pain signals.
Endorphine release: A low frequency of 4 or 10
Hz allows for the release of endorphins, the
body’s natural morphine-like substances.
•Pulse Width (measured in μs - millionths
of a second)
The Sports TENS 2 unit has pulse widths of 20
to 350 μs. Generally speaking, the higher the
pulse width, the more "aggressive" the
stimulation feels, if the pulse width is set high
enough, it will usually elicit a muscle
contraction, which is required for an effective
toning of the muscle group selected.

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For the TENS programmes (pain relief), it is not
desired to elicit a muscle contraction, however
Pulse Rate is important because different
frequency settings target different nerve groups
and the setting will determine if the "Gate
Theory" or "Endorphin Theory" of TENS will be
used.
•Work/Rest
All the EMS programmes include a WARM UP,
TRAIN, and COOL DOWN phase.In the TRAIN
phase, the stimulation is intermittent.
Once you have reached a comfortable level, 5
seconds after you stop pressing the button, the
intermittent Work/Active Rest phase will start.
For each programme, the unit will go through a
stimulation phase (Work) for 1-40 seconds,
followed by a phase without stimulation (Active
Rest) for a similar time.
This is to allow your muscles to recover from
exercise and avoid fatigue.
During the Work period (W), the unit will
generate contractions, try to contract the
muscle voluntarily at the time to get the best
possible results.
This cycle Work/Rest will continue for the
duration of the programme selected.
Wand Rare displayed on the screen.
•Ramp
RAMP is the time in seconds taken to move up
and down between zero and the set stimulation
strength (i.e. the time taken to move between
the Work stimulation and the Rest period). The
Sports TENS 2 has a fixed ramp time of 1.5 s
up and 0.75 s down.
•Constant and Burst Modes
Constant mode is when the sensation is
continuous versus Burst mode when the
sensation, as its name implies, is one of on and
off. Constant mode is often used for acute pain
via Pain Gate effect whereas Burst mode is
useful in chronic pain relief. Burst gives a
combination of Pain Gate and Endorphin
Release, but the squeezing feeling may not be
as comfortable. The stimulation intensity will
need to be relatively high. In Constant mode,
the sensation is continuous and is more of a
tingling pins and needles type.
•Modulation Modes
Modulation is when either the frequency or
pulse width sweep across range of settings. In
modulation mode, the machine delivers a less
regular pattern of TENS stimulation in an
attempt to reduce or minimise the
accommodation effects of regular, patterned
stimulation. This is potentially most useful for
patients who use TENS for several hours a day,
if for no other reason than accommodation
occurs at a slower rate and therefore less
intensity adjustment may be required. See
programmes F and G.
•HAN Stimulation
Invented by Professor Han, it is an alternating
mode or shifting between high and low
frequencies; stimulation works at a high
frequency and a relatively low pulse width; and
a low frequency and a relatively high pulse
width. This is thought to produce a better
analgesic effect and could be used to relieve
both acute and chronic pain.
Note: The Sports TENS 2 uses only
biphasic pulse waveform, as it
reduces the strain on the muscle,
leading to less muscle fatigue as well as
safer application, and reduce the risk of
skin irritation under the electrode.

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8. TENS PROGRAMMES
8.1. TENS PROGRAMMES SETTINGS
*P=Pain Gate. Gives relief when being used.
Wears off after a few hours.
E= Endorphin Release. Builds up over 40 mins.
Lasts several hours after use.
There is not one programme for a particular
condition, 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 positioning of the electrode pads that is
best for them. You may need to try a few
positions/programmes before finding the one
that suits you.
The Sports TENS 2 has 10 preset pain relief
programmes and 2 manual pain relief
programmes.
8.2. PRESET PROGRAMMES
Programme 1 & 2:
P–Constant stimulation, the programme
generates a uniform smooth sensation. This is
the gentlest programme. It is advisable to use
for your first trial of TENS while you get used to
the feeling which offers tingling/pins and
needles sensation.
Programme 3:
E- Pulsing ortapping sensation associated with
muscle contractions. Uses the Endorphin
release mechanism. It is suitable to be used for
chronic pains such as back pain & arthritis, but
not for injured muscles where the contractions
may delay healing.
This low frequency is also known as
Acupuncture-Like TENS and can be used on
acupuncture points. One example of this is
Prog
Preset /
Manual
Frequency (Hz)
Pulse width
(μs)
Output
Prog time
(min)
P or E *
1
Preset
80
150
Constant
C
P
2
Preset
100
200
Constant
C
P
3
Preset
2
250
Constant
30
E
4
Preset
100 (in 2 Hz burst)
150
Burst
30
P+E
5
Preset
150 (in 2 Hz burst)
200
Burst
30
P+E
6
Preset
2/80
200/100
Han
30
P+E
7
Preset
2/100
200/150
Han
30
P+E
8
Preset
10/100
250
PFM
C
P+E
9
Preset
2/120
200/100
FM
C
P+E
10
Preset
100
75
DTENS
C
P
11
Manual
2-150
50-300
Constant
5-90/C
P or E
12
Manual
2-150
50-300
Burst 2Hz
5-90/C
P+E or E

13
application on acupuncture point C6 for
nausea, travel and morning sickness.
Programme 4 & 5:
P + E –This programme combines P andE, and
is thought to be the most effective for radiating
pain in arms and legs and deep muscular pain
(Osteoarthritic pain in the knee, Sciatica central
pain).
This programme uses high frequency in low
frequency bursts. Some people find the
changes in stimulation uncomfortable.
Programme 6 & 7:
P + E –Han stimulation. This programme
alternates between low and high frequency
every 3 seconds and gives 3 seconds of
tapping, followed by 3 seconds of tingling
sensation. The effective pain relief is provided
by a combination of P and E. Some people find
the changes in stimulation uncomfortable.
Programme 8:
P+E –PFM, Pulse Width and Frequency
Modulation. PW decreases as F increases. This
programme gives a pleasant slow relaxing
massage sensation. The continuous change
helps prevent accommodation occurring.
Programme 9:
P+E –FM, Frequency Modulation, this
programme constantly varies the sensation,
and is ideal for treating chronic pain over long
period (example 5+ hours). Neck, shoulder,
Elbow pain, Rheumatic pain, Lumbago, Hip
pain, Osteoarthritic pain in the knee.
Programme 10:
P- DTENS is asetting used by an Italianclinical
group. It originally meant Daily TENS, but is
now just shorthand for the settings they used in
their research.
Reduced pulse width is ideal for treating nerve
rich areas (tension type headache, facial pain,
neck pain, post herpetic neuralgia, migraine).
8.3. MANUAL PROGRAMMES
Programme 11:
Manual programme with constant stimulation.
You can select a frequency between 2 and 150
Hz, and a pulse width between 50 and 300 μs.
You can also select a programme duration
between 5 and 90 minutes or C, Continuous.
Programme 12:
Manual programme with burst stimulation. You
can select a frequency between 2 and 150 Hz,
and a pulse width between 50 and 300 μs. You
can also select a programme duration between
5 and 90 minutes or C, Continuous.
8.4. PROGRAMME USAGE
TENS can be used for as long as it is
necessary. Continuous treatment is fine, but the
electrode pads should be repositioned regularly
(at least every 12 hours) to allow the skin to be
exposed to the air.
The Endorphin Release programmes work
better when the strength is high enough to
cause small muscle contractions. Best results
are achieved with a session duration between
20 and 40 minutes. Longer use may cause
muscle ache.

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9. EMS PROGRAMMES
9.1. EMS PROGRAMMES SETTINGS
Prog
Preset/
Manual
Phase
Work
Active Rest
Prog
time
(min)
Frequen
cy (Hz)
Pulse width (μs)
Time
(s)
Amplitu-
de %
Freq
(Hz)
PW
(μs)
Time
(s)
Amp
%
I
II
III
1
Preset
Warm
6
200
280
340
300
100
5
Train
10
200
280
340
9
80
4
200
2
50
41
Cool
3
200
280
340
600
70
10
2
Preset
Warm
6
200
280
340
120
100
2
Train
22
200
280
340
7
80
4
200
11
70
18
Cool
3
200
280
340
180
70
3
3
Preset
Warm
6
200
280
340
120
100
2
Train
25
200
280
340
7
80
4
200
11
50
21
Cool
3
200
280
340
180
70
3
4
Preset
Warm
6
200
280
340
120
100
2
Train
40
200
280
340
7
80
4
200
11
50
18
Cool
3
200
280
340
180
70
3
5
Preset
Warm
6
200
280
340
120
100
2
Train
55
200
280
340
5
80
4
235
11
50
27
Cool
3
200
280
340
180
70
3
6
Preset
Warm
5
200
280
340
300
100
5
Train
60
200
280
340
4
80
5
200
10
50
41
Cool
3
200
280
340
600
70
10
7
Preset
Warm
5
200
280
340
300
100
5
Train
65
200
280
340
4
80
4
200
11
25
20
Cool
3
200
280
340
600
70
10
8
Preset
Warm
6
200
280
340
120
100
Train
75
200
280
340
4
80
4
200
14
50
25
Cool
3
200
280
340
180
70
9
Preset
Warm
5
200
280
340
300
100
Train
100
200
280
340
6
80
4
200
36
25
28
Cool
3
200
280
340
600
70
10
Manual
Warm
6
200
280
340
120
100
Train
10-120
100-350
1-30
80
1-60*
1-90
Cool
3
200
280
340
180
70
10 Default
35
280
5
9
20
11
Manual
Warm
6
200
280
340
120
100
Train
10-120
100-350
1-30
80
1-60*
1-90
Cool
3
200
280
340
180
70
11 Default
50
300
5

15
Before selecting an EMS programme, you will
need to select a mode:
MODE I is for small muscles like the face and
hands.
MODE II is for medium sized muscles like arms
and feet.
Mode III is for large muscles like thighs,
buttocks, and abdomen.
9.2. PRESET PROGRAMMES
Programme 1: Muscle Calming
Relaxing the muscles as much as possible and
to promote the body’s natural endorphins to
promote pain relief and to improve the blood
circulation and provide oxygen into the muscle.
Programme 2: Resume Training 1
To promote the slow twitch fibres to build
muscle strength to help reduce muscle atrophy
ready for resuming training activities. Used for
all type of sports.
Programme 3: Resume Training 2
Progress from programme 2 as tolerance
increases.
Programme 4: Resistance 1
Improving and increasing the capacity to
develop very high level of muscle force over a
long period of time. Improving the efficacy of the
oxygen consumption at the muscle level and
the capacity to withstand toxin accretion, such
as lactic acid. For sports activities that require
very high levels of prolonged muscle activity:
Rowing, Cycling, Middle distance running.
Programme 5: Resistance 2
Progress from programme 4 as tolerance
increases.
Alternative application: Lipolysis
Increasing the flow of blood circulation and
modifying the metabolism of the lipocytes. To
help stimulate thesubcutaneous deposits of fat.
To assist reduce or eliminate the Orange Peel
effect of the skin surface
Programme 6: Maximum Muscle
Contraction
To increase muscle bulk and volume and to
improve muscle force. Searching for muscular
hypertrophy.
Programme 7: Muscle toning 1
Strengthening the muscles, improving blood
circulation and capillary bed density. Ideal for
applying to the Thigh, Legs, Bottom and
Abdomen.
Programme 8: Muscle toning 2
Similar to programme 7, but adding bulk in
preference to endurance
Programme 9: Force Output, Anaerobic
activity
Increasing the muscle capacity to a level of
instantaneous maximum muscle force,
changing muscle force into explosive action.
Used for all activities requiring maximum
muscle output in a very short space of time,
such asJudo, short distance sprinting, throwing
the discus or shot-put.
All preset TRAIN phases have Ramp up 1.5 s,
Ramp Down 0.75 s.
All WARM phases are 5 Hz or 6 Hz at same PW
as Work phase
All COOL phases are 3 Hz at same PW as Work
phase
All Active Rest phases have Ramp up 0.5 s,
Ramp down 0.5 s.
Most Active Rest phases are at 4 Hz, 200 μs.

16
9.3. MANUAL PROGRAMMES
Warning: Consult your healthcare
professional before altering these
settings. Correct settings depend on
your muscle tone and exercise goals.
Inappropriate settings could cause discomfort,
undesired muscle balance, or even muscle
injury.
Programme 10 & 11:
Manual programmes, you can select the
frequency, the pulse width, the work and active
rest time.
At first use, the default values are shown.
All WARM phases are 6Hz at same PW as set
PW.
All COOL phases are 3Hz at same PW as set
PW.
The Warning triangle is displayed if the
Active Rest period is less than:
Rest Time = Work Time * (WorkHz-16.66) /
16.66 seconds.
This is because muscle fibres can only activate
a limited number of times a minute (about 1000)
without becoming fatigued.
9.4. PROGRAMME USAGE
EMS can be used for a wide range of sports and
medical applications, and the application can
get very complicated. The Sports TENS
programmes have been designed to simplify
this as much as possible. You can use the
manual programmes if you want to modify the
settings, or to experiment with completely
different ones. Some of the ways you can use
the programmes are shown below.
Abs, hip, thigh (Mode III):
EMS can help improving body toning and body
shaping by generating passive muscle
contractions in the selected area.
It may improve your general fitness levels as
well as achieving a thinner silhouette by
building up the muscles.
Bust/Chest (Mode II):
Electrical Stimulation can build, strengthen, and
firm the pectoral muscles giving bulk and lift.
Exercise and massage therapy to enhance the
size and shape of your breasts/pectoral
muscles.
Note: For improved comfort, use the
breast electrode pads* (see E-
CMR60130).
*Sold separately.
Arm (Mode II):
The upper arms often get saggy and flabby
especially in women with the triceps (back of
the upper arm). It is commonly referred to as
“Bingo Wings” or “Bat Wings”. It is tricky to tone
this muscle group and some women find this
area ungraceful or even embarrassing.
Sports TENS 2 helps to tone, firm and lift the
triceps and the biceps as it allows you to
generate contractions in this specific muscle
group.
Calf (Mode III):
Most people are aiming for thin but muscly legs
with a harmonious balance between the size of
the thighs and the size of the calves. Often, the
calves are either too skinny with only little
muscle mass or too big with a long muscle
mass especially around the ankle.

17
The aim is to tone, shape and lift the calves’
muscles to achieve slender legs with improved
definition of the muscles as well as a slimming
effect on the ankles.
Recommended use for all body parts except
the face:
Generally, 3 sessions per week, over a period
of 4 to 6 weeks, gives good initial results
depending on the body shaping, toning, sports
training or rehabilitation and recovery needs.
Face (Mode I):
Using the Sports TENS 2 is a non-invasive
option for helping lift and/or tighten the soft
tissues of the face, improving facial muscle tone
and reducing the signs of ageing.
Recommended use: One treatment session
daily, 5 days/week, for 12 weeks.
You may notice some positive effects after just
one session, but normally it will take about 6
weeks before you notice a difference.
Take care when adjusting the intensity as facial
muscles are particularly sensitive; intensity
should be increased gradually, starting with a
very low level of stimulation (just above
perception) and increasing with care until you
reach a good level of stimulation, represented
by good muscle activation.
On the face, it is not necessary to reach levels
of intensity capable of causing discomfort!
Great and significant results are obtained
through consistency and patience.
Warning: Use the programme of your
choice on mode I and never bring the
intensity higher than 40 mA.
Always use small electrode pads (see E-CM25)
or the face electrode pads* (see E-CM3050).
*Sold separately.
A minimum distance of 3 cm. must be kept
between the electrode pad and the eyeball.
The TensCare face electrode pads (see E-
CM3050) are designed to reduce any risk to a
minimum. Some secondary effects may subsist
but they should be temporary.
Note: You might notice mild skin
redness at the site of the electrode
pads after the treatment session. It
should fade within 10 to 20 minutes.
Very rarely temporary after-effects, such as
mild eyelid flutter, have been reported after
facial stimulation. This has always resolved
within a few days.
GENERAL ADVICE:
Ideally, use Sports TENS 2 once every two
days for each muscle with a day of rest in
between. It is possible to work on pairs of
muscles, for example thighs and abdominal
muscles, treating one set one day and the other
the next day.
Warning: Working on too many
muscles at the same time is not
recommended.
The object of EMS treatment is to produce
powerful muscle contractions.
The strength of thecurrent should be increased
to about three times the level at which you

18
can first feel the tingling, or to as high as you
can stand without causing pain.
Increase the intensity until you feel a very
smooth tensing under the pads, there should be
little visible movement.
Use a low intensity for the first session to help
you to understand how the machine works.
Voluntary muscular activity is more effective
than stimulation, and it may improve progress if
you combine voluntary contraction with
stimulation. For best results, always try to
contract voluntarily during the work phases.
During the programme and over the next few
days the intensity should be increased
gradually to produce marked, but not painful
muscle contractions.
After treatment tingling sensations may
continue or your skin may feel numb, this is
normal.
Once good results have been obtained the
sessions may be reduced to once or twice a
week until the user feels that optimum body
shaping has been achieved.
Note: The stimulation should remain
comfortable and relaxing at all times.
10. MASSAGE PROGRAMMES
10.1. MASSAGE PROGRAMMES SETTINGS
Prog
Prog
time
(min)
Phase
Phase
time
(min)
1
2
Output
Frequency
(Hz)
Pulse
width(μs)
Freq
(Hz)
PW
(μs)
1
30
1
30
85
200
135
100
Burst
2
30
1
2
1
200
15
200
Burst
3
30
1
2
25
200
80
200
Burst
4
44
1
4
1
250
4
250
FM
2
6
20
250
IM
3
4
250
IM
4
4
1
250
4
250
FM
5
6
30
250
IM
6
4
250
IM
7
4
1
250
8
250
FM
8
6
40
250
IM
9
4
250
IM
10
4
1
250
8
250
FM
11
6
50
250
IM

19
12
4
250
IM
13
4
1
250
8
250
FM
5
30
1
30
5
300
Constant
2
8
300
Constant
6
30
1
30
5
200
Constant
2
8
200
Constant
7
30
1
30
5
300
Constant
2
8
300
Constant
8
1
5
250
25
250
250
Burst 1Hz
2
5
Burst 1.25 Hz
3
5
Burst 1.42 Hz
4
5
Burst 1.66 Hz
9
30
1
25
200
2/2
2
30
200
2/2
3
40
200
1/1
4
50
200
1/1
5
70
200
0.5/1
6
80
200
0.5/1
10
30
1
1
200
15 pulses
2
2
200
11 pulses
3
3
200
18 pulses
4
4
200
11 pulses
5
5
200
15 pulses
6
6
200
20 pulses
7
9
200
26 pulses
8
11
200
33 pulses
9
15
200
30 pulses
10
25
200
1 pulses
11
15
200
30 pulses
12
11
200
33 pulses
13
9
200
26 pulses
14
6
200
20 pulses
15
5
200
15 pulses
16
4
200
11 pulses
17
3
200
18 pulses
18
2
200
11 pulses
IM = Intensity Modulation
FM = Frequency Modulation, this programme constantly varies the sensation.