Compex Runner User Manual

DJO France S.A.S. Centre Européne de Frêt 3 rue de Bethar 64990 Mouguerre, France © 12/2011 DJO, LLC
Compex® is a registered trademark of DJO, LLC.
ENGLISH NEDERLANDS SVENSKA
Art no. 4518164 v4
PORTUGUÊS
A B C
J K
L
D E F
G H I
M N
location only for stimulators with muscle
intelligence™ technology.
Aanduiding van de alleen verkrijgbaar bij de apparaten met de muscle intelligence™ technologie.
Approximate placing of the electrodes makes for a less ecacious session, but is still risk-free. Compex declines all responsibility for the placing of electrodes on areas other than those recommended or in case of failure to respect the counter-indications.
Slordig geplaatste elektroden maken de sessie minder doeltreend maar zijn niet gevaarlijk. Compex wijst alle verantwoordelijkheid af in geval van een plaatsing op andere zones dan voorgeschreven of van het niet naleven van de contra-indicaties.
läge endast för stimulators med muskel-
intelligence™ teknologi.
Posição do somente para stimulators com tecnologia muscle intelligence™.
Om elektroderna inte placeras exakt på rätt ställe blir behandlingen mindre eektiv, men inte farlig. Compex frånsäger sig allt ansvar för en placering i andra än rekommenderade områden eller om kontraindikationerna inte respekteras.
Um posicionamento aproximado dos eléctrodos torna a sessão menos ecaz, mas não apresenta qualquer perigo. A Compex não se responsabiliza em caso de colocação dos eléctrodos em zonas diferentes das preconizadas ou de não observância das contra-indicações.
ENGLISH
page 2
NEDERLANDS
pagina 36
SVENSKA
sida 70
PORTUGUES
página 104
1
INTRODUCTION
Please read this manually carefully prior to using your Compex stimulator. You are strongly advised to read chapter I "Warnings" of this manual. The Compex Runner is a stimulator intended for muscular training and pain relief. Any person excepted those mentioned in the chapter I "Warnings" can use the Compex Runner.
CONTENTS
English
I. WARNINGS
1. Counter-indications 1
2. Safety measures 2
II. PRESENTATION
1. Reception of equipment and accessories 7
2. Guarantee 7
3. Maintenance 7
4. Storage and transport conditions 8
5. Conditions of use 8
6. Elimination 8
7. Standards 8
8. Patents 8
9. Normalised symbols 8
10. Technical characteristics 9
III. HOW DOES ELECTROSTIMULATION WORK? 10
IV. USAGE GUIDELINES
1. Electrode positions 12
2. Stimulation positions 12
3. Adjusting stimulation energies 12
4. Progression in the levels 13
5. Alternation of stimulation sessions/voluntary training 13
V. THE
m
i
TECHNOLOGY
1. Practical rules of use 13
2
VI. HOW IT WORKS
1. Description of the stimulator 15
2. Connections 16
3. Preliminary settings 16
4. Selecting a programme category 17
5. Selecting a programme 17
6. Personalising a programme 18
7. During the stimulation session 18
8. Consumption and recharging 21
9. Problems and solutions 22
VII. PROGRAMMES 24
VIII. EMC TABLE (Electromagnetic Compatibility) 29
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3
I WARNINGS
 COUNTERINDICATIONS
Important counter-indications
• Cardiac stimulator (pacemaker)
• Epilepsy
• Pregnancy (do not use on abdominal
region)
• Serious arterial circulation problems in lower limbs
• Abdominal or inguinal hernia
Precautions when using the Compex
• After trauma or a recent operation (less
English
than 6 months)
• Muscular atrophy
• Persistent pains
• Need for muscular rehabilitation
Osteosynthesis equipment
The presence of osteosynthesis equipment (metallic equipment in contact with the bone: pins, screws, plates, prostheses, etc.) is not a counterindication for the use of Compex programmes. The electrical currents of the Compex are specially designed to have no harmful eect on osteosynthesis equipment.
 SAFETY MEASURES
Important!
• Do not use Compex stimulator programmes if you have sensitivity problems.
• Never use the Compex for prolonged periods without medical advice.
• Consult your doctor if you are in any doubt whatsoever.
• Read this manual carefully, in particular chapter VII, which provides information concerning the eects and indications of each stimulation programme.
What you should not do with the Compex and the
• Do not use the Compex or the system in water or in a humid atmosphere (sauna, hydrotherapy, etc.).
• Do not use the Compex or system in oxygen-rich environments.
• Never carry out an initial stimulation session on a person who is standing. The rst ve minutes of stimulation must always be performed on a person who is sitting or lying down. In rare instances, people of a nervous disposition may experience a vasovagal reaction. This is of psychological origin and is connected with a fear of the muscle stimulation as well as surprise at seeing one of their muscles contract
m
i system
m
i-SENSOR
m
i-SENSOR
without having intentionally contracted it themselves. A vasovagal reaction causes heart to slow down and blood pressure to drop, which can make you feel weak and faint. If this does occur, all that is required is to stop the stimulation and lie down with the legs raised until the feeling of weakness disappears (5 to 10 minutes).
• Never allow movement resulting from muscular contraction during a stimulation session. You should always stimulate isometrically; this means that the extremities of the limb in which a muscle is being stimulated must be rmly xed, so as to prevent the movement that results from contraction.
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• Do not use the Compex or system if you are connected to a high­frequency surgical instrument as this could cause skin irritation or burns under the electrodes.
• Do not use the Compex or system within X metre (see EMC table) of short wave or microwave devices as this could alter the currents generated by the stimulator. If you are in any doubt as to the use of the Compex close to another medical device, seek advice from the manufacturer of the latter or from your doctor.
• Do not use the Compex stimulator or
SENSOR system in areas where unprotected
devices are used to emit electromagnetic radiation. Portable communications equipment can interfere with electrical medical equipment.
• Only use stimulation cables supplied by Compex.
• Do not disconnect any stimulation cables during a session while the stimulator is switched on. Switch the stimulator o rst.
• Never connect stimulation cables to an external power supply. There is a risk of electric shock.
• Only use rechargeable battery units supplied by Compex.
• Never recharge the stimulator without rst disconnecting the stimulation cables.
• Always use the charger provided by Compex to recharge the batteries.
• Never use the Compex or the charger if it is damaged (case, cables, etc.) or if the battery compartment is open. There is a risk of electric shock.
• Disconnect the charger immediately if the Compex “bleeps” continuously, if there is abnormal heating or smell, or if smoke comes from the charger or the Compex.
• Do not recharge the battery in a conned space (carrying case, etc.). There is a risk of re or electric shock.
• Keep the Compex and its accessories out of reach of children.
• Do not allow any foreign bodies (soil, water, metal, etc.) to penetrate the Compex, the battery compartment and the charger.
m
i-SENSOR
m
i-SENSOR
m
i-
• Sudden temperature changes can cause condensation to build up inside the stimulator. To prevent this, allow it to reach ambient temperature before use.
• Do not use the Compex while driving or operating machinery.
• Do not use the stimulator at altitudes of over 3,000 metres.
Where never to apply the electrodes
• In the vicinity of the head.
• Counter-laterally, i.e. do not use two
poles connected to the same channel on opposite sides of the body.
• On or near skin lesions of any kind (wounds, swelling, burns, irritation, eczema, etc.).
Precautions when using the
m
i-SENSOR
system
• To access the Compex’s functions, it is essential to connect the
m
i-SENSOR cable before switching on the
device.
• Avoid connecting the when the Compex is switched on.
• Do not disconnect the while the sensor is being used.
• To work correctly, the must not be blocked or subjected to pressure.
m
i technology
m
i-SENSOR cable
m
i-SENSOR cable
m
i-SENSOR system
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5
Precautions when using the electrodes
• Only use electrodes supplied by Compex. Other electrodes may have electrical properties that are unsuitable for the Compex stimulator.
• Always turn o the stimulator before moving or removing any electrodes during a session.
• Do not place the electrodes in water.
• Do not apply solvents of any kind to the
electrodes.
• For best results, wash and clean the skin of any oil and dry it before attaching the
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electrodes.
• Attach the electrodes in such a way that their entire surface is in contact with the skin.
• For obvious reasons of hygiene, each user must have his/her own electrode set. Do not use the same electrodes on dierent people.
• Never use a set of adhesive electrodes for more than 15 sessions as their bonding power deteriorates over time and optimal contact is very important for both user comfort and ecacy.
• Some people with very sensitive skin may experience redness under the electrodes after a session. Generally, this redness is completely harmless and disappears after 10 to 20 minutes. Never start another stimulation session in the same area, however, if the redness is still visible.
6
II PRESENTATION
 Reception of equipment and accessories
Your kit contains:
H
G
A
F
B
A 1 stimulator B 1 charger C 1 set of black Snap connectors for
electrodes, colour-coded (blue, green, yellow, red)
D 2 bags of small electrodes (5x5 cm)
 Guarantee
Refer to the yer attached.
 Maintenance
Do not sterilise the stimulator. Clean your stimulator using a soft cloth, and an alcohol-based, solvent-free cleaning product. Use only a minimum amount of liquid when cleaning the Compex. Do not attempt to repair the stimulator or any of its accessories. Never dismantle the Compex or the charger containing high-voltage parts because of risk of electric shock. Compex Médical SA declines all responsibility for any damages or consequences resulting from unauthorised attempts to open, modify, or repair the
C
D & E
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E 2 bags of large electrodes (5x10 cm) F 2 user manuals G 1 belt clip H 1 travel pouch
stimulator. This may only be done by persons or repair services authorised by Compex Médical SA.
Your stimulator does not require calibration. Each Compex stimulator is always tested and validated prior to distribution. These are stable and do not vary under normal conditions. Nonetheless, as the Compex is a high­quality electrical instrument, its lifespan depends on the use that is made of it and the care and maintenance it receives during its lifetime. If your stimulator contains parts that seem worn or defective, please contact your nearest Compex Médical SA customer service centre regarding an upgrade. Medical and health professionals are obliged to service the unit in compliance with relevant national laws and regulations. This involves testing performance and safety parameters at regular intervals.
7
 Storage and transportation conditions
The Compex contains rechargeable batteries. This is why it must be stored and transported in accordance with the following conditions:
Storage and transportation temperature:
- 20°C to 45°C
Maximum relative humidity: 75% Atmospheric pressure: 700 hPa to 1,060 hPa
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 Conditions of use
Usage temperature: 0°C to 40°C Relative humidity: 30% to 75% Atmospheric pressure: 700 hPa to 1,060 hPa
Do not use in areas where there is a risk of explosion.
 Standards
The Compex complies with current medical standards. To guarantee your safety, the Compex has been designed, manufactured, and distributed in compliance with the requirements of European Directive 93/42/ EC on medical devices. The Compex also complies with the IEC 60601-1 standard on general safety requirements for electro-medical devices, the IEC 60601-1-2 standard on electromagnetic compatibility, and the IEC 60601-2-10 standard on particular safety requirements for nerve and muscle stimulators. Current international standards require that a warning be given concerning the application of electrodes to the thorax (increased risk of cardiac brillation). The Compex also complies with Directive 2002/96/EEC on waste electrical and electronic equipment (WEEE).
 Elimination
The main purpose of the 2002/96/EEC Directive is to prevent the creation of waste electrical and electronic equipment (WEEE) and to reduce the amount of waste to be disposed of by encouraging reuse, recycling, and other forms of recovery. The wheelie bin pictogram with the bar through it means that the equipment cannot be discarded with household refuse, but that it must be collected selectively. The equipment must be delivered to a suitable collection point for treatment. By doing so, you will be contributing to the safeguarding of natural resources and health. Batteries must be disposed of in compliance with relevant national regulatory requirements.
 Patents
The Compex incorporates several innovations with patents pending.
 Normalised symbols
Caution: Read the user manual or
operating instructions (symbol no. 0434 IEC
60878).
The Compex is a class II device with internal electric power and type BF applied parts (symbol no. 5333 IEC 60878).
Waste electrical and electronic equipment (WEEE) marking according to EN 50419 standard.
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The On/O button is a multifunction
button (symbol no. 5009 IEC 60878).
Functions
On/O (two stable positions) Waiting or preparation for part of the unit Stop (turns system o)
 Technical characteristics
General information
941210 Battery unit
Nickel metal hybrid (NiMH) rechargeable (4.8V / ≥ 1,200 mA/h).
68301x Chargers
Only battery chargers bearing the following information can be used to recharge the batteries supplied with Compex stimulators:
Europe 683010
Type TR1509-06-E-133A03 Input 100-240 VAC / 47-63 Hz / 0.5 A max. Output 9 V / 1.4 A / 15 W
UK 683012
Type TR1509-06-U-133A03 Input 100-240 VAC / 47-63 Hz / 0.5 A max. Output 9 V / 1.4 A / 15 W
Protection index
IPXO (IEC 60529)
Neuro-stimulation
All electrical specications are given for an impedance of 500-1,000 ohms per channel.
Channels: Four independent and individually adjustable channels that are electrically isolated from each other and earthed.
Pulse shape: constant rectangular current with pulse compensation to eliminate any direct current component to prevent residual polarisation at skin level.
Maximum pulse intensity: 120 mA. Pulse intensity increments: manual
adjustment of stimulation intensity from 0 to 999 (energy) in minimum increments of
0.5 mA. Pulse width: 60 to 400 s. Maximum electrical charge per pulse:
96 microcoulombs (2 x 48 C, compensated).
Standard pulse ramp-up time: 3 s (20% 80% of maximum current).
Pulse frequency: 1 to 150 Hz.
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601131 Black Snap-connection stimulation cables
Device connector: 6-pin Electrode connector: Female Snap Length: 1,500 mm
601160 Stimulation cable tted with
m
i-SENSOR
(accessory sold separately) Device connector: 6-pin Electrode connector: Female Snap Length: 1,500 mm
9
III HOW DOES ELECTROSTIMULATION WORK?
The principle of electrostimulation is to stimulate nerve bres by means of electrical impulses transmitted by electrodes. The electrical pulses generated by Compex stimulators are high quality pulses - oering safety, comfort and eciency - which can stimulate dierent types of nerve bres:
1. the motor nerves, to stimulate a muscular response. The quantity and the benets obtained depend on the stimulation
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parameters and this is known as electro­muscular stimulation (EMS).
2. certain types of sensitive nerve bres to obtain analgesic or pain-relieving eects.
1. Motor nerve stimulation (EMS)
In voluntary activity, the order for muscular work comes from the brain, which sends a command to the nerve bres in the form of an electrical signal. This signal is then transmitted to the muscular bres, which contract. The principle of electrostimulation accurately reproduces the process observed during a voluntary contraction. The stimulator sends an electrical current impulse to the nerve bres, exciting them. This excitation is then transmitted to the muscular bres causing a basic mechanical response (= muscular twitch). The latter constitutes the basic requirement for muscular contraction. This muscular response is completely identical to muscular work controlled by the brain. In other words, the muscle cannot distinguish whether the command comes from the brain or from the stimulator. The parameters of the Compex programmes (number of impulses per second, contraction time, rest time, total programme time) subject the muscles to dierent types of work, according to muscular bres. In fact, dierent types of muscular bres may be distinguished according to their respective contraction speed: slow, intermediate and fast bres. Fast bres will obviously predominate in a sprinter, while a marathon runner will have more slow bres.
With a good knowledge of human physiology and a perfect mastery of the stimulation parameters of the various programmes, muscular work can be directed very precisely towards the desired goal (muscular reinforcement, increased blood ow, rming up, etc.).
Electrical pulse
Excitation
Motor nerve
Stimulated muscle
Elementary mechanical response - twitch
2. Stimulation of the sensitive nerves
The electrical impulses can also excite the sensitive nerve bres to obtain an analgesic or pain-relieving eect. The stimulation of the tactile sensitive nerve bres blocks the transmission of pain by the nervous system. The stimulation of another type of sensitive bres creates an increase in the production of endorphins and, therefore, a reduction of pain. With pain relief programmes, electrostimulation can be used to treat localised sharp or chronic pains as well as muscular pains.
Caution: Do not use the pain relief programmes for a long period without medical advice.
10
Transmission
of the excitation
Benets of electrostimulation
Electrostimulation is a very eective way to make your muscles work:
• with signicant improvement of dierent muscular qualities
• without cardio-vascular or mental fatigue
• with limited stress on the joints and
tendons. Electrostimulation thus allows a greater quantity of work by the muscles compared with voluntary activity. To be eective, this work must involve the greatest possible number of muscular bres. The number of bres working depends on the stimulation energy. The maximum tolerable energy should therefore be used. The user controls this aspect of stimulation. The higher the stimulation energy, the greater the number of muscular bres that are working and, therefore, the more signicant the progress achieved. To maximise results, Compex recommends that you complement your electrostimulation sessions with other eorts, such as:
• regular physical exercise
• proper and healthy nutrition
• balanced lifestyle.
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11
IV USAGE GUIDELINES
The usage guidelines presented in this section should be considered as general rules. For all programmes, it is recommended that you read carefully the usage information and advice presented in chapter VII “Programmes”.
1. Electrode positions
For optimal results, use the electrode positions recommended by Compex. To do this, refer to the pictures and pictograms shown on the inside cover of the manual.
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Each stimulation cable has two poles: A positive pole (+) = red connection A negative pole (–) = black connection
A dierent electrode must be connected to each pole. Note: It is possible and normal to have an electrode arrangement that leaves one electrode connection free from a cable. Depending on the characteristics of the current, ecacy can be optimised in certain programmes by placing the electrode connected to the positive pole (red connection) “strategically”. When working with a muscle stimulation programme (programme involving muscle contractions), it is important to place the positive electrode on the motor point of the muscle. It is crucial to choose the right size electrodes (large or small) and correctly position these on the muscle group you want to stimulate to ensure the ecacy of the treatment. Therefore, always use the size of electrodes shown in the pictures. Unless you have other specic medical instructions, always follow the placement directions in the pictures. Where necessary, look for the best possible position by slowly moving the positive electrode over the muscle until you nd the point that will produce the best contraction or the most comfort for you.
Compex disclaims all responsibility for consequences arising from electrodes placed in other positions.
2. Stimulation positions
This position will vary depending on the position of the electrodes, the muscle group you wish to stimulate, and the programme you are using. For programmes involving powerful muscular contractions, the muscle should always be stimulated in an isometric fashion. You must therefore x the extremities of your limbs securely. In this way, you provide maximum resistance to the movement and prevent any shortening of the muscle during the contraction, which could create cramp pains and serious stiness after the session. For example, when stimulating the quadriceps, the user should be in a seated position with the ankles xed with straps to prevent extension of the knees. For the other types types of programme (for instance, the programmes in the Pain relief and Recovery categories and the programmes Cramp prevention, Long run optimisation and Overcompensation), which do not induce powerful muscular contractions, position yourself as comfortably as possible.
To determine the stimulation position to be adopted depending on how the electrodes are placed and the programme chosen, refer to the specific applications on our website
www.compexrunner.com.
3. Adjusting stimulation energies
In a stimulated muscle, the number of recruited bres depends on the stimulation energy. For programmes involving powerful muscular contractions, you must therefore use maximum stimulation energies (up to 999), always at the limit that you can endure, in order to recruit the maximum number of bres.
12
4. Progression in the levels
In general, it is not advisable to go through the dierent levels quickly with the intention of reaching level 3 as fast as possible. In fact, the dierent levels correspond to progress with electrostimulation. The simplest and most usual procedure is to start with level 1 and raise the level when changing to a new stimulation cycle. At the end of a cycle, you may either start a new cycle at the next level up or do some maintenance at the rate of 1 session per week at the last level used.
5. Alternation of stimulation
sessions / voluntary training
When voluntary training and stimulation are done during the same session, it is generally recommended that the voluntary training be done rst followed by the stimulation. This means that the voluntary training is not done on muscle bres which are already tired. This is particularly important for strength and explosive strength training. However, in resistance training, it can be very useful to proceed in the reverse order. Before the voluntary training, by means of stimulation for resistance, a “specic prefatigue session” is carried out on the muscle bres without general and cardiovascular fatigue. In this way, the voluntary eort on the “prepared” bres will push the glycolytic metabolism faster and further.
The stimulation sessions can be done outside or during voluntary training.
V THE
m
i stands for muscle intelligence™ (all items
referring to this technology are preceded by the symbol This technology takes into account the specic features of each of our muscles and thus oers stimulation adapted to their characteristics. It’s simple, as the data is transmitted to the stimulator automatically! It’s personalised, as each of our muscles is unique!
The Runner stimulator bears the label READY, as it can use certain functions of the
m
tted with the separately) is connected.
1. Practical rules of use
To access the
that the stimulation cable fitted with the
SENSOR system (sold separately) is connected
before you turn on the stimulator.
m
i TECHNOLOGY
m
i).
m
i-
i technology if a stimulation cable
m
i-SENSOR system (sold
m
i functions make sure
m
i-
Avoid connecting the stimulation cable fitted with the
m
is switched on. To work correctly, the not be blocked or subjected to pressure. During the stimulation session, the stimulation cable fitted with the always be connected to an electrode.
m
• This is a small sensor that links the
i-SENSOR system when the Compex
m
i-SENSOR system must
m
i-SENSOR system must
i-SENSOR (sold separately)
stimulator to the electrodes. is the key which can be used to measure certain physiological characteristics of the muscle, analyse them and adapt stimulation parameters. This tailoring of each programme to the changing condition of the muscle clearly enhances your comfort and the therapeutic ecacy.
m
i-SENSOR
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13
m
i-SCAN
• This function adapts the electrostimulation session to the physiology of each user. Just before starting the work session,
SCAN probes the chosen muscle group
and automatically adjusts the stimulator parameters to the excitability of this area of the body. It is a truly personalised measurement. N.B.: The soon as a stimulation cable tted with the connected to the stimulator.
• This function is implemented at the start of the programme by a short sequence during which measurements are taken (a
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horizontal bar scans the gurine at the left of the screen).
• Throughout the entire measurement test, you must remain completely still and be perfectly relaxed. The very sensitive: the smallest contraction or the slightest movement could disturb the measurement test.
• Note that certain people might feel an unpleasant tingling sensation during the test.
• Once the test is complete, the symbol
programme can be started.
m
i-TENS
• The to considerably reduce the number of unwanted muscular contractions, enhancing both user comfort and treatment ecacy.
• The accessed for the Acute tendinitis and Ankle twist programmes.
• For these programmes, the function allows you to control the stimulation energies while maintaining them at an eective level and considerably limiting the onset of muscular contractions.
• Short measurement tests (lasting 2 to 3 seconds) are carried out regularly throughout the entire programme.
m
i-SCAN function operates as
m
i-SENSOR system (sold separately) is
m
i-SENSOR system is
will appear, indicating that the
m
i-TENS function can be used
m
i-TENS function can only be
m
i-TENS
• There is a test phase after each increase of the stimulation energies. To ensure the correct performance of these tests, you
m
must remain perfectly still during this
i-
time.
• Depending on the results of the measurement tests recorded by the device, the level of the stimulation energies may be slightly decreased automatically.
• It is important always to adopt the most comfortable possible stimulation position. Also, you should try to remain still and not contract the muscles of the stimulated area.
m
i-RANGE
• This function indicates the ideal energy adjustment range for programmes whose eciency requires vigorous muscular twitches.
• The
m
i-RANGE function is therefore only
available in programmes that use low stimulation frequencies (less than 10 Hz).
• For programmes allowing the use of the
m
i-RANGE function, the stimulator checks
whether you are in the ideal energy range. If you are below the range, the stimulator prompts you to increase the energy by
displaying
• Once the stimulator has detected your ideal adjustment area, a square bracket will appear to the right of the bar graph of the channel to which the system is connected. The gures in this bracket indicate the energy range you must work in order to achieve optimal results.
• If you set the energy level below this range, the stimulator will prompt you to
increase it by ashing a series of signs on the screen.
signs.
m
i-SENSOR
14
VI HOW IT WORKS
You are strongly advised to carefully read the counter-indications and safety measures
described at the start of this manual (chapter 1: “Warnings”) prior to using your stimulator.
1. Description of the stimulator
A B
E
C
F
D
1 2 3 4
A On/O button B “i” button used to:
Increase stimulation energies in several channels simultaneously. Access the LAST menu (the last programme used).
C Sockets for the 4 stimulation cables D Stimulation cables
Channel 1 = blue Channel 2 = green Channel 3 = yellow Channel 4 = red
H
G
E +/- buttons for the 4 stimulation channels F Socket for the charger (Slide the red cover
to the right to free the charger connector)
G Rechargeable battery compartment H Belt clip socket
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2. Connections
3. Preliminary settings
Connecting the cables
The stimulator cables plug into the 4 sockets on the front of the device. Four cables can be connected simultaneously to the four channels of the device. Both the sockets and the cables are colour-coded to simplify use and facilitate identication of the dierent channels: blue = channel 1 green = channel 2 yellow = channel 3 red = channel 4
The Runner stimulator bears the label
m
i-ready, in other words it can use
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certain functions of the if a stimulation cable tted with the
SENSOR system is connected. This cable,
sold separately, gives access to the
SCAN,
m
i-TENS and mi-RANGE functions.
It is connected to any one of the four stimulation channel sockets located on the front of the device and two electrodes are “clipped” on to it in the same way as for a conventional cable.
m
i technology
Connecting the charger
The Compex has considerable operating autonomy, as it uses rechargeable batteries. To recharge them, use the charger supplied with your device and connect it to the front of the device, then plug the charger in a socket. Remove any stimulation cables connected to the stimulator before recharging it. We strongly recommend you fully charge the battery before using it for the rst time as this will improve its autonomy and life span.
Before using the unit for the rst time, you should select the working language of the device which is displayed on the options screen. Follow the instructions below. Afterwards, for the greatest comfort, Compex oers you a number of setting options (choice of language, screen contrast adjustment, adjusting backlighting and sound volume setting). To change any of these settings, bring up the options screen by holding the On/O button on the left of the stimulator for a few seconds.
m
i-
m
i-
1b Use the channel 1 +/- button to choose the language you wish to use.
1c Use the channel 2 +/- button to adjust the contrast of the screen.
1d Use the channel 3 +/- button to adjust the volume.
1e Use the channel 3 +/- button to adjust the volume.
On : backlighting always on. O : backlighting always o. Auto : backlighting activated whenever a
button is pressed. 1a Press the On/O button to validate the
selected parameters. Your stimulator saves your options. It is now ready for use with the settings you selected.
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4. Selecting a programme category
To switch on your stimulator, briey press the On/O button on the left of the Compex. A musical signal can be heard and a screen showing the dierent programme categories is displayed. Before choosing a programme, you should select the desired category.
2a Press the On/O button to switch o the unit.
2b Use the channel 1 +/- button to choose the category you wish to use.
2e Press the channel 4 +/- button to conrm your choice and access the programme selection screen.
N.B.: Press the “i” button to access the LAST menu.
3e Press the channel 4 +/- button to validate your selection and, depending on whether
you have the symbol a)
immediately b)
appears. N.B.: Press the i button to access the LAST
menu.
= the stimulation session starts
= a parameter setting screen
or
LAST
To make your Compex more pleasant and easier to use, the LAST menu allows you to directly access the last used programme. To access the menu, press the “i” button before selecting a programme. This function can be accessed from the programme category screen (g. 2), or the programme list screen (g. 3).
English
5. Selecting a programme
To choose a programme, it is particularly useful to consult chapter VII “Programmes”.
3a Press the On/O button to return to the previous screen.
3b Press the channel 1 +/- button to choose a programme.
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4a Press the On/O button to return to the previous screen.
4d Press the channel 3 +/- button to personalize the programme.
4e Press the channel 4 +/- button to execute the programme.
6. Personalising a programme
The programme personalisation screen is not available for all programmes!
5c Press the channel 2 +/- button to stop the warming-up sequence (closing the small animated rising convection symbol above the radiator).
5d Press the channel 3 +/- button to choose the programme diculty level.
5e Press the channel 4 +/- button to conrm your choices and launch the programme.
7. During the stimulation session
5a Press the On/O button to return to the
English
previous screen. 5b Some programmes require manual
selection of the muscle group you want to stimulate. This muscle group is shown in black on a small gurine above channel 1. Use the channel 1 +/- button to select your chosen group. The seven muscle groups proposed are shown successively in black on the small gurine:
Abdomen and lower back
Buttocks
Thighs
Legs and feet
Forearms and hands
Shoulders and arms
Thorax and back
Current international standards require that a warning be given concerning the application of electrodes to the thorax (increased risk of cardiac fibrillation).
N.B.: If a cable tted with the system (sold separately) is connected to the device, the muscle group is selected automatically.
m
i-SENSOR
Preliminary
The a cable fitted with the (sold separately) is already connected to the stimulator when this is turned on!
It is essential that you remain completely still and relaxed during the entire test. If the test starts immediately after programme selection and personalisation.
6a Press the On/O button to interrupt the test at any moment. To relaunch the test from the start, press any of the 4 +/­buttons.
6e The that the the stimulator. The gures in channel 4 will automatically change during the test as the sensor records dierent measurements. The 4 +/- buttons will be disabled for the duration of the test. Once the test is complete, you will automatically be taken to the default programme start screen and prompted to increase the stimulation energies.
m
i-SCAN test
m
i-SCAN test is launched only if
m
i-SENSOR system
m
i-SENSOR system is connected, the
m
i logo above channel 4 indicates
m
i-SENSOR cable is connected to
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Adjusting stimulation energies
When you start a programme, you will be prompted to increase the stimulation energies. This is critical to the success of any treatment. To nd out what energy level needs to be reached for each programme, refer to the specifc applications.
Session progression scale. For details on how it works, see the following section: “Programme progression”
Programme time in minutes and seconds
Programme progression
Stimulation actually starts when the stimulation energy has been increased. The examples reproduced below are sucient to understand the general rules.
Session sequences
Warm-up Work period Relaxation
The animated rising convection symbol represented the warming-up sequence
7a Press the On/O button to place the unit in Pause mode.
7b c d e The Compex bleeps and the symbols of the four channels ash, changing from + to 000: the four channels are at 000 energy. You must increase the stimulation energy so that the stimulation can start. To do this, press the + buttons for the relevant channels until the desired setting is reached. If you want to increase the energy level of all four channels simultaneously, press the “i” button, located below the On/ O button. Press the “i” button twice to increase the levels in the rst 3 channels, and 3 times to increase the levels in the rst 2 channels. When you press the “i” button, the associated channels are highlighted in white on a black background.
Remaining time (in minutes and seconds) before the end of the programme
Time bar showing contraction time and active rest time It can be seen during work sequence
8a Press the On/O button to interrupt the programme momentarily. To restart it, simply press the channel 4 +/- button. The session will resume at 80% of the energy levels that were in use prior to the interruption.
8 b c d e The dierent energies reached during the contraction phase are shown by a series of black bar graphs, that of the rest phase energies are shown by hatched bar graphs.
N.B.: Active rest phase stimulation energies are automatically set at 50% of contraction energies. These can be modied during the rest phase. Once modied, they will be totally independent of the contraction energies.
N.B.: If your Compex emits a beeping sound and the symbols
under the active channels begin to ash the stimulator is suggesting you increase the level of the stimulation energies. If you are working at the maximum tolerance level, simply ignore this message.
English
19
Statistics
Your stimulator includes a statistics menu that allows you to view in real time the important information for a programme. To access the statistics screen, you must put the stimulator into the “Pause” mode or wait for the end of the programme.
English
Fig. 9 For programmes inducing muscular
contractions, the indication “MAX” shows the maximum energy level reached per channel during contraction phases. “AVG” indicates the average stimulation energy level used by the dierent channels during the contraction phase.
Fig. 10 In low frequency programmes, the
m
i-RANGE function, symbolised by a single
square bracket shows what percentage of stimulation time was spent in the optimal energy range.
9e-10e Press the channel 4 +/- button to resume the programme at the point where it was interrupted.
End of programme
At the end of each session, a small ag will be displayed on the screen and a short melody will be played. To switch o the stimulator, press the On/O button. Depending on the programmes, usage statistics may be displayed (cf. g. 9 and 10). It should be noted, however, that statistics are not available for all programmes.
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8. Consumption and recharging
Never recharge the stimulator without first disconnecting the stimulation cables. Always use the charger supplied by Compex to recharge the batteries.
The Compex runs on rechargeable batteries. The battery’s life depends on the programmes and stimulation energy used. We strongly recommend you fully charge the battery before using your Compex for the rst time as this will improve its autonomy and life span. If you do not use your device for a long period of time, please recharge the battery regularly.
Electricity consumption
The charge state of the battery is indicated by a small battery icon on the screen.
Recharging
Remove all stimulation cables from the stimulator before recharging it. Connect the charger to the mains and then connect the stimulator to the charger. The charge menu illustrated below appears automatically.
The duration of the charging operation is shown on the screen (a complete charge may take 1.5 hours). The battery icon is animated while the battery is recharging. When fully charged, the icon will be full and the total time taken to recharge the battery will ash on the screen. Simply disconnect the charger: the Compex will turn o automatically.
English
If the battery icon contains just two lines, this means that power is running low. Stop the session and recharge the unit.
If the symbol above the channel 4 +/- button is not visible and if the small battery icon is ashing, the batteries are at. It is no longer possible to use the device. Recharge immediately.
normally displayed
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9. Problems and solutions
Electrode fault
The Compex bleeps and alternatively displays the symbol of a pair of electrodes
English
and an arrow pointing to the channel where a problem has been detected. In the example above, the stimulator has detected an error in channel 1.
• Check that electrodes are connected to this channel.
• Check whether the electrodes are old, worn, and/or the contact is poor: try using new electrodes.
• Try using the stimulation cable on a dierent channel. If the cable is still showing a fault, replace it.
Stimulation is not producing the usual sensation
• Check that all the settings are correct and ensure the electrodes are positioned properly.
• Change the positioning of the electrodes slightly.
The stimulator is not working
• If an error screen appears while the equipment is in use, note the error number (in the example in g. 15, error 1/0/0) and contact the consumer service stated and approved by Compex Médical SA.
The stimulation eect causes discomfort
• The electrodes are beginning to lose adhesion and no longer provide good contact on the skin.
• The electrodes are worn and need to be replaced.
• Change the positioning of the electrodes slightly.
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English
23
VII PROGRAMMES
Programmes Eects Uses
Prevention category
Stimulation
energies
m
i Function
if
m
i-SENSOR
cable (sold separately) connected
English
Ankle twist prevention
Cramp
prevention
Low back
pain
prevention
Increase in the contraction speed and strength of the lateral peroneal muscles
Improvement of the circulatory system in order to prevent nocturnal cramps or stresses
Improving the support to the lower back region by the abdominal and lower back muscles
To avoid recurrence of ankle sprain, after the initial treatment allows a return to sports activities
Cramps involve fundamentally the muscles of the lower limbs, more particularly the calf muscles
To reduce the risk of pain occurring to the lower back
Maximum tolerable energy (0-999)
Progressively increase the stimulation energies until pronounced muscle twitches are obtained
Maximum tolerable energy (0-999)
m
i-SCAN
m
i-SCAN
m
i-RANGE
m
i-SCAN
24
24
Programmes Eects Uses
Pain relief category
Stimulation
energies
m
i Function
if
m
i-SENSOR
cable (sold separately) connected
Acute
tendinitis
Chronic
tendinitis
Low back
pain
Ankle twist
Pain relief by blocking the transmission of pain impulses
Improvement of the tendon recovery phase by local increase of the blood circulation and antipain eect by the release of endorphin
Analgesic action through the release of endorphins
Increases blood ow
Pain relief by blocking the transmission of pain impulses
One or more times a day during the acute phase of the condition
After disappearance of the inammatory signs during the chronic phase of the condition
Analgesic current specically adapted to persistent low back pain (lumbar region)
Several sessions per day interspersed with repeated applications of ice
Gradually increase the stimulation intensities until a very clear tingling sensation is felt
Progressively increase the stimulation energies until pronounced muscle twitches are obtained
Progressively increase the stimulation energies until pronounced muscle twitches are obtained
Gradually increase the stimulation intensities until a very clear tingling sensation is felt
m
i-TENS
m
i-SCAN
m
i-RANGE
m
i-SCAN
m
i-RANGE
m
i-TENS
English
Decontracture
Reduced muscular tension
Relaxing and decontraction eect
To combat recent and localized muscular pain
25
Progressively increase the stimulation energies until pronounced muscle twitches are obtained
m
i-SCAN
m
i-RANGE
Programmes Eects Uses
Training category
Stimulation
energies
m
i Function
if
m
i-SENSOR
cable (sold
separately)
connected
English
Overcompen-
Core
stabilization
Endurance
Strength
Strength
trail specic
Long run
optimisation
sation
Improvement of the stabilisation of trunk muscles
Increasing oxygen consumption by the muscles
Improvement of performance to sustain an eort over a long period of time
Increasing the maximum strength that the muscle is capable of developing
Improving stride and better running economy
Increased strength of muscular contraction
Improved running on hills and rough terrain
Marked local increase in blood ow
Development of the blood capillary system in the muscle stimulated
Increase of the blood circulation in the muscle stimulated
Development of the blood capillary system in the muscle stimulated
During training or maintenance throughout the sports season
For runners having a specic voluntary training volume less than 5 sessions per week
For runners having a specic voluntary training volume of more than 4 sessions per week
For runners preparing to test their running in harsh terrain
After the standard long training session, to increase the benets without imposing additional stress on the joints
2 sessions per day on the last 4 days before the competition
Maximum tolerable energy (0-999)
Maximum tolerable energy (0-999)
Maximum tolerable energy (0-999)
Maximum tolerable energy (0-999)
Progressively increase the stimulation energies until pronounced muscle twitches are obtained
Progressively increase the stimulation energies until pronounced muscle twitches are obtained
m
i-SCAN
m
i-SCAN
m
i-SCAN
m
i-SCAN
m
i-SCAN
m
i-RANGE
m
i-SCAN
m
i-RANGE
26
Programmes Eects Uses
At the beginning of the season to “re-set” the muscles after a rest period and before more intensive and specic training
During the season for persons who do not have any preferences for a single kind of performance and prefer to exercise their muscles with dierent workout methods
Fartlek
Training and preparation of muscles for all kinds of muscular work (endurance, resistance, strength, explosive strength) through dierent working sequences
Stimulation
energies
Maximum tolerable energy (0-999)
m
i Function
if
m
i-SENSOR
cable (sold separately)
connected
m
i-SCAN
English
27
27
Programmes Eects Uses
Recovery category
Marked increase in blood ow
Accelerates elimination
Active
recovery
English
Post-race
recovery
of waste from muscular contraction
Endorphinic eect
Relaxing and decontraction eect
Signicant increase in the blood ow helping to drain the organic waste due to eort
Analgesic and decontracting eects
To improve and accelerate muscle recovery after intensive exercise
To be used during the rst 3 hours after each session of intensive training or after a competition
To achieve the best possible and fastest muscular recovery after gruelling eort
The particular rhythm of the session reduces the risk of muscular cramps appearing
Stimulation
energies
Progressively increase the stimulation nergies until pronounced muscle twitches are obtained
Progressively increase the stimulation energies until pronounced muscle twitches are obtained
m
i Function
if
m
i-SENSOR
cable (sold separately) connected
m
i-SCAN
m
i-RANGE
m
i-SCAN
m
i-RANGE
Reduce
muscle
soreness
Signicant increase in the blood ow helping to drain the organic waste due to eort
Analgesic and decontracting eects
Reduced duration and intensity of muscular soreness
To be used on the 2 or 3 days following the competition
28
28
Progressively increase the stimulation energies until pronounced muscle twitches are obtained
m
i-SCAN
m
i-RANGE
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