Program Description - DJO Global CEFAR BASIC Manual De Instrucciones

Program description

Conventional TENS (high-frequency stimulation) is the first choice for both
acute and long-term pain, both neurogenic and nociceptive. Conventional
TENS is based on the Gate Control theory, which states that electric stimula-
tion of A-beta fibers inhibits impulse transfer in the pain pathways.
As a rule, the electrodes should be placed on or near the painful area, or over
an area segmentally related to the painful area. Adjust the amplitude so that
the stimulation gives strong, but pleasant paraesthesia – tingling. When using
high-frequency stimulation, it's important to ensure that the patient has nor-
mal sensory of touch in the area where the electrodes are placed.
Burst TENS (low-frequency stimulation) is 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 effect of Conventional TENS is too short. Burst TENS treatment
alleviates pain by stimulating muscles to release the body's own morphine-like
substances, endorphins.
Place the electrodes on a muscle in the painful area so that a visible contrac-
tion occurs, or on acupuncture points in the painful area. The stimulation
should feel pleasant and give visible muscle contractions. Remember that the
patient often feels the stimulation clearly before contractions become visible.
Modulated pulse duration stimulation is a type of high-frequency stimulation
where the pulse duration varies continuously. This can cause an undulat-
ing sensation, which may be more pleasant than a constant pulse duration.
Use program 3 for pain alleviation and a massage effect on muscles like the
trapezius.
Examples of indications/
Electrodeplacement no.
Neck pain ............................................................1
Shoulder pain ..................................................2
Elbow pain ........................................................6
Rheumatic pain ..............................................7
Fractured rib ..................................................12
Lumbago .....................................................10,11
Menstrual pain.............................................. 13
Phantom limb pain ....................................14
Hip pain .............................................................16 Osteoarthritic pain in the knee .....17,18
Wound healing .............................................19
Mononeuropathy ..........................................8
Central pain .................................................4, 5
Cervical rhizopathy ......................................3
Sciatica ..............................................................15
Knee pain .........................................................18
Trapezius pain .................................................9
Lumbago ....................................................10, 11
For more examples, see Program 1.
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