Gima MIO-CARE FITNESS TENS User guide

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CARE
MIO-
Tens Beauty Fitness
Manuale d’uso
User manual
Mode d’emploi
Manual del usuario
Benutzerhandbuch
MNPG95 Rev. 1 del 28/09/2012
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CARE
MIO-
Tens Beauty Fitness
Manuale d’uso
User manual
Mode d’emploi
Manual del usuario
Benutzerhandbuch
MNPG95 Rev. 1 del 28/09/2012
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User manual
MIO-CARE
Models:
Tens (20 programs)
Beauty (35 programs)
Fitness (55 programs)
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WARNING: MIO
-
CARE IS
IACER S.r.l. via S. Pertini 24/A, 30030 Martellago (Venezia) – Italy: iacer@iacer.it
IACER S.r.l.
A MEDICAL DEVICE.
Consult your doctor before using MIO-CARE
if you suffer from health problems.
Read the user manual and the electrode position manual before using MIO-CARE. Read the contraindications and warnings carefully.
Manufactured in compliance with the 93/42/EEC (as amended by
2007/47/EC) directive concerning medical devices by
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USER MANUAL – TABLE OF CONTENTS
1. Presentation Page 41
2. MIO-CARE kit contents; Page 41
3. Purpose Page 41 Contraindications and side effects
4. Warnings Page 41
5. Legend of symbols marked on MIO-CARE and found in the manual Page 43
6. How to use MIO-CARE Page 44
Description of controls – Preliminary instructions – Operating instructions
7. Battery installation and charging Page 46
8. MIO-CARE maintenance and storage Page 47
9. Resolution of problems and questions Page 48
10. Electrostimulation and MIO-CARE stimulation intensity Page 49
11. List of programs Page 50
Programs Technical Specifications
12. T.E.N.S. / rehabilitation programs Page 56
13. Beauty programs Page 62
14. Fitness programs Page 65
15. Self-adhesive electrodes Page 68
16. Technical specifications Page 68
17. Warranty Page 69
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1. Presentation
Thank you for choosing the MIO-CARE electronic stimulator; this excellent medical device has been developed using modern and innovative technology, designed by a leading Italian company in the design and manufacture of professional electronic stimulators and surface electromyographs.
2. MIO-CARE kit contents.
1 MIO-CARE electrotherapy device; 2 two connection cables, for the transmission of electric impulses; 4 two splitting leads, for doubling the area covered by the electrodes; 1 packages containing 4 pre-gelled self-adhesive 41x41 mm electrodes; 1 packages containing 4 pre-gelled self-adhesive 40x80 mm electrodes; 1 battery charger; 1 MIO-CARE user manual; 1 electrodes position manual; 1 carry bag.
3. Purpose.
The MIO-CARE electronic stimulator is a medical device specifically intended for adults with adequate knowledge of the device acquired from reading the manual for domestic use. MIO-CARE is used to apply electrical microimpulses, capable of producing energy, to the human body. This energy, modulated in accordance with parameters typical to each impulse, can be used for various purposes, from pain reduction to winding-down exercises, from muscle strengthening to drainage, from isotonic exercises to treating haematomas, to the treatment of imperfections using the beauty programs.
Contraindications.
This device must not be used by people with a pace-maker, epileptics, pregnant women, people with a high temperature, anxious people or people suffering from heart disease, phlebitis, thrombophlebitis or serious illnesses, abdominal or inguinal hernias, in case of serious lesions of the area to be treated. In the event of injury, muscle stress or any other health problem consult your doctor before using the device and only use it under medical supervision.
Side effects.
No significant side effects are known of. Some particularly sensitive people could report skin redness in the area where the electrodes were positioned: the redness usually disappears a few minutes after the end of the treatment. Should the redness persist please consult a doctor. In rare cases, stimulation carried out in the evening can cause some people to experience difficulty in falling asleep. If this occurs, suspend the treatment and consult a doctor.
4. Warnings.
MIO-CARE has been designed and manufactured to be operated exclusively with the internal, rechargeable batteries.
The device must not be used in the presence of patient monitoring equipment.
Do not use MIO-CARE with electrosurgical or shortwave or microwave therapy equipment or
other equipments that send electrical impulses into the body.
Use of the device is prohibited to persons younger than 15 years or not adequately educated about device use through adult persons.
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Use of the device is prohibited to persons known to be of unsound mind, or suffering from sensibility disorders, to permanently or temporarily disabled persons unless assisted by qualified personnel (e.g. a doctor or therapist).
Use of the device is prohibited in the presence of signs of deterioration of the device itself, cables and electrodes.
Should any foreign materials penetrate the device contact the retailer or manufacturer immediately. If dropped down, check that the housing is not cracked or damaged in any way; if so, contact the retailer or manufacturer. Should you notice any changes in the device’s performance during treatment, interrupt the treatment immediately and consult the retailer or manufacturer.
Use of the device is prohibited in combination with other medical devices.
Use of the device is prohibited close to flammable substances or in environments with high
concentrations of oxygen, with aerosoltherapy devices or in wet environments (use of the device is prohibited in bathroom or shower areas).
Consult a doctor before using MIO-CARE with metallic osteosynthesis devices.
Muscle heaviness and cramps may be experienced in the event of prolonged muscle stimulation. Should this occur we recommend to suspende treatment with MIO-CARE for a few days. Make sure that the plug and battery charger are intact. Should one of these parts show any sign of damage, suspend use of the battery charger immediately and contact the retailer or manufacturer. Only use battery chargers supplied by the manufacturer; the use of battery chargers not supplied by the manufacturer will free the same from any responsibility related to damage to the equipment or user, and will expose the user to risks such as short circuits and fire.
It is forbidden to position the electrodes in such a way that the current crosses the heart area (e.g. a black electrode on the chest and a red electrode on the shoulder blade); however electrodes can be positioned along the muscular fascia of the heart area, as used for pectoral strengthening.
Use of the device is prohibited with electrodes positioned on or close to injuries or cuts.
The electrodes must not be positioned on the carotid sinuses (carotid) or genitals.
The electrodes must not be positioned close to the eyes; make sure that the current
delivered does not cross the eyeball (one electrode diametrically opposite to the other in relation to the eye); keep a distance of at least 3 cm. from the eyeball.
When using the electrodes, follow the instructions given in this manual and on the package of the electrodes. Use single-patient electrodes, supplied exclusively by the manufacturer, and take care to avoid the exchange of electrodes between different users. MIO-CARE has been tested and guaranteed for use with the electrodes supplied.
Insufficiently sized electrode sections can cause skin reactions or burns. Only use the round electrodes supplied by the manufacturer for facial applications.
Do not use electrodes when damaged, even if they stick to the skin well.
Apply only undamaged electrodes to clean and dry skin.
Electrodes must not be used when they no longer stick to the skin.
Pay attention to use connexion cables with children/young people: strangulation danger.
Repeated use of the same electrodes can compromise the safety of the stimulation, in fact it
can cause skin redness that can last for many hours after stimulation.
Warning! During treatment with round and 41x41 mm. electrodes, current density may be in excess of 2 mA/cm² for each electrode. In these cases take special care regarding any skin redness.
Keep right distance between electrodes: the contact between electrodes could cause wrong stimulations or irritations/burns.
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MODE
LOT
If you have any doubts regarding the device use consult your doctor.
The device can be used by private user in a domestic environment.
Pay attention to use of device with patients with suspected cardiac problems.
Stimulation intensity and electrodes position should be suggested by prescriber doctor.
Treatment efficacy depends on the patients selection by qualified persons.
If the stimulation is uncomfortable decrease intensity. If the problem persists consult a
doctor.
Do not use the device while driving a vehicle or controlling machineries/equipments.
Do not mix connexion cables up with earphones or other devices and do not connect the
cable to other equipments.
Do not use pointed or sharp objects on the device keyboard.
Use only accessories supplied by device manufacturer.
Warning: device supplies current over 10 mA.
5. Legend of symbols marked on MIO-CARE and found in the manual.
CE LABEL
Refers to operating instrucions
Produced in compliance with the 93/42/EEC (amended by 2007/47/EC)
Internally powered device with type BF applied parts
Attention
Product subject to WEEE regulations concerning separate waste collection of electronic equipment
Manufacturing date (month/year)
Expected lifetime: 5 years.
ON/OFF
PRG
On and off button; pressing this button whilst the program is running interrupts the program
Select program group: Tens, Beauty or Fitness
Program selector keys: the key is used to proceed with the selection process (with MIO-CARE TENS model the keys PRG+ and PRG- are used to proceed with the selection process).
Keys used to increase/decrease Channel 1 and Channel 2 output current intensity
CONTROL KEYPAD
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PRG
Time
Indicates the program chosen
The rotor, changing every second, indicates that the device is running
Indicates the amount of time left before the program ends
Warns the user to increase the intensity by 1 or 2 units (using the key)
Indicates which of the 2 channels is active: the left arrow indicates that Ch1 is active, the right arrow indicates that Ch2 is active, both arrows together indicate that both Ch1 and Ch2 are active
Indicates the intensity selected for channel 1
Indicates the intensity selected for channel 2
Indicates low battery
6. How to use MIO-CARE.
Description of controls.
DISPLAY
1. CH1 output
2. CH2 output
3. Battery charger connector
4. Display
5. Increase intensity CH1
6. Decrease intensity CH1
7. Next program (only for TENS model), Program group selection (BEAUTY and FITNESS models)
8. Increase intensity CH2
9. Decrease intensity CH2
10. Previous program (only for TENS model), Program group selection (BEAUTY and FITNESS models)
11. Switch device ON/OFF or stop the program
12. Belt clip
13. Battery compartment
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1. PRG group selection
2. Selected program
3. CH1 intensity
4. Active channel
5. Low battery status
6. Next phase
7. CH2 intensity
8. Countdown timer
9. Device running
Preliminary instructions.
Before using MIO-CARE clean the skin of the area to be treated; with the cable disconnected from MIO-CARE, connect the electrostimulation cable jacks to the self-adhesive electrodes; position the self-adhesive electrodes on the skin (see photos of electrode positions); connect the impulse transmission cables to the relative jacks (Channel 1 and/or Channel 2), then turn Mio-Care on. Splitting leads use: please use splitting leads if you want to double electrodes number for each channel. Connect the splitting cable jacks to the self-adhesive electrodes, with the cable disconnected from MIO-CARE; position the self-adhesive electrodes on the skin (see photos of electrode positions); connect the splitting leads cables to the impulse transmission cables that are connected to the relative jacks (Channel 1 and/or Channel 2), then turn Mio-Care on.
Warning: make sure that MIO-CARE is switched off before disconnecting the electrodes at the end of the treatment.
Operating instructions (N.B. read the whole manual before using the equipment)
1. Turn MIO-CARE on using the ON/OFF button.
2. The display shows the number of the programs on the upper side, the selected program number on the middle left side and on the right the program time:
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3. Select the program group using the MODE button (no selection is necessary for the TENS model).
4. Select the program using the PRG key (for the TENS model select the program using the PRG+ and PRG- keys).
5. To start the session press key of the selected channel CH1 or CH2 and increase the output current intensity till the personal tolerance level is reached (stimulation comfort).
icon starts blinking on the display. The key can be used to reduce the power if
the intensity is too high;
6. Stimulation intensity is showed on the display in a scale progressing from 0 to 50.
7. At the end of the program (always preset at the factory), the stimulator will return to the initial screen of the selected program setting the intensity to zero.
8. To turn MIO-CARE off press ON/OFF key.
‘Stop program’ command: pressing the ON/OFF button once whilst the program is running interrupts the program.
Attention: MIO-VEIN will turn off automatically if not press any key for 2 minutes to preserve batteries.
7. Battery installation and charging.
Battery installation.
Open the battery compartment on the back side of the device, connect the battery wire to the plug inside the battery compartment (see the image below). Insert the battery and close the battery compartment.
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Attention: remove the battery in case of prolonged inactivity (over two months). Batteries have to be handled by adult persons: keep them out of children’s reach. MIO-CARE is supplied by internal rechargeable Ni-Mh 800 mAh battery with new long-lasting
technology . When during the treatment intensity increase is needed or the the device turn off, it indicates a
low battery state. The display shows
on the middle lower side: the icon is showed only
when the battery is discharged or when the charger is disconnected from the device plug (in this case the display shows all icons for a few seconds). Please pay attention that display DOESN’T SHOW any battery icon fully charged.
Battery charging.
To proceed with the charging follow the steps below:
Make sure that the device is switched off before charging
Make sure that the device is not being used by patient (disconnect cables and
electrodes)
Connect the battery charger to the plug on the upper side of MIO-CARE and connect the battery charger into the power socket.
The battery must be recharged for 6/8 hours. At the end of battery charging, disconnect the charger from power socket and from the device. Do not immerge the battery in water or other liquids and do not expose it to heat sources. Do not dispose of dead or defective batteries with domestic waste; dispose of in an authorized waste collection bin.
WARNING: do not leave the battery completely discharged for long periods. We suggest to recharge MIO-CARE once a month for 6/8 hours. We suggest to fully discharge batteries before the new charging to guarantee a longer batteries duration.
WARNING: after the first recharge, the battery could present a limited capacity. This is a normal characteristics of Ni-Mh battery. We suggest to recharge the battery after each treatment for 3 or 4 times.
Do not use the battery charger if:
The plug is damaged or parts of it are broken.
It has been exposed to rain or any other type of liquid.
The components have been damaged by a fall.
Use a dry cloth to clean the battery charger. Do not open the battery charger: it does not contain repairable parts.
8. MIO-CARE maintenance and storage.
We recommend that MIO-CARE is switched off and the cables are removed from the connectors at the end of every session. MIO-CARE should be kept in the carry bag supplied, together with the rest of the equipment supplied with it, and carefully stored on a secure surface and protected from situations listed in the Warnings paragraph.
MIO-CARE should be stored in the following conditions:
Outside of the packaging:
Temperature: from +5°C to +40°C
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Maximum relative humidity: from 30% to 85% Atmospheric pressure from 700 hPa to 1060 hPa
Inside of the packaging:
Temperature: from -10°C to +50°C Maximum relative humidity: from 10% to 90% Atmospheric pressure: from 700 hPa to 1060 hPa
Cleaning: only clean the device using a dry cloth. Do not use solvents or other chemical substances. Remove batteries before cleaning the device. We recommend a functional test carried out by the manufacturer every 24 months. The manufacturer retains that the MIO-CARE device cannot be repaired by personnel external to its own company. Any work of this nature carried out by personnel not authorised by the manufacturer will be classed as tampering with the device, freeing the manufacturer from responsibility for the warranty and hazards that the operator or user may be exposed to.
N.B. disconnect the cables before placing the electronic stimulator in the bag. If not, the cables
will bend excessively close to the connectors. This may damage the cables.
9. Resolution of problems and questions.
Any type of work on MIO-CARE must be carried out exclusively by the manufacturer or by an authorised dealer. In any event, any presumed malfunction of MIO-CARE must be verified before sending the device to the manufacturer. Here below are some typical situations:
MIO-CARE cannot be turned on:
Recharge the batteries and try to switch it on again; if it still does not switch on, check that the power supply socket is working.
Check that the ON/OFF button has been pressed correctly (held down for at least one second).
MIO-CARE does not transmit electric impulses or transmit low intensity:
Check that the cable jacks have been inserted in the electrodes and that the plastic protection has been removed from the electrode.
Check that the cables have been connected correctly (connector well inserted in the device).
Check that the electrodes have been connected correctly (according to user manual
instructions) and check that electrodes are in good condition.
MIO-CARE switches off during operation:
Recharge the batteries and start the treatment again. If the problem persists contact the manufacturer.
Stimulation is not comfortable:
Check that intensity is not too high and decrease intensity if needed.
Check the electrodes postion: follow user manual and electrodes position manual
instructions to avoid that electrodes are too close.
Check the sized electrodes section (suggested by the manufacturer) : electrodes too small
can cause uncomfortable stimulations.
Intermittent output:
Check that electrodes and cables have been connected correctly. If the problem persists
replace cable or contact the manufacturer.
Stimulation is ineffective:
Check that electrodes have been positioned correctly. If the problem persists contact the
doctor/therapist.
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Treatment zone becomes red and/or you fell a persistent pain:
The problem may be caused by the repeated treatment of the same area: re-position the electrodes and if the problem persists interrupt the treatment and contact the doctor/therapist.
Check that electrodes are sticked to the skin well and check that they are not dirty and/or consummed. Change the electrodes and continue the treatment. If the problem persists contact the doctor/therapist.
Disposal
To protect the environment, the device, its accessories and above all the batteries must be disposed of in areas equipped for that purpose or as special waste.
Product subject to WEEE regulations concerning separate waste collection: when disposing this product, please use the designated areas for disposing electronic waste or contact the manufacturer.
10. Electrostimulation and stimulation intensity.
Electrostimulation consists of the transmission of electric microimpulses to the human body. Fields of application of electrostimulation are: pain therapy, recovery of muscle trophism after injury or a surgical operation, athletic preparation and beauty treatments. Specific electric impulses are used for every one of these applications.
The stimulation intensity is displayed on the MIO-CARE screen for each channel in a scale progressing from 0 to 50. Once the initial intensity has been set, MIO-CARE will proceed until it reaches the end of the program and does not require any further action from the user.
The types of impulses can be classified as follows:
1. Tens impulse: for tens programs, the intensity should be adjusted to a level between the
thresholds of perception and pain. The maximum limit is reached when the muscles surrounding the area treated begin to contract. We recommend to stay below that limit.
2. Lipolysis/drainage impulse: the “pump” effect is produced by sequential tonic
contractions. The intensity must be enough to produce these contractions: the greater the contraction is, the greater the pump effect will be. But beware: there is no benefit to be gained from enduring intensity high enough to cause pain. The first electrostimulation sessions should be carried out at a low intensity to allow the organism to get used to new sensations. That way intensity can be increased gradually and will not be traumatic.
3. Warming-up impulse: stimulation intensity must be increased gradually to improve the
metabolism of the muscle concerned progressively. A bit like with a car: the engine needs warming-up before it is taken to full speed.
4. Toning, training, atrophy contraction impulse: the muscle treated must visibly contract
during a training impulse. The fact that the muscle tends to stiffen and increase in volume will be visible. Intensity should be increased gradually (in the first contraction) to enable you to identify the right level of stimulation comfort. Intensity can be increased up to the personal tolerance threshold during the second training contraction; this operation is then repeated during each contraction until the workload reaches the level of intensity recommended in the description of the single programs. We recommend that you record the level of intensity reached in order to try to improve the level of stimulation and consequently your performance.
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TENS
BEAUTY
FITNESS
5. Massage, winding down, active recovery impulse: intensity must be adjusted gradually to massage the muscle treated. The level of intensity should be sufficient to obtain a comfortable massage. There is no need to endure high intensity levels in this case as it is meant to be a massage, meaning that intensity can be increased gradually without excesses.
6. Capillarization impulse: increase the intensity gradually to produce constant, visible stimulation of the area treated; a medium stimulation threshold is recommended, always below the pain threshold.
11. List of programs
Conventional tens
1
(fast)
Endorphinic tens
2
(delayed)
Tens at maximum
3
values
4 Anti-inflammatory 4 Toning up – lower limbs 4
Neck
5
pain/cervicogenic headache
6 Backache/sciatic pain 6 Definition – lower limbs 6
7 Sprains/bruises 7 Modelling 7
8 Vascularization 8 Microlifting 8
9 Muscle relaxant 9 Lipolysis - abdomen 9
10 Haematomas 10 Lipolysis - thighs 10
11 Atrophy prevention 11
Atrophy (trophism
12
rehabilitation)
Firming up – upper limbs
1
and trunk
2 Firming up – lower limbs 2
Toning up – upper limbs
3
and trunk
1 Warming up
Resistance – upper limbs and trunk
Resistance – lower
3
limbs
Resistant strength – upper limbs and trunk
Definition – upper limbs
5
and trunk
Resistant strength –
5
lower limbs
Basic strength – upper limbs and trunk
Basic strength – lower limbs
Fast strength – upper limbs and trunk
Fast strength – lower limbs
Explosive strength – upper limbs and trunk
Lipolysis - glutei and hips
Explosive strength –
11
lower limbs
12 Lipolysis - arms 12 Deep capillarization
13 Hand and wrist pain 13 Tissue elasticity 13 Muscle recovery
14 Plantar stimulation 14 Capillarization 14 Agonist-antagonist
Sequential tonic
15 Epicondylitis 15 Heaviness in legs 15
contractions – upper limbs and trunk
16 Epitroclea
Sequential tonic
16
contractions – lower limbs
Sequential phasic
17 Periarthritis 17
contractions – upper limbs and trunk
Sequential phasic
18 Microcurrent 18
contractions – lower limbs
19 Stress incontinence 19 Muscle relaxant
20 Urgency incontinence 20 Deep massage
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Prg. PHASE 1
PHASE 2
PHASE 3
Programs Technical Specifications TENS programs
Total time 40 min
T1
T2
T3
T4
T5*
T6*
T7*
T8
T9*
T10
T11*
T12*
T13*
T14*
T15*
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frequency 90 Hz impulse width 50µs
Total time 30 min frequency 1 Hz impulse width 200µs
Total time 3 min frequency 150 Hz impulse width 200µs
Total time 30 min frequency 120 Hz impulse width 50µs
Total time 20 min frequency 90 Hz impulse width 60µs
Total time 20 min frequency 90 Hz impulse width 50µs
Total time 10 min frequency 110 Hz impulse width 50µs
Total time 20 min frequency 2 Hz impulse width 200µs
Total time 10 min frequency 4 Hz impulse width 250µs
Total time 30 min (5 sec 30 Hz – 200 µs + 5 sec 50 Hz – 150 µs + 5 sec 100 Hz – 120 µs) x 120 cicles
Total time 4 min frequency 6 Hz impulse width 250µs
Total time 4 min frequency 6 Hz impulse width 250µs
Total time 15 min frequency 70 Hz impulse width 60µs
Total time 15 min frequency 70 Hz impulse width 60µs
Total time 20 min Total time 10 min Total time 10 min
Total time 5 min frequency 2 Hz impulse width 150µs
Total time 20 min frequency 60 Hz impulse width 60µs
Total time 10 min frequency 90 Hz impulse width 50µs
Total time 10 min frequency 6 Hz impulse width 200µs
Total time 10 min (3Hz­250µs x 7sec 80% + 1Hz 250µs x 3 sec 100% + 20Hz-250µs x 5 sec 80%) x 40 cicles
Total time 15 min: (3Hz­250µs x 7sec 80%+ 1Hz 250µs x 3 sec 100% + 40Hz-250µs x 5 sec 75%) x 60 cicles
Total time 15 min frequency 90 Hz impulse width 50µs
Total time 15 min frequency 2 Hz impulse width 150µs
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Total time 10 min frequency 90 Hz impulse width 60µs
Total time 10 min frequency 70 Hz impulse width 60µs
Total time 10 min frequency 2 Hz impulse width 300µs
Total time 10 min (3Hz­250µs x 7sec 80%+ 1Hz 250µs x 3 sec 100% + 30Hz-250µs x 5 sec 80%) x 40 cicles
Total time 10 min: (3Hz­250µs x 7sec 80%+ 1Hz 250µs x 3 sec 100% + 50Hz-250µs x 5 sec 75%) x 40 cicles
Total time 10 min frequency 110 Hz impulse width 50µs
Total time 10 min frequency 90 Hz impulse width 50µs
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frequency 90 Hz impulse width 50µs
Total time 20 min
T16*
T17*
T18
T19*
T20*
Beauty programs
B1*
B2*
B3*
B4*
B5*
B6*
frequency 90 Hz impulse width 50µs
Total time 1 min frequency 150 Hz impulse width 200µs
Total time 30 min frequency 90 Hz impulse width 50µs
Total time 4 min frequency 8 Hz impulse width 150µs
Total time 4 min frequency 8 Hz impulse width 150µs
Total time 4 min frequency 6 Hz impulse width 200µs
Total time 4 min frequency 6 Hz impulse width 300µs
Total time 4 min frequency 6 Hz impulse width 200µs
Total time 4 min frequency 6 Hz impulse width 300µs
Total time 4 min frequency 6 Hz impulse width 200µs
Total time 4 min frequency 6 Hz impulse width 300µs
frequency 70 Hz impulse width 60µs
Total time 20 min frequency 70 Hz impulse width 60µs
Total time 30 min frequency 90 Hz impulse width 60µs
Total time 5 min: (3Hz­150µs x 5sec 80%+ 70Hz-150µs x 5 sec 70%) x 30 cicles
Total time 5 min: (3Hz­150µs x 5sec 80%+ 40Hz-150µs x 5 sec 75%) x 30 cicles
Total time 15 min: (3Hz­200µs x 7sec 80%+ 1Hz 200µs x 3 sec 100% + 20Hz-200µs x 5 sec 80%) x 60 cicles
Total time 15 min: (3Hz­300µs x 7sec 80%+ 1Hz 300µs x 3 sec 100% + 20Hz-300µs x 5 sec 80%) x 60 cicles
Total time 15 min: (3Hz­200µs x 7sec 80%+ 1Hz 200µs x 3 sec 100% + 40Hz-200µs x 5 sec 75%) x 60 cicles
Total time 15 min: (3Hz­300µs x 7sec 80%+ 1Hz 300µs x 3 sec 100% + 40Hz-300µs x 5 sec 75%) x 60 cicles
Total time 10 min: (3Hz­200µs x 7sec 80%+ 1Hz 200µs x 3 sec 100% + 60Hz-200µs x 5 sec 70%) x 40 cicles
Total time 10 min: (3Hz­300µs x 7sec 80%+ 1Hz 300µs x 3 sec 100% +
frequency 50 Hz impulse width 90µs
Total time 10 min: (3Hz­200µs x 7sec 50%+ 1Hz 200µs x 3 sec 60% + 30Hz-200µs x 5 sec 50%) x 40 c cicles
Total time 10 min: (3Hz­200µs x 7sec 80%+ 1Hz 200µs x 3 sec 100% + 30Hz-200µs x 5 sec 80%) x 40 cicles
Total time 10 min: (3Hz­300µs x 7sec 80%+ 1Hz 3-00µs x 3 sec 100% + 30Hz-300µs x 5 sec 80%) x 40 cicles
Total time 10 min: (3Hz­200µs x 7sec 80%+ 1Hz 200µs x 3 sec 100% + 50Hz-200µs x 5 sec 75%) x 40 cicles
Total time 10 min: (3Hz­300µs x 7sec 80%+ 1Hz 300µs x 3 sec 100% + 50Hz-300µs x 5 sec 75%) x 40 cicles
Total time 5 min: (3Hz­200µs x 7sec 80%+ 1Hz 200µs x 3 sec 100% + 70Hz-200µs x 5 sec 70%) x 20 cicles
Total time 5 min: (3Hz­300µs x 7sec 80%+ 1Hz 300µs x 3 sec 100% +
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B7*
B8*
B9*
B10*
B11*
B12*
B13*
B14
B15*
Total time 4 min frequency 6 Hz impulse width 250µs
Total time 4 min frequency 12 Hz impulse width 100µs
Total time 4 min frequency 6 Hz impulse width 250µs
Total time 4 min frequency 6 Hz impulse width 300µs
Total time 4 min frequency 6 Hz impulse width 250µs
Total time 4 min frequency 6 Hz impulse width 200µs
Total time 4 min frequency 10 Hz impulse width 100µs
Total time 30 min: (1 3Hz - 300µs 100% + 1 5Hz - 250µs 100%+ 1 8Hz - 200µs 100%) x 10 cicles
Total time 10 min : (70Hz­70µs x 5 sec 100% + 3Hz 200µs x 5 sec 100%) x 60 cicles
60Hz-300µs x 5 sec 75%) x 40 cicles
Total time 5 min: frequency 12 Hz impulse width 250µs (90%)
Total time 10 min: (5Hz­100µs x 10sec 90%+ 20Hz 100µs x 5 sec 90% ) x 40 cicles
Total time 20 min: (5Hz-250µs x 8 sec ch1/ch2 80% + 40Hz­250µs x 6 sec ch1 80%+ 40Hz-250µs x 6 sec ch2 80%) x 60 cicles
Total time 20 min: (5Hz-300µs x 8 sec ch1/ch2 80% + 40Hz­300µs x 6 sec ch1 80%+ 40Hz-300µs x 6 sec ch2 80%) x 60 cicles
Total time 20 min: (5Hz-250µs x 8 sec ch1/ch2 80% + 40Hz­250µs x 6 sec ch1 80%+ 40Hz-250µs x 6 sec ch2 80%) x 60 cicles
Total time 20 min: (5Hz-200µs x 8 sec ch1/ch2 80% + 40Hz­200µs x 6 sec ch1 80%+ 40Hz-200µs x 6 sec ch2 80%) x 60 cicles
Total time 10 min: (5Hz-100µs x 5 sec 100% + 15Hz-100µs x 5 sec 95%+ 3Hz-100µs x 5 sec 100%) x 40 cicles
Total time 5 min frequency 3 Hz impulse width 300µs
70Hz-300µs x 5 sec 75%) x 20 cicles
Total time 5 min: (5Hz­250µs x 5sec 90%+ 30Hz 250µs x 5 sec 90% ) x 30 cicles
Total time 5 min frequency 3 Hz impulse width 250µs (80%)
Total time 5 min frequency 3 Hz impulse width 300µs (80%)
Total time 5 min frequency 3 Hz impulse width 250µs (80%)
Total time 5 min frequency 3 Hz impulse width 200µs (80%)
Total time 5 min frequency 12 Hz impulse width 100µs (95%)
Total time 10 min frequency 1 Hz impulse width 300µs
Fitness programs
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F1*
F2*
F3*
F4*
F5*
F6*
F7*
F8*
F9*
Total time 3 min frequency 6 Hz impulse width 250µs
Total time 4 min frequency 6 Hz impulse width 200µs
Total time 4 min frequency 6 Hz impulse width 300µs
Total time 4 min frequency 6 Hz impulse width 200µs
Total time 4 min frequency 6 Hz impulse width 300µs
Total time 4 min frequency 6 Hz impulse width 200µs
Total time 4 min frequency 6 Hz impulse width 300µs
Total time 4 min frequency 6 Hz impulse width 200µs
Total time 4 min frequency 6 Hz impulse width 300µs
Total time 3 min frequency 8 Hz impulse width 250µs
Total time 15 min (3Hz­200µs x 9sec 80%+ 1Hz 200µs x 3 sec 100% + 20Hz-200µs x 8 sec 80%) x 45 cicles
Total time 15 min (3Hz­300µs x 9sec 80%+ 1Hz 300µs x 3 sec 100% + 20Hz-300µs x 8 sec 80%) x 45 cicles
Total time 15 min (3Hz­200µs x 9sec 80%+ 1Hz 200µs x 3 sec 100% + 40Hz-200µs x 8 sec 80%) x 45 ci cicles
Total time 15 min (3Hz­300µs x 9sec 80%+ 1Hz 300µs x 3 sec 100% + 20Hz-300µs x 8 sec 80%) x 45 cicles
Total time 10 min (3Hz­200µs x 7sec 80%+ 1Hz 200µs x 3 sec 100% + 50Hz-200µs x 5 sec 75%) x 40 cicles
Total time 10 min (3Hz­300µs x 7sec 80%+ 1Hz 300µs x 3 sec 100% + 50Hz-300µs x 5 sec 75%) x 40 cicles
Total time 10 min (3Hz­200µs x 7sec 80%+ 1Hz 200µs x 3 sec 100% + 70Hz-200µs x 5 sec 80%) x 40 cicles
Total time 10 min (3Hz­300µs x 7sec 80%+ 1Hz 300µs x 3 sec 100% + 70Hz-300µs x 5 sec 80%) x 40 cicles
Total time 10 min (5Hz­250µs x 7sec 80%+ 1Hz 250µs x 3 sec 100% + 30Hz-250µs x 5 sec 80%) x 40 cicles
Total time 15 min (3Hz­200µs x 9sec 80%+ 1Hz 200µs x 3 sec 100% + 30Hz-200µs x 8 sec 80%) x 45 cicles
Total time 15 min (3Hz­300µs x 9sec 80%+ 1Hz 300µs x 3 sec 100% + 20Hz-300µs x 8 sec 80%) x 45 cicles
Total time 10 min (3Hz­200µs x 7sec 80%+ 1Hz 200µs x 3 sec 100% + 50Hz-200µs x 5 sec 75%) x 40 cicles
Total time 10 min (3Hz­300µs x 7sec 80%+ 1Hz 300µs x 3 sec 100% + 50Hz-300µs x 5 sec 75%) x 40 cicles
Total time 10 min (3Hz­200µs x 7sec 80%+ 1Hz 200µs x 3 sec 100% + 60Hz-200µs x 5 sec 75%) x 40 cicles
Total time 10 min (3Hz­300µs x 7sec 80%+ 1Hz 300µs x 3 sec 100% + 60Hz-300µs x 5 sec 75%) x 40 cicles
Total time 10 min (3Hz­200µs x 7sec 80%+ 1Hz 200µs x 3 sec 100% + 80Hz-200µs x 5 sec 80%) x 40 cicles
Total time 10 min (3Hz­300µs x 7sec 80%+ 1Hz 300µs x 3 sec 100% + 80Hz-300µs x 5 sec 80%) x 40 cicles
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Total time 4 min
F10*
F11*
F12
F13*
F14*
frequency 6 Hz impulse width 200µs
Total time 4 min frequency 6 Hz impulse width 300µs
Total time 30 min (20 sec 5Hz - 200µs 100% + 20 sec 8Hz - 150µs 100% + 20 sec 12Hz - 100µs 100%) x 30 cicles
Total time 10 min frequency 6 Hz impulse width 250µs
Total time 4 min frequency 6 Hz impulse width 250µs
F15*
F16*
F17*
F18*
F19*
F20*
Total time 3 min frequency 6 Hz impulse width 200µs
Total time 3 min frequency 6 Hz impulse width 300µs
Total time 3 min frequency 6 Hz impulse width 200µs
Total time 3 min frequency 6 Hz impulse width 300µs
Total time 10 min (3Hz­250µs x 7sec 80%+ 1Hz­250µs x 3sec 100% + 20Hz 250µs x 5 sec 80%) x 40 cicles
Total time 5 min frequency 3 Hz impulse width 250µs
Total time 10 min (3Hz­200µs x 12sec 90%+ 1Hz 200µs x 3 sec 100% + 100Hz-200µs x 5 sec 80%) x 30 cicles
Total time 10 min (3Hz­300µs x 12sec 90%+ 1Hz 300µs x 3 sec 100% + 100Hz-300µs x 5 sec 80%) x 30 cicles
Total time 5 min (5Hz­250µs x 7sec 80%+ 1Hz 250µs x 3 sec 100% + 20Hz-250µs x 5 sec 80%) x 20 cicles
Total time 15 min (5Hz­250µs x 8sec CH1&CH2 80%+ 50Hz 250µs x 6 sec 75% CH1 + 50Hz 250µs x 6 sec 75% CH2) x 45 cicles
Total time 10 min (30Hz­200µs x 5 sec 80% CH1 + 30Hz-200µs x 5 sec 80% CH2) x 60 cicles
Total time 10 min (30Hz­300µs x 5 sec 80% CH1 + 30Hz-300µs x 5 sec 80% CH2) x 60 cicles
Total time 10 min (50Hz­200µs x 5 sec 75% CH1 + 50Hz-200µs x 5 sec 75% CH2) x 60 cicles
Total time 10 min (50Hz­300µs x 5 sec 75% CH1 + 50Hz-300µs x 5 sec 75% CH2) x 60 cicles
Total time 10 min frequency 6 Hz impulse width 250µs (90%)
Total time 10 min (3Hz­250µs x 2 sec ch1 100% + 3Hz-250µs x 2 sec ch2 100%) x 150 cicles
Total time 10 min (3Hz­200µs x 12sec 90%+ 1Hz 200µs x 3 sec 100% + 120Hz-200µs x 5 sec 80%) x 30 cicles
Total time 10 min (3Hz­300µs x 12sec 90%+ 1Hz 300µs x 3 sec 100% + 120Hz-300µs x 5 sec 80%) x 30 cicles
Total time 10 min frequency 2 Hz impulse width 250µs
Total time 5 min frequency 10 Hz impulse width 250µs (80%)
Total time 5 min frequency 4 Hz impulse width 200µs (90%)
Total time 5 min frequency 4 Hz impulse width 300µs (90%)
Total time 5 min frequency 4 Hz impulse width 200µs (90%)
Total time 5 min frequency 4 Hz impulse width 300µs (90%)
Total time 10 min frequency 2 Hz impulse width 250µs
Total time 10 min (2Hz­250µs x 2 sec ch1 100% + 2Hz-250µs x 2 sec ch2 100%) x 150 cicles
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*= As the phase changes a sound signal invites the user to increase 1 step intensity while the
arrows
behind the intensity indicators are blinking.
12.
T.E.N.S. / rehabilitation programs.
It must be remembered that an electronic stimulator is a very effective analgesic
instrument and that pain can indicate various types of medical conditions!
The Tens1 to Tens20 programs described in this paragraph are analgesic. You are
advised to read the manual carefully before using MIO-CARE.
REMEMBER THAT PAIN IS A SIGN:
consult a doctor to identify the medical condition before using MIO-CARE!
TENS, an acronym standing for “transcutaneous electrical nerve stimulation”, is a therapeutic technique mainly used for analgesic purposes to counter the effects (usually pain) of a wide variety of medical conditions. For this purpose it finds application in treating everyday ailments troubling mankind: neck pain, arthrosis, myalgia, neuritis, back pain, periarthritis, heaviness in legs, muscle weakness, just to mention a few. On an academic level, TENS can be divided into various categories according to the mechanism used to reduce the pain. The main types are: conventional TENS (or fast analgesic), electro acupuncture training TENS (or delayed analgesic), TENS at maximum values with antidromic action and consequently an immediate local anaesthetic effect. The rehabilitative action of TENS is represented by its power to reduce pain thereby restoring physiological conditions; more often than not this allows the patient to regain normal motor function. Consider a patient suffering from irritating periarthritis; they either resort to using analgesics or learn to live with the pain that often makes even the simplest movements impossible. Immobility reduces metabolic activity making it impossible to eliminate algogenic substances. So a vicious circle begins. In addition to relieving pain, TENS causes induced muscle stimulation increasing metabolic activity and blood flow and improving tissue oxygenation with an intake of nutritional substances. So the positive effect can be amplified by combining TENS with muscle stimulation of the area concerned.
Position of electrodes and intensity levels.
The electrodes should be positioned to form a square surrounding the painful area using Channel 1 and Channel 2 as shown in illustration 1 (red up/black down are not important for therapeutic purposes, follow instructions on electrodes position manual). The intensity should be adjusted to a level between the thresholds of perception and pain: the maximum intensity level is the moment in which the muscles surrounding the area treated begin to contract; over this limit stimulation does not become more effective, just more irritating, so it is best to stop before that point.
WARNING!
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illustration 1
Create a square area with the electrodes, over the painful zone. Keep 4cm minimum distance between electrodes.
WARNING
TENS 01 • Fast TENS
Program also called conventional tens, used for analgesic purposes; its purpose is to induce the organism into blocking pain at the spine, in accordance with the “Gate Control Theory” by Melzack and Wall. Pain impulses leave part of the body (for example the hand) and run along the nerve tracts (through small-diameter nerve fibres) until they reach the central nervous system where the impulses are interpreted as pain. Conventional tens activates large-diameter nerve fibres, blocking the path of small-diameter nerve fibres at the spine. So action is mainly taken against the symptom: to simplify it further, the wire transmitting pain information is obstructed. Treatment duration should be no less than 30/40 minutes. Conventional tens is a current that can be used to treat general everyday pain. The average number required to benefit from the treatment is 10/12 per day (there are no contraindications for up to double this amount). The program has a duration of 40 minutes in a single phase. The program can be repeated at the end of the session for particularly persistent pain. The nature of the impulse means that the patient may experience an “addictive” effect due to which the impulse will be felt less and less: if necessary the intensity can be increased by one level to counter this effect. Position of electrodes: form a square above the painful area as shown in illustration 1.
TENS 02 • Endorphinic TENS
This type of stimulation produces two types of effects according to how the electrodes are positioned: positioning the electrodes in the dorsal region, see photo 08 in the positions manual, promotes the endogenous production of morphine-like substances capable of raising the pain perception threshold; positioning the electrodes to form a square above the painful area as shown in illustration 1 produces a vascularizing effect. Vascularization increases arterial flow and consequently aids the removal of algogenic substances and helps to restore normal physiological conditions. Treatment duration 30 minutes in a single phase, daily frequency.
Do not position the electrodes close to inflamed areas. Intensity adjusted for good solicitation of the part stimulated, the sensation must be similar to
that of a massage.
TENS 03• TENS at maximum values
Very short duration, 3 minutes. Blocks pain impulses peripherally creating a proper anaesthetising effect in the area treated. This type of stimulation is suitable for injuries or bruises when rapid action is required. The intensity selected is the maximum tolerable value (well in excess of conventional tens, and therefore with considerable contraction of the muscles surrounding the area treated). That is the reason why such stimulation is undoubtedly the least tolerated but is extremely effective. This type of stimulation is not recommended for particularly sensitive people and in any case the electrodes should not be positioned in sensitive areas such as the face and genitals or close to wounds. Position of electrodes: form a square above the painful area as shown in illustration 1.
(Medical program)
(Medical program)
(Medical program)
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TENS 04 • Anti-inflammatory
Program recommended for inflammatory conditions. To be applied until the inflammatory state is lessened (10-15 applications, once a day; the daily treatments can be doubled if required). Identify the area to be treated and position the electrodes as shown in illustration 1. Adjust the intensity until a tingling feeling is produced in the area treated; avoid contracting the surrounding muscles. Program duration: 30 minutes.
TENS 05 • Neck pain / Headache
Specific program for the treatment of pain in the neck area. The intensity should be adjusted to a level between the thresholds of perception and pain: the maximum intensity level is the moment in which the muscles surrounding the area treated begin to contract; over this limit stimulation does not become more effective, just more irritating, so it is best to stop before that point. The first benefits can be seen after 10 to 12 treatments carried out on a daily basis; proceed with the treatment until the symptoms pass. Position of electrodes: photo 25. Warning: the device varies stimulation parameters during the program. The current may feel different: this is perfectly normal and is envisaged by the software: raise or lower the intensity according to your own sensitivity to reach a level of stimulation that is comfortable for you.
TENS 06 • Backache/Sciatic pain
Specific program for the treatment of pain in the lumbar area or along the sciatic nerve, or both. The intensity should be adjusted to a level between the thresholds of perception and pain: the maximum intensity level is the moment in which the muscles surrounding the area treated begin to contract; over this limit stimulation does not become more effective, just more irritating, so it is best to stop before that point. The first benefits can be seen after 15 to 20 treatments carried out on a daily basis; proceed with the treatment until the symptoms pass. Program duration: 40 minutes. Position of electrodes: see photo 27 and 28 in the manual of positions.
TENS 07 • Sprains / Bruises
The program develops its effectiveness after this type of injury by inhibiting pain locally, producing three selectively acting, differentiated impulses. The intensity should be adjusted to a level between the thresholds of perception and pain: Number of treatments: until pain is lessened, on a daily basis (even 2/3 times a day).
TENS 08 • Vascularization
Has a vascularizing effect on the area treated. Vascularization increases arterial flow and consequently aids the removal of algogenic substances and helps to restore normal physiological conditions. Do not position the electrodes close to inflamed areas. Daily application is recommended, the number of applications is not defined; the program can be used to reduce pain. Stimulation intensity should be between the thresholds of perception and slight discomfort. Program duration: 20 minutes. Position of electrodes: see photo 25 and 33 in the manual of positions.
TENS 09 • Muscle relaxant
Program used to speed up the recovery of muscle function after intense training or strain from work; the effect is immediate. Adjust the intensity for moderate muscle solicitation. Two
(Medical program)
(Medical program)
(Medical program)
(Medical program)
(Medical program)
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treatments per day for three or four days. Program duration: 30 minutes. Position of electrodes: from photo 1 to 28.
TENS 10 • Haematomas
Consult a doctor before using this program to treat haematomas. Total program duration: 30 minutes. Few applications carried out within a few hours of the bruise. A combination of various types of square-wave impulses has a graduated draining effect on the area to be treated (impulses at different frequencies drain the area at different depths). The intensity should be adjusted to a level between the thresholds of perception and pain, without causing muscle contraction: Position of electrodes: form a square above the area to be treated as shown in illustration
1.
TENS 11 • Atrophy prevention
Program created to maintain muscle trophism. This treatment concentrates on muscle toning, paying particular attention to slow-twitch fibres. Particularly indicated for patients recovering from an accident or an operation. Prevents the reduction of muscle trophism caused by physical inactivity. The muscle area concerned can be stimulated with daily applications of medium intensity; if you increase the intensity, leave a day of rest between applications to allow the muscles to recover. The intensity of this program must be adjusted to produce good muscle contraction in the area treated. Position of electrodes from photo 1 to photo 20. Program duration: 24 minutes.
TENS 12 • Atrophy - trophism rehabilitation
This program acts selectively on slow-twitch fibres. Ideal for recovering muscle trophism after a long period of inactivity or an accident. Program to be carried out when loss of muscle tone has already occurred. Apply with caution (at low intensity, enough to produce light muscle contractions) in the first 2/3 weeks. Increase intensity progressively over the next 3/4 weeks. Application on alternate days. Position of electrodes from photo 1 to photo 20. Program duration: 29 minutes.
TENS 13 • Hand and wrist pain
This program is suitable for all types of hand and wrist pain: aching caused by strains, arthritis in the hand, carpal tunnel syndrome, etc. Total program duration: 40 minutes. A combination of various types of square-wave impulses has a general analgesic effect on the area to be treated (impulses at different frequencies stimulate different sized nerve fibres promoting an inhibitory action at spinal level). The intensity should be adjusted to a level between the thresholds of perception and pain, without causing muscle contraction: Position of electrodes: form a square above the area to be treated as shown in illustration
1.
TENS 14 • Plantar stimulation
This program has a relaxing and draining effect on the limb stimulated. It is ideal for people suffering from a sense of “heaviness in the legs”. Duration: 40 minutes. Intensity: just above the threshold of perception. Position of electrodes: 2 electrodes (one positive, the other negative) on the sole of the foot, one close to the toes, the other under the heel.
(Medical program)
(Medical program)
(Medical program)
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TENS 15 • Epicondylitis
Also known as “tennis elbow”, it is an insertional tendinopathy concerning insertion of the elbow bone into the epicondylar muscles, those enabling finger and wrist extension (bending backwards). 15 applications once a day (even twice), until the symptoms pass. We recommend that you consult your doctor to identify the precise cause of the pain in order to prevent the condition from reoccurring. Program duration 40 minutes, intensity adjusted above the threshold of perception. Position of electrodes: photo 29.
TENS 16 • Epitroclea
Also known as “golfing elbow”, it affects golfers but also those who carry out repetitive tasks or tasks involving frequent intense strain (for example carrying a particularly heavy suitcase). It causes pain in the flexor and pronator tendons inserted in the epitroclea. Pain is felt when bending or straightening the wrist against resistance, or when clenching a hard rubber ball in the hand. 15 applications once a day (even twice), until the symptoms pass. We recommend that you consult your doctor to identify the precise cause of the pain in order to prevent the condition from reoccurring. Program duration 40 minutes, intensity set above the threshold of perception. Position of electrodes: photo 29 but with all of the electrodes positioned on the inside of the arm (with a rotation of about 90°).
TENS 17 • Periarthritis
Scapulo-humeral periarthritis is an inflammatory condition affecting the fibrous tissues surrounding joints: tendons, serous sacs and connective tissue. These appear altered and can break into fragments and calcify. If neglected, this condition can become heavily crippling. For this reason, after carrying out a cycle of 15/20 applications once a day, we recommend that you consult your doctor for a cycle of specific rehabilitation exercises to reduce the pain. The Tens17 program consists of various phases including Tens and muscle stimulation aimed at improving the tone of the muscles surrounding the joint. Program duration 41 minutes, intensity set above the threshold of perception with small muscle contractions at the end of the program (10 minutes before the end).
TENS 18 • Microcurrent
The use of microcurrent is very similar to conventional Tens, the only difference being the very fine electric impulse used that is sometimes more suitable for the sensibility of slightly anxious people or the more delicate parts of the body. It can generally be applied for everyday pains, bearing in mind that you should always consult your doctor to identify the cause of the pain. It is considered a good all-purpose analgesic current, as it does not have any side effects (except slight skin redness after long applications), and has very few contraindications (those specified in the paragraph at the beginning). Program duration: 30 minutes. Intensity set above the threshold of perception. Position of electrodes: above the painful area as shown in illustration 1.
TENS 19 • Stress incontinence
Program duration 9 minutes, intensity set above the threshold of perception to produce light internal stimulation. This program, for which no photographs are provided regarding the position of the electrodes, requires the use of appropriate internal stimulation probes, supplied separately together with the relative instructions. Consult your doctor before using this program and during the treatment period.
(Medical program)
(Medical program)
(Medical program)
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Medical condition
Program
No. of treatments
Treatment frequency
Position of electrodes
Daily (TENS1 up to
Daily, even twice a
Daily, even twic
e a
Photo 25 but with all
Backache
TENS 6
12/15 Daily Photo 27
Daily, even twice a
Photo 18 w
ith all
Daily, even twice a
Daily, even twice a
Daily, even twice a
Da
ily, up to 2/3 times
TENS 20 • Urgency incontinence
Program duration 9 minutes, intensity set above the threshold of perception to produce light internal stimulation. This program, for which no photographs are provided regarding the position of the electrodes, requires the use of appropriate internal stimulation probes, supplied separately together with the relative instructions. Consult your doctor before using this program and during the treatment period.
WARNING: when using programs Tens 19 and Tens 20, we recommend using probes that
have been certified by a notified body as a “class IIa medical device”. The probes should be
provided with instructions for use, cleaning and storage as well as any information relevant to
the user.
ARTHROSIS
Arthrosis is a chronic-degenerative medical condition, appearing insidiously, developing over time and causing progressive degeneration of the joints (a joint is formed of two or more joint "heads", cartilage, ligaments, a synovial membrane, a joint capsule, tendons and muscles), limiting joint motility increasingly over time. Arthrosis mainly causes progressive deterioration of cartilage (which is not capable of re-forming) and bone, with secondary deformation of the same, and production of excrescences, called "osteophytes", which mechanically obstruct joint movement; it also causes the joint capsule to thicken and stiffen, which together with contraction of the muscles surrounding the joint limits the "joint excursion" even further. Tens therapy can lessen the pain caused by this condition, but cannot cure it! Tens (Tens 1) can be combined with stimulation of the area to be treated using a low­frequency current (Tens 2) to relax the surrounding muscles.
Treatment program for the most common medical conditions. TENS.
(Medical program)
Arthrosis
Neck pain TENS 5 10/12
Cervicogenic headache TENS 5 10/12
Back pain TENS 6 10/12 Daily
Sciatic pain TENS 6 15/20
Cruralgia TENS 6 15/20
Epicondylitis TENS 15 15/20
Hip pain TENS 1 10/20
Knee pain TENS 1 10/20
Ankle sprain TENS 3 5/7
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TENS 1+
TENS 2
Until pain is
lessened
61
2/3 times a day,
TENS 2 once a day)
day
day
day
Daily, even twice a
day
day
day
day
a day
On the painful area
Photo 25
Photo 25
electrodes placed 10
cm lower
Photo 28
electrodes placed on
the inside of the thigh
Photo 29
Photo 30
Photo 31
Photo 32
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Daily, even twice a
Trigeminal neuralgia
TENS 18
10/12 Daily Photo 24
TENS 1 +
Daily, even twice a
Periarthritis
TENS 17
15/20 Daily P
hoto 26
Carpal tunnel syndrome TENS 1 10/12
day
Photo 33
Wryneck
Important: for all of these programs, stimulation intensity must be set between the threshold of impulse perception and the moment in which the impulse starts to cause discomfort. With the exception of the “periarthritis” program, the muscles surrounding the area to be treated must not contract, they should only produce slight “vibrations”. N.B. read the specific instructions on Tens 17 for the periarthritis program.
TENS 9
8/10
day
Photo 25
13. Beauty Programs
models)
BEAUTY 1 • Firming up – upper limbs and trunk. BEAUTY 2 • Firming up – lower limbs.
Indicated for firming up muscles in the arms and bust (Beauty 1), or the legs (Beauty 2); working mainly on slow-twitch fibres. Duration 29 minutes. Suitable for those who have never done any physical activity or have been inactive for a long period of time. Method of use:
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. Working on too many muscles at the same time is not recommended.
BEAUTY 3 • Toning up – upper limbs and trunk. BEAUTY 4 • Toning up – lower limbs.
Indicated for toning up muscles in the arms and bust (Beauty 3), or the legs (Beauty 4); working mainly on fast-twitch fibres. Duration 29 minutes. Suitable for people who already practice moderate physical activity. Method of use:
.
1. identify the muscle to be treated. To obtain good results it is best to treat just a few muscles at a time and complete the process described below;
2. position the electrodes as shown in the photo;
3. increase the intensity until the impulse can be felt (use a low intensity for the first session to help you to understand how the machine works);
4. during the program and over the next few days the intensity should be increased gradually so that muscle contractions are not painful;
5. during contraction generated by the unit, contract the muscle voluntarily;
6. a cycle of 15/20 applications must be completed before the first results can be seen; one application for each muscle every two days with a day of rest in between.
1. identify the muscle to be treated. To obtain good results it is best to treat just a few muscles at a time and complete the process described below;
2. position the electrodes as shown in the photo;
3. increase the intensity until the impulse can be felt (use a medium intensity for the first session to help you to understand how the machine works);
4. during the program and over the next few days the intensity should be increased gradually to produce marked muscle contractions;
5. during contraction generated by the unit, contract the muscle voluntarily;
(only for the Beauty and Fitness
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6. a cycle of 15/20 applications must be completed before the first results can be seen;
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. Working on too many muscles at the same time is not recommended.
BEAUTY 5 • Definition – upper limbs and trunk. BEAUTY 6 • Definition – lower limbs.
Indicated for defining muscles in the arms and bust (Beauty 5), or the legs (Beauty 6); working mainly on explosive fibres. Duration 19 minutes. Suitable for people who already practise good physical activity and wish to define their muscles in greater detail. Method of use:
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. Working on too many muscles at the same time is not recommended.
BEAUTY 7 • Modelling.
Due to a combination of capillarizing and toning impulses, this program helps mobilise fat in areas where it tends to accumulate. The electrodes should be positioned to form a square around the area to be treated and can be applied daily using a medium intensity. Program duration: 14 minutes. Recommended stimulation intensity: medium. Position of electrodes: see photos 01 to 20 and photo 22 and 23 in the manual of
positions.
BEAUTY 8 • Microlifting.
The following program, with a duration of 14 minutes, is used to tone facial muscles using a special impulse to improve both the appearance and the dynamism of facial muscles. The position of the electrodes is shown in the manual of electrode positions (photo 24).
N.B. a minimum distance of 3 cm. must be kept between the electrode and the eyeball.
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.
The equation “more pain = more gain” is completely misleading and counterproductive. Great and significant results are obtained through consistency and patience.
BEAUTY 9/10/11/12 • Lipolysis - abdomen (9), thighs (10), glutei and hips (11), arms (12).
These specific drainage programs increase microcirculation within and around the muscle fibres treated and create rhythmic contractions, facilitating the discharge of algogenic substances and promoting lymphatic activity. It can also be applied to older people to improve blood and lymphatic circulation.
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one application for each muscle every two days with a day of rest in between.
1. identify the muscle to be treated. To obtain good results it is best to treat just a few muscles at a time and complete the process described below;
2. position the electrodes as shown in the photo;
3. increase the intensity until the impulse can be felt (use a medium intensity for the first session to help you to understand how the machine works);
4. during the program and over the next few days intensity should be increased gradually to produce marked muscle contractions;
5. contract the muscle voluntarily during contraction generated by the unit;
6. a cycle of 15/20 applications must be completed before the first results can be seen; one application for each muscle every two days with a day of rest in between.
IMPORTANT: take care when adjusting the intensity as facial muscles are particularly
IMPORTANT: it is not necessary to reach levels of intensity capable of causing discomfort!
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Weekly training program
Day 1 Day 3 Day 5 Day 7
The program produces sequential tonic contractions, reproducing the typical effect of electronic lymphatic drainage. There are no real limits of application for these programs, which can be practiced until the desired result has been achieved. Stimulation intensity must be sufficient to produce good muscle contractions during the treatment but not enough to cause any soreness. Duration 29 minutes. The first results can usually be seen after 3/4 weeks practicing 4/5 sessions a week.
Beauty 9: lipolysis - abdomen (photo 20).
Beauty 10: lipolysis - thighs (photo 21).
Beauty 11: lipolysis - glutei (photo 19) and hips (photo 23, Ch1 on one hip and Ch2 on the
other).
Beauty 12: lipolysis - arms (photo 15 and 16, Ch1 on one arm and Ch2 on the other).
BEAUTY 13 • Tissue elasticity.
Program lasting 19 minutes that stimulates surface muscle fibres. The frequencies used facilitate the removal of substances accumulated on the surface and improve the dynamic appearance of the skin. Intensity should be set to produce “surface vibrations”. Position the electrodes to form a square around the area to be treated.
BEAUTY 14 • Capillarization.
The capillarization program significantly increases arterial flow in the area treated. The capillarization program is very useful for recovering after intense aerobic work (toning up training) and improves local microcirculation. Program duration: 30 minutes. Recommended stimulation intensity: medium. Position of electrodes: see photos 01 to 20 in the manual of positions.
BEAUTY 15 • Heaviness in legs.
This program is used to improve blood flow and muscle oxygenation speeding up the elimination of lactic acid (produced after anaerobic sessions for muscle definition), reducing soreness and the risk of contractures. Thanks to this program the muscle treated will be ready for a new training session or competition much more quickly. Program duration: 25 minutes. Recommended initial intensity: medium-low, enough to produce good movement of the part treated; increase intensity progressively until the muscle treated is subjected to a strong massage. Position of electrodes: see photos 01 to 20 in the manual of positions.
Treatment programs for muscle firming and lipolysis.
Muscle Photo
Abdominal muscles ­firming up
Abdominal muscles – post partum
Pectoral muscles ­firming up
Thighs - firming up
Glutei - firming up
Arms biceps ­firming up
Arms triceps ­firming up
Lipolysis ­abdomen
Lipolysis - No. 21 B10 B14 B10 B2 6
No. 1/20 Beauty14 B1 B14 + B1 B1 6
No. 20 B14 B1 B14 B1 8
No. 7/17 B14 B1 B1 B1 6
No. 11/18 B14 B2 B14 + B2 B2 5
No. 19 B14 B2 B14 + B2 B2 5
No. 2/15 B14 B1 B14 + B1 B1 5
No. 3/16 B14 B1 B14 + B1 B1 5
No. 20 B9 B14 B9 B1 6
No. of weeks
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thighs
Lipolysis - glutei No. 19 B11 B14 B11 B2 6
Lipolysis - hips
Lipolysis - arms
WARNING: MODERATE INTENSITY DURING THE FIRST TWO WEEKS, INCREASING IN THE FOLLOWING WEEKS
No. 23 (Ch1 on right hip
Ch2 on left hip)
No. 15+16 (4 Ch1 electrodes on right arm and 4 Ch2 ones on left
arm).
B11 B14 B11 B2 6
B12 B14 B12 B1 6
14.
Fitness Programs
(only for the Fitness version).
IMPORTANT!
Stimulation intensity during the contraction: the muscle must contract well without
causing pain. It is recommended to voluntarily contract the muscle during contractions
induced by the electronic stimulator to reduce the sense of discomfort and improve the
proprioceptive response: In this way, after electrostimulation, the muscle will be capable
of contracting all of the muscle fibres stimulated by electrostimulation and the
parameters of strength and resistance will improve.
Contraction should increase as you pass through the following programs:
Resistance
Resistant strength
Basic strength
Fast strength
Explosive strength
FITNESS 1 • Warming up (all muscle groups).
Program suitable for use before training sessions or competitions, very useful for sports involving maximum effort right from the start. Program duration: 16 minutes. Position of electrodes from photo 1 to photo 20. Recommended stimulation intensity: medium; the muscle must work without strain.
FITNESS 2/3 • Resistance - upper limbs and trunk (2), lower limbs (3).
The Resistance program is used in sports to increase muscle resistance, acting mainly on slow-twitch fibres. Program indicated for endurance sports: marathon runners, cross-country skiers, ironman, etc. Program duration: 34 minutes. Stimulation intensity during the contraction: if not particularly fit, start with a low intensity then increase gradually. For practised athletes the intensity used should be enough to produce visible muscle contractions. In the event of muscle ache after stimulation, use the Fitness 19 program (muscle relaxant).
FITNESS 4/5 • Resistant strength - upper limbs and trunk (4), lower limbs (5).
This program is designed to help increase resistance to physical stress, or rather withstand intense exertion for a longer amount of time in muscle regions subjected to stimulation. Indicated for sporting disciplines involving long, intense periods of exertion. Program duration: 29 minutes. Stimulation intensity during the contraction: start with a low level of intensity, increasing it gradually. For practised athletes the intensity used should be enough to produce visible muscle contractions. In the event of muscle ache after stimulation, use the Fitness 19 program (muscle relaxant).
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FITNESS 6/7 • Basic strength - upper limbs and trunk (6), lower limbs (7).
The Basic strength program is used in sport to develop basic strength, which for definition is the maximum tension that a muscle can exert against constant resistance. The contractions alternate with periods of active recovery during the work phase, allowing the muscle to be trained without subjecting it to stress and improving oxygenation of the same muscle. Program duration: 24 minutes.
The following basic procedure will enable you to obtain the first results: two sessions per week (for each muscle region) for the first three weeks at medium/low intensity, three sessions per week for the next three weeks at high intensity. Intensity must be increased gradually treatment by treatment, without overstraining the muscles. Suspend training for a few days in the event of fatigue and proceed with the “Fitness 19” program.
FITNESS 8/9 • Fast strength - upper limbs and trunk (8), lower limbs (9). This program is designed to increase speed in fast athletes and develop it in athletes lacking the quality. Program duration: 24 minutes. The exercise assumes a fast pace and the contraction is short, as is the recovery. It is usually best to complete a three-week basic strength cycle of increasing intensity before using this program. Then continue with three weeks of fast strength three times a week at high intensity, almost past endurance during the contraction.
FITNESS 10/11 • Explosive strength - upper limbs and trunk (10), lower limbs (11). Explosive strength programs increase the explosive power and speed of the muscle mass, with extremely short, strengthening contractions and very long active recovery times to allow the muscle to regain strength. Program duration: 24 minutes. It is usually best to complete a three­week basic strength cycle (fitness 6/7) before using this program. Then continue with three weeks of explosive strength twice a week. During the contraction, the intensity must be the highest that can be endured in order to obtain maximum muscle exertion whilst involving the greatest number of fibres.
FITNESS 12 • Deep capillarization.
This program significantly increases arterial flow in the area treated. Prolonged use of this program develops the intramuscular capillary network of fast-twitch fibres. The effect obtained is an increase in the capacity of fast-twitch fibres to withstand strain over extended periods of time. For an athlete with good resistance, the capillarization program is very useful for recovery after intense aerobic work, before anaerobic work and when training is not possible (due to bad weather or an injury). Program duration: 30 minutes. Recommended stimulation intensity: medium. Position of electrodes: see photos 01 to 20 in the manual of positions in relation to the area that you wish to stimulate.
FITNESS 13 • Muscle recovery.
Can be used for all sports, after competitions or the most demanding training sessions, in particular after long and intense exertion. To be used immediately after exertion. Helps drainage and winding down, improving muscle oxygenation and helping to discharge synthetic substances produced during exertion. Program duration: 25 minutes. Stimulation intensity: medium-low, increased during the last 5 minutes. Position of electrodes: see photos 01 to 20 in the manual of positions in relation to the
area that you wish to stimulate.
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FITNESS 14 • Agonist / Antagonist.
The electronic stimulator produces contractions alternated between 2 channels: during the first 4 minutes of warm-up the 2 channels work simultaneously, during the central work phase (15 minutes) muscle contractions are alternated between Channel 1 (agonist muscles) and Channel 2 (antagonist muscles). The program is designed to restore muscle tone to the quadriceps and its antagonist the leg biceps, or the biceps brachii and the triceps. The work aims at developing strength. With this program, muscle relaxation is obtained by simultaneous stimulation from both channels during the last 5 minutes. Program duration: 24 minutes. Stimulation intensity during the contraction: enough to produce good muscle contraction + voluntary contraction to reduce the sense of discomfort and reach higher intensities. Intensity must be increased gradually treatment by treatment, without overstraining the muscles. Suspend training for a few days in the event of fatigue and proceed with the “Fitness 19” program.
FITNESS 15/16 • Sequential tonic contractions - upper limbs and trunk (15), lower limbs (16).
This program increases microcirculation within and around the muscle fibres treated creating rhythmic contractions, fostering better drainage and toning. It can also be applied to older people to improve blood and lymphatic circulation in the lower limbs (e.g. applying right calf, These programs can be carried out using self-adhesive electrodes. Stimulation intensity must be sufficient to produce good muscle contractions during the treatment but not enough to cause any soreness. It mainly works on slow-twitch fibres.
CH2
to the right thigh). Program duration: 18 minutes.
FITNESS 17/18 • Sequential phasic contractions - upper limbs and trunk (17), lower limbs (18).
This program produces rhythmic contractions with a stimulation frequency typical of fast-twitch fibres. It is suitable for increasing muscle strength sequentially. The programs produce sequential phasic contractions on both channels. Stimulation intensity must be sufficient to produce good muscle contractions during the treatment but not enough to cause any soreness. Program duration: 18 minutes. Unlike the previous program, this one uses a higher stimulation frequency during the contraction phase and therefore works mainly on fast-twitch fibres.
FITNESS 19 • Muscle relaxant.
Can be used for all sports, after competitions or the most demanding training sessions, in particular after long and intense exertion. To be used immediately after exertion. Helps drainage and capillarization, improving muscle oxygenation and helping to discharge synthetic substances produced during exertion. Program duration: 30 minutes. Stimulation intensity: medium-low, increased during the last 10 minutes. Position of electrodes: see photos 01 to 20 in the manual of positions.
FITNESS 20 • Deep massage.
Can be used for all sports, after competitions or the most demanding training sessions, in particular after long and intense exertion. Program similar to the previous one: however it uses lower frequencies with a greater capacity for vascularization. To be used immediately after exertion. Helps drainage and capillarization, improving muscle oxygenation and helping to discharge synthetic substances produced during exertion. Program duration: 25 minutes. Stimulation intensity: medium-low, increased during the last 10 minutes. Position of electrodes: see photos 01 to 20 in the manual of positions.
CH1
to the
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Treatment programs for muscle strength.
Weekly training program
Day 1 Day 3 Day 5 Day 7
Muscle Photo
Abdominal muscles - basic strength
Pectoral muscles - basic strength
Quadriceps – basic strength
Glutei – basic strength
Arms biceps – basic strength
Arms triceps – basic strength
WARNING: MODERATE INTENSITY DURING THE FIRST TWO WEEKS, INCREASING IN THE FOLLOWING WEEKS
15. Self-adhesive electrodes.
The position of the electrodes is shown in the manual of electrode positions. The electrodes supplied are top quality, pre-gelled and ready for use, they are particularly suitable for electrostimulation treatments. They are very flexible making it easy to treat all areas. Remove the protective plastic from the electrode before use, position it on the skin as shown in the manual and replace the plastic after use. Electrode duration is determined by the skin’s pH value; we recommend no more than 10/15 applications using the same electrode. Repeated use of the same electrodes can compromise stimulation safety, which is why electrodes must not be used when they no longer stick to the skin; in fact it can cause skin redness that can last for many hours after stimulation. Consult a doctor if this occurs. For a safe use please refer to indications and warnings on electrodes package and in “Warning” paragraph.
16. Technical specifications.
Risk class: Class II in accordance with the 93/42/EEC directive (amended by
Isolation class: Internally powered device with type BF applied parts. Housing: ABS.
Power Supply: Ni/Mh AAA rechargeable battery 4.8V 800mAh. Operation: equipment suitable for continuous operation. Output channel: 2 channels, independent and galvanically isolated. Output voltage: adjustable, maximum voltage 92V on 500Ohm load.
Type of impulse: compensated, biphasic, rectangular.
IACER S.r.l.
No. 1/20 Fitness6 F19+F6 F6 F12 5
No. 7/17 F6 F19+F6 F6 F12 5
No. 11/18 F7 F19+ F7 F7 F12 5
No. 19 F7 F19+ F7 F7 F12 5
No. 2/15 F6 F19+F6 F6 F12 6
No. 3/16 F6 F19+F6 F6 F12 6
2007/47/EC).
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No. of weeks
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Frequency: operates with a range of impulses from 1 Hz to 150 Hz. Impulse amplitude: from 50µs to 300µs.
Display: reflective LCD display. Control keypad: 7-key keypad in ABS. Dimensions: 135X61X25 mm. Weight: 220 gr. including batteries. Battery charger: mains supply 100-240Vac / 50/60Hz, output DC6,0V / 300mA max.
Maintenance and storage: refer to the instructions in Chapter 8 “Maintenance and storage of MIO-
Warning: the equipment delivers current in excess of 10mA.
Use the battery charger supplied by the manufacturer. The use of other battery chargers can seriously compromise the safety of the entire device and that of the user.
CARE“.
Produced in compliance with the 93/42/EEC (amended by 2007/47/EC)
directive concerning medical devices
17.Warranty
Make reference to the national laws for any warranty conditions by contacting the national distributor (or directly the manufacturer IACER ).
MIO-CARE. All rights reserved. MIO-CARE and logo are owned by IACER Srl and are registrered.
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