Compex - Manuale d’uso e di applicazioni Manuel …...English 6 other medical device, please...

Art no. 885516 v8

DJO France S.A.S.Centre Européen de Frêt3 rue de Bethar64990 Mouguerre, France© 12/2011 DJO, LLC

Compex® is a registered trademark of DJO, LLC

User and applications manual

Manuale d’uso e di applicazioni

Manuel d’utilisation et d’applications

Gebrauchs- und Anwendungshandbuch

Gebruiksaanwijzing en specifieke toepassingen

Manual de utilización y aplicaciones

Vitality-manuel:Vitality-manuel 0909 10/09/09 11:26 Page 2

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EnglishDirections for use 11Programs and specific applications 20Table with placements of electrodes and stimulation positions 49

ItalianoIstruzioni per l’uso 61Programmi e applicazioni specifiche 70Tabella di posizionamento degli elettrodi e posizioni del corpo 99

Français Mode d’emploi 111Programmes et applications spécifiques 120Tableau de placements des électrodes et positions du corps 149

DeutschGebrauchsanweisung 161Programme und spezifische Anwendungen 170Tabelle zur Elektrodenplatzierung und Körperposition für die Stimulation 199

NederlandsGebruiksaanwijzing 211Programma’s en specifieke toepassingen 220Tabel voor de plaatsing van de elektroden en de stimulatieposities 249

EspañolModo de empleo 261Programas y aplicaciones específicas 270Tabla de colocación de los electrodos y de posición del cuerpo para la estimulación 299


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I. WARNINGS 51. Counter-indications 52. Safety measures 5

II. PRESENTATION 71. Reception of equipment and accessories 72. Presentation of the device 83. Guarantee 84. Maintenance 95. Storage and transportation conditions 96. Use conditions 97. Elimination 98. Standards 99. Patent 1010. Normalised symbols 1011. Technical information 10

III. DIRECTIONS FOR USE 111. Connections 112. Preliminary settings: language, light intensity and sound volume 113. Selecting a program category 124. Selecting a program 125. Personalising a program 136. During the stimulation session 147. Electricity consumption and recharging 158. Problems and solutions 16

IV. HOW DOES ELECTROSTIMULATION WORK? 17

V. USE PRINCIPLES 181. Placement of electrodes 182. Stimulation position 193. Setting the stimulation energy level 194. Progression in the levels 19

VI. PROGRAMS AND SPECIFIC APPLICATIONS 20Pain relief category 21Massage category 28Vascular category 31Rehabilitation category 35Aesthetic category 39Fitness category 44

VII. TABLE WITH PLACEMENTS OF ELECTRODES AND STIMULATION POSITIONS 49

TABLE OF CONTENT


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I. WARNINGS

1. Counter-indications

Important counter-indications■Cardiac stimulator (pacemaker)■Epilepsy■Pregnancy (no positioning in theabdominal area)■Serious arterial circulatory problemsin the lower limbs ■Abdominal or inguinal hernia

Precautions when using the Compex■After trauma or a recent operation(less than 6 months)■Muscular atrophy■Persistent pains■Need for muscular rehabilitation

Osteosynthesis equipmentThe presence of osteosynthesisequipment (metallic equipment in

contact with the bone: pins, screws,plates, prostheses, etc.) is not a contra-indication for the use of Compex programs.The electrical current of the Compex isspecially designed to have no harmfuleffect with regard to osteosynthesisequipment.

In all of the above cases, you are advised to:■never use the Compex for prolongedperiods without medical advice;■ consult your doctor if you are inany doubt whatsoever;■ read this manual carefully, in particular chapter VI, which providesinformation concerning the effectsand indications of each stimulationprogram.

2. Safety measures

What you should not do withthe Compex■ Do not use the Compex in water or in a humid atmosphere (sauna, hydrotherapy, etc.). ■ Never carry out an initial stimulationsession on a person who is standing.The first five minutes of stimulationmust always be performed on a person who is sitting or lying down.In rare instances, very highly strungpeople may have a vagal reaction.This is of psychological origin and isconnected with a fear of the musclestimulation as well as surprise atseeing one of their muscles contractwithout having intentionally contractedit themselves. This vagal reactionproduces a feeling of weakness witha fainting tendency, slowing down of the heartrate and a reduction in arterial blood pressure. If this doesoccur, all that is required is to stopthe stimulation and lie down with thelegs raised for the time it takes for the feeling of weakness to disappear(5 to 10 minutes).■ Never allow movement resultingfrom muscular contraction during astimulation session. You should always stimulate isometrically; thismeans that the extremities of the limbin which a muscle is being stimulatedmust be firmly fixed, so as to preventthe movement that results fromcontraction.■ Do not use the device at less than1.5 metres from a short-wave device,a micro-wave device or high frequency (H.F.) surgical equipmentto avoid the risk of causing skin irritations or burns under the electrodes.If you are in any doubt about usingthe Compex in close proximity to any


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other medical device, please consultits manufacturer or your doctor. ■ Only use the electrode cables supplied by Compex.■ Do not disconnect the stimulatorelectrode cables during the sessionwithout first switching off the stimulator.■ Never connect stimulation cables toan external electric power supply because of risk of electric shock.■ No not use rechargeable batteriesother than the one supplied by Compex.■ Never recharge the stimulator whencables and electrodes are stillconnected onto the user.■ Never recharge the batteries withanother charger than the one supplied with the Compex.■ Never use the Compex or the charger if it is damaged (case, cables,etc.) or if the compartment for the rechargeable battery is open. There isa risk of electric discharge.■ Disconnect immediately the chargerif the Compex “bleeps” continuously,in case of abnormal heating or smell,or if smoke comes from the chargeror the Compex. Do not recharge thebatteries in a confined area (case,etc.) because of risk of fire or electricdischarge.■ Keep the Compex and its accesso-ries out of the reach of children.■ Do not allow any foreign items(soil, water, metal, etc.) to enter intothe Compex, the compartment for therechargeable battery and the charger.■ Sudden temperature variations cancreate droplets in the device due tocondensation. Use the device onlyonce it reached ambient temperature.■ Do not use the Compex while driving or operating machinery.■ Do not use the stimulator in themountains at an altitude higher than3.000 metres.

Where you should never applyelectrodes… ■To the head.■ Counter-laterally: Do not use thetwo poles of the same channel (one electrode connected to the positive/red pole and one electrodeconnected to the negative/blackpole) on either side of the body cen-treline (eg: right arm and left arm).■ To or in the vicinity of skin lesions of any kind (wounds, inflammations, burns, irritations, eczema, etc.).

Precautions when using theelectrodes■Only use the electrodes suppliedby Compex. Other electrodes mayhave electrical properties that are unsuitable for the Compex stimulator.■ Do not remove or move the electrodes during a stimulation session without first switching off the instrument.■ Do not plunge the electrodes intowater.■ Do not apply a solvent of any kind to the electrodes.■ Before applying the electrodes, itis recommended to wash and degrease the skin, and then dry it.■ Apply the whole surface of theelectrodes to the skin.■ For very important reasons of hygiene, each user must have hisown electrode set. Do not use thesame electrodes on different people.■ Do not use a set of electrodes formore than fifteen sessions, as thequality of the contact between theelectrode and the skin, which is important for the comfort and effectiveness of stimulation, progressively degrades.■ In certain people with very sensitive skin, redness may be observed under the electrodes after a


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II. PRESENTATION

1. Reception of equipment and accessories

stimulation session. Generally, thisredness is completely harmless anddisappears after 10 to 20 minutes. However, avoid starting a stimulationsession on the same area until theredness is no longer evident.

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Your stimulator is supplied with:

– The stimulator– A battery charger– One set of electrode cables with colour indicators (blue, green, yellow, red)– Bags containing the electrodes (small (5 x 5 cm) and large (5 x 10 cm) electrodes)– A user and applications manual– A poster with the pictures for the placements of electrodes and the stimulation positions– A belt clip


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Refer to the flyer attached.

3. Guarantee

A – “On/Off” switchB – “i” button. To increase the energy level

of several channels simultaneously

C – Sockets for the 4 electrode cables

2. Presentation of the device

D – Electrode cableschannel 1 = blue channel 2 = greenchannel 3 = yellow channel 4 = redE – “+”/“–” keys of the 4 stimulation channelsF – Compartment for the rechargeable batteryG – Belt clip socket

B

A

E

C

D

F

G

34

21

34

21


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4. Maintenance

To clean your unit, use a soft dusterand an alcohol-based cleaning product,which does not contain any solvents.The user must not attempt any repairsto the device or any of its accessories.Never dismantle the Compex or thecharger containing high-voltage partsbecause of risk of electric discharge.Compex Médical SA declines allresponsibility for damages andconsequences resulting from anyattempt to open, modify or repair the device or any of its componentsby a person or a service centre notofficially approved by CompexMédical SA.Compex stimulators do not requirecalibration or verification of perfor-mance parameters. The characteris-tics are systematically verified andvalidated for each device manufactu-red. These characteristics are stableand do not vary when used undernormal conditions.If your device seems to not functionas expected, regardless of the situation, contact an official Compexservice centre for assistance.Medical and health professionals mustrefer to local legislation for informa-tion related to maintenance. Nor-mally, these laws require verificationof certain criteria at regular intervals.

5. Storage andtransportation conditions

The Compex contains rechargeablebatteries and so the storage andtransportation conditions must notexceed the following figures:Storage and transportation temperature:from -20°C to 45°Max. relative humidity: 75%Atmospheric pressure: from 700 hPa to 1060 hPa

6. Use conditions

Temperature of use: from 0°C to 40°C

Max. relative humidity: from 30% to 75%

Atmospheric pressure: from 700 hPa to1060 hPa

Do not use in an explosion risk area.

7. Elimination

The Directive 2002/96/CEE (WEEE)has a first priority, the prevention ofwaste electrical and electronic equip-ment, and in addition, the re-use,recycling and other forms of recoveryof such wastes so as to reduce thedisposal of waste.The pictogram wheeled bin barredmeans that the equipment can not bethrown with the household refuse,but that it makes the object of aselective collection.The equipment has to be given to asuitable collection point for thetreatment.By this way, you contribute to thesafeguarding of the natural resourcesand the human health protection.Batteries must be disposed of inaccordance with your country’snational laws governing the disposalof such items.

8. Standards

The Compex is based directly on medical technology.To guarantee your safety, the design,manufacturing and distribution ofCompex are in conformity with therequirements of the European Directive 93/42/CEE.The device is in conformity with thestandard for general safety rules forelectromedical devices IEC 60601-1,the standard for electromagneticcompatibility IEC 60601-1-2 and thestandard for special safety rules for


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Type TR503-02-E-133A03Input 90-264 VAC / 47-63Hz / 0.5A max.Output 9V / 400mA / 6WType TR1509-06-E-133A03Input 90-264 VAC / 47-63Hz / 0.5A max.Output 9V / 1.4A / 15W



nerve and muscle stimulators IEC60601-2-10.Current international standards (IEC60601-2-10 AM1 2001) require that awarning be given concerning theapplication of electrodes to the thorax(increased risk of cardiac fibrillation).Directive 2002/96/CEE Waste electricaland electronic equipment (WEEE).

9. Patent

Snap electrode: patent pending.

10. Normalised symbols

Important: Under some conditions, the effective figure

for the stimulation pulses can exceed10 mA and 10 V. The informationgiven in this handbook must bestrictly observed.

The Compex is a class II deviceunit with its own internal electric

power, with type BF applied sections. Waste electrical and electronicequipment (WEEE).The “On/Off” switch is a multi-function key:

Functions Symbol N°(according to CEI 878)

On/Off (2 positions, stable) 01-03Waiting or preparation for part of the unit 01-06Stop (switching off) 01-10

11. Technical information

General points

Power supply: NIMH rechargeablebattery (NIMH) (4,8 V ª 1200 mA/h).Chargers: The only chargers used for recharging the battery bear thefollowing information:

EURO

PEUS

AUK

NeurostimulationAll electrical specifications are givenfor a charge between 500 and 1000ohms per channel.Channels: four independent and individuallyadjustable channels electrically insulated fromeach other and from groundImpulse shape: constant rectangular currentcompensated to eliminate any direct currentcomponent to avoid any residual skin polarisationMaximum current of an impulse: 80 milliamperesIntensity increase interval: – Manual stimulation intensity adjustment:0-444 (energy units)– Impulse duration: 0.5 mAImpulse duration: from 50 to 400 microsecondsMaximum quantity of electricity per impulse:80 microcoulombs (2 x 40 µC compensated)Typical rise time for an impulse:3 microseconds (between 20% and 80% of maximum current)Impulse frequency:from 1 to 150 Hertz


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1. Connections

The electrical impulses generated bythe Compex are transmitted to the

nerves by self-adhesive electrodes. Thechoice of the size, the connection and thecorrect positioning of the electrodes are essential factors for ensuring effective andcomfortable stimulation. So they requireparticular care. To do all this – and for information on the recommendedstimulation positions – refer to the picturesand pictograms in the poster, and to the“Table with placements of electrodes andstimulation positions” in chapter VII. Thespecific applications contained in chapterVI also provide useful relevant information.

blue = channel 1 yellow = channel 3green = channel 2 red = channel 4

It is important to place the electrodescorrectly to the cable connectors; in orderto do so, press strongly the connector tothe electrode until you hear a double click.

Connecting the chargerThe Compex has considerable opera-ting autonomy, as it uses rechargeablebatteries. To recharge them, use thecharger supplied with your device andconnect it to the base of the device,then plug the charger in a socket.To recharge the Compex, first disconnect the electrode cables fromthe device.Before using your stimulator for thefirst time, it is always strongly recommended that you completelycharge the battery to improve its autonomy and extend its working life.

2. Preliminary settings:language, light intensity and sound volume

Before using the unit for the firsttime, you should select the workinglanguage of the device which isdisplayed on the options screen.Proceed as per the instructionsdescribed below.Afterwards, for the greatest comfort,Compex offers you a number ofsetting options (operating languageselection, display contrast setting and sound volume setting).To do this, display the optionsscreen by pressing the “On/Off”switch on the left of the Compex and hold it down for a few seconds.

III. DIRECTIONS FOR USEBefore using the unit for the first time, you are strongly advised to take careful note of

the counter-indications and safety measures detailed at the beginning of this manual(chapter I: “Warnings”), as this powerful equipment is neither a toy nor a gadget!

1a Sockets for the four electrode cables

1b Socket for the battery charger

Connecting the electrodes andcablesThe electrode cables are connectedto the stimulator through sockets onthe base of the device.Four cables can be connected simultaneously to the four channelsof the device.For easier use and better identifica-tion of the four channels, we adviseyou to follow the colour of the electrode cables and the stimulatorsockets:

Fig.1 – Base of device

1a 1a1b

1a 1a


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4a 4c

4b

Fig.4

3b To confirm your choice and to move on tothe program selection screen (see the nextsection: “Selecting a program”), press the“+”/“–” key of channel 4.3c Press the “On/Off” key to switch off thestimulator.

4. Selecting a program

To choose a program, it is particularlyuseful to consult chapter VI of this

manual (“Programs and specific applica-tions”).

Regardless of the category you selectedin the previous step, a list containinga select number of programs appearson the screen.

2a To select the language of your choice, pressthe “+”/“–” key of channel 1 (to go up or down),until the desired language is displayed in whitecharacters on a black background.2b To set the contrast of the display, press the“+”/“–” key of channel 2 (“+” to increase thepreferred percentage and “–” to reduce it).2c To set the sound volume, press the “+”/“–” ofchannel 3 (“+” to increase the preferred percen-tage and “–” to reduce it).2d To confirm the parameters selected, pressthe “On/Off” switch. Your stimulator saves youroptions. It is now ready for use with the settingsyou selected.

3. Selecting a programcategory

To switch on your stimulator, brieflypress the “On/Off” switch on the leftof the Compex. A musical signal canbe heard and a screen showing thedifferent program categories is displayed.Before choosing a program, youshould select the desired category.

3a To select the desired category, press the“+”/“–” key of channel 1 (to go to the left) orchannel 3 (to go to the right), until the desiredcategory is displayed in a frame.

2a 2b 2c2d

Fig.2

3a 3b3cFig.3

4a To select the desired program, pressthe “+”/“–” key of channel 1 (to go up or down),until the desired program is displayed inwhite characters on a black background.4b Press the “On/Off” key to return to theprevious screen.4c After selecting the desired program,press the “+”/“–” key of channel 4 which, depending on the program selected, displaysthe symbol or .

a) = the stimulation session starts immediately;b) = a parameter setting screen displays.

START

START


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5a 5b 5c 5f

5d

5e

Fig.5

The program personalisation screenis not available for all programs.

5a Certain programs require manual selectionof the muscular group that you want to stimu-late and a figurine is displayed above channel 1.To select your desired group, press the “+”/“–”key of channel 1 (to go up or down). The sevenmuscular groups are displayed in succession inblack on the figurine:

Current international standards require that a warning be givenconcerning the application of

electrodes to the thorax (increased risk of cardiac fibrillation).

vbAbdomen and Lower back

fButtocks

cThighs

jLegs and Feet

mForearms and Hands

eShoulders and Arms

tdThorax and Back

5b The warming-up sequence suggested forsome programs is active by default (an ani-mated rising convection symbol above theheater). If you prefer to skip this sequence,press the “+”/“–” key of channel 2.

Warming-up

No warming-up

5. Personalising a program

5d Total program time in minutes.5e By pressing the “On/Off” key, you can return to the previous screen.

5f To confirm your selection and start theprogram, press the “+”/“–” key of channel 4.

5c Certain programs allow you to adjust the level of work. To do this, press the “+”/“–” key ofchannel 3 (to go up or down), until the desired level of work is displayed.

Level 1 Level 2 Level 3 Level 4 Level 5


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below are sufficient for you tounderstand the general rules.

6a The Compex “bleeps” and the symbols of thefour channels flash, changing from “+” to “000”:the four channels are at 0 energy. You must increase the stimulation energy so that the stimulation can start. To do this, press the “+”of the keys of the relevant channels, until thedesired setting is reached.If you want to increase the energy level of allfour channels simultaneously, press the “i” button, located below the “On/Off” key. You canalso increase the energy level of three firstchannels, by pressing the “i” button twice, orthe energy level of two first channels only, bypressing three times this button.Once you activate the “i” button, the associatedchannels are highlighted in white on a blackbackground.6b Remaining time in minutes and seconds.6c The animated rising convection symbol represented the warming-up sequence.6d Session progression scale. For details on howit works, see the following section (“Programprogression”).6e By pressing the “On/Off” key, you can returnto the previous screen.

Program progressionStimulation does really start when thestimulation energy has been increased.The screens that are displayed duringstimulation allow you to observe theprogression of the session. Thesescreens may differ from one programto another. The examples reproduced

6a

7a7d

7e7b

7f

8a 8d

8b

8f

7c

8c

6b

6c

6e

6d

8e

Fig.7

Fig.8

Fig.6

6. During the stimulation session

Setting stimulation energyWhen the program starts, the Compexprompts you to increase the stimula-tion energy, a key factor for the effec-tiveness of the stimulation.

7a-8a Remaining time (in minutes and seconds) before the end of the program.7b-8b A small animated symbol indicatingcategory to which the program belongs.7c-8c Session progression scale:The progression scale is composed of threedistinct parts: the program consists of threestimulation sequences, i.e., warming up (lighthatching /left), the actual work (blackarea/centre) and relaxation at the end of theprogram (heavier hatching/right).The progression scale can be also entirely hatched: the program then consists of a singlestimulation sequence.The small cursor located just below the scalemoves horizontally and indicates precisely thestate of progression of the program (here:start of the first sequence, i.e., the work sequence).7d-8d Contraction and active rest time bar:This bar is displayed at the right of the pro-gression scale, but only during the work sequence. It indicates the duration of thecontraction and active rest times.7d The cursor is located under the black (left)part of the bar: you are in a muscular contrac-tion phase.


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8d The cursor is located under the hatched(right) part of the bar: you are in an active restphase.

The stimulation energy during theactive rest phase is automatically

set at 50% of the stimulation energy duringthe muscular contraction.

7e-8e Bar charts:7e The muscular contraction phase is repre-sented by the bar charts of the stimulationchannels used (which become black during thecontraction phase).8e The active rest phase is represented bythe bar charts of the stimulation channelsused (which become hatched during the activerest phase).7f-8f You can interrupt the program momen-tarily ( = “PAUSE”) ”) by pressing the“On/Off” key. If you wish to restart the session,simply press the “+”/“–” key of channel 4.

After an interruption, stimulationrestarts at 80% of the stimulation

energy set before the .

Adjusting stimulation energy

9a During the session, the Compex “bleeps”and some symbols start to flash abovethe active channels (over the energy indications):the Compex is prompting you to increase thestimulation energy level. If you cannot supportan increase of the energy, just ignore thismessage.

+

STOP

STOP

End of program

10a

10b

9a

Fig.9

Fig.1010a At the end of the session, you hear amusical signal and a small flag is displayed.10b It is then only necessary to switch offthe stimulator by pressing the “On/Off” key ( ).

7. Electricity consumptionand recharging

Never recharge the stimulator withcables still connected to it.

Never recharge the batteries with a charger different from the one supplied by Compex.

The Compex runs on rechargeablebatteries. The discharge time dependson the programs and stimulationenergy used.Before using your stimulator for the first time, it is always strongly recommended that you completelycharge the battery to improve its au-tonomy and extend its working life.If you do not use your device for along period of time, please regularlyrecharge the battery.

Electricity consumptionThe symbol of a small battery indicatesthe charge level of the batteries.

OFF

11a

11b

Fig.11


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This message may mean that:1) there is no electrode connected to this channel;2) the electrodes are old, worn out and/or thecontact is poor: try using new electrodes;3) the electrode cable is defective: try it usinganother channel. If cable shows a default again,please replace.

Recharging errorA recharging error may happen during charging. The Compex“bleeps” continuously and the following screen is displayed:

If this message appears, disconnectthe charger and the device switchesoff automatically. Please contact thehotline, noting this error code.If, for any reason, you experienceany other trouble with your device,please contact the hotline mentionedand approved by Compex Médical SA.

11a The small battery symbol has only tworeference marks: The batteries are losing theircharge. Interrupt the session and recharge thedevice (see the following section).11b The , symbol normally displayedabove the “+”/“–” key of channel 4 has disappea-red ( ) and the small battery flashes: Thebatteries are completely flat. It is no longerpossible to use the device. Recharge it immediately (see the following section).

RechargingTo recharge the Compex, first disconnect the electrode cables fromthe device, then plug the charger in asocket and lastly connect the stimula-tor to the charger (see in section I:“Connecting the charger”). Thecharge menu illustrated below appearsautomatically.

START

13a

14a

Fig.13

Fig.14

Fig.15

12a The Compex has been charging for 3 mi-nutes and 8 seconds (a full charge may takefrom 1h30 to 2 hours with the rapid chargerdelivered with your device).12b Charging is in progress and the smallbattery symbol is not completely full.When charging is completed, total chargeduration flashes and the small battery iscompletely full. The Compex switches off automatically as soon as you disconnect thecharger..

8. Problems and solutions

Electrode fault13a-14a The Compex “bleeps” and alterna-tively displays the symbol of a couple of elec-trodes and an arrow pointing to the channelwhere a problem has been detected. Below,the stimulator has detected an electrodefault on channel 2.

12a12b

Fig.12


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IV. HOW DOES ELECTROSTIMULATIONWORK?The principle of electrostimulation isto stimulate nerve fibres by means ofelectrical impulses transmitted byelectrodes.The electrical impulses generated byCompex stimulators are high-qualityimpulses – ensuring safety, comfortand efficiency – that stimulate different types of nerve fibres:1. the motor nerves to stimulate a muscularresponse. The quantity of work and the benefitsobtained depend on the stimulation parameters.This is known as electromuscularstimulation (EMS).2. certain types of sensitive nerve fibres to obtain analgesic or pain-relieving effects.

1. Motor nerve stimulation (EMS)

In voluntary activity, the order formuscular work comes from the brain,which sends a command to the nervefibres in the form of an electrical signal. This signal is then transmittedto the muscular fibres, which contract.The principle of electrostimulation accurately reproduces the process observed during a voluntary contrac-tion. The stimulator sends an electricalcurrent impulse to the nerve fibres,exciting them. This excitation is thentransmitted to the muscular fibrescausing a basic mechanical response(= muscular twitch). The latter constitutes the basic requirement for muscular contraction.This muscular response is completelyidentical to muscular work controlledby the brain. In other words, the muscle cannot distinguish whetherthe command comes from the brainor from the stimulator.The parameters of the Compex programs (number of impulses persecond, contraction time, rest time,total program time) subject the

Electricalimpulse

Motornerve

Stimulatedmuscle

Basic mechanical response = muscular twitch

Excitation Excitation transmission

muscles to different types of work, according to muscular fibres. In fact,different types of muscular fibres maybe distinguished according to theirrespective contraction speed: slow, intermediate and fast fibres. The fastfibres will obviously predominate in asprinter, while a marathon runner willhave more slow fibres. With a good knowledge of humanphysiology and a perfect mastery ofthe stimulation parameters of the various programs, the muscular workcan be directed very precisely towardsthe desired goal (muscular reinforce-ment, increased blood flow, firmingup, etc.).

2. Stimulation of thesensitive nerves

The electrical impulses can also excitethe sensitive nerve fibres to obtain ananalgesic or pain-relieving effect.The stimulation of the tactile sensitivenerve fibres blocks the transmission of pain by the nervous system. The stimulation of another type ofsensitive fibres creates an increase inthe production of endorphins and,therefore, a reduction of pain.With pain relief programs, electrosti-mulation can be used to treat localizedsharp or chronic pains as well as muscular pains.


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1.Placement of electrodes

It is recommended that you complywith the suggested placements. To do

this, refer to the pictures and pictogramsshown on the poster and to the “Table withplacements of electrodes and stimulation positions” in chapter VII.

A stimulation cable consists of twopoles:a positive pole (+) = red connectiona negative pole (–) = black connection

A different electrode must be connec-ted to each of the two poles.

Note: It is possible and normal tohave an electrode arrangement thatleads one electrode connection freefrom a cable.Depending on the characteristics ofthe current used for each program,the electrode connected to the positive pole (red connection) ismore effective when placed in a“strategic” position.For all muscle electrostimulation programs, i.e., programs involvingmuscle contractions, it is important toplace the positive polarity electrodeon the muscle motor point.

Benefits of electrostimulation

Electrostimulation is a very effective way to makeyour muscles work:■ with significant improvement of differentmuscular qualities,■ without cardio-vascular or mental fatigue,■ with limited stress on the joints and tendons.

Electrostimulation thus allows a greater quantityof work by the muscles compared with voluntaryactivity.

To be effective, this work must involve the greatestpossible number of muscular fibres. The numberof fibres working depends on the stimulation

V. USE PRINCIPLESThe use principles presented in this section should be considered generalrules. For all programs, it is recommended that you read carefully the information and advice on use presented in chapter VI of this manual(“Programs and specific applications”).

energy. It will therefore be necessary to use themaximum tolerable energy. The user controls thisaspect of stimulation. The higher the stimula-tion energy, the greater the number of muscu-lar fibres that are working and, therefore, themore significant the progress achieved.

To maximize your results, Compex recommendsthat you complement your electrostimulationsessions with other efforts, like:■ regular exercise,■ proper and healthy nutrition,■ balanced lifestyle.

Do not use the pain relief programs fora long period without medical advice.


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The choice of electrodes size (large orsmall) and the correct positioning ofthe electrodes on the muscular groupto be stimulated are determinant andessential factors for the effectivenessof the stimulation. Therefore, alwaysuse the size of electrodes shown inthe pictures. Unless you have otherspecific medical instructions, alwaysfollow the placement directions in thepictures. If necessary, find the bestposition by slightly moving the positive polarity electrode, so as toobtain the best muscle contraction or the position that seems most comfortable.

Compex Group disclaims allresponsibility for electrodes positionedin any other manner.

2.Stimulation positions

To determine the stimulation positionto adopt depending on the placement

of the electrodes and the chosen program,refer to the pictures and pictograms on theposter and to the “Table with placements ofelectrodes and stimulation positions” inchapter VII.

The stimulation position depends onthe muscular group to be stimulatedand the program chosen.For the programs involving powerfulmuscular contractions, the muscleshould always be stimulated in an isometric fashion. Consequently, youshould fix the extremity of the stimula-ted limb(s) firmly. In this way, youprovide maximum resistance to themovement and prevent any shorteningof the muscle during the contraction,which could create cramp pains andserious stiffness after the session. Forexample, when stimulating the quadriceps, the user should be in aseated position with the ankles fixedwith straps to prevent extension of theknees.

For the other types of programs (forexample, the Pain programs and theActive recovery program), which donot involve powerful muscularcontractions, position yourself ascomfortably as possible.

3.Setting the stimulationenergy level

In a stimulated muscle, the numberof recruited fibres depends on the stimulation energy. For the programsinvolving powerful muscular contrac-tions, it is therefore absolutely neces-sary to use maximum stimulationenergy, always at the limit of what youcan support, so as to involve thegreatest possible number of fibres.The “Table with placements of electrodes and stimulation positions”in chapter VII provides informationon the energy to use, depending onthe selected program.

4.Progression in the levels

In general, it is not advisable to gothrough the different levels quicklywith the intention of reaching level 5as fast as possible. In fact, the different levels correspond to progresswith electrostimulation.The simplest and most usual procedureis to start with level 1 and raise thelevel when changing to a new stimu-lation cycle.At the end of a cycle, you may eitherstart a new cycle at the next level upor do some maintenance at the rateof 1 session a week at the last levelreached.


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You can of course choose a musculargroup different from the one indicated,depending on the activities you prac-tice or the body area you wish to stimulate. The specific applications provide youinformation on the placement of elec-trodes and the stimulation position toadopt. This information is representedby numbers (placement of electrodes)and letters (stimulation position).They refer to the “Table with place-ments of electrodes and stimulationpositions” in chapter VII and to the

poster with the pictures for the placements of electrodes and the pictograms for the body positions.The table also indicates the stimulationenergy to use, according to the program.You must select in the device themuscular group indicated on the figurine. When no figurine appears(–), it is not necessary to choose themuscular group: the selection is automatic.

VI. PROGRAMS AND SPECIFIC APPLICATIONS

The applications that follow are given by way of example. They provide a better understanding of how electrostimulation sessions can be combined withvoluntary activity. These protocols will help you to determine the best proce-dure to follow depending on your needs (choice of the program, musculargroup, duration, placement of the electrodes, body position).


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If the pain is great and/or persistent, you are advised to consult a doctor. Only adoctor can make an accurate diagnosis and put in place therapeutic actionsdesigned to encourage disappearance of the disorder.

Pain relief category

Physical pain is an abnormal and unpleasant sen-sation caused by an injury, a disorder or incorrectfunctioning of a part of our organism. It is alwaysa signal sent to us by our bodies, one that shouldnot be ignored, and that in all cases requires us toconsult a doctor if it does not disappear quickly.The approach to pain adopted by the medicalprofession has changed considerably in recent years.Treatment of the cause is always fundamental,however the pain as such must be otherwiseremoved or at least considerably reduced andmade bearable for the patient. The means tocombat pain have developed greatly, and there isno longer any hesitation today in using powerfulanalgesics to improve the quality of life of patients.It is within this context that recourse to electrothe-rapy has developed. Excitation of the nerve fibresof sensation by means of electrical micro-impulsesis often the preferred method of combatting pain.Today, such analgesic electrotherapy is widelyused, particularly in rehabilitation medicine and inspecialist pain treatment centres.The precision of electrical currents allows the anal-gesic action to be accurately targeted according tothe type of pain. It is up to the user to choose themost appropriate program for the type of painand to follow practical recommendations in orderto obtain maximum effect.


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Pain relief

Neuralgia of the upperlimb (brachial neuralgia)

ModulatedTENS

See applicationpage 24

Table of the pathologies

Pathologies Programs References

Chronic pain in the joints(eg: arthrosis of the knee = gonarthrosis)

ArthralgiaSee application

page 27

Chronic muscular pain(polymyalgia)

Endorphinic See applicationpage 24

Contracture (eg: localizedcontracture in external side of the calf)

Decontracture See applicationpage 24

Recent and acute back of theneck muscle pains (torticollis)

Torticollis See applicationpage 26

Chronic elbow pain(epicondylitis = tennis elbow)

Epicondylitis See applicationpage 26

Chronic muscular pain inthe back of the neck(cervical pain)

Cervical pain See applicationpage 24

Sharp and recent muscularpains affecting a musclein the low back (lumbago)

Lumbago See applicationpage 26

Muscular pain in the low backregion associated with pain inthe buttocks and at the back ofthe thights (lumbosciatica)

Lumbosciatica See applicationpage 25

Muscular pain in the thoracicregion (thoracic back pain)

Thoracic backpain

See applicationpage 25

Muscular pain in the lowregion (low back pain)

Low back pain See applicationpage 25


Programs Effects Uses

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Pain relief

ModulatedTENS

Blocks transmission of painby the nervous system

All acute or chroniclocalized pain

Table of the Pain relief programs

EndorphinicAnalgesic action throughthe release of endorphinisIncreased blood flow

To combat chronicmuscular pain

Decontracture Reduced muscular tensionRelaxing effectTo combat recent andlocalized muscular pain

Cervicalpain

Analgesic action throughthe release of endorphinisIncreased blood flow

Analgesic current specificallyadapted to pains in the backof the neck

Thoracicback pain


Analgesic current specificallyadapted to low back pain(lumbar region)

Lowback pain


Analgesic current specificallyadapted to low back pain(lumbar region)

LumbosciaticaAnalgesic action throughthe release of endorphinisIncreased blood flow

Analgesic current specificallyadapted to low back pain(lumbar region) combined withpain in the buttocks runningdown the rear of the thigh andsometimes into the leg and foot

Lumbago Reduced muscular tensionRelaxing effectAnalgesic current specificallyadapted to sharp and suddenlow back pain (lumar region)

Epicondylitis Blocks transmission of painby the nervous systemAnalgesic current specificallyadapted to persistent painint he elbow

Torticollis Reduced muscular tensionRelaxing effectAnalgesic current specificallyadapted to acute and sharppains int he back of the neck

Arthralgia Blocks transmission of painby the nervous system

Analgesic current specificallyadapted to persistent pain in a joint, as in osteoarthritis and rheu-matsim (all joints in the limbsexcept the elbow: see the Epi-condylitis program above)


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Specific applications

Neuralgia of the upper limb (brachial neuralgia)Some people suffer from arthritis in thejoints of the vertebrae at the back of theneck, or from arthritis or periarthritis ofthe shoulder. These situations often giverise to pain that runs down one arm andis known as “brachial neuralgia”. Thesearm pains that start in the shoulder or theback of the neck can be reduced with theCompex Modulated TENS program byfollowing the practical recommendationsoutlined below.

Cycle duration: 1 week, 1 x/day minimum, thenadapt according to how the pain develops

According to requirements, the ModulatedTENS program can be repeated a number oftimes during the same day

Program: Modulated TENS 35◊

Chronic muscular pain (polymyalgia)Some people suffer from muscular painthat affects several muscles or parts of different muscles at the same time. The localization of this chronic pain can varyover time. These continual and diffusemuscle pains are the result of chroniccontractures in which acids and toxins accumulate, irritating the nerves and causing pain. The Endorphinic program isparticularly effective against such painsince, in addition to its pain-reducing effect, it increases the blood flow to thecontractured muscular groups and removesfrom them accumulations of acids andtoxins.Example: localized pain in the biceps.However, the pain may affect othermuscular groups. The practical applicationillustrated below remains valid, but it isthen necessary to place the electrodes onthe muscular group concerned.

Cycle duration: 4 weeks, 2 x/day, with a 10 minute break between the 2 sessions

You are advised to consult your doctor if noimprovement is observed after the first week of use

Program: Endorphinic 20◊

Pain relief

Contracture (eg: localized contracture inexternal side of the calf)After tiring muscle work, intense trainingor a sporting competition, certain musclesor certain parts of muscles often remaintense and slightly painful. These areknown as muscular contractures whichshould disappear after a few days withrest, good rehydration, a balanced foodintake with mineral salts and applicationof the Decontracture program. The phenomenon of contracture frequently affects the calf muscles, but can also occurwith other muscles. In this case, simplyfollow the same practical recommendationsas below, but place the electrodes on themuscular group concerned.

Cycle duration: 1 week, 1 x/day


Program: Decontracture 24◊

Chronic muscular pain in the back of theneck (cervical pain)Positions in which the muscles of theback of the neck remain tense for longperiods of time, for example working in front of a computer screen, may be responsible for the onset of pain in theback of the neck or on either side of thebase of the neck, in the upper back.These pains are due to a contracture ofthe muscles, of which the prolonged tension crushes the blood vessels and prevents the blood from supplying andoxygenating the muscle fibres. If this phenomenon is prolonged, there is an accumulation of acid and the blood vessels atrophy. The pain then becomescontinuous or appears after only a fewminutes spent working in an unfavourableposition.These chronic pains in the back of theneck can be treated effectively with theCervical pain program, which reactivatesthe circulation, drains accumulations ofacid, oxygenates the muscles, developsthe capillaries and relaxes the contractu-red muscles.


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Program: Cervical pain 15◊

Muscular pain in the thoracic region(thoracic back pain)Vertebral arthritis and positions in whichthe muscles of the spinal column remainunder tension for long periods of time are often responsible for the onset of painin the middle of the back, which is accen-tuated with fatigue. Pressure of the fingerson the muscles on either side of the spinalcolumn can often trigger a sharp pain. These pains are due to a contracture ofthe muscles, of which the prolonged tension crushes the blood vessels and prevents the blood from supplying andoxygenating the muscle fibres. If the phenomenon is prolonged, there is an accumulation of acid and the blood vesselsatrophy. The pain then becomes continuousor can appear after only a few minutesspent working in an unfavourable position.These chronic back pains can be effectivelytreated with the Thoracic back painprogram which reactivates the circulation,drains accumulations of acid, oxygenatesthe muscles, develops the capillaries andrelaxes the contractured muscles.

Cycle duration: 4 weeks, 2 x/week with a 10 minute break between the 2 sessions


Program: Thoracic back pain 13◊

Muscular pain in the low back region(low back pain)Low-back pain is the most frequently encountered pain. In a standing position,the entire weight of the trunk is concen-trated on the joints between the last vertebrae and the sacrum. The low backregion is therefore under particular strain.The discs between the vertebrae are crushedand the low back muscles contracturedand painful. There are very many treatments for the relief of low back pain sufferers; among

these, the specific currents of the CompexLow back pain program provide an appreciable improvement and can evenresolve the problem if it is essentiallymuscular in origin.



Program: Low back pain 12◊

Muscular pain in the low back regionassociated with pain in the buttocks andat the back of the thighs (lumbosciatica)Low back pain is the most frequent pain.When standing, the entire weight of thetrunk is concentrated on the joints betweenthe last vertebrae and the sacrum. Thelow back region is therefore placed underparticular strain. The discs between thevertebrae are crushed and the low backmuscles are contracted and painful.The discs between the last two vertebraeor between the last vertebra and the sacrumfrequently become damaged as a result ofthe pressure of the vertebrae. This damagecan give rise to an irritation, or compres-sion, of the nerve roots which exit the spinal column and continue down thebuttocks and legs. The pain not only affectsthe low back, but also runs down the sideof one buttock, the back of the thigh andsometimes into the leg. In this case thecondition is known as lumbosciatica, forwhich it is always necessary to consult adoctor, so that the degree of compressionof the nerve roots can be assessed and asuitable treatment prescribed.The specific currents of the Compex Lumbosciatica program provide an effective treatment against pain, but mustalways be used as a supplement to othertreatments prescribed by your doctor.

Cycle duration: 4 weeks, 3 x/week


Program: Lumbosciatica 32◊

Pain relief


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Sharp and recent muscular painsaffecting a muscle in the low back(lumbago)During back movement, for examplewhen lifting something, when turning orwhen standing up straight after bendingdown, a sudden pain can be triggered inthe low back. Those who suffer from thisproblem present a contracture of the lowback muscles and feel a sharp pain in this region; because they cannot standcompletely straight, they remain bent overon one side. All of these symptoms indicatewhat is known as lumbago, which is prin-cipally the result of a sharp and intensecontracture of the low back muscles (lumbar region).In a situation such as this, it is always necessary to consult a doctor to receiveappropriate treatment. In addition to such treatment, the specificCompex Lumbago program can help effectively to relax the muscles and remove the pain.



Program: Lumbago 33◊

Chronic elbow pain (epicondylitis = tennis elbow)All tendons of the muscles that allow usto stretch our hand, wrist and fingers endat the small external bone mass of theelbow (epicondyle). Hand and finger movements therefore transmit tensionsthat are concentrated in the tendon endingsat this bone mass.When hand movements are repetitive, asis the case for painters, tennis players oreven those who constantly use the mouseof a computer system, small injuries, accompanied by inflammation and pain,develop in the region of the epicondyle.This is known as "epicondylitis", which ischaracterised by pain around the externalbone mass of the elbow when pressure isapplied or when the forearm muscles arecontracted.The Compex Epicondylitis program supplies specific current to combat thistype of pain. It acts effectively as a supplement to rest.However, it is neccary to consult yourdoctor if the pain gets worse or does notdisappear quickly after a few sessions.

Cycle duration: 1 week, 2 x/week minimum, thenadapt according to how the pain develops

According to requirements, the Epicondylitisprogram can be repeated several times during the same day

Program: Epicondylitis 36◊

Pain relief


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Torticollis (recent and acute back of theneck muscle pains)As a consequence of various circumstances,such as, for example, a rather sudden movement of the neck, an incorrect sleepingposition or exposure to a cold environment,a sharp pain may be felt in the back of theneck often accompanied by a considerablereduction of the mobility of the cervicalregion. A person affected by this problemhas contracted muscles in the back of theneck and feels a sharp pain there. Togetherthese symptoms represent what is knownas “torticollis”, which is mainly the resultof a sharp and intense contracture of themuscles in the back of the neck.In this kind of situation, it is always neces-sary to consult a doctor in order to receiveappropriate treatment. In addition, Compex' specific Torticollisprogram can effectively help to relax themuscles and eliminate the pain.

Cycle duration: 1 week, 1 x/day


Program: Torticollis 15◊

Chronic pain in the joints (eg: gonarthrosis = arthrosis of the knee)Various factors, such as an overweightcondition, age, shock, incorrect body positions, compressions, etc., are bad forthe joints. Under the action of these unfavourable factors, the joints deteriorate,and become inflamed and painful. This isknown as arthritis, mostly affecting thelarge joints, such as the hip, the knee orthe shoulder. The pain in these joints iscalled “arthralgia”.The Compex Arthralgia program suppliesspecific currents to combat this type ofpain. The Arthralgia program does not lead toregeneration of the joint but can be used tosupplement treatment prescribed by thedoctor, who must always be consulted forthis type of pain.

Cycle duration: 1 week, 1 x/day minimum, thenadapt according to how the pain develops

According to requirements, the Arthralgiaprogram can be repeated several times during the same day

Program: Arthralgia 26◊

Pain relief


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Massage category

If strong pain persists, the programs of the Massage category should never be usedfor long periods without first seeking medical advice.

The programs of the Compex ≥ category subjectthe muscles of the stimulated region to moderateactivity, which produces beneficial effects that help to improve physical comfort andwell-being.Remaining in the same working position for a longtime (for example, sitting in front of a computerscreen), conditions of stress, repeated jostling, insufficient muscular conditioning before physicalactivity are all very frequent situations that areoften responsible for uncomfortable bodily sensations.The automatic progression of the various stimula-tion sequences, specific to each program of theMassage category, allows each user to adapt theeffects of stimulation to his own needs and objectives.


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Relaxing massage

Decreased muscular tension

Drainage of the toxins responsible for the exaggeratedincrease of muscular tone

Effect of well-being and relaxation

To eliminate uncomfortableor painful sensations, following an exaggeratedincrease of muscular tone

Reviving massage

Considerable increase of bloodflow in the stimulated region

Improvement of tissue oxygenation

Elimination of free radicals

To contrast effectively sensations of fatigue and localised heaviness

Toning massage

Activation of blood circulation

Recovery of muscular contractile properties

Invigorating effect

To prepare the muscles inan ideal manner before anunusual/one-time physicalactivity

Massage



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Massage

Treatment of uncomfortable musculartensions in the back of the neckRemaining in a seated position for longperiods, associated with repetitive movements of the upper limbs (as is frequently the case in front of a computerscreen), is often responsible for an uncomfortable – or even painful – increaseof muscle tension of the back of the neckmuscles.Any other condition of stress may alsocreate situations leading to a state of excessive muscular tension, which is oftenresponsible for painful or uncomfortablesensations.The in-depth effects produced by theRelaxing massage program enable tocontrast effectively such painful sensations,with a particularly significant result interms of relaxation.

Cycle duration: To be used on the back of the neckmuscles, whenever an occasional sensation ofpainful muscular tension is felt; to be repeated, ifnecessary, in cases of particularly strong muscular tension

Program: Relaxing massage 15◊d

Treatment of a localised sensation ofheaviness or an occasional state offatigueThe many stresses of everyday life areoften responsible for uncomfortable, oreven painful, physical sensations. A circulation slowdown is often the result ofinsufficient physical activity, frequentlyaggravated by the need in one’s workinglife to remain in the same position formany hours (in a seated position, forexample).Although not serious, this simple “vascularslowdown” is, however, frequently thecause of unpleasant sensations (for example: a sensation of heaviness, oftenlocalised in the lower limbs, but also, attimes, in another region of the body).The program produces, in the greatestcomfort, a reactivation of the blood circulation that allows an acceleration oftissue oxygenation and the elimination of painful sensations, due to insufficientphysical effort.

Cycle duration: To be used on the calf muscles,whenever an occasional sensation of heaviness isfelt; to be repeated, if necessary, in cases of persistent discomfort

Program: Reviving massage 25◊j

Muscular and circulation conditioningbefore physical activityPeople who regularly practise sports arewell aware of the transition, which isoften painful, between a rest activity andan occasional physical effort.The objective of the usual warming-uptechniques is to respond to this need toactivate progressively the physiologicalfunctions involved in one-time physicalactivity. This physiological need is alsovery desirable for moderate but unusualphysical efforts, as is frequently the casefor most of us (treks, biking, jogging,etc.).The Toning massage program offers anideal benefit in the form of optimal muscular and circulation conditioning before any type of physical effort. It allowsus to avoid the uncomfortable sensations– usually experienced during the first fewminutes of unusual physical efforts – andto limit the secondary consequences of insufficient preparation (aches, etc.).

Cycle duration: To be used on the muscles mostsubject to stress in the physical activity involved(in this example: the quadriceps), in the lastthirty minutes preceding physical activity

Program: Toning massage 8◊c



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Vascular category

The low frequency current used of the Vascularcategory of Compex programs significantlyimproves blood circulation in the stimulated area.Indeed many people, more particularly womenwho remain standing for long periods, suffer fromcirculatory problems. These mainly affect the legsand are caused by stagnation of the blood and thelymph and are manifested by a feeling of "heavylegs", swelling, or the dilatation of surface veins.The consequences are multiple: fatigue, tension,pain, lack of oxygenation of tissue and theappearance of varicose veins and oedemas.According to the program used, the musculartwitches are more or less rapid, separate, andadopt different rhythms. The result is a specificaction for each program, and for this reasonyou are advised to follow closely the indicationsof the different treatments so that optimum resultscan be obtained.

If the symptoms are serious and/or persistent, you are advised to consult a doctor.Only a doctor can establish an accurate diagnosis and put in place all therapeuticmeasures required to cure the disorder.


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CapillarizationVery marked increase in bloodflow

Development of capillaries

Heavy legs

Increased venous return

Increased supply of oxygen tomuscles

Drop in muscular tension

Elimination of tendency tohave cramp

To remove the feeling of heaviness in the legs arising in unusual situations (standing for long periods,heat, hormonal imbalance linked to the menstrual cycle,etc.)

Cramp prevention

Improved circulation to prevent the onset of nocturnalcramp or cramp after strains

Cramp mainly affects musclesof the lower limbs, in particular the calf muscles

Lymphaticdrainage

Deep massage of the stimulated area

Activation of return lymphaticcirculation

To contrast occasional swel-ling of the feet and ankles

As a supplement to pressuretherapy or manual lymphaticdrainage

Do not use without medicaladvice in case of oedemas that are the side effect of a pathological problem

Vascular

In the period before competition,for those participating in endurance or resistance sports

As a supplement to a program of the Aesthetic category

To improve endurance in those whose fitness level is not high



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Preparation for seasonal enduranceactivity (eg: hiking, bicycle touring)Sporting physical activities that last a long time (walking, cycling, cross-countryskiing, etc.) require strong muscles with a good capillary circulation so that themuscle fibres can be properly oxygenated.When a long-duration physical activity isnot practised, or not practised regularlyenough, the muscles lose their capacity toeffectively consume oxygen and the capillary system becomes rarefied. Thislack of muscular quality makes exercisinguncomfortable and limits the speed of recuperation, and is responsible for manyunpleasant side effects such as drowsiness,contractures, cramp and swelling.To restore to muscles their endurance and ensure full activation of the capillary system, the Compex offers a very efficientmode of stimulation.

Cycle duration: 6-8 weeks before starting the hike, 3 x/week, alternating muscular groups

Programs: Capillarization 8◊c and Capillarization 25◊j

Supplement to the Muscle tone, Musclefirming, Shaping or Refinement programsof the Aesthetic categoryVoluntary muscle work or work carriedout with electrostimulation can be supplemented to good effect by the Capillarization program Indeed, the markedincrease in blood flow in the muscle capillaries produced by the Capillarizationtreatment allows maximum oxygenationof the muscles and surrounding tissue.Muscle fibres are thus correctly oxygenatedand obtain maximum benefit from theexercise they have just carried out. In addition, drainage and oxygenation of thesurrounding tissue restores equilibriumand rounds off the work.

Cycle duration: 13 weeks, Follow each session Muscle tone, Muscle firming or Shaping with 1Capillarization session

Program: Capillarization ◊ on the same musclegroup as the program of the Aesthetic categoryused previously

Prevention of the feeling of heaviness inthe legsThe feeling of heaviness in the legs is dueto a temporary deficiency in the venousreturn, and not to major organic lesions.Stagnation of the blood mass in the legs isencouraged in certain situations: prolon-ged periods in a standing position, longperiods continuously seated, intense heat,etc. The insufficient supply of oxygen tothe tissue, and in particular the muscles,that results from this situation, causes thefeeling of heaviness and discomfort in thelegs. Use of the Heavy legs program accelerates the return of blood to theveins and has an important relaxing effecton the painful muscles.

Cycle duration: 6-8 weeks before starting thehike, 3 x/week, alternating muscular groups

Program: Heavy legs 25 JL -

Prevention of cramp in the calf musclesMany people suffer from cramp in thecalf muscles, which can appear sponta-neously during rest at night or as a resultof prolonged muscular effort. The pheno-menon of cramp may in part be caused by a disequilibrium of blood flow in themuscles.To improve the blood circulation and prevent the onset of cramp, the Compexoffers a specific stimulation program. Useof this program in accordance with theprocedure below will allow you to obtainpositive results and limit the occurrence ofcramp.

Cycle duration: 5 weeks, 1 x/day, at the end ofthe day or at night

Program: Cramp prevention 25◊j


Vascular


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Vascular

Prevention of occasional swelling of thefeet and anklesInsufficient blood circulation in the veinsin unusual circumstances frequently givesrise to an accumulation of blood and lymphin the extremities of the lower limbs.This phenomenon, which results in swelling of the ankles and feet, bringswith it an unpleasant sense of heavinessand tension in the areas concerned. Thedeep massage caused by the Lymphaticdrainage program will effectively activatelymph return circulation and thus encou-rage the elimination of this disorder.


Use this treatment whenever you experienceoccasional swelling of the feet and ankles

Program: Lymphatic drainage 25◊j


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Rehabilitation category

The muscular consequences of any pathologicalproblem must be treated by means of specificprograms. Indeed, improving the qualities of ahealthy muscle or restoring the potential of a"convalescent" muscle require appropriate workregimes. In order to "redevelop" a convalescentmuscle, it is necessary to use the programs of theRehabilitation category.Muscle volume is quickly reduced after trauma toa bone or a joint, particularly if the injury is treatedby immobilisation and/or surgical intervention.This muscular atrophy can be much more pro-gressive in the case of a degenerative injury (suchas arthrosis, for example), since the reduction ofmuscle activity then often increases slowly and issuperimposed on the developing pathology. Thephenomenon of atrophy is accompanied by areduction of muscle strength; however, thesedisturbances are the consequence of variousalterations at the level of the muscle fibres.In a rehabilitation process, it is essential, initially,to treat the atrophy (i.e. regain normal musclevolume) before attempting to increase the strengthof the muscle using the Reinforcement program.The use of programs of the Rehabilitationcategory must under no circumstances replacerehabilitation sessions carried out in the presenceof the physiotherapist. Although the restoration ofinitial muscular qualities is a key factor in the pro-cess of rehabilitation, other aspects (joint mobility,vigilance, residual pain, etc.) can only be dealtwith effectively by a competent health professional.Some pathologies and some post-operativerehabilitations require special precautions duringuse; you are therefore always advised to seek theopinion of your doctor or physiotherapist beforeusing any of the programs of the Rehabilitationcategory.

Osteosynthesis equipmentThe presence of osteosynthesis equipment (metallic equipment in contact with thebone: pins, screws, plates, prostheses, etc.) is not a contra-indication for the use ofCompex programs. The electrical current of the Compex are specially designed tohave no harmful effect with regard to osteosynthesis equipment.


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Rehabilitation

Disuseatrophy

Reactivation of the trophicaction of muscle fibresdamaged during atrophy

Musclegrowth

Increased diameter and capacity of muscle fibres damaged during under-activityor inactivity imposed by somekind of pathological problem

Restoration of muscle volume

To remove the feeling of heaviness in the legs arising in unusual situations (standing for long periods,heat, hormonal imbalance linked to the menstrual cycle,etc.)

Reinforcement

Increased the strength of amuscle previously atrophied

Increased the strength of amuscle affected by a pathological process

At the end of rehabilitation,when the muscle has regainednormal muscle volume

From the onset of rehabilita-tionfor non-atrophied muscles

Treatment to combat anyreduction of muscle volume:

- as a result of trauma necessitating immobilisation

- accompanying degenerativelesions to joints



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Rehabilitation

Atrophy of the quadriceps as a result oftraumaThe quadriceps is a voluminous musclelocated in the anterior part of the thigh. It is the main muscle that allows you tostretch the knee; its role is therefore essential for walking, running, climbingstairs, etc. Any trauma affecting a lowerlimb therefore results in a wasting of thismuscle, the reduction of muscle volumebeing more or less serious depending onthe duration of the period of inactivity.This atrophy is normally spectacular when it occurs after trauma to the knee,particularly if the trauma was treated bymeans of surgical intervention.The programs of the Rehabilitation cate-gory are specifically designed to treat thedeterioration of muscle fibres that resultsfrom such a process. The progressivenessof the work imposed by the different recommended programs is decisive in obtaining optimum results.

Cycle duration: 10 weeks

Weeks 1-2: 1 x/day Disuse atrophy 8G cWeeks 3-8: 1 x/day Muscle growth 8G cWeeks 9-10: 1 x/day Reinforcement 8G c

Programs: Disuse atrophy, Muscle growthand Reinforcement 8G c

Atrophy of the gluteus as a result ofarthrosis of the hip (coxarthrosis)The pain and stiffening that result fromosteoarthrosis of the hip normally lead tounder-utilisation of the buttock muscles,causing a reduction of the volume andquality of these muscles.The main effect of this atrophy is to produce instability of the pelvis, whichcauses limping and accentuates the painby increasing the pressures supported bythe joint. Lesions affecting the cartilageunfortunately remain irreversible. However,a remedy for atrophy of the gluteus makesit possible to improve the stability of thejoint and therefore make the hip less painful by allowing it to maintain a satisfactory mechanical function.

Cycle duration: 10 weeks, then maintenance

Weeks 1-2: 1 x/day Disuse atrophy 9ABL fWeeks 3-8: 1 x/day Muscle growth 9ABL fWeeks 9-10: 1 x/day Reinforcement 9ABL fWeeks 11 and following weeks: 1 x/weekReinforcement 9ABL f

Programs: Disuse atrophy, Muscle growthand Reinforcement 9ABL f

Development of the latissimus dorsi totreat and prevent tendinous shoulderpain (rotator cuff syndromes)The shoulder is a complex joint enablingus to make broad gestures (for example,raising our arms in the air). During someof these movements, the tendons in theshoulder can rub against or be compres-sed against bony fragments of the joint.When this phenomenon is repeated, oroccurs in certain patients who have anunfavourable anatomic constitution, suchdamage to the tendons causes them to be-come inflamed and thicker, resulting in aconsiderable increase in their degree ofcompression. The pain often then be-comes very severe, preventing all move-ment of the shoulder; it can even set in atnight and cause serious sleep deprivation.Appropriate medical treatment can onlybe put in place by consulting a doctor.However, electrostimulation of the latissi-mus dorsi by means of specific Compexprograms can reduce the distress to whichtendons are subjected by increasing theirfreedom of movement around the shoulderjoint.


Weeks 1-2: 1 x/day Disuse atrophy 18C eWeeks 3-6: 1 x/day Muscle growth 18C eWeeks 6 and following weeks: 1 x/week Muscle growth 18C ePrograms: Disuse atrophy and Musclegrowth 18C e



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Development of the abdominal belt toprevent pain in the lumbar region(low back pain)Low back pain arises most frequentlyamong subjects who do not have sufficientmusculature in the abdominal region.These muscles in fact represent a veritablenatural "corset", the role of which is toprotect the low back region from excessivestress of all kinds. This is why it is referredto as the abdominal "belt". After a bout oflumbago, when the pain has stopped (seeSection "Pain relief category" in Part VI ofthis manual), a common recommendation isto improve the efficiency of the abdominaland back muscles to prevent any recurrence.The Disuse atrophy program imposes alarge amount of work on the abdominalmuscles, without requiring the harmful oreven dangerous positions often adoptedwhen voluntary exercises are carried outincorrectly. An abdominal belt that hasgreater strength and endurance can thensatisfactorily fulfil its role of protecting thelow back region.


Weeks 1-4: 1 x/day Disuse atrophy 10I vWeeks 6 and following weeks: 1 x/week Disuse atrophy 10I v

Program: Disuse atrophy 10I v

Development of the low back muscles toprevent pain in the lumbar region(low back pain)Like the muscles of the abdominal region,the muscles of the low back (lumbar muscles) also play a role in protecting the low back region. Subjects whose lowback muscles are inadequately effectiveare particularly prone to low back pain.Once the pain in the low back has disappeared, patients are often advised to strengthen the low back muscles with a view to preventing the recurrence ofpainful episodes. However, carrying outvoluntary back exercises often presentsserious difficulties for patients who sufferfrom low back pain. That is why electro-stimulation of the low back muscles usingthe Disuse atrophy program is one of thepreferred methods to improve the efficiency of these muscles.

Rehabilitation


Weeks 1-4: 1 x/day Disuse atrophy 14B or C bWeeks 5 and following weeks: 1 x/week Disuse atrophy 14B or C b

Program: Disuse atrophy 14B or C b

Strengthening of the lateral peroneusmuscles after ankle sprainThe purpose of the lateral peroneus muscles is to maintain the stability of theankle joint and prevent it from rotating inwardly. After a sprain, these muscleslose their reflex-contraction capacity together with much of their strength. Regaining competent lateral peronealmuscles after a sprain is a fundamentalstep, without which recurrence is veryprobable. To do their job correctly, the lateral peroneals must be strong enoughto prevent the foot twisting inwards, butthey must also contract reflexively at theprecise moment when the heel tilts inwards.To develop both of these aspects, strengthand speed of contraction, you should usethe Reinforcement program, which produces efficient lateral peroneal musclesand therefore helps to prevent recurrence.


Weeks 1-4: 1 x/day Reinforcement 2A jWeeks 5 and following weeks: 1 x/week Reinforcement 2A j

Program: Reinforcement 2A j


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Aesthetic category

Thanks to their great diversity and their highspecificity, the Compex Aesthetic programsprovide the solution for everyone who wants toregain and keep the benefits of intense muscularactivity. These programs allow you to restoreand maintain a firm body, shapely figure andtoned skin.Indeed a sedentary life-style is very bad for thefigure, especially if you have a poorly balanceddiet. The muscles which are not used much losetheir qualities: loss of strength, reduced tone,slackness. They can no longer carry out their tasksof supporting the body and holding the organs inplace. The body becomes soft and loose, withclear consequences on body shape. Insufficientmuscular activity also leads to disturbances ofblood circulation. Cellular exchanges slow down,fat storage increases and the supportive skin tissueslose their elasticity.


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Aesthetic

At the end of a cycle, you may either start a new cycle at the next level up or do somemaintenance at the rate of 1 session a week at the last level reached

Abs

Combine the beneficial effectsof the Toning and Firmingprograms adapted to the speci-ficities of the muscles of theabdominal belt

To reduce your waist line, while improving the muscularsupport of the abdominal wall


ButtocksSubjects the buttocks musclesto the most appropriate workfor improving the figure

To restore and improve the tone of the buttocks region

Toning To tone the musclesTo be used to begin with inorder to tone up and prepare the muscles before more intensive firming work

FirmingTo regain muscle firmness andrestore the support function ofthe muscles

To be used as the main treatment for muscle firming

ShapingTo define and sculpt the bodywhen the muscles are alreadyfirm

To be used when the firmingphase is finished

Elasticity To improve the circulation and skin elasticityTo be used as a complement to the Firming or Shapingprograms

Calorilysis To increase the calorie expenditure

To be used as a complement to a low-calorie diet in order to accentuate the calorie deficit

AdipostressTo create intensive electricstress and vasodilatation in fatcell masses or areas of cellulite

To be used in conjunction with other treatments for a more aggressive treatment of cellulite


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Aesthetic

To reduce your waist and tone up yourabdominal beltThe Abs program is especially appropriatefor improving the qualities of support andfirmness of the abdominal belt muscles.The various work routines, associatedwith the tonic massage performed duringthe rest phases, guarantee beneficial results on the waist line.

Cycle duration: 3-6 weeks, 4 x/week

Program: Abs 49I-

To improve the firmness and shape ofyour buttocksThe considerable amount of progressiveand specific work of the buttocks musclesproduced by the Buttocks program effec-tively increases the firmness of these muscles. The shape of the buttocks improves progressively, with beneficial effects on the whole figure.

Cycle duration: 3-6 weeks, 4 x/week

Program: Buttocks 9A, B or L-


To firm and sculpt the bodyToning, Firming and Shaping programsimpose perfectly adapted and progressivework on the muscles. This very intensivemuscular activity (hundreds of seconds ofsustained contractions) first tones andfirms your muscles, then redefines theircontours to sculpt your body.In this example, we assume that the fitnessenthusiast wants to work on her arms. It is of course possible to stimulate othermuscles as well. Also this stimulation routine can be applied to several musculargroups at the same time (e.g. arms thenthighs).


Weeks 1-3: 4 x Toning 21D e /weekWeeks 4-8: 4 x Firming 21D e /weekWeeks 9-13: 4 x Shaping 21D e /week

Progression in the levels

Weeks 1-3: Toning step to the next levelevery session

Weeks 4-8: Firming step to the next levelevery week

Weeks 9-13: Shaping step to the next levelevery week

Programs: Toning, Firming and Shaping21D e


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To firm the body and attack celluliteThe above specific applications is intendedfor people who are rather slim but whosebody lacks firmness and has local accu-mulations of cellulite. The great efficacyof the, Firming and Shaping programs allows the restoration of strong muscles, a firm body and a shapely figure. Thelocal application of the Adipostressprogram as a complement to another anti-cellulite treatment (ultrasound, drainage,hydrotherapy, suction, compression rollers,etc.), helps you to correct the localizeddefects and imperfections of the hypodermis.In this example, we assume that the fitnessenthusiast wants to work on her thighs. Itis of course possible to stimulate othermuscles as well. Also this stimulation routine can be applied to several musculargroups at the same time (e.g. thighs thenarms).


Weeks 1-3: 3 x Toning 8G cWeeks 4-8: 3 x Firming 8G c and 3 xAdipostress 8G c/weekWeeks 9-13: 3 x Shaping 8G c and 3 xAdipostress 8G c/week





Weeks 4-13: Adipostress step to the nextlevel every two weeks

Programs: Toning, Firming, Shaping andAdipostress 8G c

To firm the body and improve theelasticity of the skinThese programs are intended for peoplewho have just lost weight or people whoseskin has lost its tone and elastic qualitiesover the years. The great efficacy of theToning, Firming and Shaping programs allows the restoration of strong muscles, a firm body and a shapely figure. Thecombination with the Elasticity programincreases the oxygen flow in the skin, intensifies cellular exchanges and activatesthe elastic fibres so as to retighten the skinand restore its elasticity.In this example, we assume that the fitnessenthusiast wants to work on her arms. It is of course possible to stimulate othermuscles as well. Also this stimulation routine can be applied to several musculargroups at the same time (e.g. arms thenthighs).


Weeks 1-3: 3 x Toning 19D, 20D or 21D eWeeks 4-8: 3 x Firming 19D, 20D or 21De and 3 x Elasticity 19◊, 20◊ or 21◊e/weekWeeks 9-13: 3 x Shaping 19D, 20D or21D e and 3 x Elasticity 19◊, 20◊ or 21◊e/week





Weeks 4-13: Elasticity step to the nextlevel every two weeks

Programs: Toning, Firming, Shaping 19D,20D or 21D e and Elasticity 19◊, 20◊ or21◊e


Aesthetic

To burn maximum caloriesElectrostimulation causes muscle workand therefore the expenditure of energy,which means calories burnt. However, unless combined with a suitable diet, thecalories burnt by physical activity, evenintensive, cannot produce significantweight lost. For example, a person of 70 kgwho runs a marathon expends about3,000 kcal, i.e. only one third of a kilo offat. It is therefore necessary to have a low-calorie diet in order to lose weight.Muscle work will then be useful, becauseit allows more calories to be burnt. TheCompex Calorilysis program was develo-ped with this in mind: it makes large muscle groups work at a rhythm thatconsumes many calories.The ideal thing is to have a well-balanceddiet, low in calories but rich in vitamins,protein, minerals and trace elements,combined with half an hour of cycling orswimming a day, and to use the Calorilysisprogram to burn a maximum of caloriesand consequently make your diet as effective as possible.



Week 1: Calorilysis level 1 Weeks 2-3: Calorilysis level 2Weeks 4-6: Calorilysis level 3Weeks 7-10: Calorilysis level 4Weeks 11-15: Calorilysis level 5

Program: In each week, it is advisable to alternatethe muscle groups to be stimulated as describedbelow:

1st session of the week: Calorilysis 9ABL f2nd session of the week: Calorilysis 8G c3rd session of the week: Calorilysis 10I v

To act on local cellulite concentrationsEven slim people with a firm body canhave local cellulite accumulations, i.e.areas of skin characterized by infiltrationof the tissues and an "orange peel" appearance. Many treatments are availableto tackle this problem but, except for surgical intervention, none of them hasproved to be really satisfactory in terms ofefficacy. On the other hand, a combinationof local cutaneous treatments (ultrasound,drainage, mesotherapy, suction,compression rollers, etc.) seems to givethe best results.It is in this context that the Adipostressprogram is of interest. Used alone, it cannot eliminate cellulite even thoughit is clearly more effective than the oldelectrolipolysis. On the other hand, theelectric stress applied to the fat depositsand the cutaneous vasodilatation reinforcethe actions of other local treatments usedsimultaneously.


Progression in the levels: Step to the next levelevery week

Program: Adipostress 34I v

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Fitness category

Today there are more fitness enthusiasts thanever before, and their number is rising. Apartfrom some rare individuals who have real compe-titive targets, the vast majority have only one aim:to restore their body to peak physical condition ormaintain it at that level.Cardio training therefore alternates with morespecific exercises to develop or maintain a goodquality musculature.With this in mind, the sought-after aims may differaccording to who is doing the training: increasingmuscle volume to achieve an imposing stature(body-building) or better muscle endurance toimprove physical comfort during sustained efforts.Combined with a voluntary physical activity(aerobic exercises in the fitness

Compex - Manuale d’uso e di applicazioni Manuel …...English 6 other medical device, please...

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