INTRODUCTION - DJOglobalstorage.djoglobal.eu/en_EU/Compex/DPF/Manuals/PERFORMANCE_EN.pdfSport...

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CONTENTS

I. WARNINGS1. Counter-indications 2522. Safety measures 252

II. PRESENTATION1. Reception of equipment and accessories 2552. Guarantee 2553. Maintenance 2554. Storage and transport conditions 2565. Conditions of use 2566. Elimination 2567. Standards 2568. Patents 2569. Normalised symbols 256

10. Technical characteristics 257

III. HOW DOES ELECTROSTIMULATION WORK? 258

IV. USAGE GUIDELINES1. Electrode positions 2602. Stimulation positions 2603. Adjusting stimulation energies 2604. Progression in the levels 2615. Alternation of stimulation sessions/voluntary training 261

V. THE m TECHNOLOGY1. Practical rules of use 263

INTRODUCTION

Please read this manually carefully prior to using your Compex stimulator.You are strongly advised to read chapter I "Warnings" of this manual.The Compex Performance is a stimulator intended for muscular training and painrelief. Any person excepted those mentioned in the chapter I "Warnings" can use theCompex Performance.

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VI. HOW IT WORKS1. Description of the stimulator 2652. Connections 2663. Preliminary settings 2664. Selecting a programme category 2675. Selecting a programme 2676. Personalising a programme 2687. During the stimulation session 2688. Consumption and recharging 2719. Problems and solutions 272

VII. PROGRAMMES AND SPECIFIC APPLICATIONS1. Warm-up category 2742. Sport category 2773. Fitness category 2844. Body sculpt category 2885. Recovery category 2906. Pain relief category 2947. Rehabilitation category 3008. Test category 304

VIII. EMC TABLE (ELECTROMAGNETIC COMPATIBILITY) 305

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I WARNINGS

1. Counter-indications

2. Safety measures

Important counter-indications■ Cardiac stimulator (pacemaker)■ Epilepsy■ Pregnancy (do not use on abdominal

region)■ Serious arterial circulation problems

in lower limbs■ Abdominal or inguinal hernia

Precautions when using theCompex■ 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 contactwith the bone: pins, screws, plates,

prostheses, etc.) is not a counter-indication for the use of Compexprogrammes. The electrical currents ofthe Compex are specially designed to haveno harmful effect on osteosynthesisequipment.

Important!■ Do not use Compex stimulator

programmes if you have sensitivityproblems.

■ Never use the Compex for prolongedperiods without medical advice.

■ Consult your doctor if you are in anydoubt whatsoever.

■ Read this manual carefully, inparticular chapter VII, which providesinformation concerning the effectsand indications of each stimulationprogramme.

What you should not do withthe Compex and the m system■ Do not use the Compex or the

m-4 system in water or in ahumid atmosphere (sauna,hydrotherapy, etc.).

■ Do not use the Compex or m-4

system in oxygen-rich environments.■ Never carry out an initial stimulation

session on a person who is standing.The first five minutes of stimulationmust always be performed on aperson who is sitting or lying down.In rare instances, people of a nervousdisposition may experience a

vasovagal reaction. This is ofpsychological origin and is connectedwith a fear of the muscle stimulationas well as surprise at seeing one oftheir muscles contract without havingintentionally contracted it themselves.A vasovagal reaction causes heart toslow down and blood pressure todrop, which can make you feel weakand faint. If this does occur, all that isrequired is to stop the stimulation andlie down with the legs raised until thefeeling of weakness disappears (5 to10 minutes).


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■ Never allow movement resulting frommuscular contraction during astimulation session. You shouldalways stimulate isometrically; thismeans that the extremities of thelimb in which a muscle is beingstimulated must be firmly fixed, so asto prevent the movement that resultsfrom contraction.


system if you are connected to ahigh-frequency surgical instrument asthis could cause skin irritation orburns under the electrodes.


system within X metre (see EMCtable) of short wave or microwavedevices as this could alter the currentsgenerated by the stimulator. If youare in any doubt as to the use of theCompex close to another medicaldevice, seek advice from themanufacturer of the latter or fromyour doctor.

■ Do not use the Compex stimulator orm-4 system in areas whereunprotected devices are used to emitelectromagnetic radiation. Portablecommunications equipment caninterfere with electrical medicalequipment.

■ Only use stimulation cables suppliedby Compex.

■ Do not disconnect any stimulationcables during a session while thestimulator is switched on. Switch thestimulator off first.

■ Never connect stimulation cables toan external power supply. There is arisk of electric shock.

■ Only use rechargeable battery unitssupplied by Compex.

■ Never recharge the stimulator withoutfirst disconnecting the stimulationcables.

■ Always use the charger provided byCompex to recharge the batteries.

■ Never use the Compex or the chargerif it is damaged (case, cables, etc.) or

if the battery compartment is open.There is a risk of electric shock.

■ Disconnect the charger immediately ifthe Compex "bleeps" continuously, ifthere is abnormal heating or smell, orif smoke comes from the charger orthe Compex.

■ Do not recharge the battery in aconfined space (carrying case, etc.).There is a risk of fire or electricshock.

■ Keep the Compex and its accessoriesout of reach of children.

■ Do not allow any foreign bodies (soil,water, metal, etc.) to penetrate theCompex, the battery compartmentand the charger.

■ Sudden temperature changes cancause condensation to build up insidethe stimulator. To prevent this, allowit to reach ambient temperaturebefore use.

■ Do not use the Compex while drivingor operating machinery.

■ Do not use the stimulator at altitudesof over 3,000 metres.

Where never to apply theelectrodes■ In the vicinity of the head.■ Counter-laterally, i.e. do not use two

poles connected to the same channelon opposite sides of the body.

■ On or near skin lesions of any kind(wounds, swelling, burns, irritation,eczema, etc.).

Precautions when using them-4 system■ To access the Compex’s m technology

functions, it is essential to connect them-4 cable before switching onthe device.

■ Avoid connecting the m-4 cablewhen the Compex is switched on.

■ Do not disconnect the m-4

cable while the sensor is being used.■ To work correctly, the m-4

system must not be blocked orsubjected to pressure.


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Precautions when using theelectrodes■ Only use electrodes supplied by

Compex. Other electrodes may haveelectrical properties that areunsuitable for the Compex stimulator.

■ Always turn off the stimulator beforemoving or removing any electrodesduring a session.

■ Do not place the electrodes in water.■ Do not apply solvents of any kind to

the electrodes.■ For best results, wash and clean the

skin of any oil and dry it beforeattaching the electrodes.

■ Attach the electrodes in such a waythat their entire surface is in contactwith the skin.

■ For obvious reasons of hygiene, eachuser must have his/her own electrodeset. Do not use the same electrodeson different people.

■ Never use a set of adhesive electrodesfor more than 15 sessions as theirbonding power deteriorates over timeand optimal contact is very importantfor both user comfort and efficacy.

■ Some people with very sensitive skinmay experience redness under theelectrodes after a session. Generally,this redness is completely harmlessand disappears after 10 to 20 minutes.Never start another stimulationsession in the same area, however, ifthe redness is still visible.


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II PRESENTATION

3. Maintenance

Do not sterilise the stimulator.Clean your stimulator using a soft cloth,and an alcohol-based, solvent-freecleaning product. Use only a minimum amount of liquidwhen cleaning the Compex.Do not attempt to repair the stimulator orany of its accessories. Never dismantle the Compex or thecharger containing high-voltage partsbecause of risk of electric shock.Compex Médical SA declines allresponsibility for any damages orconsequences resulting from unauthorisedattempts to open, modify, or repair thestimulator. This may only be done bypersons or repair services authorised byCompex Médical SA.Your stimulator does not requirecalibration. Each Compex stimulator isalways tested and validated prior todistribution. These are stable and do notvary under normal conditions.Nonetheless, as the Compex is ahigh-quality electrical instrument, itslifespan depends on the use that is madeof it and the care and maintenance itreceives during its lifetime. If yourstimulator contains parts that seem wornor defective, please contact your nearestCompex Médical SA customer servicecentre regarding an upgrade.Medical and health professionals areobliged to service the unit in compliancewith relevant national laws andregulations. This involves testingperformance and safety parameters atregular intervals.

1. Reception of equipmentand accessoriesYour kit contains:

515000 1 stimulator

68301x 1 charger

601131 1 set of black Snap connectors forelectrodes, colour-coded (blue, green, yellow,red)

602076 2 bags of small electrodes(5 x 5 cm)

602077 2 bags of large electrodes(5 x 10 cm)

88573x 2 user and specific applicationmanuals

88562x 2 quick start guides "Test yourCompex in 5 minutes"

949000 1 belt clip

680029 1 travel pouch

2. Guarantee

Refer to the flyer attached.


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4. Storage andtransportation conditions

The Compex contains rechargeablebatteries. This is why it must be storedand transported in accordance with thefollowing conditions:

Storage and transportation temperature:- 20°C to 45°C

Maximum relative humidity: 75%

Atmospheric pressure: 700 hPa to 1,060 hPa

5. Conditions of useUsage temperature: 0°C to 40°C

Relative humidity: 30% to 75%

Atmospheric pressure: 700 hPa to 1,060 hPa

Do not use in areas where there is a risk ofexplosion.

6. Elimination

The main purpose of the 2002/96/EECDirective is to prevent the creation ofwaste electrical and electronic equipment(WEEE) and to reduce the amount ofwaste to be disposed of by encouragingreuse, recycling, and other forms ofrecovery. The wheelie bin pictogram withthe bar through it means that theequipment cannot be discarded withhousehold refuse, but that it must becollected selectively. The equipment mustbe delivered to a suitable collection pointfor treatment. By doing so, you will becontributing to the safeguarding ofnatural resources and health. Batteries must be disposed of incompliance with relevant nationalregulatory requirements.

7. Standards

The Compex complies with currentmedical standards.To guarantee your safety, the Compex hasbeen designed, manufactured, anddistributed in compliance with therequirements of European Directive93/42/EC on medical devices.The Compex also complies with theIEC 60601-1 standard on general safetyrequirements for electro-medical devices,the IEC 60601-1-2 standard onelectromagnetic compatibility, and theIEC 60601-2-10 standard on particularsafety requirements for nerve and musclestimulators. Current international standards requirethat a warning be given concerning theapplication of electrodes to the thorax(increased risk of cardiac fibrillation). The Compex also complies with Directive2002/96/EEC on waste electrical andelectronic equipment (WEEE).

8. Patents

The Compex incorporates severalinnovations with patents pending.

9. Normalised symbols

Caution: Read the user manual oroperating instructions (symbol no. 0434IEC 60878).

The Compex is a class II devicewith internal electric power and type BFapplied parts (symbol no. 5333IEC 60878).

Waste electrical and electronicequipment (WEEE) marking according toEN 50419 standard.


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The On/Off button is a multi-function button (symbol no. 5009IEC 60878).

Functions

On/Off (two stable positions)

Waiting or preparation for part of the unit

Stop (turns system off)

10. Technicalcharacteristics

General information941210 Battery unitNickel metal hybrid (NiMH) rechargeable(4.8V / ≥ 1,200 mA/h).

68301x ChargersOnly battery chargers bearing thefollowing information can be used torecharge the batteries supplied withCompex stimulators:Europe

683010Type TR1509-06-E-133A03Input 90-264 VAC / 47-63 Hz / 0.5 A max.Output 9 V / 1.4 A / 15 WUK

683012Type TR1509-06-U-133A03Input 90-264 VAC / 47-63 Hz / 0.5 A max.Output 9 V / 1.4 A / 15 W

601131 Black Snap-connectionstimulation cablesDevice connector: 6-pinElectrode connector: Female SnapLength: 1,500 mm

601160 Stimulation cable fittedwith m-4

(accessory sold separately)Device connector: 6-pinElectrode connector: Female SnapLength: 1,500 mm

Protection indexIPXO (IEC 60529)

Neuro-stimulationAll electrical specifications are given foran impedance of 500-1,000 ohms perchannel.

Channels: Four independent and individuallyadjustable channels that are electrically isolatedfrom each other and earthed.

Pulse shape: constant rectangular current withpulse compensation to eliminate any directcurrent component to prevent residualpolarisation at skin level.

Maximum pulse intensity: 120 mA.

Pulse intensity increments: manual adjustment ofstimulation intensity from 0 to 999 (energy) inminimum increments of 0.5 mA.

Pulse width: 60 to 400 µs.

Maximum electrical charge per pulse:96 microcoulombs (2 x 48 µC, compensated).

Standard pulse ramp-up time: 3 µs (20%-80% ofmaximum current).

Pulse frequency: 1 to 150 Hz.


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III HOW DOES ELECTROSTIMULATIONWORK?The principle of electrostimulation is tostimulate nerve fibres by means ofelectrical impulses transmitted byelectrodes. The electrical pulses generated byCompex stimulators are high qualitypulses - offering safety, comfort andefficiency - which can stimulate differenttypes of nerve fibres:1. the motor nerves, to stimulate amuscular response. The quantity and thebenefits obtained depend on thestimulation parameters and this is knownas electro-muscular stimulation (EMS).2. certain types of sensitive nerve fibresto obtain analgesic or pain-relievingeffects.

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 transmitted to themuscular fibres, which contract. The principle of electrostimulationaccurately reproduces the processobserved during a voluntary contraction.The stimulator sends an electrical currentimpulse to the nerve fibres, exciting them. This excitation is then transmitted to themuscular fibres causing a basicmechanical response (= muscular twitch).The latter constitutes the basicrequirement for muscular contraction.This muscular response is completelyidentical to muscular work controlled bythe brain. In other words, the musclecannot distinguish whether the commandcomes from the brain or from thestimulator. The parameters of the Compexprogrammes (number of impulses persecond, contraction time, rest time, totalprogramme time) subject the muscles to

different types of work, according tomuscular fibres. In fact, different types ofmuscular fibres may be distinguishedaccording to their respective contractionspeed: slow, intermediate and fast fibres.Fast fibres will obviously predominate ina sprinter, while a marathon runner willhave more slow fibres. With a good knowledge of humanphysiology and a perfect mastery of thestimulation parameters of the variousprogrammes, muscular work can bedirected very precisely towards the desiredgoal (muscular reinforcement, increasedblood flow, firming up, etc.).

2. Stimulation of the sensitivenervesThe electrical impulses can also excite thesensitive nerve fibres to obtain ananalgesic or pain-relieving effect. The stimulation of the tactile sensitivenerve fibres blocks the transmission ofpain by the nervous system. Thestimulation of another type of sensitivefibres creates an increase in theproduction of endorphins and, therefore,a reduction of pain. With pain relief programmes,electrostimulation can be used to treatlocalised sharp or chronic pains as well asmuscular pains.

Caution: Do not use the pain reliefprogrammes for a long period withoutmedical advice.

Electrical pulse

Motor nerve

Stimulated muscle

Transmission of the excitation

Excitation

Elementary mechanical response - twitch


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Benefits of electrostimulationElectrostimulation is a very effective way tomake your muscles work:■ with significant improvement of

different muscular qualities■ without cardio-vascular or mental

fatigue■ with limited stress on the joints and

tendons. Electrostimulation thusallows a greater quantity of work bythe muscles compared with voluntaryactivity.To be effective, this work mustinvolve the greatest possible numberof muscular fibres. The number offibres working depends on thestimulation energy. The maximumtolerable energy should therefore beused. The user controls this aspect ofstimulation. The higher thestimulation energy, the greater thenumber of muscular fibres that areworking and, therefore, the moresignificant the progress achieved. Tomaximise results, Compexrecommends that you complementyour electrostimulation sessions withother efforts, such as:● regular physical exercise●proper and healthy nutrition●balanced lifestyle.


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IV USAGE GUIDELINES

The usage guidelines presented in thissection should be considered as generalrules. For all programmes, it isrecommended that you read carefully theusage information and advice presentedin chapter VII "Programmes and specificapplications".

1. Electrode positions

For optimal results, use the electrodepositions recommended by Compex. To dothis, refer to the pictures and pictogramsshown on the inside cover of the manual.

Each stimulation cable has two poles:A positive pole (+) = red connection

A negative pole (–) = black connection

A different electrode must be connectedto each pole. Note: It is possible and normal to have anelectrode arrangement that leaves oneelectrode connection free from a cable.Depending on the characteristics of thecurrent, efficacy can be optimised incertain programmes by placing theelectrode connected to the positive pole(red connection) "strategically". When working with a muscle stimulationprogramme (programme involving musclecontractions), it is important to place thepositive electrode on the motor point ofthe muscle.It is crucial to choose the right sizeelectrodes (large or small) and correctlyposition these on the muscle group youwant to stimulate to ensure the efficacy ofthe treatment. Therefore, always use thesize of electrodes shown in the pictures.Unless you have other specific medicalinstructions, always follow the placementdirections in the pictures. Where necessary, look for the bestpossible position by slowly moving thepositive electrode over the muscle untilyou find the point that will produce the

best contraction or the most comfort foryou.

Compex disclaims all responsibility forconsequences arising from electrodesplaced in other positions.

2. Stimulation positions

This position will vary depending on theposition of the electrodes, the musclegroup you wish to stimulate, and theprogramme you are using. Forprogrammes involving powerful muscularcontractions, the muscle should always bestimulated in an isometric fashion. Youmust therefore fix the extremities of yourlimbs securely. In this way, you providemaximum resistance to the movementand prevent any shortening of the muscleduring the contraction, which could createcramp pains and serious stiffness after thesession. For example, when stimulatingthe quadriceps, the user should be in aseated position with the ankles fixed withstraps to prevent extension of the knees.For other types of programmes (forexample, Pain relief programmes andActive Recovery, Relaxing massage,Reviving massage or Capillarizationprogrammes), which do not inducepowerful muscular contractions, positionyourself as comfortably as possible.

To determine the stimulation position to beadopted depending on the chosenplacement of the electrodes andprogramme, refer to chapter VII"Programmes and specific applications".

3. Adjusting stimulationenergies

In a stimulated muscle, the number ofrecruited fibres depends on thestimulation energy. It is thereforeextremely important to use maximum


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stimulation energies (up to 999) in orderto recruit the maximum number of fibres.Below a significant stimulation energylevel, it is pointless, for an average user, todo stimulation sessions. In fact, thenumber of fibres involved in thestimulated muscle is too low for anyinteresting improvement in theperformance of that muscle. The more fibres that are recruited, thegreater the improvement that will be seen.If only 1/10 of the fibres of a musclework under stimulation, only that 1/10can progress. That is obviously much lessappreciable than if 9/10 of the fibreswork and can therefore progress. Youshould therefore take care to work withmaximum stimulation energies, i.e., alwaysat the limit of what you can support. There is obviously no need for you toreach the maximum stimulation energyright from the first contraction of thefirst session of the first cycle. If you havenever used Compex stimulation before,you should do only half of the desiredprogramme during the first 3 sessionswith sufficient energy to producepowerful muscular contractions tofamiliarise yourself with the technique ofelectrostimulation. You can then startyour first stimulation cycle with your ownspecific programme and level. After thewarm-up, which must produce very clearmuscular twitches, you should raise thestimulation energy progressively, fromcontraction to contraction, during thefirst three or four minutes of the worksequence. You should also progress withstimulation energies used from session tosession, particularly during the first threesessions of a cycle. A normally preparedperson will already reach very significantstimulation energies during the fourthsession.

4. Progression in the levels

In general, it is not advisable to gothrough the different levels quickly withthe intention of reaching level 5 as fast as

possible. In fact, the different levelscorrespond to progress withelectrostimulation. The most frequent error is to changefrom level to level as stimulation occurs atincreasingly higher stimulation energies.The number of fibres subjected tostimulation depends on the stimulationenergy. The nature and amount of workthat these fibres do depend on theprogramme and level. The aim is, first ofall, to progress through the electricalstimulation energies and then through thelevels. The more numerous the musclefibres you stimulate, the more numerouswill be the fibres that are going toprogress. But the speed of progress ofthese fibres and their aptitude foroperating at a higher rating depend on theprogramme and level used, the number ofsessions per week and the length of thesesessions, and also on intrinsic factorsparticular to each individual. The simplest and most usual procedure isto start with level 1 and raise the levelwhen changing to a new stimulation cycle. At the end of a cycle, you may either starta new cycle at the next level up or dosome maintenance at the rate of 1 sessiona week at the last level reached.

5. Alternation of stimulationsessions / voluntarytraining

The stimulation sessions can be doneoutside or during voluntary training.When voluntary training and stimulationare done during the same session, it isgenerally recommended that the voluntarytraining be done first followed by thestimulation. This means that the voluntarytraining is not done on muscle fibreswhich are already tired. This is particularlyimportant for strength and explosivestrength training. However, in resistance training, it can bevery useful to proceed in the reverseorder. Before the voluntary training, bymeans of stimulation for resistance, a


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"specific pre-fatigue session" is carriedout on the muscle fibres without generaland cardio-vascular fatigue. In this way,the voluntary effort on the "prepared"fibres will push the glycolytic metabolismfaster and further.


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V THE m TECHNOLOGY

m stands for muscle intelligence™ (allitems referring to this technology arepreceded by the symbol m).This technology takes into account thespecific features of each of our musclesand thus offers stimulation adapted totheir characteristics.It’s simple, as the data is transmitted tothe stimulator automatically!It’s personalised, as each of our muscles isunique!

The Performance stimulator bearsthe label m-READY, as it can usecertain functions of the m technologyif a stimulation cable fitted with them-4 system (sold separately) isconnected.

1. Practical rules of use

To access the m functions makesure that the stimulation cable fitted withthe m-4 system (sold separately) isconnected before you turn on thestimulator. Avoid connecting the stimulation cablefitted with the m-4 system when theCompex is switched on.To work correctly, the m-4 systemmust not be blocked or subjected topressure.During the stimulation session, thestimulation cable fitted with the m-4

system must always be connected to anelectrode.m-4 (sold separately)■ This is a small sensor that links the

stimulator to the electrodes. m-4 is the key which can beused to measure certain physiologicalcharacteristics of the muscle, analysethem and adapt stimulationparameters. This tailoring of eachprogramme to the changingcondition of the muscle clearly

enhances your comfort and thetherapeutic efficacy.

m-3

■ This function adapts theelectrostimulation session to thephysiology of each user. Just beforestarting the work session, m-3

probes the chosen muscle group andautomatically adjusts the stimulatorparameters to the excitability of thisarea of the body. It is a trulypersonalised measurement.N.B.: The m-3 function operatesas soon as a stimulation cable fittedwith the m-4 system (soldseparately) is connected to thestimulator.

■ This function is implemented at thestart of the programme by a shortsequence during which measurementsare taken (a horizontal bar scans thefigurine at the left of the screen).

■ Throughout the entire measurementtest, you must remain completely stilland be perfectly relaxed. The m-4

system is very sensitive: the smallestcontraction or the slightest movementcould disturb the measurement test.

■ Note that certain people might feel anunpleasant tingling sensation duringthe test.

■ Once the test is complete, the symbolwill appear, indicating that

the programme can be started.

m-5

■ The m-5 function can be used toconsiderably reduce the number ofunwanted muscular contractions,enhancing both user comfort andtreatment efficacy.

■ The m-5 function can only beaccessed for the Modulated TENSand Epicondylitis programmes.

■ For these programmes, the m-5

function allows you to control thestimulation energies while maintaining


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them at an effective level andconsiderably limiting the onset ofmuscular contractions.

■ Short measurement tests (lasting 2to 3 seconds) are carried outregularly throughout the entireprogramme.

■ There is a test phase after eachincrease of the stimulation energies.To ensure the correct performanceof these tests, you must remainperfectly still during this time.

■ Depending on the results of themeasurement tests recorded by thedevice, the level of the stimulationenergies may be slightly decreasedautomatically.

■ It is important always to adopt themost comfortable possiblestimulation position. Also, youshould try to remain still and notcontract the muscles of thestimulated area.

m-6

■ This function indicates the idealenergy adjustment range forprogrammes whose efficiencyrequires vigorous muscular twitches.

■ The m-6 function is thereforeonly available in programmes thatuse low stimulation frequencies (lessthan 10 Hz).

■ For programmes allowing the use ofthe m-6 function, the stimulatorchecks whether you are in the idealenergy range. If you are below therange, the stimulator prompts you toincrease the energy by displaying

signs. ■ Once the stimulator has detected

your ideal adjustment area, a squarebracket will appear to the right ofthe bar graph of the channel towhich the m-4 system isconnected. The figures in thisbracket indicate the energy rangeyou must work in order to achieveoptimal results.

■ If you set the energy level below thisrange, the stimulator will promptyou to increase it by flashing a seriesof signs on the screen.


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VI HOW IT WORKS

You are strongly advised to carefully read the counter-indications and safetymeasures described at the start of this manual (chapter 1: "Warnings") prior to using yourstimulator.

1. Description of the stimulator

G

H

AB

C

F

D1 2 3 4

E

A On/Off button

B "i" button used to: Increase stimulation energies in severalchannels simultaneously.Access the LAST menu (the last programmeused).

C Sockets for the 4 stimulation cables

D Stimulation cablesChannel 1 = blue Channel 2 = greenChannel 3 = yellow Channel 4 = red

E +/- buttons for the 4 stimulation channels

F Socket for the charger

G Rechargeable battery compartment

H Belt clip socket


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2. Connections

Connecting the cablesThe stimulator cables plug into the4 sockets on the front of the device.Four cables can be connectedsimultaneously to the four channels ofthe device. Both the sockets and thecables are colour-coded to simplify useand facilitate identification of thedifferent channels:blue = channel 1 green = channel 2 yellow = channel 3 red = channel 4

The Performance stimulator bearsthe label m-ready, in other words itcan use certain functions of the mtechnology if a stimulation cablefitted with the m-4 system isconnected. This cable, soldseparately, gives access to them-3, m-5 and m-6

functions. It is connected to any oneof the four stimulation channelsockets located on the front of thedevice and two electrodes are"clipped" on to it in the same way asfor a conventional cable.

Connecting the chargerThe Compex has considerable operatingautonomy, as it uses rechargeablebatteries. To recharge them, use the chargersupplied with your device and connect itto the front of the device, then plug thecharger in a socket.Remove any stimulation cables connectedto the stimulator before recharging it. We strongly recommend you fully chargethe battery before using it for the firsttime as this will improve its autonomyand life span.

3. Preliminary settings

Before using the unit for the first time,you should select the working language ofthe device which is displayed on theoptions screen. Follow the instructionsbelow. Afterwards, for the greatestcomfort, Compex offers you a number ofsetting options (choice of language,screen contrast adjustment, adjustingbacklighting and sound volume setting).To change any of these settings, bring upthe options screen by holding theOn/Off button on the left of thestimulator for a few seconds.

1b Use the channel 1 +/- button to choose thelanguage you wish to use.

1c Use the channel 2 +/- button to adjust thecontrast of the screen.

1d Use the channel 3 +/- button to adjust thevolume.

1e Use the channel 4 +/- button to adjust thebacklighting.On: backlighting always on.Off: backlighting always off.Auto: backlighting activated whenever a buttonis pressed.

1a Press the On/Off button to validate theselected parameters. Your stimulator saves youroptions. It is now ready for use with the settingsyou selected.


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3e Press the channel 4 +/- button to validateyour selection and, depending on whether youhave the symbol or a) = the stimulation session startsimmediately. b) = a parameter setting screen appears.

N.B.: Press the i button to access the LASTmenu.

LASTTo make your Compex more pleasant andeasier to use, the LAST menu allows youto directly access the last usedprogramme. To access the menu, pressthe "i" button before selecting aprogramme. This function can beaccessed from the programme categoryscreen (fig. 2), or the programme listscreen (fig. 3).

4a Press the On/Off button to return to theprevious screen.

4d Press the channel 3 +/- button topersonalize the programme.4e Press the channel 4 +/- button to executethe programme.

4. Selecting a programmecategory

To switch on your stimulator, briefly pressthe On/Off button on the left of theCompex. A musical signal can be heardand a screen showing the differentprogramme categories is displayed. Before choosing a programme, youshould select the desired category.

2a Press the On/Off button to switch off theunit.

2b Use the channel 1 +/- button to choose thecategory you wish to use.

2e Press the channel 4 +/- button to confirmyour choice and access the programme selectionscreen.

N.B.: Press the "i" button to access the LASTmenu.

5. Selecting a programme

To choose a programme, it is particularlyuseful to consult chapter VII "Programmesand specific applications".


3b Press the channel 1 +/- button to choose aprogramme.


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6. Personalising aprogramme

The programme personalisation screen isnot available for all programmes!


5b Some programmes require manual selectionof the muscle group you want to stimulate. Thismuscle group is shown in black on a smallfigurine above channel 1. Use the channel 1 +/-button to select your chosen group. The sevenmuscle groups proposed are shown successivelyin black on the small figurine:

vb Abdomen and lower back

f Buttocks

c Thighs

j Legs and feet

m Forearms and hands

e Shoulders and arms

td Thorax and back

Current international standardsrequire that a warning be givenconcerning the application of electrodes tothe thorax (increased risk of cardiacfibrillation).

N.B.: If a cable fitted with the m-4

system (sold separately) is connected tothe device, the muscle group is selectedautomatically.

5c Press the channel 2 +/- button to stop thewarming-up sequence (closing the smallanimated rising convection symbol above theradiator).

5d Press the channel 3 +/- button to choose theprogramme difficulty level.

5e Press the channel 4 +/- button to confirmyour choices and launch the programme.

7. During the stimulationsession

Preliminary m-3 test

The m-3 test is launched onlyif a cable fitted with the m-4 system(sold separately) is already connected tothe stimulator when this is turned on!

It is essential that you remain completelystill and relaxed during the entire test.If the m-4 system is connected, thetest starts immediately after programmeselection and personalisation.


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6a Press the On/Off button to interrupt the testat any moment. To relaunch the test from thestart, press any of the 4 +/- buttons.

6e The m logo above channel 4 indicates thatthe m-4 cable is connected to thestimulator. The figures in channel 4 willautomatically change during the test as thesensor records different measurements. The4 +/- buttons will be disabled for the duration ofthe test.Once the test is complete, you will automaticallybe taken to the default programme start screenand prompted to increase the stimulationenergies.

Adjusting stimulation energiesWhen you start a programme, you will beprompted to increase the stimulationenergies. This is critical to the success ofany treatment. To find out what energylevel needs to be reached for eachprogramme, refer to the specifcapplications.

Programmetime in minutesand seconds

The animated risingconvection symbolrepresented thewarming-up sequence

Session progression scale.For details on how it works,see the following section:"Programme progression"

7a Press the On/Off button to place the unit inPause mode.

7b c d e The Compex bleeps and the symbolsof the four channels flash, changing from + to000: the four channels are at 000 energy. Youmust increase the stimulation energy so that thestimulation can start. To do this, press the+ buttons for the relevant channels until thedesired setting is reached. If you want toincrease the energy level of all four channelssimultaneously, press the "i" button, locatedbelow the On/Off button. Press the "i" buttontwice to increase the levels in the first3 channels, and 3 times to increase the levels inthe first 2 channels. When you press the "i"button, the associated channels are highlighted inwhite on a black background.

Programme progressionStimulation actually starts when thestimulation energy has been increased.The examples reproduced below aresufficient to understand the general rules.


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8a Press the On/Off button to interrupt theprogramme momentarily. To restart it, simplypress the channel 4 +/- button. The session willresume at 80% of the energy levels that were inuse prior to the interruption.

8 b c d e The different energies reachedduring the contraction phase are shown by aseries of black bar graphs, that of the rest phaseenergies are shown by hatched bar graphs.

N.B.: Active rest phase stimulation energiesare automatically set at 50% of contractionenergies. These can be modified during the restphase. Once modified, they will be totallyindependent of the contraction energies.

N.B.: If your Compex emits a beeping soundand the symbols under the active channelsbegin to flash the stimulator is suggesting youincrease the level of the stimulation energies. Ifyou are working at the maximum tolerance level,simply ignore this message.

StatisticsYour stimulator includes a statistics menuthat allows you to view in real time theimportant information for a programme.To access the statistics screen, you mustput the stimulator into the "Pause" modeor wait for the end of the programme.

Session sequencesWarm-up Work period Relaxation

Remaining time(in minutes andseconds) beforethe end of theprogramme

Time bar showingcontraction time andactive rest timeIt can be seen duringwork sequence

Fig. 9 For programmes inducing muscularcontractions, the indication "MAX" shows themaximum energy level reached per channelduring contraction phases. "AVG" indicates theaverage stimulation energy level used by thedifferent channels during the contraction phase.

Fig. 10 In low frequency programmes, them-6 function, symbolised by a singlesquare bracket shows what percentage ofstimulation time was spent in the optimal energyrange.

9e-10e Press the channel 4 +/- button toresume the programme at the point where it wasinterrupted.


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End of programmeAt the end of each session, a small flagwill be displayed on the screen and ashort melody will be played. To switch offthe stimulator, press the On/Off button.Depending on the programmes, usagestatistics may be displayed (cf. fig. 9 and10). It should be noted, however, thatstatistics are not available for allprogrammes.

8. Consumption andrecharging

Never recharge the stimulatorwithout first disconnecting the stimulationcables.Always use the charger supplied byCompex to recharge the batteries.

The Compex runs on rechargeablebatteries. The battery’s life depends on theprogrammes and stimulation energy used.We strongly recommend you fully chargethe battery before using your Compex forthe first time as this will improve itsautonomy and life span. If you do not useyour device for a long period of time,please recharge the battery regularly.

Electricity consumptionThe charge state of the battery isindicated by a small battery icon on thescreen.

If the battery icon contains just two lines,this means that power is running low.Stop the session and recharge the unit.If the symbol normally displayedabove the channel 4 +/- button is notvisible and if the small battery icon isflashing, the batteries are flat. It is nolonger possible to use the device.Recharge immediately.

RechargingRemove all stimulation cables from thestimulator before recharging it. Connectthe charger to the mains and then connectthe stimulator to the charger. The chargemenu illustrated below appearsautomatically.

The duration of the charging operation isshown on the screen (a complete chargemay take 1.5 hours). The battery icon isanimated while the battery is recharging. When fully charged, the icon will be fulland the total time taken to recharge thebattery will flash on the screen. Simplydisconnect the charger: the Compex willturn off automatically.


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9. Problems and solutions

Electrode fault

The Compex bleeps and alternativelydisplays the symbol of a pair ofelectrodes and an arrow pointing to thechannel where a problem has beendetected. In the example above, thestimulator has detected an error inchannel 1.■ Check that electrodes are connected

to this channel.■ Check whether the electrodes are old,

worn, and/or the contact is poor: tryusing new electrodes.

■ Try using the stimulation cable on adifferent channel. If the cable is stillshowing a fault, replace it.

Stimulation is not producingthe usual sensation■ Check that all the settings are correct

and ensure the electrodes arepositioned properly.

■ Change the positioning of theelectrodes slightly.

The stimulation effect causesdiscomfort■ The electrodes are beginning to lose

adhesion and no longer provide goodcontact on the skin.

■ The electrodes are worn and need tobe replaced.

■ Change the positioning of theelectrodes slightly.

The stimulator is not working

■ If an error screen appears while theequipment is in use, note the errornumber (in the example in fig. 15,error 1/0/0) and contact theconsumer service stated andapproved by Compex Médical SA.


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VII PROGRAMMES AND SPECIFICAPPLICATIONSThe following applications are given by way of example. They will give you a betterunderstanding of how electrostimulation sessions can be combined with voluntaryactivity. They will help you to determine the best procedure to follow according to yourneeds (programme selection, muscle group, time, electrode placement, body position).You can also choose a muscle group different to the one indicated, depending on theway you exercise or the area of the body that you want to stimulate.The specific applications will provide you with information on electrode placement andthe stimulation position to adopt. This information is given as a number (electrodepositioning) and a letter (body position). These refer to the pictures showing placementof the electrodes and the pictograms showing the body positions on the inside cover ofthe manual.If the Compex is not fitted with the m-4 cable, the muscle group to be selectedin the device is shown on the small figurine. If this does not appear (-), there is no needto choose a muscle group: selection is automatic. If the Compex is fitted with the m-4 cable (sold separately), the muscle group isselected automatically. There is therefore no need to look at the small figurine.

8 G j

Example

Inside cover of themanual

Endurance programme

For the 4 basic workout programmes: Endurance, Resistance, Strength, Explosivestrength, we advise you to consult the training planner on our website www.compex.info.An interactive question and answer system takes you to a personalised training plan.


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1. Warm-up category

Capillariza-tion

Considerable increasein blood output

Capillaries develop

In the period beforecompetition, for thoseparticipating inendurance orresistance sports

To improve endurancein those whose fitnesslevel is not hig

Toningmassage

Activation of bloodcirculation Arousal ofcontractile muscularproperties

Revitalising effect

To prepare themuscles in an idealmanner before anunusual/one-timephysical activity

Potentiation

Increase contractionspeed and theamount of powergained

Reduce effortrequired by nerves toreach maximumstrength

For optimum musclepreparationimmediately beforecompetition

m-3 m-6

m-3 m-6

m-3

Progressively increasestimulation energiesuntil you obtainclearly visiblemuscular twitches

Progressively increasestimulation energiesuntil you obtainclearly visiblemuscular twitches

Check that thestimulation energy issufficient to imposesignificant muscularcontractions

Maximum bearableenergy (0-999)

The energy isadjusted during thephases of theprogramme when themuscle relaxes andreacts with simplemuscle twitches

Programmes Effects UsesStimulationenergies

m functionsif m-4 cable(sold separately)

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Specific applications

Preparation for seasonalendurance activity (eg: hiking,bicycle touring)Sporting physical activities that last a longtime (walking, cycling, cross-countryskiing, etc.) require strong muscles with agood 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 thecapillary system becomes rarefied. Thislack of muscular quality makes exercisinguncomfortable and limits the speed ofrecuperation, and is responsible for manyunpleasant side effects such asdrowsiness, contractures, cramp andswelling. To restore to muscles theirendurance and ensure full activation ofthe capillary system, the Compex offers avery efficient mode of stimulation.

Duration of the cycle: 6-8 weeks before startingthe hike, 3x/week, alternating muscular groupsevery other day

Programmes: Capillarization 8V c andCapillarization 25V j

Achieving peak form beforecompetition for resistancesports (eg: 800 metres,1,500 metres, mountainbiking, mountain stage incycling, cycling pursuit ontrack, 200 metres swimming,slalom)Sports that require maximum effortlasting between 30 seconds and 5 minutesare the so-called resistance sports. Rapidfibres must work at a capacity close totheir maximum and be capable ofmaintaining this intensive workthroughout the event without weakening,in other words the rapid fibres must beresistant. The Capillarization programme,which produces a very significant increase

in the blood flow in the muscles, bringsabout development of the intramuscularcapillary system (capillarization). Thisgrowth of the capillaries works best if itoccurs around the rapid fibres. In thisway, the latter’s exchange surface with theblood increases, allowing an improvedsupply of glucose, better diffusion ofoxygen and quicker evacuation of lacticacid. Capillarization therefore allows therapid fibres to be more resistant and tomaintain their optimum capacity over alonger period. However, prolonged ortoo frequent use of this programme mayinduce a modification of rapid fibres intoslow fibres, thereby risking a decline inperformance for strength and speedsports. It is therefore important to followclosely the recommendations belowconcerning the specific application inorder to benefit from the positive effectsof this treatment.

Duration of the cycle: 1 week before competition,2 x/day, with a 10 minute break between the2 sessions

Programme: Capillarization 8V c

Prevention of contractures inthe muscles of the back of theneck for cyclistsDuring voluntary training orcompetitions, some athletes experiencethe problem of contractures in supportmuscles (for example, the back of theneck for cyclists). Use of theCapillarization programme reduces, andmay resolve, this problem. The markedincrease in blood circulation anddevelopment of the capillary systemimprove the oxygenation of fibres andtheir exchanges with the blood. Themuscle therefore becomes less prone tocontractures.

Duration of the cycle: 3 weeks, 1 x/day

Programme: Capillarization 15V d

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Muscular and circulationconditioning before physicalactivityPeople who regularly practise sports arewell aware of the transition, which isoften painful, between a rest activity andan occasional physical effort. Theobjective 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 offers an idealbenefit in the form of optimal muscularand circulation conditioning before anytype of physical effort. It allows us toavoid the uncomfortable sensations –usually experienced during the first fewminutes of unusual physical efforts –and to limit the secondary consequencesof insufficient preparation (aches, etc.).

Duration of the cycle: To be used on themuscles during anticipated physical activity (forexample, quadriceps), in the last thirty minutesbefore physical activity

Programme: Toning massage 8V c

Use of Potentiationprogramme to optimise theeffects of explosive strength(sprints, jumps, squash,football, basketball, etc.)immediately before specifictraining or competitionThe Potentiation programme should beused on the key muscles involved in thediscipline practised. In this example, thekey muscles of the sprinter (quadriceps)will be stimulated. For other disciplines,the choice of muscles to be stimulatedmay be different. The Potentiationprogramme must not take the place ofthe voluntary warm-up usuallyperformed before the competition.Activation of the cardiovascular system,

short accelerations becomingprogressively faster, practice starts andstretching will therefore be carried outby the athlete according to his normalroutine. A Potentiation session of shortduration (approximately 3 minutes) willbe applied on the sprinter’s quadricepsimmediately before the start of his race(or races, in the event of qualifyingevents). The specific muscular activationof the Potentiation programme allowsthe maximum level of performance tobe attained in the very first seconds ofthe race.

Duration of the cycle: 1 x

Always carry out the session as soon aspossible before the start and at all eventsnot more than 10 minutes before the start.After 10 minutes, the phenomenon ofpotentiation of muscle fibres quickly wearsoff.

Programme: Potentiation 8G c

PERFORMANCE FR DE IT ES EN:ENGY Man FR 14/02/08 15:11 6

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2. Sport category

Endurance

Improvement in theability of stimulatedmuscles to absorboxygen

Improvement inperformance inendurance sports.

For athletes who wishto improve theirperformance in long-duration sportingevents

Resistance

Improvement inlactic muscularactivities

Improvement inperformance forresistance sports

For competitiveathletes who wish toincrease their capacityto obtain intense andprolonged effort

m-3

m-3





connected

Strength

Increase in maximumstrength

Increase in muscularcontraction speed

For competitiveathletes practising adiscipline that requiresstrength and speed

m-3Maximum bearableenergy (0-999)


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connected

Explosivestrength

Increase in the speedat which a level ofstrength is reached

Improvement ineffectiveness ofexplosive gestures(relaxation, shoot,etc.)

For athletes practisinga discipline in whichexplosive strength isan important factor inperformance

Fartlek

Training andpreparation ofmuscles for all kindsof muscular work(endurance,resistance, strength,explosive strength)through differentworking sequences

At the beginning ofthe season, to"reinitialise" themuscles after a periodof stoppage andbefore more intensive,more specific trainingperiods

During the season forthose who do not wantto favour a single typeof performance andwho prefer to subjecttheir muscles todifferent work regimes

m-3

m-3



To define the level of Sport programmes in relation with your personal characteristics, please see the training planner available on our website www.compex.info.At the end of a cycle, you may either start a new cycle at the next level up

or do some maintenance at the rate of 1 session a week at the last level reached.


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Preparation for a cyclisttraining three times a weekwho wishes to improveendurance performanceEffort expended over a long period oftime makes demands on the aerobicmetabolism, for which the decisive factoris the quantity of oxygen consumed bythe muscles. To progress in endurance, itis therefore necessary to increase as muchas possible the supply of oxygen to themuscles stimulated by this type of effort.Because oxygen is conveyed by the blood,it is essential to have an efficientcardiovascular system, due to voluntarytraining under certain conditions.However, a muscle capacity to consumethe oxygen it receives (oxydative capacity)can also be improved by following aspecific work regime. The Endurance programme of the Sportcategory leads to a significantimprovement in the consumption ofoxygen by muscles. Combining thisprogramme with the Capillarizationprogramme (of the Warm-up category),which develops the network ofintramuscular capillaries, is particularlybeneficial and allows endurance athletesto improve their performance levels.

Duration of the cycle: 8 weeks, 3 x/week

Eg for 1 week

Mon.: Rest

Tue.: 1 x Endurance 8G cWed.: Cycling workout at 1.5 hours(moderate speed), then 1 xCapillarization 8◊ cThu.: 1 x Endurance 8G cFri.: Rest

Sat.: 60’ cycle training (moderate speed),then 1 x Endurance 8G cSun.: Cycle trip for 2.5 hours (moderatespeed), then 1 x Capillarization 8◊ c

Programmes: Endurance 8G andCapillarization 8V c

Preparation for a runnertraining three times a weekwho wishes to progress inendurance (half-marathon,marathon)Running as many miles as possible isessential in order to improveperformance in endurance events.However, the strain on tendons andjoints this type of training causes istoday universally recognised. IntegratingCompex electrostimulation into thetraining of the long-distance runneroffers an excellent alternative that canhelp to overcome this problem. The Endurance programme, whichresults in improving the capacity ofmuscles to consume oxygen, and theCapillarization programme (of theWarm-up category), which develops thecapillaries in the muscles, allow greaterendurance to be achieved while limitingthe weekly mileage and therefore the riskof injury.


Eg for 1 week

Mon.: Rest

Tue.: 1 x Endurance 8G cWed.:

• Voluntary training: warm-up 20’, then1-2 series of 6 x [30’’ fast / 30’’ slow]

• Slow jogging at the end of the session,then 1 x Capillarization 8V cThu.: 1 x Endurance 8G cFri.: Rest

Sat.: Loose 60’ jogging, then1 x Endurance 8G cSun.: Extended 1.5 hour run (moderatespeed), then 1 x Capillarization 8V c

Programmes: Endurance 8G andCapillarization 8V c

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Pre-season preparation oflactic capacity for aresistance sport with threeactive training sessions perweek (800 metres, trackcycling, etc.)Example of planning to develop thelactic capacity (resistance) of thequadriceps. For other disciplines, thechoice of muscles to be stimulated maybe different (to determine these musclesin relation to your sporting discipline,refer to the training planner on ourwebsite www.compex.info). During pre-season preparation for sportsthat make great demands on the lacticanaerobic system (intense effortsustained over as long as possible), it isessential not to neglect specific musclepreparation. Stimulation of thequadriceps (or a different key musclegroup depending on the disciplinepractised) by means of the Resistanceprogramme results in improvedanaerobic power, as well as greatermuscle tolerance to high concentrationsof lactates. The practical benefits will beobvious: improved performance thanksto better muscular resistance to fatiguefor exercises of the lactic anaerobic type.In order to optimise the effects of thispreparation, you are advised tosupplement it with Capillarizationsessions, carried out during the weekleading up to the competition, see"Warm-up category, Achieving peakform before competition for resistancesports (eg: 800 metres, 1,500 metres,etc.)". An Active recovery session (ofthe Recovery category) session isrecommended after the most intensivetraining. It accelerates the rate of musclerecovery and reduces fatigue during theperiod of the season when the amountof training is high.

Duration of the cycle: 6-8 weeks, 3 x/week

Eg for 1 week

Mon.: 1 x Resistance 8G cTue.: Voluntary training on the track

Wed.: 1 x Resistance 8G cThu.: Voluntary training on the track, then1 x Active recovery 8◊ cFri.: Rest

Sat.: Rest

Sun.: 1 x Resistance 8G c, followed bysession voluntary training on the track

Programmes: Resistance 8G and Activerecovery 8◊ c

Preparation for a cyclisttraining three times a weekwho wishes to improve hispowerDeveloping the strength of the thighmuscles is always beneficial for thecompetitive cyclist. Certain forms oftraining on the bicycle (hill work) canmake a contribution in this respect.However, results will be morespectacular if additional training usingCompex muscular stimulation isundertaken at the same time. The specialregime of muscle contractions of theStrength programme and the largeamount of work to which the musclesare subjected allow a significant increaseof the strength of the thigh muscles.Moreover, the Active recoveryprogramme (of the Recovery category),carried out within three hours of themost intensive training, encouragesmuscular recuperation and makes itpossible to follow on with qualitativetraining under optimum conditions.


Eg for 1 week

Mon.: Rest

Tue.: 1 x Strength 8G cWed.:

• Cycle training 45’ (moderate speed), then5-10 times on a 500-700 m hill (rapidly)


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• Recovery during descent

• Inactivity 15-20’, then 1 x Activerecovery 8V cThu.: 1 x Strength 8G cFri.: Rest

Sat.: 60’ cycle training (moderate speed),then 1 x Strength 8G cSun.:

• Cycling 2.5-3 hours (moderate speed)

• Muscle strengthening on hills (use of ahigh gear ratio remaining seated), then 1 xActive recovery 8V c

Programmes: Strength 8G and Activerecovery 8◊ c

Preparation for a swimmertraining three times a weekwho wishes to improve hisswimming powerIn swimming, developing the propulsiveforce of the upper limbs is an importantfactor in improving performance.Certain forms of voluntary trainingpractised in the water can contribute tothis. However, integrating Compexmuscular stimulation into the voluntarytraining programme makes it possible toachieve far better results. The special muscular contraction regimeof the Strength programme and thelarge amount of work to which musclesare subjected will allow you to increasesignificantly the strength of thelatissimus dorsi, key muscles for theswimmer. Moreover, the Active recoveryprogramme (of the Recovery category),carried out within three hours of themost intensive training, encouragesmuscular recuperation and makes itpossible to follow on with qualitativetraining under optimum conditions.


Eg for 1 week

Mon.: Rest

Tue.: 1 x Strength 18C t

Wed.:

• 20-30’ swimming training (differentstyles), then 5-10 times 100 m withpull-boy

• Recovery 100 m backstroke

• Return to gentle 15’, then 1 x Activerecovery 18◊ cThu.: 1 x Strength 18C tFri.: Rest

Sat.: 1 hr swimming training including sometechnical work, then 1 x Strength 18C tSun.:

• 20-30’ swimming training (differentstyles), then 5-10 times 100 m withpaddles

• Recovery 100 m backstroke

• Return to gentle 15’, then 1 x Activerecovery 18◊ c

Programmes: Strength 18C and Activerecovery 18◊ t

Pre-season preparation for ateam sport (football, rugby,handball, volleyball, etc.)Planning example to develop thestrength of the quadriceps. Dependingon the sport being practised, a differentmuscle group may be chosen. Duringthe preparatory pre-season period forteam sports, it is essential not to neglectspecific muscle preparation. In mostteam sports, the qualities of speed andstrength make all the difference.Stimulation of the quadriceps (or adifferent key muscle depending on thesport concerned) by means of theCompex Strength programme will resultin increased speed of contraction andmuscular strength. The practical benefits will be obvious:improvement in starting and movementspeed , jumping, kicking, etc. An Activerecovery session (of the Recoverycategory), taken after the most intensiveworkouts, accelerates the muscularrecovery rate and reduces cumulativefatigue during the period of the season


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Eg for 1 week

Mon.: 1 x Strength 8G cTue.: Collective training, then 1 x Activerecovery 8V cWed.: 1 x Strength 8G cThu.: Collective training, then 1 x Activerecovery 8V cFri.: 1 x Strength 8G cSat.: Rest

Sun.: Collective training or friendly match,then 1 x Active recovery 8V c


Maintaining results achievedduring preparation for teamsports during the competitiveperiod (football, rugby,handball, volleyball, etc.)This example concerns only athletes whohave completed a full cycle of training byelectrostimulation (at least 6 weeks) aspart of their pre-season preparation. Theweekly session of stimulation with theStrength programme should be carriedout on the same muscle groups as thosestimulated during the preparation period(in our example, the quadriceps). Duringthe season, when matches are playedregularly, care should be taken not toovertrain the specific musculature. On theother hand, nor should the benefits ofpreparation be lost by suspendingstimulation training for too long a period.During this period of competition,muscle qualities should be maintained bymeans of one weekly session ofstimulation carried out using the Strengthprogramme. It is also essential to leave asufficiently long interval between thissingle weekly stimulation session and theday of the competition (3 daysminimum). The Active recovery programme (of theRecovery category), which must be usedduring the first three hours after thematch, as well as after each session of

intensive training, restores muscleequilibrium more quickly.

Duration of the cycle: During the sport season,1 x/week

Eg for 1 week

Mon.: Rest

Tue.: Collective training, then 1 x Activerecovery 8V c (if training is intensive)

Wed.: 1 x Strength 8G cThu.: Collective training, then 1 x Activerecovery 8V c (if training is intensive)

Fri.: Rest

Sat.: Rest

Sun.: Match, then 1 x Active recovery8V c (within the 3 hours that follow thecompetition)


Pre-season preparation of theexplosive strength of thequadriceps for an athletetraining three times a week(long jump or high jump,sprinting, etc.)For other disciplines the choice ofmuscles to be stimulated may bedifferent (refer if necessary to thetraining planner on our websitewww.compex.info). For all sports wherethe essential performance factor isexplosive muscle strength, specificmuscle preparation is the main factor inpre-season preparation. The explosive strength of muscles maybe defined as the capacity of a muscle toattain a high level of maximum strengthas quickly as possible. To develop thisquality, voluntary training relies on tiringmuscle training sessions that ofteninclude the risk of injury, since they arenecessarily carried out using heavyweights. Integrating the use of the Explosivestrength programme lightens the muscletraining sessions while at the same time


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offering greater benefits and more timefor technical work.


Eg for 1 week

Mon.: 1 x Explosive strength 8G cTue.: Voluntary training in stadium

Wed.: 1 x Explosive strength 8G cThu.: Voluntary training including technicalwork jumping pit

Fri.: 1 x Explosive strength 8G cSat.: Rest

Sun.: Voluntary training in the stadiumfollowed by 1 x Explosive strength 8G c

Programme: Explosive strength 8G c

Resuming activity after abreak in training: variedmuscle preparationIn this example, we assume that thesportsman wants to work above all onthe latissimus dorsi. Furthermore, youcan also use the Fartlek programme onseveral muscular groups during the samecycle (for example, the latissimus dorsi,then quadriceps). The Fartlek comes from Scandinavia. Itinvolves diversified training carried on ina natural setting. During training,different work-out routines arealternated and different muscles arestimulated. For example, after a fewminutes of slow jogging, the traineedoes a series of accelerations followedby some jumps, before resuming aslower jog, and so on. The objective is towork on different muscular qualitieswithout however emphasising any one inparticular. This activity is frequently done either atthe beginning of the season, for generalmuscular reactivation, or done regularlyby leisure-time sports enthusiasts whodo not want to emphasise any particularkind of muscular performance, butrather want to stay fit and reach the rightlevel in all kinds of muscular work. Atthe beginning of the season or after a

significant break in training, theresumption of physical and/or sportsactivity should be done progressively andbecome increasingly specific. It is thusnormal to perform a few initial sessionswith the aim of making the muscles doall kinds of work to prepare them forlater training that will be more intensiveand more oriented towards a specifickind of performance. Through theseeight sequences that automatically followeach other, the Fartlek programmeimposes different kinds of work to thestimulated muscles and thus makes themused to all kinds of effort.

Duration of the cycle: 1-2 weeks, 4-6 x/week

Programme: Fartlek 18C d


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3. Fitness category



connected

BodyBuilding

Increase in muscularvolume

Increase in thediameter of themuscle fibres

Improvement inmuscular resistance

For body-buildingenthusiasts and userswho want to increasetheir muscle mass

Muscledefinition

Increase in muscletone without markedincrease in volume tobuild up firmmuscles

For those who wantvery firm and wirymuscles, but without agreat muscle volumeincrease

m-3

m-3



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.

Musclebuilding

Improvement inmuscle development

Balanced increase inmuscle tone andvolume

To improve themusculature in general(strength, volume,tone)



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Preparation for a fitnessenthusiast who wants todevelop harmonious shouldermuscles with a moderateincrease in muscle volumeMost voluntary exercise, such as joggingor cycling, puts little stress on theshoulder muscles. That is why it isparticularly important to compensatethis under-utilisation by associatingCompex sessions with your voluntarytraining schedule. The Muscle building programmeimposes a lot of specific work to themuscles of the upper part of your bodyand thus ensures the harmoniousdevelopment of your shoulders, withfirm and well shaped muscles. Unlikevoluntary exercises involving heavyweights that can be traumatic for yourjoints and tendons, stimulation withCompex involves no, or very little stressfor your joints and tendons.

Duration of the cycle: 5 weeks 4 x/week,alternating muscular groups

Progression in the levels: Weeks 1-5: Step to the next level every week

Eg for 1 week

Mon.: 45’-1 hour of voluntary exercise(jogging, swimming, cycling, fitness activity,etc.), then 1 Muscle building 17H eTue.: Rest

Wed.: 1 x Muscle building 18C dThu.: 45’-1h of voluntary physical activity(jogging, swimming, cycling, fitness activity,etc.)

Fri.: 1 x Muscle building 17H eSat.: Rest

Sun.: 1 x Muscle building 18C dProgramme: Muscle building 18C d and17H e

Muscle volume for a body-builderDespite repeated efforts during theirvoluntary training, many body-buildersencounter difficulties in developingcertain muscle groups. The specificstimulation imposed on muscles by theBody Building programme significantlyincreases the volume of the stimulatedmuscles. In addition, for a similar sessiontime, the Compex Body Buildingprogramme provides a greater volumegain than voluntary training. Theadditional training imposed by thisstimulation programme on muscles notsufficiently receptive to traditionaltraining provides a solution for theharmonious development of all musclegroups without recalcitrant areas.To obtain optimum progress, you areadvised to:

1 Precede the Body Building sessionswith short voluntary training focusedon strength; for example 3 series of5 repetitions at 90% of maximumforce;

2 Carry out a Capillarization (of theWarm-up category) session directlyafter the Body Building session.

sblely)


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Muscle volume for a body-builder training three times aweekIn this example, we assume that thebody-builder wants to work on his/herbiceps, which he/she considers to behis/her weak point. It is of coursepossible to stimulate other muscles aswell. Also this Body Building programmecan be applied to several musculargroups at the same time (e.g. biceps thencalves).


Progression in the levels:

Week 1: Body Building level 1

Weeks 2-3: Body Building level 2



Eg for 1 week

Mon.: Rest

Tue.: Voluntary training focused on themuscles of the lower limbs, followed byactive work on the biceps: 3 series of5 repetitions at 90% of the Fmax., then 1 x Body Building 20D e followed by1 x Capillarization 20V eWed.: Rest

Thu.: Voluntary training focused on themuscles of the trunk, followed by activework on the biceps: 3 series of 5 repetitionsat 90% of the Fmax., then 1 x BodyBuilding 20D e followed by 1 xCapillarization 20V eFri.: Rest

Sat.: Voluntary training focused on themuscles of the upper limbs, followed byactive work on the biceps: 3 series of5 repetitions at 90% of the Fmax., then 1 x Body Building 20D e followed by1 x Capillarization 20V eSun.: Rest

Programmes: Body Building 20D andCapillarization 20V e

Muscle volume for a body-builder training at least fivetimes a weekIn this example, we assume that thebody-builder wants to work on his/hercalves, but it is of course possible tostimulate other muscles as well. Also thisBody Building programme can be appliedto several muscular groups at the sametime (e.g. calves then biceps).



Week 1: Body Building level 1





Eg for 1 week

Mon.: Voluntary training focused on themuscles of the lower limbs, followed byactive work on the calf muscles: 3 series of5 repetitions at 90% of the Fmax., then 1 xBody Building 4A j followed by 1 xCapillarization 4V jTue.: Voluntary training focused on themuscles of the upper limbs, followed byactive work on the calf muscles: 3 series of5 repetitions at 90% of the Fmax., then 1 xBody Building 4A j followed by 1 xCapillarization 4V jWed.: Rest

Thu.: Voluntary training focused on themuscles of the lower limbs, followed byactive work on the calf muscles: 3 series of5 repetitions at 90% of the Fmax., then 1 xBody Building 4A j followed by 1 xCapillarization 4V jFri.: Voluntary training focused on themuscles of the upper limbs, followed byactive work on the calf muscles: 3 series of5 repetitions at 90% of the Fmax., then 1 xBody Building 4A j followed by 1 xCapillarization 4V jSat.: Voluntary training focused on themuscles of the muscles of the trunk,followed by active work on the calf muscles:3 series of 5 repetitions at 90% of theFmax., then 1 x Body Building 4A jfollowed by 1 x Capillarization 4V j


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Sun.: Rest

Programmes: Body Building 4A andCapillarization 4V j

Developing and sculpting yourabdominal beltTo restore or develop the qualities ofyour abdominal muscles, they must do alot of intensive work. Also, the voluntary exercises of theabdominal belt required to achieveresults are unpleasant and often alsodangerous. Indeed, if they are notperformed correctly, they can causecrushing of the lumbar spineaccompanied, as a consequence, by theonset or aggravation of pain in the lowerback. Compex offers a specific stimulationmode to make your abdominal beltfirmer, improve its tone and give it amore harmonious shape, or even todevelop a "rock-hard" abdomen. All thiscan be achieved without the minimumstress and danger for the lumbar spine.

Duration of the cycle: 10 weeks

Weeks 1-5: 3 x Muscle building 10I v(all of the abdominal belt) or 11I v (rectusabdominis muscles)/week

Weeks 6-10: 3 x Muscle definition10I v (all of the abdominal belt) or 11I v(rectus abdominis muscles)/week


Weeks 1-5: Muscle buildingStep to the next level every week

Weeks 6-10: Muscle definitionStep to the next level every week

Programmes: Muscle building and Muscledefinition 10I or 11I v


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4. Body sculpt category



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FirmingTo regain musclefirmness and restorethe support functionof the muscles

To be used as themain treatment formuscle firming

ShapingTo define and sculptthe body when themuscles are alreadyfirm

To be used when thefirming phase isfinished

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

Toning To tone the muscles

To be used to beginwith in order to toneup and prepare themuscles before moreintensive firmingwork



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To firm and sculpt the bodyThe Toning, Firming and Shapingprogrammes impose perfectly adaptedand progressive work on the muscles. This very intense muscular activity(hundreds of seconds of sustainedcontractions) first tones and firms yourmuscles, then redefines their contours tosculpt your body. In this example, weassume that the fitness enthusiast wantsto work on her arms. It is of coursepossible to stimulate other muscles aswell. Also this stimulation routine can beapplied to several muscular groups at thesame time (e.g. arms then thighs).

Duration of the cycle: 13 weeks

Weeks 1-3: 4 x Toning 21D e/week

Weeks 4-8: 4 x Firming 21D e/week

Weeks 9-13: 4 x Shaping 21D e/weekProgression in the levels:

Weeks 1-3: ToningStep to the next level every session

Weeks 4-8: FirmingStep to the next level every week

Weeks 9-13: ShapingStep to the next level every week

Programmes: Toning, Firming andShaping 21D e

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5. Recovery category

Activerecovery

Marked increase inblood flow

Accelerates theelimination of wastefrom the muscularcontraction

Endorphinic effect(see Pain category)

Relaxing effect

To improve andaccelerate the musclerecovery after anintensive exercise

To be used during thefirst 3 hours aftereach session ofintensive training orafter a competition

Relaxingmassage

Reduced musculartension

Drainage of thetoxins responsiblefor the exaggeratedincrease of musculartone

Effect of well-beingand relaxation

To eliminateuncomfortable orpainful sensations,following anexaggerated increaseof muscular tone

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Progressivelyincrease stimulationenergies until youobtain clearly visiblemuscular twitches




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Revivingmassage

Considerableincrease of bloodflow in thestimulated region

Improvement oftissue oxygenation

Elimination of freeradicals

To contrast effectivelysensations of fatigueand localisedheaviness

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Progressively increasestimulation energiesuntil you obtain clearlyvisible musculartwitches

Regenera-tion

Analgesic effectthrough the releaseof endorphins

Marked increase inblood flowencouragingoxygenation anddrainage

Activation of theoxidative metabolicpathway

Reactivation of theproprioceptivepathways

To be used the dayafter competition asrecovery training or asa complement to thistype of training, theintensity of which canthen be reduced

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Progressively increasestimulation energiesuntil you obtain clearlyvisible musculartwitches

After 10 minutes,when tetaniccontractions begin, theenergies should beincreased to thebearable maximum(0-999)

After this phase oftetanic contractions,reduce the energy butensure that muscletwitches continue toremain pronounced

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You want to recover betterand faster after exerciseA session with the Active recoveryprogramme, which accelerates drainageof toxins, will help you to relax yourmuscles and to restore your muscularbalance faster, whatever the type ofexercise taken. This programme isnormally used between 15 minutes and3 hours after exercise. If the result isinsufficient, the session may be repeatedimmediately a second time. A sessioncan also be repeated on the followingday, in the event of persistent stiffnessand cramp.

Duration of the cycle: To be used throughout theseason

Programme: Active recovery 8V c

Treatment of uncomfortablemuscular tensions in the backof the neckRemaining in a seated position for longperiods, associated with repetitivemovements of the upper limbs (as isfrequently the case in front of acomputer screen), is often responsiblefor an uncomfortable ñ or even painfulñ increase of muscle tension of the backof the neck muscles. Any othercondition of stress may also createsituations leading to a state of excessivemuscular tension, which is oftenresponsible for painful or uncomfortablesensations. The in-depth effects produced by theRelaxing massage programme ease suchpainful sensations, with a particularlyrelaxing effect.

Duration of the cycle: To be used on themuscles in the back of the neck, whenever anoccasional sensation of painful muscular tensionis felt; to be repeated, if necessary, in cases ofparticularly strong muscular tension.

Programme: Relaxing massage 15V d

Treatment of a localisedsensation of heaviness or anoccasional state of fatigueThe many stresses of everyday life areoften responsible for uncomfortable, oreven painful, physical sensations. Acirculation slowdown is often the resultof insufficient physical activity,frequently aggravated by the need inone’s working life to remain in the sameposition for many hours (in a seatedposition, for example). Without the veryleast gravity, this simple "vascularslowing" is, however, often the source ofunpleasant sensations (e.g. heavinessoften localised in the lower limbs butalso, sometimes, in another part of thebody). The Reviving massage programmeproduces, in the greatest comfort, areactivation of the blood circulation thatallows an acceleration of tissueoxygenation and the elimination ofpainful sensations, due to insufficientphysical effort.

Duration of the cycle: To be used on the calfmuscles, whenever an occasional sensation ofheaviness is felt; to be repeated, if necessary,in cases of persistent discomfort.

Programme: Reviving massage 25V j


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Use of the Regenerationprogramme to eliminatemuscle fatigue more quickly(cross-country running,football, basketball, tennis,etc.) and restore goodmuscular sensations morequicklyThe Regeneration programme, knownalso as the "day-after programme" mustbe used on key muscles for the disciplinebeing practised. In this example, keymuscles for the cross-country runner(quadriceps) will be stimulated. Forother disciplines, the choice of musclesto be stimulated may be different. Notethat this type of programme isparticularly beneficial for all sportswhere competitions are repeated atfrequent intervals, during tournamentsand cups in various sports.The stimulation session using theRegeneration programme must becarried out the day after a competition toreplace or supplement so-called"restoration" training, which cantherefore be less intensive. Contrary tothe Active recovery programme, whichprovokes no tetanic contractions andwhich must be used during the threehours after the competition or intensivetraining, the Regeneration programme isa form of light training which, inaddition to an analgesic effect and anincreased blood flow, aims to impose asmall degree of anaerobic training andlikewise to provoke slight tetaniccontractions that are not tiring, making itpossible to reactivate the proprioceptivepathways. Energy pathways are alsogently stimulated, allowing theirmetabolic equilibrium to re-establishitself.

The session is composed of 6 stimulationsequences that follow on automatically:

1st sequence: painkilling effect

2nd sequence: significant increase in bloodoutput

3rd sequence: tetanic contractions torestore muscular sensations

4th sequence: activation of the oxidativemetabolic pathway

5th sequence: significant increase in bloodoutput

6th sequence: relaxing effect

Duration of the cycle: To be used throughoutthe season, according to the frequency ofcompetitions; the day after eachcompetition.

Programme: Regeneration 8G c


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6. Pain relief categoryTable of pathologies

Pathologies

Muscular pain in the thoracic region(thoracic back pain)

Muscular pain in the low back region(low back pain)

Sharp and recent muscular painsaffecting a muscle in the low back

(lumbago)

Chronic elbow pain(epicondylitis = tennis elbow)

Low back pain

Thoracic back pain

Programmes References

See application page298




Lumbago

Epicondylitis

Pathologies

Neuralgia of the upper limb(brachial neuralgia)

Chronic muscular pain(polymyalgia)

Contracture(eg: localized contracture in

external side of the calf)

Chronic muscular pain in the back ofthe neck

(cervical pain)

Endorphinic

Modulated TENS

Programmes References





Decontracture

Cervical pain


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ModulatedTENS

Blocks transmissionof pain by thenervous system

All acute or chroniclocalized pain

EndorphinicAnalgesic effectthrough the releaseof endorphins

Increases blood flow

To combat chronicmuscular pain

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Decontrac-ture

Reduced musculartension

Relaxing effect

To combat recent andlocalized muscularpain

Cervicalpain



Analgesic currentspecifically adapted topains in the back ofthe neck

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Thoracicback pain



Analgesic currentspecifically adapted topain in the thoracicregion (below theback of the neck andabove the low back)

Low backpain



Analgesic currentspecifically adapted topersistent low backpain (lumbar region)

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LumbagoReduced musculartension

Relaxing effect

Analgesic currentspecifically adapted tosharp and sudden lowback pain (lumbarregion)

EpicondylitisBlocks transmissionof pain by thenervous system

Analgesic currentspecifically adapted topersistent pain in theelbow

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The use of Pain relief programmes should not be prolonged without medical advice. If the pain is great and/or persistent, you are advised to consult a doctor.

Only a doctor can make an accurate diagnosis and put in place therapeutic actions designed to encourage the disappearance of the disorder.


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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 ìbrachial neuralgiaî. Thesearm pains that start in the shoulder orthe back of the neck can be reducedwith the Compex Modulated TENSprogramme by following the practicalrecommendations outlined below.

Duration of the cycle: 1 week, min. 1 x/day,then adapt according to any change in the pain

According to requirements, theModulated TENS programme can berepeated a number of times during thesame day.

Programme: Modulated TENS 35V-

Chronic muscular pain(polymyalgia)Some people suffer from muscular painthat affects several muscles or parts ofdifferent muscles at the same time. Thelocalization of this chronic pain can varyover time. These continual and diffusemuscle pains are the result of chroniccontractures in which acids and toxinsaccumulate, irritating the nerves andcausing pain.The Endorphinic programme is particularlyeffective against such pain since, inaddition to its pain-reducing effect, itincreases the blood flow to thecontractured muscular groups andremoves from them accumulations ofacids and toxins. 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.

Duration of the cycle: 4 weeks, 2 x/day, with a10 minute break between the 2 sessions

You are advised to consult your doctor if noimprovement is observed after the firstweek of use.

Programme: Endorphinic 20V e

Contracture (eg: localizedcontracture in external side ofthe calf)After tiring muscle work, intense trainingor a sporting competition, certainmuscles or certain parts of musclesoften remain tense and slightly painful.These are known as muscularcontractures which should disappearafter a few days with rest, goodrehydration, a balanced food intake withmineral salts and application of theDecontracture programme. The phenomenon of contracturefrequently affects the calf muscles, butcan also occur with other muscles. Inthis case, simply follow the samepractical recommendations as below, butplace the electrodes on the musculargroup concerned.

Duration of the cycle: 1 week, 1 x/day


Programme: Decontracture 24V j

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Chronic muscular pain in theback of the neck (cervicalpain)Positions in which the muscles of theback of the neck remain tense for longperiods of time, for example working infront of a computer screen, may beresponsible 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 prolongedtension crushes the blood vessels andprevents the blood from supplying andoxygenating the muscle fibres. If thisphenomenon is prolonged, there is anaccumulation of acid and the bloodvessels atrophy. The pain then becomescontinuous or can appear after only afew minutes spent working in anunfavourable position. These chronic pains in the back of theneck can be treated effectively with theCervical pain programme whichreactivates the circulation, drainsaccumulations of acid, oxygenates themuscles, develops the capillaries andrelaxes the contractured muscles.



Programme: Cervical pain 15V-

Muscular pain in the thoracicregion (thoracic back pain)Vertebral arthritis and positions in whichthe muscles of the spinal column remainunder tension for long periods of timeare often responsible for the onset ofpain in the middle of the back, which isaccentuated with fatigue. Pressure of thefingers on the muscles on either side ofthe spinal column can often trigger asharp pain. These pains are due to acontracture of the muscles, of which theprolonged tension crushes the bloodvessels and prevents the blood fromsupplying and oxygenating the musclefibres. If the phenomenon is prolonged,there is an accumulation of acid and theblood vessels atrophy. The pain thenbecomes continuous or can appear afteronly a few minutes spent working in anunfavourable position. These chronic pains in the back can betreated effectively with the Thoracicback pain programme which reactivatesthe circulation, drains accumulations ofacid, oxygenates the muscles, developsthe capillaries and relaxes thecontractured muscles.



Programme: Thoracic back pain 13V-


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Muscular pain in the low backregion (low back pain)Low-back pain is the most frequentlyencountered pain. In a standing position,the entire weight of the trunk isconcentrated on the joints between thelast vertebrae and the sacrum. The lowback region is therefore under particularstrain. The discs between the vertebraeare crushed and the low back musclescontractured and painful. There are verymany treatments for the relief of lowback pain sufferers; among these, thespecific currents of the Compex Lowback pain programme provide anappreciable improvement and can evenresolve the problem if it is essentiallymuscular in origin.



Programme: Low back pain 12V-

Sharp and recent muscularpains affecting a muscle in thelow 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 thisregion; because they cannot standcompletely straight, they remain bent overon one side. All of these symptomsindicate what is known as lumbago, whichis principally the result of a sharp andintense contracture of the low backmuscles (lumbar region). In such asituation, you must always consult adoctor to receive appropriate treatment. In addition to such treatment, the specificCompex Lumbago programme can helpeffectively to relax the muscles andremove the pain.

Duration of the cycle: 1 week, 1 x/day


Programme: Lumbago 33V-

Chronic elbow pain(epicondylitis = tennis elbow)All tendons of the muscles that allow usto stretch our hand, wrist and fingersend at the small external bone mass ofthe elbow (epicondyle). Hand and fingermovements therefore transmit tensionsthat are concentrated in the tendonendings at this bone mass. When handmovements are repetitive, as is the casefor painters, tennis players or even thosewho constantly use the mouse of acomputer system, small injuries,accompanied by inflammation and pain,develop in the region of the epicondyle.This is known as "epicondylitis", whichis characterised by pain around theexternal bone mass of the elbow whenpressure is applied or when the forearmmuscles are contracted. The Compex Epicondylitis programmesupplies specific current to combat thistype of pain. It acts effectively as asupplement to rest. However, it isnecessary to consult your doctor if thepain gets worse or does not disappearquickly after a few sessions.

Duration of the cycle: 1 week, min. 2 x/day,then adapt according to any change in the pain

According to requirements, theEpicondylitis programme can be repeatedseveral times during the same day.

Programme: Epicondylitis 36V-


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7. Rehabilitation category

Disuseatrophy

Reactivation of thetrophic action ofmuscle fibresdamaged duringatrophy

Treatment to combatany reduction ofmuscle volume:

- as a result of traumanecessitatingimmobilisation

- accompanyingdegenerative lesionsto joints

Musclegrowth

Increased diameterand capacity ofmuscle fibresdamaged duringunder-activity orinactivity imposed bysome kind ofpathological problem

Restoration ofmuscle volume

After a period ofusing the Disuseatrophy treatment, assoon as the muscleshows signs of aslight recovery ofvolume or tone

Until the virtuallycomplete restorationof muscle volume

Reinforce-ment

Increase the strengthof a musclepreviously atrophied

Increase the strengthof a muscle affectedby a pathologicalprocess

At the end ofrehabilitation, whenthe muscle hasregained normalmuscle volume

From the onset ofrehabilitation for non-atrophied muscles

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In a rehabilitation process, it isessential, initially, to treat the atrophy(i.e. regain normal muscle volume)before attempting to increase thestrength of the muscle using theReinforcement programme. The use of programmes of theRehabilitation category must under nocircumstances replace rehabilitationsessions carried out in the presence ofthe physiotherapist. Although therestoration of initial muscular qualities isa key factor in the process ofrehabilitation, other aspects (jointmobility, vigilance, residual pain, etc.)can only be dealt with effectively by acompetent health professional. Some pathologies and some post-operative rehabilitations require specialprecautions during use; you are thereforealways advised to seek the opinion ofyour doctor or physiotherapist beforeusing any of the programmes of theRehabilitation category.

At the end of a cycle, you may do somemaintenance at the rate of 1 session aweek at the last level reached.


Atrophy of the quadriceps asa result of traumaThe 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 thereforeessential for walking, running, climbingstairs, etc. Any trauma affecting a lowerlimb therefore results in a wasting ofthis muscle, the reduction of musclevolume being more or less seriousdepending on the duration of the periodof inactivity. This atrophy is normallyspectacular when it occurs after traumato the knee, particularly if the traumawas treated by means of surgicalintervention. The programmes of the Rehabilitationcategory are specifically designed to treatthe deterioration of muscle fibres thatresults from such a process. Theprogressiveness of the work imposed bythe different recommended programmesis decisive in obtaining optimum results.


Weeks 1-2: Disuse atrophyWeeks 3-8: Muscle growthWeeks 9-10: Reinforcement

Programmes: Disuse atrophy, Musclegrowth and Reinforcement 8G c

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Development of the latissimusdorsi to treat and preventtendinous shoulder pain(rotator cuff syndrome)The shoulder is a complex joint enablingus to make broad gestures (for example,raising our arms in the air). During some of these movements, thetendons in the shoulder can rub againstor be compressed against bonyfragments of the joint. When this phenomenon is repeated, oroccurs in certain patients who have anunfavourable anatomic constitution,such damage to the tendons causes themto become inflamed and thicker, resultingin a considerable increase in their degreeof compression. The pain often thenbecomes very severe, preventing allmovement of the shoulder; it can evenset in at night and cause serious sleepdeprivation. Appropriate medical treatment can onlybe put in place by consulting a doctor.However, electrostimulation of thelatissimus dorsi by means of specificCompex programmes can reduce thedistress to which tendons are subjected byincreasing their freedom of movementaround the shoulder joint.


Weeks 1-2: Disuse atrophyWeeks 3-6: Muscle growth

Programmes: Disuse atrophy and Musclegrowth 18C t

Development of the abdominalbelt to prevent pain in thelumbar region (low back pain)Low back pain arises most frequentlyamong subjects who do not havesufficient musculature in the abdominalregion. These muscles in fact represent averitable natural "corset", the role ofwhich is to protect the low back regionfrom excessive stress of all kinds. This iswhy it is referred to as the abdominal

"belt". After a bout of low back pain,when the pain has stopped, a commonrecommendation is to improve theefficiency of the abdominal and backmuscles to prevent any recurrence.The Disuse atrophy programme imposesa large amount of work on theabdominal muscles, without requiringthe harmful or even dangerous positionsoften adopted when voluntary exercisesare carried out incorrectly. An abdominal belt that has greaterstrength and endurance can thensatisfactorily fulfil its role of protectingthe low back region.


Programme: Disuse atrophy 10I v

Development of the low backmuscles to prevent pain in thelumbar region (low back pain)Like the muscles of the abdominalregion, the muscles of the low back(lumbar muscles) also play a role inprotecting the low back region. Subjects whose low back muscles areinadequately effective are particularlyprone to low back pain. Once the pain inthe low back has disappeared, people areoften advised to strengthen the low backmuscles with a view to preventing therecurrence of painful episodes. However, carrying out voluntary backexercises often presents seriousdifficulties for people who suffer fromlow back pain. That is why electrostimulation of thelow back muscles using the Disuseatrophy programme is one of thepreferred methods to improve theefficiency of these muscles.


Programme: Disuse atrophy 14B b


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Strengthening of the lateralperoneus muscles after anklesprainThe purpose of the lateral peroneusmuscles is to maintain the stability ofthe ankle joint and prevent it fromrotating inwardly. After a sprain, thesemuscles lose their reflex-contractioncapacity together with much of theirstrength. Regaining competent lateral peronealmuscles after a sprain is a fundamentalstep, without which recurrence is veryprobable. To do their job correctly, thelateral peroneals must be strong enoughto prevent the foot twisting inwards, butthey must also contract reflexively at theprecise moment when the heel tiltsinwards. To develop both of these aspects,strength and speed of contraction, youshould use the Reinforcementprogramme, which produces efficientlateral peroneal muscles and thereforehelps to prevent recurrence.


Weeks 1-4: ReinforcementWeek 5 and following weeks:Reinforcement 1x/week if you take part ina dangerous sporting activity.

Programme: Reinforcement 2A j


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8. Test category

DemoRefer to the quick startup guide

"Test your Compex in 5 minutes".m-3

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VIII EMC TABLE (Electromagnetic Compatibility)The Compex Performance needs special EMC precautions and must be installed andstarted according to the EMC information supplied in this manual.

All RF wireless transmission systems can affect the Compex Performance.

The use of accessories, sensors and cables other than those recommended by themanufacturer may result in stronger emissions or reduce the immunity of the CompexPerformance.

The Compex Performance should not be used beside or stacked on top of any otherequipment. If you must use it side by side or on top of another system, you shouldcheck that the Compex Performance works properly in the chosen configuration.

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Emissions test Compliance Electromagnetic environment - guide

CISPR 11 RF emissions Group 1

The Compex Performance uses RF energy onlyfor its internal operation. Consequently, its RF

emissions are very low and are unlikely tointerfere with any adjacent electrical device.

CISPR 11 RF emissions Class B

The Compex Performance is suitable for use inany establishment, including a private dwelling

and a place connected directly to the lowvoltage mains supply which powers residential

buildings.

Harmonic emissionsIEC 61000-3-2 Not applicable

Voltage fluctuations/

emission oscillationsIEC 61000-3-3

Not applicable

The Compex Performance is intended for use in the electromagneticenvironment specified below. The customer or user of the Compex

Performance should ensure that it is used in this environment.

RECOMMENDATIONS AND DECLARATION BY THE MANUFACTURERCONCERNING ELECTROMAGNETIC EMISSIONS


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0.01 0.12

0.1 0.38

1 1.2

In the case of transmitters whose maximum output power is not shown in the table above, therecommended spacing of d metres (m) can be calculated using the appropriate equation for thetransmitter frequency, where P is the maximum output power of the transmitter in watts (W) as

set by the transmitter manufacturer.

The Compex Performance is designed for use in an electromagneticenvironment in which radiated RF waves are controlled. The buyer or user of

the Compex Performance can contribute to preventing electromagneticinterference by maintaining a minimum distance between RF portable and

mobile communication appliances (transmitters) and the CompexPerformance according to the table of recommendations below andaccording to the maximum output power of the telecommunication

appliance.

RECOMMENDED SPACING BETWEEN A PORTABLE AND MOBILECOMMUNICATION APPLIANCE AND THE COMPEX PERFORMANCE

NOTE 1: At 80 MHz and at 800 MHz, the spacing for high frequency amplitude is applied.

NOTE 2: These guidelines may not be appropriate for somesituations. Electromagnetic wave propagation is modified by

absorption and reflection due to buildings, objects and persons.

0.12 0.23

0.38 0.73

1.2 2.3

10 3.8

100 12

3.8 7.3

12 23

Maximum transmitteroutput power W From 150 kHz to

80 MHz d = 1.2 PP

From 80 MHz to800 MHz d = 1.2 PP

From 800 MHz to2.5 GHz

d = 2.3 PP

Spacing according to the frequency of the transmitter mCISPR 11


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The Compex Performance is designed for use in the electromagneticenvironment stipulated below. The buyer or user of the Compex

Performance must ensure it is used in this recommended environment.

RECOMMENDATIONS AND DECLARATION BY THE MANUFACTURER -

NOTE: VT is the AC supply voltage before application of the testlevel.

Immunity test Test level IEC 60601

Electrostatic discharge (DES)IEC 61000-4-2

± 6 kV at the contact± 8 kV in air

Rapid electrical transients inbursts of noiseIEC 61000-4-4

± 2 kV for power supplylines

± 1 kV for input/output lines

Surge currentsIEC 61000-4-5

± 1 kV differential mode± 2 kV common mode

Voltage trough, short powercuts and voltage variations on

power supply input linesIEC 61000-4-11

< 5% VT (trough > 95% ofVT) for 0.5 cycle

< 40% VT (trough > 60% ofVT) for 5 cycles

< 70% VT (trough > 30% ofVT) for 25 cycles

< 5% VT (trough > 95% ofVT) for 5 seconds

Observance level

± 6 kV at the contact± 8 kV in air

Not applicable System battery-powered



Magnetic field at mainsfrequency (50/60 Hz)

IEC 61000-4-83 A/m


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- ELECTROMAGNETIC IMMUNITY


Electromagneticenvironment - recommendations

Floors must be wood, concrete or ceramic tiles. If floors are covered with synthetic material,the relative humidity must be maintained at a minimum of 30%.

The quality of the power supply should be that of a typical commercial or hospital environment.

The quality of the power supply should be that of a typical commercial or hospital environment.

The quality of the power supply should be that of a typical commercial or hospital environment. Ifthe Compex Performance user requires continuous operation during mains power cuts, we

recommend that the Compex Performance is powered by a UPS or a battery.

Magnetic fields at the mains frequency should be at the level of a representative site located ina typical commercial or hospital environment.


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RECOMMENDATIONS AND DECLARATION BY THE MANUFACTURER


Immunity test Test level IEC 60601

RF immunity

IEC 61000-4-6

3 Vrms

150 kHz to 80 MHz

Radiated RF

IEC 61000-4-3

3 V/m 80 MHz to 2.5 GHz

10 V/m 26 MHz to 1 GHz

Observance level

Signal linesNot applicable for power

supplies of devices which arebattery-powered

3 A/m

10 V/m

NOTE 1: From 80 MHz to 800 MHz, the spacing for high frequency amplitude is applied. NOTE 2: These guidelines may not be appropriate for some situations.

a The field intensity from fixed transmitters, such as radio telephone base stations(cellular/wireless) and a mobile radio, amateur radios, AM and FM radio emissions and TV

emissions cannot be predicted with any accuracy. It may therefore be necessary to consider ananalysis of the electromagnetic environment of the site to calculate the electromagnetic

environment coming from RF fixed transmitters. If the field intensity measured in theenvironment where the Compex Performance is located exceeds the appropriate RF observance

level above, the Compex Performance should be monitored to ensure it is operating properly.


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- ELECTROMAGNETIC IMMUNITY


Electromagneticenvironment - recommendations

Portable and mobile RF communication devices must only be used relative to the CompexPerformance and its wiring at a distance which is not less than the spacing recommended and

calculated using the appropriate equation for the transmitter’s frequency. Recommendedspacing

d = 1.2 PP

d = 1.2 PP 80 MHz to 800 MHz

d = 2.3 PP 800 MHz to 2.5 GHz

Where P is the maximum output power of the transmitter in watts (W) set by the manufacturer’sspecifications and where d is the recommended spacing in metres (m). The field intensity of RF fixedtransmitters, as determined by an electromagnetic survey a must be less than the observance level

to be found in each frequency range b.

Interference may occur close to any appliance identified by the following symbol:

Electromagnetic wave propagation is modified by absorption and reflection due to buildings,objects and persons.

In the event of abnormal operation, new measures may then be imposed, such as realignmentor movement of the Compex Performance.

b Above the frequency amplitude from 150 kHz to 80 MHz, the field intensity must be< 3 V/m


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