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8/3/2019 Tens Guide Gb 0107
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Guidebook
TENS/EMS
Pain therapy and muscle stimulation
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General feeling of well-being
The electrical muscle stimulation/neuromuscular stimulation
units EM40 and EM80 made by Beurer are combined TENS/
EMS/massage units. This innovative equipment offers a variety
of functions to promote a feeling of well-being: it can relieve
pain, maintain physical fitness, reduce tension, revitalize tired
muscles and combat fatigue.
A third of all European households suffers from chronical pain
(Pain in Europe Survey, 2006). Many of the affected attempt
to treat themselves. TENS (transcutaneous electrical nerve
stimulation) units can help here as they can treat physical pain
without causing side-effects.
For a general feeling of well-being our bodies need to behealthy, fit and relaxed. In these media-dominated days, a
high value is placed on having a slim, exercised and well-
proportioned body. However, the objective of a well-shaped
body requires continuous training and healthy nutrition. To
shore up your active training program, you could conceivably
use the EMS (electrical muscle stimulation) unit simply to
stimulate your muscles, or to warm them up, make them more
toned or taut, or relax them.
It is important to understand, however, that using the EMS
unit will not replace an active training program. But targeted
application of the EMS unit will cause additional stimulation
of the muscles and hence increase the result obtained during
training.
This guidebook will attempt to explain TENS and EMS in more
detail, and in particular how the Beurer units work.
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How the electrical muscle
stimulation/neuromuscularstimulation units work
Electrical muscle stimulation/neuromuscular stimulation units
work by reproducing the bodys own pulses via electrodes
that pass pulses through the skin to nerve and muscle fibers.These electrodes can be attached to many different parts of
the body as the electrical stimuli are not painful. All you can feel
sometimes is a slight tingling or vibration.
For optimal results, use should be regularly and accompanied
by physical activity, healthy eating and a balanced lifestyle. The
electrical pulses mainly affect the nerves and muscles in theapplication area.
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TENS
TENS, transcutaneous electrical nerve stimulation, has
been clinically tested and licensed as an effective, drug-free
method for the treatment of physical pain and has no side-
effects when used properly. It can even be used by lay-people
for simple applications.
The pain-relieving or pain-suppressant effect is amongst others
achieved by:
Suppression of pain transmission in nerve fibres (especially
high-frequency pulses) and
Increasing production of the bodys own endorphins (espe-
cially low-frequency pulses within TENS).
The method is scientifically validated and medically approved.This applies in particular for the following therapeutic indica-
tions:
Back pain
Point pain
Neuralgic pain
Headache
Gynecological disorders
Pain after acute injury
Pain by circulatory disorder
So that you can make a personal treatment program to suit
you, the EM 40 and EM 80 have a freeze function." see Doctors Function.
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Patients with chronic pain were treated with TENS in a survey
(Pothmann, 2003, after Eriksson and Sjlund, 1989). Selected
results obtained are presented in the table below:
Cause of painTotal
number
Type of treat-ment continuedafter 3 months(conventional
TENS)
Success rate
Neuralgia (pain along thecourse of a nerve)
43 22 63%
Dorsalgia (back pain) 7 6 86%
Central pain 18 6 67%
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EMS
Electrical muscle stimulation (EMS) is a common method
and has been used for years in rehabilitation and sports
medicine. EMS is used supplementary in the field of sport and
fitness to train muscles conventionally and achieve easier an
efficient, slim and attractive body.
The application of EMS has two directions. On the one handthe strengthening of muscles, on the other hand a relaxing
effect.
To the first cluster belong:
Muscle training to boost endurance performance and / or
Muscle training to shape desired body proportions
To the second cluster belong:
Relaxation of muscles to release muscular tension
Improvement of muscular fatigue
Speed up the regeneration of muscles after high muscular
performance (e.g. after marathon)
So that you can make a personal training program to suit you,
the EM 40 and EM 80 have a freeze function.
" see Doctors Function.
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Current parameters
The Beurer Electrical muscle stimulation/neuromuscular stimulation
units operate using four different currents, as described in more
detail below:
A. Wave (pulse shape):
This describes the time course of a single pulse
taking into account the course of the pulseintensity over the time axis. Biphasic pulses are
used in the Beurer units (symmetrical). Unlike
monophasic current pulses, they offer the benefit
of a high degree of safety to the user and low muscle fatigue.
B. Pulse frequency:
The frequency gives the number of single
pulses per second, and is quoted in Hz
(Hertz).
The frequency determines which types of muscle fiber will react
preferred. Slow-reacting fibers react to low pulse frequencies of
up to 15 Hz, quick-reacting fibers on the other hand respond
from approx. 35 Hz upwards. At pulses of approx. 45-70 Hz, the
muscles are permanently tensed and become fatigued rapidly.
Higher pulse frequencies should therefore be preferred for rapid
and maximum power training.
C. Pulse duration:
This gives the duration of a single pulse in micro-seconds. Hence pulse duration determines
amongst others the depth of penetration of the current.
In general, the following rule applies: larger muscle masses require
larger pulse durations.
D. Pulse intensity:
Adjusting the intensity is a very personal matter
and depends on the subjective experience of
each individual user. It should always be set below the pain
threshold. The adjustment depends on the treatment time, too.
In the Beurer products, the current parameters are always pre-set
to a sensible, proven level. However, you have the opportunity tomake individual adjustments in order to find the most agreeable
and promising level for you.
Before the use of the units it is always recommended to consult
a doctor to discuss the desired application.
I
t
I
t
period time
biphasic pulseI
t
I
t
pulse duration
monophasic pulseI
tpulse
intensity
Time
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Doctors Function
The Beurer EM 40 and EM 80 electrical muscle stimulation/
neuromuscular stimulation units offer one outstanding feature:
The Doctors Function. This is a special freeze function so that
you can call up your own specific program quickly and simply
at any time.
That is a locked program remains stored even after the unithas been switched off, and when it is turned on again this
program is called up to standby status and activated by simply
pressing the power button.
The setting of the individual program can e.g. happen after
advice of you doctor. So you gain easiest access to your per-
sonal treatment program.
Literature
Pothmann, R.: TENS Transkutane elektrische Nervenstimulation
in der Schmerztherapie, 3. Aufl. Hippokrates, Stuttgart 2003
Eriksson, M.B.E., Sjlund, B.H.: Transkutane Nerven-
stimulierung zur Schmerzlinderung, 3. Aufl., E. Fischer,
Heidelberg 1989Goepel, R.: Ist postoperative transkutane Nervenstimulation
sinnvoll? Eine klinische, randomisierte Doppel-Blind-Studie.
Schmerz-Pain-Douleur 7 (1986) 13-20
Gillert, Rulffs, Boegelein: Elektrotherapie, 3. Aufl. Pflaum Verlag,
Mnchen, 1995
Jenrich, W.: Grundlagen der Elektrotherapie, 1. Aufl., Urban &
Fischer, Mnchen, 2000
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EM 30
Abdominal Muscle Belt (EMS)
Easy to use
Flexible abdominal belt with velcro fastener
Flexible stomach belt for waist sizes from 28 to max. 52 in
(70 to max. 130 cm)
Flexible ergonomic shapeNonwearing contact electrodes made of conductive carbon
material
Electrodes with water contact (no contact gel, no
replacement)
LCD display with figurative symbols
5 training programs (22 to 31 min)Intensity adjustable from 0 up to 40
Countdown timer with remaining time
Training memory function for continuous training control
Safety switch-off/ pause function/ automatic switch-off/ key
lock
Removable control elementBelt hand washable
Battery changing indicator
The device must not be used by users of cardiac
pacemakers, epileptics, pregnant woman, people with
cardiac arrhythmias
Output voltage 70V p-p (500 Ohm load)Output current: 140 mA p-p (500 Ohm load)
Output frequency: 3080Hz
Pulse duration: 200s per phase
Waveform: symmetrical, dual-phase square wave
Batteries included
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EM 40
Transcutaneous electrical nerve stimulation
(TENS)
Electronic muscle stimulation (EMS)
Massage
Medicine- and side effect-free pain-relief
due to TENSVarious muscle stimulation (warm up,
defining, tightening and easing of the
musculature)
Increase of general well-being
2 separately adjustable channels with
4 self-adhesive electrodes
30 pre-programmed applications (TENS/
EMS/Massage)
20 programs individually adjustable (TENS/EMS)
Doctors-Function: ensuring ideal coordination with your
personal therapy program
Treatment time (between 5-90 minutes) adjustable, add timewill be shown
Back light illuminated, easy readable display
Ergonomic design, with belt clip
Safety switch-off
Output current: max. 180 mA p-p (500 Ohm load)
Output frequency: 1-120 HzPulse width: 40-250 s per pulse
Pulse form: dual-phase square pulses
With detailed instruction manual (application possibilities
included)
Batteries included (3 x AAA)
Convenient storage pouch included4 self adhesive electrodes included
Medical product
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EM 80
Transcutaneous electrical
nerve stimulation (TENS)
Electronic muscle sti-
mulation (EMS)
Massage
Medicine- and sideeffect-free pain-relief
due to TENS
Various muscle sti-
mulation (warm up, defining,
tightening and easing of the musculature)
Increase of general well-being
4 separately adjustable channels with 8 self-adhesive
electrodes
30 pre-programmed applications (TENS/EMS/Massage)
20 free programmable programs (frequency, pulse
width, on time, off time)
Doctors-Function: ensuring ideal coordination with your
personal therapy program
Treatment time (between 5-90 minutes) adjustable, add time
will be shown
Back light illuminated, easy readable display
Ergonomic design
Safety switch-off
Output current: max. 180 mA p-p (500 Ohm load)
Output frequency: 1-120 Hz
Pulse width: 40-250 s per pulse
Pulse form: dual-phase square pulses
With detailed instruction manual (application possibilities
included)
Batteries included (3 x AAA)
Convenient storage pouch included
8 self adhesive electrodes included
Medical product
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Beurer GmbH + Co. KG
Soeflinger Str. 218
D-89077 Ulm
Germany
Tel. +49-(0)731-39 89-0
www.beurer.com 756.1
28
-0107
N
o
responsibilityaccepted
for
errors