COMPEX Guide - COMPEX BY DJO GLOBAL Compiled by Vitality2Go vitality2go.com #CRUSHPAIN - Loz Life
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Contents Contents ........................................................................................................................... 2 Product Description .......................................................................................................... 5 Introduction.................................................................................................................. 5 Brand History ................................................................................................................ 5 Product Range .............................................................................................................. 6 SP SERIES Overview ...................................................................................................... 7 SP 2.0 ............................................................................................................................ 7 SP 4.0 ............................................................................................................................ 8 SP 6.0 ............................................................................................................................ 8 SP 8.0 ............................................................................................................................ 9 Technology Details ..................................................................................................... 10 Benefits ...................................................................................................................... 10 Technical Details ......................................................................................................... 11 Key Features ............................................................................................................... 11 Program categories: ................................................................................................... 12 Who should you use the Compex SP 2.0? .................................................................. 12 When do you use the Compex SP 2.0? ....................................................................... 12 What are the key uses of the Compex SP 2.0? ........................................................... 12 How does the Compex SP 2.0 work? .......................................................................... 12 What programs are featured on the Compex SP 2.0? ................................................ 13 Product Overview - COMPEX SP 4.0 ............................................................................... 14 Technology Details ..................................................................................................... 14 Benefits ...................................................................................................................... 15 Technical Details ......................................................................................................... 15 2
Key Features ............................................................................................................... 15 Program categories: ................................................................................................... 16 Key strengths .............................................................................................................. 16 When do you use the Compex SP 4.0? ....................................................................... 17 What are the benefits of the Compex SP 4.0 ............................................................. 17 What are the key uses of the Compex SP 4.0? ........................................................... 17 How does the Compex SP 4.0 work? .......................................................................... 18 What programs are featured on the Compex SP 4.0? ................................................ 18 What is included in the Compex SP 4.0? .................................................................... 19 How long does it take to charge the battery? ............................................................ 19 Product Overview - COMPEX SP 6.0 ............................................................................... 20 Technology Details ..................................................................................................... 20 Benefits ...................................................................................................................... 21 Technical Details ......................................................................................................... 21 Key Features ............................................................................................................... 21 When do you use the Compex SP 6.0? ....................................................................... 22 Who would benefit from the Compex SP 6.0? ........................................................... 22 What programs are featured on the Compex SP 6.0? ................................................ 22 Product Overview - COMPEX SP 8.0 ............................................................................... 24 Technology Details ..................................................................................................... 24 Benefits ...................................................................................................................... 25 Technical Details ......................................................................................................... 25 What does the Compex SP 8.0 do? ............................................................................ 26 Why you should use the Compex SP 8.0? .................................................................. 26 What are the key uses of the Compex SP 8.0? ........................................................... 26 How does the Compex SP 8.0 work? .......................................................................... 26 3
Featuring Internet Connection & Wireless Feedback................................................. 27 What programs are featured on the Compex SP 8.0? ................................................ 27 Programs ........................................................................................................................ 28 FAQs ............................................................................................................................... 28 Benefits ........................................................................................................................... 30 Rehabilitation ............................................................................................................. 30 Specific Rehabilitation ................................................................................................ 36 Pain relief ................................................................................................................... 41 Specific pain relief ...................................................................................................... 48 Vascular ...................................................................................................................... 56 Agonist - Antagonist ................................................................................................... 60 Spasticity .................................................................................................................... 61 Haemophilia ............................................................................................................... 64 Aesthetic..................................................................................................................... 64 How does it work? .......................................................................................................... 67 Mi-Sensor Technology ................................................................................................ 67 EMS and how it works for recovery ........................................................................... 68 How Does Ems Machine Work? ................................................................................. 71 How does it work – Published Studies ....................................................................... 71 Why does it work? .......................................................................................................... 72 Evidence Summary ..................................................................................................... 72 Clinical Trials & Studies Published On EMS Effectiveness .......................................... 74 Source Links .................................................................................................................... 76 4
Product Description Introduction Compex is a brand of DJO Global Inc. DJO Global provides solutions for musculoskeletal health, vascular health and pain management. Compex products help prevent injuries or rehabilitate after surgery, injury or from degenerative disease, enabling patients to regain or maintain their natural motion. Brand History For over 20 years Compex has been the global leader in electrotherapy. Our products are beneficial for muscle recovery, injury prevention, and intense training programs. We offer the best in Electric Muscle Stimulators (EMS), Electrodes, and EMS Accessories. All athletes, from seasoned professionals to occasional competitors, will find a Compex device to improve their game or recover from their injuries. Learn more about how our devices work and the results you could see. 5
SP SERIES Overview The SP Series of electrostimulators from Compex is designed for the dedicated, high- performance athlete. Its expanded range of programs covers everything from basic pain management to body sculpting, rehab, and accelerated recovery, with an easy-to- use control and a whole new level of advanced customization. Available in four variations to fit any goals and budget, the SP Series introduces state- of-the-art MI – Muscle Intelligence technology. During use, the stimulator’s MI actually scans the treated muscle groups and adapts to the user’s physiology—creating an optimal level of massaging electro-stimulation. The SP 6.0 and 8.0 are also wireless and web compatible, meaning you can train anywhere and upload your device history for further analysis. From weightlifters and football players to sprinters and cyclists, any serious athlete can benefit from Compex's simple but sophisticated systems. Compex SP Series - Electrical Muscle Stimulator Options: SP 2.0 Tones your muscles, sculpts your body, helps you relax and recover faster. With all the basic electrostimulation features and mi technology, SP 2.0 is an ideal entry level device. • For athletes who practice their activity 1-2 times per week • Body sculpting and pain management • Wired / Limited Exercise Range • 4 Channels and 10 Programs • Includes MI-Scan Muscle Intelligence Technology • Does NOT include Web connection 7
SP 4.0 Improves your performance and recover faster. Including all the features of SP 2.0, SP 4.0 also offers rehabilitation programs that can be helpful for athletes with frequent injuries who practice their activity 3 times per week. • For athletes who practice their activity 3 times per week • Body sculpting, muscle volume, pain management, massage, rehab, injury prevention • Wired / Limited Exercise Range • 4 Channels and 30 Programs • Includes MI-Scan, MI-Range, & MI-Tens Muscle Intelligence Technology • Does NOT include Web connection SP 6.0 Improves your strength and restores muscle volume, helps you relax and recover faster. Designed for athletes who practice their activity more than 3 times per week, SP 6.0 includes all the features of SP 4.0, but with wireless features that ensure total freedom of movement. Its easy-to-use colour screen even shows you where to place the electrodes. • For athletes who workout more than 3 times per week • Body sculpting, muscle volume, pain management, massage, rehab, fast recovery, advanced fitness • Wireless – No Limits on Movement • Color Screen shows you where to place electrodes • 4 Channels and 30 Programs • Includes MI-Scan and Mi-Range Muscle Intelligence Technology on all channels • Web Compatible – Uploadable device history 8
SP 8.0 Optimises your strength and endurance, helps you recover faster, while helping to avoid injury and treating pain. Designed for athletes, SP 8.0 is the TOP of the range in terms of wireless electrostimulations. Connectable and modular, SP 8.0 includes the brand new mi-Autorange feature that continually brings you better results. The most advanced Compex electrostimulator • For athletes who workout every day • Body sculpting, muscle volume, pain management, massage, rehab, fast recovery, advanced fitness • Wireless – No Limits on Movement • Color Screen shows you where to place electrodes • 4 Channels and 40 Programs • Includes MI-Scan, Mi-AutoRange, MI-Tens, & MI-Action Muscle Intelligence Technology on all channels • Web Compatible – Uploadable device history and download objectives • Integrated Coaching Program All Compex SP Series devices come with a guidebook, carrying case, and everything you need to get started. 9
Product Overview - COMPEX SP 2.0 Technology Details MI, PERSONALIZED STIMULATION ADAPTED FOR EVERY PHYSIOLOGY Equipped with unique MI (muscle intelligence) technology, Compex stimulators adapt to each of your muscles to provide the most effective electrostimulation possible, while offering greater comfort and better performance. MI-SCAN scans the muscle and automatically adjusts stimulator parameters to your physiology. Benefits 10
Technical Details TECHNOLOGY Wire MUSCLE INTELLIGENCE MI-scan WEB CONNECTION No DOWNLOAD OBJECTIVE No UPLOAD REMOTE HISTORYNo Conditioning, Fitness, Pain management, Recovery / PROGRAM CATEGORIES Massage NB OF PROGRAMS 20 NB OF CHANNELS 4 SCREEN Matrix monochrome POWER 120 mA, 400 us, 150 Hz ENERGY Rechargeable battery in less than 4h30 Key Features • AMAZING TECHNOLOGY: Adapted using unique muscle intelligence technology • TONES MUSCLES: Easy to use muscle stimulator, ideal for muscle toning • ELECTRIC: Provides effective electrostimulation that will tone and sculpt your body • VERSATILE: 10 individualised programs that allow you to firm up your arms and abs • RELAX: Incorporated into your exercise routine, can be used to help you relax and recover faster 11
Program categories: • Conditioning: Endurance. Resistance. Strength. Explosive Strength. Muscle building. Warm-up. Capillarisation. • Pain management: Pain management TENS. Reduce muscle tension. Muscle pain. Back pain. Heavy legs. Cramp prevention. • Recovery / Massage: Training recovery. Relaxing massage. Reduce muscle soreness. • Fitness: Firm your arms . Tone your thighs . Firm your stomach . Shape you buttocks. Who should you use the Compex SP 2.0? • Functional Fitness, Cross Training Athletes, Olympic Weightlifters & Power Lifters • Athletes Training a minimum of 1-2 times per week When do you use the Compex SP 2.0? • Pre / During / Post Workout • During recovery from injury What are the key uses of the Compex SP 2.0? • Targeted Muscle Stimulation • Resistance • Massage and Oxygenation • Treat Muscle Strain and Provide Pain Relief • Toning, Firming and Shaping • Body Building and Increase Strength How does the Compex SP 2.0 work? • With its compact design and attractive features the Compex SP 2.0 is an intelligent way to alleviate the stresses and strains put upon your body during and after your workout. 12
• By placing the electrodes onto the muscles you want to stimulate and selecting the program you want to use, you can manage pain, recovery and conditioning at the touch of a button. What programs are featured on the Compex SP 2.0? With 4 individual program categories - Conditioning, Pain management, Recovery / Massage and Fitness - you can be strategic in the planning of your training regime. • Conditioning - Endurance. Strength. Muscle building. Warm-up. Capillarisation. Resistance. Explosive Strength. • Pain management - Pain management TENS. Muscle pain. Back pain. Heavy legs. Reduce muscle tension. Cramp prevention. • Recovery / Massage - Reduce muscle soreness. Relaxing massage. Training recovery. • Fitness - Shape you buttocks. Firm your stomach and arms. Tone your thighs. 13
Product Overview - COMPEX SP 4.0 Technology Details MI, PERSONALIZED STIMULATION ADAPTED FOR EVERY PHYSIOLOGY Equipped with unique MI (muscle intelligence) technology, Compex stimulators adapt to each of your muscles to provide the most effective electrostimulation possible, while offering greater comfort and better performance. MI-SCAN scans the muscle and automatically adjusts stimulator parameters to your physiology. MI-TENS makes it easier to adjust stimulation levels for anti-pain programs to ensure optimal results. MI-RANGE indicates the optimal level of stimulation to use for Recovery and Massage programs. 14
Benefits Technical Details TECHNOLOGY Wire MUSCLE INTELLIGENCE MI-scan, MI-range, MI-tens WEB CONNECTION No DOWNLOAD OBJECTIVE No UPLOAD REMOTE No HISTORY Conditioning, Fitness, Pain management, Recovery / PROGRAM CATEGORIES Massage, Rehabilitation NB OF PROGRAMS 30 NB OF CHANNELS 4 SCREEN Matrix monochrome POWER 120 mA, 400 us, 150 Hz ENERGY Rechargeable battery in less than 4h30 Key Features • DESIGN: With built in muscle intelligence technology and a variety of different functions 15
• PAIN RELIEF: Is made to help you in recovery from injury and pain relief • SHAPES YOUR BODY: Helps you tone, firm and shape your body • FASTER RECOVERY: The Compex SP 4.0 helps you recover faster • USE ANYTIME: Good for before and after sports Program categories: • Conditioning: Endurance. Resistance. Strength. Explosive Strength. Cross-training. Core stabilisation. Hypertrophy. Muscle building. Warm-up. Capillarisation. • Pain management: Pain management TENS. Reduce muscle tension. Muscle pain. Neck pain. Back pain. Tendinitis. Heavy legs. Cramp prevention. • Recovery / Massage: Training recovery. Competition recovery. Relaxing massage. Reduce muscle soreness. Reviving massage. • Fitness: Firm your arms . Tone your thighs . Firm your stomach . Shape you buttocks. Key strengths Mi-Scan technology integrated: • Just before starting your workout session, connect your mi-SENSOR cable to your device. Clip the head of the cable on one of the electrodes and start your program. With the mi-SCAN function, the mi-SENSOR scans the selected muscle group and automatically adjusts the stimulator’s settings to the excitability of this area of the body, based on your own physiology. This is a truly personalized measurement. The mi-SCAN feature adapts the electro stimulation session to the physiology of each user. mi-RANGE technology: • With this function, the mi-SENSOR indicates the optimum stimulation energy adjustment range (minimum and maximum) for low-frequency programs such as recovery or massage. It will indicate whether or not you are correctly positioned, optimizing the effectiveness of your treatment or workout. mi-TENS technology: • The purpose of the mi-TENS function is to find and use the optimum stimulation energy throughout TENS (pain relief) programs. Relying on measurements recorded 16
regularly during the session, the device continuously and automatically adjusts the stimulation energy in order to prevent the appearance of muscle contractions, which are highly contra-indicated for such programs. 4 independent channels: • For complete work sessions. “Easy SNAP” connection system: • This push-button system, simplifies the connection of the electrodes, in particular when reaching for the back or the neck. “i” button: • Simply press this button to increase the work intensity of the 4 channels simultaneously. Back-lit Screen: • For easy viewing and good readability in all situations. Fast charge battery: • Fully recharges within 4 1/2 hours. When do you use the Compex SP 4.0? • Pre / During / Post Workout • Recovery from Injuries What are the benefits of the Compex SP 4.0 An advanced muscle stimulator, it will alleviate the stresses and strains put upon your body during your workout and help you to recover faster an in less pain than you may normally experience. What are the key uses of the Compex SP 4.0? • Toning, Firming and Shaping • Massage and Oxygenation • Targeted Muscle Stimulation • Resistance • Treat Muscle Strain and Provide Pain Relief 17
• Body Building and Increase Strength How does the Compex SP 4.0 work? • A compact and durable machine, the Compex SP 4.0 is an clever way of reducing the impact of the stresses and strains that your body undergoes before, during and after physical exercise. • Simply placing the electrodes onto the muscle groups you wish to stimulate and selecting from a number of settings, it is possible to manage pain, aid recovery and improve muscle conditioning at the flick of a switch. • Using Muscle intelligence technology, the Compex SP 4.0 features an MI-SCAN that scans your muscles and automatically adjusts the stimulation based upon your own individual physiology, an MI-TENS that makes it easier to adjust levels of stimulation and optimise results during anti-pain programs and the MI-RANGE setting that will tell you the best level of simulation to use in order to maximise the effects of the Recovery and Massage programs. What programs are featured on the Compex SP 4.0? Comprising of 30 individual program settings and 4 different channels - Conditioning, Pain management, Recovery / Massage and Fitness - it is possible to determine exactly how hard each muscle is working, for how long and for what reason. Also, the Compex SP 4.0 can be used as a rehabilitation aid and will help with muscle atrophy following injury. • Conditioning - Strength and Endurance, Muscle building, Warm-up, Resistance and Explosive Strength • Pain management - Cramp prevention, Muscle pain, Reduced muscle tension • Recovery / Massage - Training recovery, Relaxing massage, Reduced muscle soreness • Fitness - Firm your stomach and arms, Tone your thighs, shape your buttocks • Rehabilitation - Muscle atrophy, Reinforcement 18
What is included in the Compex SP 4.0? • The Compex SP 4.0 • An easy to read Matrix Monochrome screen • Rechargeable Batter • Soft travel pouch • 2 bags of Snap electrodes 5x10 cm • 2 bags of Snap electrodes 5x5 cm. How long does it take to charge the battery? • < 4.5 hours 19
Product Overview - COMPEX SP 6.0 Technology Details MI, PERSONALIZED STIMULATION ADAPTED FOR EVERY PHYSIOLOGY Equipped with unique MI (muscle intelligence) technology, Compex stimulators adapt to each of your muscles to provide the most effective electrostimulation possible, while offering greater comfort and better performance. MI-SCAN scans the muscle and automatically adjusts stimulator parameters to your physiology. MI-RANGE indicates the optimal level of stimulation to use for Recovery and Massage programs. 20
Benefits Technical Details TECHNOLOGY Wireless MUSCLE INTELLIGENCE MI-scan, MI-range on the 4 modules WEB CONNECTION Yes DOWNLOAD OBJECTIVE No UPLOAD REMOTE HISTORY Yes Fitness, Pain management, Recovery / Massage, PROGRAM CATEGORIES Rehabilitation NB OF PROGRAMS 30 NB OF CHANNELS 4 SCREEN Matrix colors POWER 120 mA, 400 us, 150 Hz ENERGY Rechargeable battery in less than 2h Key Features • Utilises a muscle intelligence technology, a professional muscle contracting system that mimics the electrical impulses sent from the brain to your muscles. 21
• Employed alongside the built-in MI-Scan function, that can automatically adjust the electro-stimulator setting to suit your own personal muscle attributes • Provide you with a more individualised understanding of your muscles physiology and help to prevent injury, treat pain, aid recovery and ensure an all-round improvement to your workout is made. • Technology: wireless • Muscle Intelligence: MI-SCAN, MI-RANGE • Web connection • Upload remote history • 30 programs • 4 channels for complete work sessions • Screen: Matrix color • Power: 120 mA, 400 us, 150 Hz • Energy: rechargeable battery in less than 2 hours When do you use the Compex SP 6.0? • Pre exercise • During exercise • Post exercise • Injury recovery Who would benefit from the Compex SP 6.0? • All individuals undertaking exercise • Athletes of all levels • Individuals who want to tone up their buttocks, abdominals, shoulders and or build all muscles of the body. • Individuals seeking more oxygen and blood flow through the body What programs are featured on the Compex SP 6.0? • Conditioning: Endurance. Resistance. Strength. Explosive Strength. Muscle building. Warm-up. Capillarisation. 22
• Pain management: Pain management TENS. Reduce muscle tension. Muscle pain. Back pain. Heavy legs. Cramp prevention. • Rehabilitation: Muscle atrophy. Reinforcement. • Recovery / Massage: Training recovery. Relaxing massage. Reduce muscle soreness. • Fitness: Firm your arms . Tone your thighs . Firm your stomach . Shape you buttocks. 23
Product Overview - COMPEX SP 8.0 Technology Details MI, PERSONALIZED STIMULATION ADAPTED FOR EVERY PHYSIOLOGY Equipped with unique MI (muscle intelligence) technology, Compex stimulators adapt to each of your muscles to provide the most effective electrostimulation possible, while offering greater comfort and better performance. MI-SCAN scans the muscle and automatically adjusts stimulator parameters to your physiology. MI-ACTION optimizes session effectiveness by combining voluntary contractions with electrostimulated contractions, giving you total control over your workout. MI-TENS makes it easier to adjust stimulation levels for anti-pain programs to ensure optimal results 24
MI-AUTORANGE a brand new feature that enables your Compex module to determine the most appropriate level of stimulation automatically. Benefits Technical Details TECHNOLOGY Wireless MI-scan, MI-autorange, MI-tens, MI-action on the 4 MUSCLE INTELLIGENCE modules WEB CONNECTION Yes DOWNLOAD OBJECTIVE Yes UPLOAD REMOTE Yes HISTORY Conditioning, Fitness, Pain management, Recovery / PROGRAM CATEGORIES Massage, Rehabilitation NB OF PROGRAMS 40 NB OF CHANNELS 4 SCREEN Matrix colors POWER 120 mA, 400 us, 150 Hz ENERGY Rechargeable battery in less than 2h 25
What does the Compex SP 8.0 do? • Mimics the impulses sent to the muscles from the brain • Ensures correct amount of stimulation given to individual muscle group based on your own physiology • Determines most appropriate level of stimulation automatically • Ensures you receive the optimum performance, every time. Why you should use the Compex SP 8.0? • Enables you to develop and tone muscle • Speeds recovery following exercise, training and competing • Maintains levels of fitness and aids recovery from injury by stimulating muscle while you are at rest. • Incorporate daily into your training and around competition for maximum results. What are the key uses of the Compex SP 8.0? • Massage and Oxygenation • Body Building and Increase Strength • Treat Muscle Strain and Provide Pain Relief • Targeted Muscle Stimulation • Resistance • Toning, Firming and Shaping How does the Compex SP 8.0 work? • Utilises muscle technology to aid your recovery by dispersing the build up of lactic acid in and around your muscles. • Assists you to help you on your return from injury by working the muscles you need to improve without having any adverse effects upon the skeletal system; allowing you to still workout but without the stress of any painful movement caused by your injury. 26
• By simply placing the electrodes on your skin and then selecting a stimulation program from the menu, you can stimulate your muscles at the touch of a button and monitor your individual progress on the full colour screen. Featuring Internet Connection & Wireless Feedback • Allowing you to monitor your progress as you train and the integrated coaching program will help to keep you on your toes and raise your fitness rapidly. What programs are featured on the Compex SP 8.0? With a selection of individual program categories - Rehabilitation, Pain management, Fitness, Conditioning and Recovery / Massage - you have full control over the planning of your workout. • Conditioning - Endurance. Strength. Muscle building. Warm-up. Capillarisation. Resistance. Explosive Strength. • Pain management - Pain management TENS. Muscle pain. Back pain. Heavy legs. Reduce muscle tension. Cramp prevention. • Recovery / Massage - Reduce muscle soreness. Relaxing massage. Training recovery. • Fitness - Shape you buttocks. Firm your stomach and arms. Tone your thighs. • Rehabilitation - Muscle Atrophy, Reinforcement. 27
Programs The Compex range starts with a minimum of 10 PROGRAMS AND GOES UP TO 40 PROGRAMS IN TOTAL. The programs are divided into 5 different categories: • CONDITIONING: improve the capabilities of your muscles (eg: endurance, strength, explosive strength, power) by targeting specifically slow twitch or fast twitch muscle fibres. • FITNESS: tone, sculpt and build your muscles. • RECOVERY/MASSAGE: Increase blood flow, reduce muscle tension, and promote a relaxing endorphinic effect to accelerate restoration of the muscular qualities. • PAIN MANAGEMENT: relieve and/or prevent aching pains and increase endorphin production. • REHABILITATION: regain muscle volume, strength and speed of contraction. FAQs Are there any absolute counter-indications concerning the practice of electrostimulation? YES. You should never use the device if a patient has epilepsy or a cardiac stimulator (pacemaker). You should also never apply stimulation to the stomachs of pregnant women or people with a hernia or eventration. Can people with prostheses or pins use Compex electrostimulators? YES. Thanks to its 0 electrical mean, the current used meets medical standards and presents no risk of burns, even in the presence of metal implants. Can women with intrauterine contraceptive devices practice perineal rehabilitation using a Compex device? 28
YES. The compensated current delivered by Compex devices is risk-free, even in the presence of an intrauterine contraceptive device. Are there any risks if the electrodes are placed incorrectly? NO. Incorrect placement of the electrodes presents no risk. Stimulation is simply less effective. How do you find the exact motor point? The photos in the electrode placement booklet show their precise positions. To locate your own personal motor point even more accurately, you can move the positive electrode (red) slightly to see where you get the best muscle response. Is tolerance to electrical intensity the same for everyone? NO. Each person has an individual sensitivity level that depends mainly on his/her make-up (fat, connective tissue, etc.). Is it normal for the skin under the electrodes to be red after a session? Stimulation provokes localized increased blood circulation that may manifest itself as a slight redness that should disappear in a few minutes. If the redness persists, the problem is probably an allergic reaction and we recommend that you seek medical advice. How many times can the electrodes be re-used? Between 15 and 30 times, depending on the skin type. 30 or so applications are possible if the skin is clean and free of oil. What is the battery life? Battery life can depend on the programs used and the intensities selected. The average battery life is between 15 and 20 hours 29
Benefits The cases of uses and treatment benefits are listed per case: Rehabilitation Disuse Atrophy 30
Prevention of disuse atrophy 31
Reinforcement 32
Neuro Rehab (Slow start) Back-Trunk/Stabilization Atrophy (Mod Frequency) 33
Force (Mod Frequency) 34
Increase circulation Muscle lesion 35
Motor point Specific Rehabilitation Hip prosthesis 36
Patellar syndrome 37
Hemiplegia 38
Rotator cuff ACL 39
Cardio training 40
Pain relief TENS 100 Hz or 80 Hz 41
Frequency modulated TENS 42
Pulse width modulated TENS 43
Burst TENS/ Endorphinic 44
Decontraction 45
Mixed TENS Muscle pain 46
Joint pain Fracture pain 47
Specific pain relief Knee pain 48
Trapezius pain Shoulder pain 49
Cervical pain LO Cervical pain HI 50
Thoracic back pain Lower back pain 51
Lower back muscle pain 52
Lumbosciatica 53
Lumbago Epicondylitis 54
Torticollis Arthralgia 55
Vascular Heavy legs Venous insufficiency 1 56
Venous insufficiency 2 Arterial insufficiency 1 57
Arterial insufficiency 2 Cramp prevention 58
Capillarization 59
Agonist - Antagonist Atrophy/Reinforcement 60
Spasticity Haemiplegic foot 61
Spasticity 62
Shoulder subluxation 63
Haemophilia Haemophilia Disuse atrophy/Reinforcement Aesthetic Toning 64
Firming Shaping Refinement 65
ABS Buttocks Elasticity 66
How does it work? Mi-Sensor Technology The device is Mi-Ready allowing the user to upgrade the device by buying the Mi- Sensor at a later date. When the Mi (Muscle Intelligence) function is used with the Mi- Sensor, the stimulator automatically scans and adjusts to the user's physiology. The Mi-sensor detects reactivity thresholds of the user's muscles and adjusts the stimulation parameters to suit. This causes a decisive increase in training efficiency and effectiveness. 4 Mi functions available on all 4 channels: • Mi-Scan – customize the stimulation according to the physiology for more comfort and efficiency • Mi-Tens – work efficiently just behind the threshold for TENS program • Mi-Range – work efficiently in the range of intensity required for low frequency programs • Mi-Action – Active session with a voluntary contraction detected by the device to start the stimulation Mi-SENSOR The sensor forms an interactive link between the muscle and the stimulator. It gives you access to 4 functions: Mi-SCAN A Personal Touch. This function uses the sensor to determine. and tailor the optimal stimulation. parameters to each patient and for each. session. Mi-ACTION Involving the Patient. Combined active exercise allows the therapist to better incorporate electrotherapy into treatments. Mi-Action allows patients to trigger the stimulation with their own active muscle contraction. 67
Mi-TENS Pain Therapy. A continuous control of the stimulation energy in order to eliminate unwanted contractions during a pain relief program. Mi-RANGE Controlling Energy. In order to enhance optimal contractions in low-frequency programs (i.e endorphin) the Mi-Range indicates the minimum and maximum energy level to the therapist. EMS and how it works for recovery Electrostimulation is not a miraculous technique, it is very simple and precisely reproduces the processes that occur when our brain orders muscles to contract. It respects how our body works. The principle of electrostimulation correctly reproduces the process involved in a voluntary contraction. The stimulator sends an electrical impulse to nerve fibres to excite them. This excitation is then transmitted to muscle fibres and results in a mechanical response (= a twitch). This is the basic requirement for muscular contraction. The muscular response is to all intents and purposes identical to the muscular work controlled by the brain. In other words, the muscle does not distinguish between a command sent by the brain or the stimulator. The electrical impulses produced by Compex (globally known as Optimal Impulses – “an International Scientific Consensus”) are perfectly controlled to guarantee effectiveness, safety and comfort in use. Compex Muscle Stim devices, which include both EMS and TENS, can be used for a wide variety of training solutions including warm up, recovery, training, and pain management. Make no mistake, our devices are found in numerous athletic training 68
rooms around the world, used by top Physical Therapists, Chiropractors, and Athletic Trainers, but the secret is out and our FDA Cleared devices are also available to you! Let’s talk EMS and recovery. Rest takes time, valuable time that many athletes— newbie or experienced—don’t have. However, there is a solution to speed up recovery time: Compex Muscle Stimulation. A Compex Muscle Stimulation device offers recovery programs that can flush out lactic acid in 6 minutes, which prevents DOMS (delayed onset muscle soreness). It also delivers fresh oxygen to the muscles, preventing aches and pains. Compex keeps your muscles fresh and ready to use. It’s simple to recover with a Compex Muscle Stimulator device. After physical effort or if a muscle group is feeling tight or tired, place the electrodes on the muscle group area you’d like to recover. For example, if your legs are fatigued, you would want to place electrodes on quads, hamstrings and calves to recover. Compex recovery programs are designed to be used right after training or intense competition. The Active Recovery or Training Recovery program is designed to flush lactic acid, release endorphins, and relax the muscles to help create a healing environment for the muscle to recover. Recovery Plus or Competition Recovery is designed to be used several hours after a competition to help shut the muscle down and allow it to relax after an intense competition. STIMULATION CAN OCCUR IN TWO TYPES OF NERVE FIBRES: 1. Stimulation of the motor nerves (Efferent Nerve Fibres) to stimulate a muscular response, referred to as Electrical Muscle Stimulation (EMS). This type of stimulation will cause muscle twitches or muscle contractions, and it can be targeted to assist with recovery, with the recruitment of slow or fast twitch muscle fibres based on your goals, and targeted to assist with muscular pain. The physiological characteristics of the twitches and the contractions are equal to the ones caused by a voluntary activity commanded by the brain. 69
2. Stimulation of sensory nerve fibres (Afferent Nerve Fibres) to obtain analgesic effects or pain relief; referred to as Transcutaneous Electric Nerve Stimulation (TENS). Stimulating tactile sensory nerve fibres blocks pain being transmitted to the nervous system, acute and/or chronic localized pain and muscular pain. With pain relief programmes, electrostimulation can be used to treat acute or chronic localised pain and muscle pain. 70
How Does Ems Machine Work? Programme settings (number of impulses per second, duration of contraction, rest time, total programme duration) subject the muscle to various types of workout, depending on the muscle fibre. Various types of muscle fibres can be identified depending on their respective contraction speeds: slow, intermediate and rapid fibres. A sprinter clearly has more rapid fibres and a marathon runner has more slow fibres. With good knowledge of human physiology and perfect control of stimulation settings in the various programmes, muscular workout can be very accurately directed to achieve the desired objective (muscular strengthening, increased blood circulation, firming, etc.). How does it work – Published Studies http://www.manualsdir.com/manuals/656431/compex-full-fitness.html?page=173 71
Why does it work? Evidence Summary UNPARALLELED EXPERTISE For the past 30 years, Compex has set a benchmark for leadership, reliability, and excellence in the Electric Muscle Stimulation industry – for the medical, sports rehab and consumer markets. POWER 120 mA (MILLIAMPS) = REPRESENTED BY 999 INTENSITY LEVEL ON THE UNIT FOR PROGRAMS INDUCING A SUSTAINED MUSCULAR CONTRACTION (eg: strength, endurance, resistance), the number of muscle fibres recruited depends on the stimulation intensity reached. THE MAXIMUM STIMULATION INTENSITY must therefore be used in order to engage as many fibres as possible. Below certain stimulation intensity, the number of fibres engaged is too low to considerably improve the quality of the muscles. COMPEX MAXIMUM IMPULSE INTENSITY IS 120mA PER CHANNEL (represented by 999 intensity level on the unit). A device able to produce an optimal impulse with the ideal current is a must when trying to reach the maximum level of intensity. Why? SAFETY, COMFORT, EFFICIENCY. Other EMS devices in the market can't offer the same 120mA power considering the variations in skin resistance. 72
OPTIMAL IMPULSE & IDEAL CURRENT THE FUNDAMENTAL LAW OF ELECTRIC MUSCLE STIMULATION IS AN INTERNATIONAL SCIENTIFIC CONSENSUS. The research papers have shown that these fundamental principles need to meet three criteria: A) Eliminate all potential of risk = SAFETY B) Allow the best feeling for the user = COMFORT C) Obtain the best effects according to the desired objectives = EFFICIENCY COMPEX FULLY ASSUMES ITS RESPONSIBILITY AS THE INDUSTRY LEADER. Compex devices are equipped with the technology to produce a stable and controlled waveform through a constant current generator, offering its users the ideal current and optimal impulses regardless of the variations in skin resistance. Regulated Voltage Generators can’t offer the same optimal results (safe, comfort, and efficiency) considering the variations in skin resistance. 73
Clinical Trials & Studies Published On EMS Effectiveness CLINICAL STUDIES PROVE THE EFFECTIVENESS OF ELECTRICAL MUSCLE STIMULATION https://www.compexstore.com/sites/default/files/documents/COMPEX- CLINICAL%20STUDIES-EN.pdf Effects of Electrical Muscle Stimulation on Body Composition, Muscle Strength, and Physical Appearance https://pdfs.semanticscholar.org/f0de/0499cf7955373a0c48341e64c7f551fc79b8.pdf The efficacy and safety of whole-body electromyostimulation in applying to human body: based from graded exercise test https://pdfs.semanticscholar.org/0e43/3834085d79a9f70f940b07ac686964ef02a6.pdf A Review of the Use of Electro-Motor Stimulation in Human Muscles https://www.journalofphysiotherapy.com/article/S0004-9514(14)60640-1/fulltext Electromyostimulation to fight atrophy and to build muscle: facts and numbers https://onlinelibrary.wiley.com/doi/full/10.1002/jcsm.12332 A Promising Approach to Effectively Reduce Cramp Susceptibility in Human Muscles: A Randomized, Controlled Clinical Trial https://pdfs.semanticscholar.org/5b19/a58efddadb4a8115485e76cc782cea66b047.pd f The Effects of Neuromuscular Electrical Stimulation Training on Abdominal Strength, Endurance, and Selected Anthropometric Measures https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3880086/ Effects of Whole-Body Electromyostimulation versus High-Intensity Resistance Exercise on Body Composition and Strength: A Randomized Controlled Study https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4789460/ 74
Electrical Muscle Stimulation: An Effective Form of Exercise and Early Mobilization to Preserve Muscle Strength in Critically Ill Patients https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3321528/ Hemodynamic effects of electrical muscle stimulation in the prophylaxis of deep vein thrombosis for intensive care unit patients: a randomized trial https://jintensivecare.biomedcentral.com/articles/10.1186/s40560-016-0206-8 The Effects of Electrical Muscle Stimulation (EMS) towards Male Skeletal Muscle Mass https://waset.org/publications/10003368/the-effects-of-electrical-muscle-stimulation- ems-towards-male-skeletal-muscle-mass 75
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