Program Description - cefar PRIMO PRO Manual De Instrucciones

Each program is described with the indications it is best suited to treat, how the electrodes should be placed, and how long the
treatment should last. To each example of indication is at least one Electrode Placement number, which refers to the suggested
electrode placements shown in the cover of the manual.

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.
Program 4 has a shorter pulse duration than the other programs. A short
pulse duration is suitable for treating sensitive, nerve-rich areas like the face
and high up on the neck. With a shorter pulse duration the amplitude can be
increased, which makes it easier to find the right level without the patient
experiencing pain.
Mixed frequency stimulation is also called Han stimulation (3 sec at 2 Hz and
3 sec at 80 Hz). Stimulation frequencies switch every three seconds, giving a
combination of high- and low-frequency stimulation, which can offer a more
effective treatment.
Place the electrodes as you would for low-frequency stimulation – on a mus-
cle in the painful area.
Program 6 is specially designed for treating nausea. Place the black electrode
on acupuncture point PC6 (inside of the wrist) and the red one on acupunc- ture point TE5 (outside of the wrist).
Always use 2 channels and 4 electrodes with Program 7. A modulated pulse
duration stimulation is obtained, but since the channels are alternately active,
a massaging, pumping effect is experienced.
Place the electrodes as for high-frequency stimulation when a pain relieving
and massaging effect is desired.
Examples of indications/
Electrodeplacement no.
Neck pain ...........................................................3
Shoulder pain ..................................................4
Elbow pain ........................................................8
Rheumatic pain ........................................... 10
Fractured rib ..................................................16
Lumbago ...................................................13, 14
Menstrual pain.............................................. 17
Phantom limb pain ....................................18
Hip pain ............................................................20
Osteoarthritic pain in the knee ..22, 23
Wound healing ............................................24
Mononeuropathy .........................................11
Central pain .................................................6, 7
Cervical rhizopathy ......................................5
Sciatica ..............................................................19
Knee pain .........................................................23
Trapezius pain ........................................12, 25
Lumbago ...................................................13, 14
For more examples, see Program 1.
Tension type headache ..............................1
Facial pain ..........................................................2
Neck pain ...........................................................3
Postherpetic neuralgia .............................15
Neck pain ...........................................................3
Shoulder pain ..................................................4
Lumbago ...................................................13, 14
Hip pain ............................................................20
Thigh pain ....................................................... 21
Postoperative nausea .................................9
Chemotherapy-induced nausea ..........9
Trapezius pain ........................................12, 25
Lumbago ..........................................................14
Thigh pain .......................................................26
Shoulder pain ..................................................4
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