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Rehab 400 Programs

Common

Rehabilitation

Disuse Atrophy (Levels 1 & 2)

When?

After a long period of immobilization or diminished movement, a normally innervated muscle suffers from a decrease in volume

Why? 

Slow twitch fibres (type 1) are particularly affected by this disuse

How?

By using frequencies creating tetanic contractions of the Type 1 fibres. In order to modify the program as the user progresses, use level 1 for the first 2 weeks before changing into level 2 for subsequent weeks

Option 2+2

If the user experiences discomfort and pain during stimulation, the 2+2 function allows the program (ch 1+2) to be combined with a pain relief program (ch 3+4)

Prevention of Disuse Atrophy (Levels 1 & 2) 

When?

After surgery or a bone fracture, a limb or a section thereof is immobilized, the muscles of this part of the body suffer rapidly from disuse atrophy.

Why? 

The rapid decrease of muscle volume is mainly due to a reflex inhibition phenomenon or a total absence of any type of exercise. It's important to note that this type of atrophy concentrates on the slow twitch muscle fibres (Type I).

How?

In order to compensate, NMES could reproduce a series of contractions comparable to the normal level of activity during a day. The treatment time of this program is relatively long and the program uses frequencies targeting the slow twitch muscle fibres.

Option 2+2

If the patient experiences discomfort and pain during stimulation, the 2+2 function allows this program (ch 1+2) to be combined with a pain relief program (ch 3+4).

Reinforcement (2 Levels)

When?

Muscular reinforcement is used for strengthening healthy muscles (with normal volume). Use on previously disuse atrophied muscles that have regained their volume.

Why?

To obtain increased strength and stability.

How?

By using frequencies creating tetanic contractions of the fast twitch muscle fibres (type II). Often used when rehabilitation is in progress and normal muscular volume is achieved by previous use of disuse atrophy programs. We recommend the use of level 1 for the first two weeks and level 2 for subsequent weeks.

Example

Strengthen lateral peroneal muscles to prevent sprains. Strengthen shoulder muscles to prevent shoulder dislocations.

Option 2+2

If the patient experiences discomfort and pain during stimulation, the 2+2 function allows this program (ch 1+2) to be combined with a pain relief program (ch 3+4).

Neuro Rehab Slow Start (2 Levels)

When?

NMES is an excellent complement to traditional physiotherapy for several neurological diagnostics like stroke. The treatment could be used passively, but preferably used actively in the training situation.

Why?

To aid facilitation and relearning of motor skills

How?

This program has a slow, 4 seconds ramp-up time of the contraction, and a long rest phase. Experience shows that this design of the program is more suitable for patients within this diagnose group.

Example

Increase function of a subluxated shoulder. Facilitate and increase function in lower arm - hand.

Option 2+2

If the patient experiences discomfort and pain during stimulation, the 2+2 function allows this program (ch 1+2) to be combined with a pain relief program (ch 3+4).

Back/Trunk Stabilization

When?

For patients with insufficiency in the back and trunk due to long term pain or a neurological disorder. This program suits well to combine with active movements.

Why?

To stabilize the trunk and back muscles. Increase the awareness and postural control.

How?

By stimulating the abdominal or lumbar muscle groups.

Example

Abdominal and/or lumbar stimulation to increase the awareness of pelvic motion. Increase stability and function in the lumbar/abdominal muscles.

Option 2+2

Yes.

Atrophy (Mod. Frequency)

When?

Use it on weak or immobilized muscles.

Why?

The program focuses on the Type I fibres to improve the stamina in the muscle.

How?

By modulating the frequency for a period of time that is equal to the contraction time, the contraction feels more comfortable.

Example

Increased strength for shoulder muscles by stimulation on the Rhomboid muscles. Post operative stimulation on Quadriceps, the medial vastus in particular.

Option 2+2

Yes.

Force (Mod. Frequency)

When?

To maintain muscular strength during immobilization, or to increase muscular strength for a specific muscle/muscle group.

Why?

The program focuses on the Type II fibres to improve stamina in the muscle.

How?

By modulating the frequency for a period of time that is equal to the contraction time, the contraction feels more comfortable.

Example

Increased strength for hip abductors. Stimulation on Quadriceps, in case of immobilization.

Option 2+2

Yes.

Increase Circulation

When?

As a preparation before, or as recovery after, muscular activity. Could be used to increase the circulation locally in the tissue/ muscle.

Why?

To increase the elimination of lactic acid and waste products and to reduce stiffness in the muscles.

How?

To increase the elimination of lactic acid and waste products and to reduce stiffness in the muscles.

Example

Put big electrodes on large muscle groups, for example Quadriceps and Hamstrings.

Option 2+2

Yes.

Muscle Lesion

When?

If you have a more or less significant muscle lesion, this program could be used as a complement to the usual treatment (cold, compression etc). Mobilization of the limb must be allowed.

Why?

To facilitate the muscle fibres for a faster return to normal activity.

How?

The program is designed to ramp-up and stimulate the muscle gradually in order to prevent stress on the muscle fibres.

Example

Stimulation on the back of the thigh (hamstrings).

Option 2+2

Yes.

Pain Relief

TeNS 100 Hz or 80 Hz

When?

TENS is the first choice for acute and long-term pain, both neurogenic and nociceptive. Good results are observed, above all when the pain originates in joints, the skeleton, muscles, skin, viscera or nervous system.

How?

TENS utilises the nervous system's own pain relief mechanisms and is based on the Gate control theory. This theory states that stimulating A-ßeta-fibres, the sensory nerve fibres that conduct pressure, touch and vibration, inhibits impulse transfer in the pain pathways.
Frequency: 80 or 100 Hz.
Pulse width: appropriate to the sensitivity of the treated area and the user. You can choose between 100 Hz: level 1 - 30 μs (very sensitive), level 2 - 50 μs, level 3 - 70 μs or 80 Hz: 180 μs (normal).

Example

Neck pain, shoulder pain, elbow pain, rheumatic pain, fractured rib, lumbago, menstrual pain, phantom limb pain, hip pain and osteoarthritic pain.

Option 2+2

Yes.

Frequency Modulated TeNS

When?

TENS is the first choice for acute and long-term pain, both neurogenic and nociceptive. Good results are observed, above all when the pain originates in joints, the skeleton, muscles, skin, viscera or nervous system.

How?

TENS utilises the nervous system's own pain relief mechanisms and is based on the Gate control theory. This theory states that stimulating A-ßeta-fibres, the sensory nerve fibres that conduct pressure, touch and vibration, inhibits impulse transfer in the pain pathways. To avoid adaption, Frequency modulated TENS have a continuous variation of the stimulation frequency. Pulse width: appropriate to the sensitivity of the treated area and the user. In Mi-Theta 600 you can choose between level 1 - 30 μs (very sensitive), level 2 - 50 μs, level 3 - 70 μs (not so sensitive).

Example

Neck pain, shoulder pain, elbow pain, rheumatic pain, lumbago, menstrual pain, phantom limb pain, hip pain and osteoarthritic pain.

Option 2+2

Yes.

Pulse Width Modulated TeNS

When?

TENS is the first choice for acute and long-term pain, both neurogenic and nociceptive. Good results are observed above all when the pain originates in joints, the skeleton, muscles, skin, viscera or nervous system. Pulse width modulated TENS also gives a massage effect on muscles like the Trapezius.

How?

TENS utilises the nervous system's own pain relief mechanisms and is based on the Gate control theory. This theory states that stimulating A-ßeta-fibres, the sensory nerve fibres that conduct pressure, touch and vibration, inhibits impulse transfer in the pain pathways. Pulse width modulated TENS is a type of stimulation where the pulse width varies continuously. This creates an undulating sensation which can be more pleasant than a constant pulse width.

Example

Neck pain, shoulder pain, trapezius pain, elbow pain, rheumatic pain, lumbago, menstrual pain, phantom limb pain, hip pain and osteoarthritic pain.

Option 2+2

Yes.

Burst TeNS - Endorphinic

When?

The treatments Burst TENS/Endorphinic are usually most effective for radiating (projected) pain in the arms and legs (rhizopathy), for conditions with reduced or changed sensory of touch, for deep muscular pain or when the post-treatment of TENS is too short.

How?

Burst TENS/Endorphinic utilises the nervous system's own pain relief mechanisms and alleviates pain by stimulating muscles to release the body´s own morphine-like substances, endorphins from hypothalamus. The muscle twitches also increase the local blood circulation.
Frequency: 1-5 Hz.

Example

Mononeuropathy, central pain, cervical rhizopathy, sciatica and knee pain.

Option 2+2

Yes. If the patient experience discomfort during stimulation, the 2+2 function allows this program (ch 1+2) to be combined with a TENS program (ch 3+4) to produce the muscular twitches more quickly and more comfortably.

Decontraction

When?

This type of treatment gives a reduction in the muscular tension of certain muscles and can also be used as a pre-treatment to facilitate manipulations.

How?

Studies have revealed that muscular twitches produced by a very low frequency (1 Hz) effectively reduces the muscle tension of the muscles stimulated

Example

Torticollis, lumbago.

Option 2+2

Yes. If the user experiences discomfort during stimulation, the 2+2 function allows this program (ch 1+2) to be combined with a TENS program (ch 3+4) to produce the muscular twitches more quickly and more comfortably.

Mixed TeNS

When?

TENS is the first choice for acute and long-term pain, both neurogenic and nociceptive. Good results are observed above all when the pain originates in joints, the skeleton, muscles, skin, viscera or nervous system. Mixed TENS is also called Han-stimulation. Stimulation frequencies switch every three seconds, giving a combination of 80 Hz and 2 Hz stimulation, which can offer a more effective treatment.

How?

Mixed TENS utilises the nervous system's own pain relief mechanisms and is based on the Gate control theory (see TeNS) and also on the release of the body´s own morphine-like substances, endorphins (see Burst TeNS).

Example

Neck pain, shoulder pain, lumbago, hip pain and thigh pain.

Option 2+2

Yes.

Specific

Aesthetic

Toning

Indication

To be used initially in order to tone up and prepare the muscles before more intensive firming work. This type of training session is of moderate intensity, making it suitable for everyone, and does not cause muscle soreness.

Effects

To tone the muscles.

Option 2+2

Yes.

Firming

Indication

To be used as the main treatment for muscle firming. Firming programs represent exercise of medium intensity, and are aimed to improve muscular density without causing muscle soreness.

Effects

To regain muscle firmness and restore the support function of the muscles.

Option 2+2

Yes.

Shaping

Indication

To be used when the firming phase has been completed.

Effects

To define and sculpt the body when the muscles are already firm.

Option 2+2

Yes.

Refinement

Indication

To be used on the waist muscles after firming of the abdomen.

Effects

To work specifically on the waist.

Option 2+2

Yes.

Elasticity

Indication

To be used as a complement to the Firming and Shaping programs.

Effects

To improve the circulation and skin elasticity.

Option 2+2

Yes.

Conditioning

Sport

Potentiation

Indication

For optimum muscle preparation immediately before competition. Carry out the session not more than 10 minutes prior to the start.

Effects

To increase the contraction speed and to gain power. Enables you to use less nervous effort to attain maximum strength.

Option 2+2

Yes.

Endurance

Indication

For athletes who wish to improve their performance in long duration sporting events. Recommended use is one session three times a week

Effects

This program improves the oxidative capacity (aerobic capacity) in the stimulated muscles.

Option 2+2

Yes.

Resistance

Indication

For competitive athletes who wish to increase their capacity to sustain intense and prolonged effort. Recommended use is one session three times a week.

Effects

This program improves the performance thanks to better muscular resistance to fatigue for exercises of the lactic anaerobic type.

Option 2+2

Yes.

Strength

Indication

For competitive athletes who practice a discipline that requires strength and speed. Recommended use is three times a week in order to improve the power.

Effects

This program increases the maximum strength and the rate of muscular contractions. Integrate this program into your voluntary training program.

Option 2+2

Yes.

Explosive Strength

Indication

For athletes who practice a discipline in which explosive strength is an important factor in performance. To increase the capacity for instantaneous maximum force. Recommended use is three times a week.

Effects

This program increases the speed at which the level of strength is attained and improves the efficiency of explosive actions like jumping, sprinting etc.

Option 2+2

Yes.

Hypertrophy

Indication

For body building enthusiasts and athletes who want to increase their muscle mass. Combine this program with the voluntary training program. Recommended use is three to five sessions a week.

Effects

This program increases the volume of the stimulated muscles and improves the muscle resistance.

Option 2+2

Yes.

Active Recovery

Indication

To improve and accelerate the muscle recovery after an intensive exercise. Use this program within three hours after a session of intensive training or after a competition. A second session about six hours after the end of the activity can increase the effectiveness.

Effects

Marked increase in blood flow. Accelerates the elimination of waste from the muscular contraction. A relaxing and endorphinic effect.

Option 2+2

Yes.

Recovery Plus

Indication

To promote muscle recovery after intense physical activity that has led to temporary muscle failure. Use this program within three hours after a session of intensive training or after a competition. A second session about six hours after the end of the activity can increase the effectiveness.

Effects

Increases the blood flow and fights pain. Promotes muscular relaxation. Increases the ability to regain muscular capacity after training or competition.

Option 2+2

Yes.

Fitness

Muscle Building

Indication

To improve the strength, volume and tone in general in the muscles. Particularly recommended before using the Muscle definition program. This program could be an ideal complement to voluntary indoor training. Recommended use is three to five sessions a week.

Effects

This program improves the muscle trophism and gives a balanced increase of muscular tone and volume.

Option 2+2

Yes.

Muscle Definition

Indication

To be used after the muscle building program. For a person who wants very firm muscles but without a great muscle increase. This program could be an ideal complement to voluntary indoor training. Recommended use is three to five sessions a week.

Effects

Increased muscle tone without a significant volume increase. Firms the muscles.

Option 2+2

Yes.

Power

Indication

For fitness enthusiasts who want to improve their muscular strength, an important quality for many physical activities. This program could be an ideal complement to voluntary indoor training. Recommended use is three sessions a week.

Effects

Improved contractile capacities of the muscular fibres. Improved muscular strength with a slight increase in volume.

Option 2+2

Yes.

Massage

Toning Massage

Indication

To prepare the muscles in an ideal manner before a physical activity that is "one-time" or irregularly performed. The program consists of sequences altering with vibrations or contractions..

Effects

Activation of blood circulation. For recovery of the muscular contractile parts. The program has an invigorating effect.

Option 2+2

Yes.

Relaxing Massage

Indication

Enables a very effective decontraction of the muscle due to the comfortable vibrations that increase the circulation and help the muscles to relax. Eliminates uncomfortable sensations after an increase in muscular tone. The program consists of sequences with vibrations. For every day use or when necessary.

Effects

A decrease in muscular tension. To promote the elimination of muscular toxins. The program gives an effect of well being and relaxation.

Option 2+2

Yes.