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GLOBUS
ELECTROSTIMULATION
User guide
1
Rev. 11.2014

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  • Page 1 GLOBUS ELECTROSTIMULATION User guide Rev. 11.2014...
  • Page 2 Rev. 11.2014...

  • Page 3: Table Of Contents

    THE ELECTROSTIMULATION........................... 5 Types of muscle ................................5 The mechanism of the muscle contraction ........................5 Isotonic and isometric contractions ..........................6 ............6 CLASSIFICATION OF THE DIFFERENT TYPES OF MUSCLE FIBERS The distribution of the different types of fibers in the muscle..................7 Chronaxy and reobase ..............................
  • Page 4 G-PULSE TREATMENTS (only in Activa, Fit&Beauty and Swing) ................. 51 Operating mode:................................52 The recommended accessories to carry out the 3S sequential drainage programs ............53 ........................... 53  Conductive bands ............................54  “Fast band” .............................. 54  “Fast pad” ............................

  • Page 5: The Electrostimulation

    THE ELECTROSTIMULATION The electrostimulation does not want to replace physical activity but it must be considered as an additional treatment to it. According to the aims, it will be useful: - To sportspeople, in order to complete the normal training and to increase performances - To those who want to treat some imperfections - To those who suffer from some pathologies - To those who have suffered from a trauma or in the rehabilitation.

  • Page 6: Isotonic And Isometric Contractions

    The muscle contracts in the following way: when a person decides to make a movement, his/her brain automatically elaborates the information needed and it creates a signal that, through the nervous system, transmits an electric impulse to the muscle that has to move. After the reception of the impulse, the anatomic structures of the muscle contract causing the desired movement.

  • Page 7: The Distribution Of The Different Types Of Fibers In The Muscle

    These fibers are to be considered intermediate between the I type fibers and the IIb type fibers; they are innervated by a phasic motoneuron that has a faster speed than the one of the tonic motoneuron. Thanks to their features, they can specialize by addressing them towards more aerobic or anaerobic metabolic properties.

  • Page 8: Chronaxy And Reobase

    In order to make a tissue pass from the phase of rest to the one of excitation by means of an induced electrical stimulus (impulse of the electrostimulator), some factors have to be considered: - the stimulation intensity - the duration of the stimulation that must be adapted to the body district that is wanted to be stimulated.

  • Page 9: Impulse Parameters

    Body Part Chronaxy μs Thigh μs Lower trunk μs Upper trunk μs μs Forearm μs Table of the values of chronaxy of the different body parts Impulse parameters Recent researches have explained that the muscle contracts in various ways according to the type of stimulation it has received and according to the parameters that characterize it: intensity, frequency, amplitude of the impulse, duration and recovery time.

  • Page 10: Stimulation Intensity

    The amplitude is the duration value of the impulse. It is measured in microseconds and represents the chronaxy value of the motor nerve that innervates the muscle to be treated. EXAMPLE: 150-250 ms Upper limbs 350-450 ms Lower limbs 250-350 ms Trunk The intensity is the value of the electrical current that can be set by the user and it is measured in mA (microampere).
  • Page 11 From 10 mA to 20 mA Moderate Intermediate From 30 mA to 40 mA Above 30 mA Elevated At the maximum level of tolerance, but below the pain Maximum threshold In the descriptions of the treatments, the best levels of intensities are recommended. NOTE: The recommended levels of current are only indicative.

  • Page 12: Stimulation Type

    Stimulation type Globus electrostimulators offer different stimulation modes: continuous, intermittent, frequency modulation, amplitude modulation and BIO-PULSE®.  Continuous stimulation It consists in a continuous stimulation without times of recovery all the phase long. This type of stimulation is generally used, in order to execute treatments of warm up and cool-down at low frequency (with TENS currents) or for antalgic treatments.
  • Page 13  BIO PULSE stimulation It must be considered a true and proper Globus innovation (studied in collaboration with some Italian and foreign Universities). It consists in a particular type of modulation of the amplitude of the impulse and of the stimulation frequency, too.

  • Page 14: Programming

    PROGRAMMING In the most of Globus electrostimulators there is a function that enables the user to set the programs in a very specific way and according to the current needs. The personalized work can create a very specific training and a rapid achievement of the proposed results inn sport field and rehabilitation, fitness and in beauty field.

  • Page 15: Diagram Of The Programming Of The Ems Currents

    Diagram of the programming of the EMS currents * With the term “Tens burst” in the stimulation during the rest, we mean a burst constant, that is a constant current in the form of brief impulse packages. Diagram of the programming of the TENS currents Rev.

  • Page 16: Diagram Of The Programming Of The Denervated Currents

    Diagram of the programming of the DENERVATED currents Diagram of the programming of the KOTZ currents Diagram of the programming of the INTERFERENTIAL currents Diagram of the programming of the MICROCURRENT currents Rev. 11.2014...

  • Page 17: Practical Applications

    PRACTICAL APPLICATIONS Use in sport field Different kinds of strength exist and they are measured in different ways. The maximum development of strength is the absolute strength, without considering the body weight; instead when the body weight is considered, we are talking about the relative strength.

  • Page 18: Anti-Cellulite Treatment

    If the cellulite on hips is a feminine problem, love handles are instead almost exclusively a man problem. Both are difficult to tackle; gym, diet, aerobic work, and more, often permit to obtain only mediocre results. Electrostimulation can contribute in an effective way to treat this skin flaw because, being a localized treatment, it acts directly on the problem.

  • Page 19: The Lymphatic Drainage

     The lymphatic drainage Together with the blood, the lymph represents the means by which the interstitial liquid give and receive nutrients, refusal and regulation substances (hormones) that are needed to maintain the integrity and the cell functionality. Compared with blood, lymph is not pushed by the cardiac activity, but it flows in the vessels because of the muscle action.

  • Page 20: Specific Face Treatment

     Specific face treatment The electrostimulation is effective to recover and maintain the skin elasticity as it reactivates the local circulation bringing new nourishments to the tissues. The microlifting programs, specific for face, need specific electrodes of reduced dimensions in order to involve only the interested musculature Applications in rehabilitation After a force immobilization due to a musculoskeletal trauma, it is very important to recover the...

  • Page 21: The Mens Microcurrents

    of a nerve and the start of another. When an electric signal reaches the end of a nerve, it produces some substances called neurotransmitters that pass through the synapse and activate the start of the next nerve. This process repeats for all the way needed to the signal to reach the brain. The drugs (opioids) involved in the pain reduction have the task to insinuate in the synapse space and to impede the neurotransmitter propagation.
  • Page 22 Many studies are possible with MENS as its stimulation is not discernible by the patient. Lerner and Kirsch conducted experiments on 40 patients with chronic low back pain in which patients were randomly allocated to a MENS treatment group and a placebo group that was hooked up to dummy MENS units that provided no electrostimulation.

  • Page 23: Ionophoresis

    Whereas phase 1 offers rapid pain relief, phase 2 promotes ATP production and protein synthesis to accelerate tissue recovery, providing basic healing. These two phases are executed in succession with phase 2 following immediately after phase 1. Treatment duration ranges from 15 to 30 minutes in phase 1 and from 5 to 10 minutes in phase 2 (5 minutes standard).
  • Page 24 In presence of a traumatic lesion of the peripheral nerves, the measure of the chronaxy fosters to establish whether the denervation is insufficient, partial or total. The aim of an excitomotor treatment is the preservation of the trophism and the limitation of the muscular sclerosis in order to foster the muscle to be as functional as possible by the end of the reinnervation process that can sometimes last some months.

  • Page 25: Interferential Currents

    Stimulation time  Interferential currents The interferential current is a sinusoidal current alternated to medium frequencies (2500 Hz, 4000 Hz, or 10000 Hz), modulated in amplitude, characterized by a high ability to penetrate tissues and by an optimal tolerability, even in particularly sensitive patients. The analgesic action of bipolar interferential currents, with frequency of modulation included between 0 and 200 Hz, is connected to the mechanism of the gate control (peripheral block of the pain transmission) and to the stimulation of the inhibitory mechanism.
  • Page 26 Clinical applications Muscular electrostimulation with Russian currents is mainly indicated for treatment of muscular hypertrophy, for increasing muscle mass programs and to treat idiopathic scoliosis. Compared to other low frequency excitomotor programs (e.g. rectangular biphasic and faradic), Russian currents programs offer better muscle recruitment and a deep action, since the skin offers less resistance to these frequencies.

  • Page 27: Program List"Sport

    PROGRAM DESCRIPTION In this chapter we offer a brief description of the main programs in our electrostimulators. NOTE. The program list is different for every model. To verify the programs in your electrostimulators please refer to the user manual or to the device. PROGRAM LIST“SPORT”...
  • Page 28 Active recovery Program effects Indications for use Time and intensity It favors the recovery from This program 1 PHASE: 20' muscle fatigue after a training or recommended for all sports. Recommended intensity: competition, in order to face the immediately after intermediate next training in better conditions.
  • Page 29 Explosive strength Program effects Indications for use Time and intensity It increases the ability to quickly Use after completing a work 1 PHASE: 5' exert the required strength level. cycle for maximum strength. 2 PHASE: 10 The aim is to use the maximum Recommended in all sports Recommended intensity:...
  • Page 30 Post-competition recovery Program effects Indications for use Time and intensity It favors the recovery from Recommended for all sports, 1 PHASE: 20' muscle fatigue after as it improves the ability to Recommended intensity: competition, allowing you to quickly recover after intermediate face the next training in better competition.
  • Page 31 PROGRAM LIST “FITNESS-PHYSICAL SHAPE” Firming Program effects Indications for use Time and intensity program firms The starting program for those 1 PHASE: 20' musculature of sedentary people who decide to improve their Recommended intensity: and it prepares muscles for more aspect and physical shape.
  • Page 32 Toning Program effects Indications for use Time and intensity improves quality Indicated for subjects who 1 PHASE: 15' muscular tone favoring already have good muscle Recommended intensity: atrophy different muscle mass. recommended High districts. frequency is three sessions per Electrode placement: 1-2-3-4- week.
  • Page 33 Jogging Program effects Indications for use Time and intensity It improves microcirculation and Ideal replace jogging 1 PHASE: 15' the oxygen supply to the blood. activity when it is not possible 2 PHASE: 15' Therefore, muscle endurance and to train, for example, due to an Recommended intensity: aerobic capacity will increase.
  • Page 34 PROGRAM LIST “BEAUTY-AESTHETIC” Drainage Program effects Indications for use Time and intensity carries deep Indicated in case of swollen 1 PHASE: 20 micromassage that activates limbs, or water retention. It Recommended intensity: venous and lymphatic systems by can be used also every day, low-intermediate favoring liquid drainage, toxin until obtaining the desired...
  • Page 35 Toning massage Program effects Indications for use Time and intensity It stimulates vasodilation by Indicated for those who desire 1 PHASE 20', reactivating cellular processes, a smooth and compact skin. Recommended intensity: accelerating tissue regeneration Perfect for preventing stretch low-intermediate and favoring a good muscle marks.
  • Page 36 Breast programs Program effects Indications for use Time and intensity It improves and tones muscles Indicated for women who 1 PHASE : 20' that support breast. want to lift up the breast. Start Recommended intensity: with breast firming Intermediate program for the first 15/20 Electrode placement: 50 sessions and then, if desired, use the breast toning program...
  • Page 37 PROGRAM LIST “PAIN ANTALGIC – TENS” Attention! The TENS programs reduce the pain but they do not eliminate the cause. If the pain continues, please consult the doctor. Conventional antalgic tens Program effects Indications for use Time and intensity It uses the mechanisms of the It can be used every time you Time: 30' nervous system to reduce both the...
  • Page 38 Pad placement for Tens treatments Here you find the Tens programs of our Globus electrostimulators with their respective pad placement. If you want to know the programs of your model please see the manual of the product. Program name Electrode placement...

  • Page 39: Program List "Microcurrents

    PROGRAM LIST ”MICROCURRENTS” Energetic muscle restoration Program effects Indications for use Time and intensity This program offers a rapid APT Ideal for all sportspeople, it Time: two phases 10’ + 10’ integration at muscular level that can be used at the end of the Electrode placement: 61, 62, favors the recovery in a short training sessions, in order to...
  • Page 40 Sciatica, lumbago Program effects Indications for use Time and intensity The program is ideal for those It should be carried out every Time: two phases 10’ + 10’ who suffer from lumbar pain and day until eliminating the pain. Electrode placement: 57, 69, sciatica.

  • Page 41: Program List Rehab

    PROGRAM LIST REHAB NOTE: The indications for use of Rehab programs have been taken from the scientific literature of electrotherapy in rehabilitation field. For personalized indications and protocols, please follow the advice of your physician or physiotherapist. Vastus medialis and quadriceps reinforcement Program effects Indications for use Time and intensity...
  • Page 42 Post ACL recovery Program effects Indications for use Time and intensity It favors the muscle tone recovery Indicated during 1 PHASE: 15’ of thighs and legs, according to reeducation after knee Recommended Intensity: specific parameters that, even not ligament reconstruction. The try to work at the maximum overcharging muscle...
  • Page 43 Hemiplegia-Lower limbs Program effects Indications for use Time and intensity The effects of this stimulation, improve flexor- 1 Phase: 10’ for lower limbs called also (Functional extensor movement of the (feet) electrical stimulation), have the foot, place the electrodes on Recommended intensity: aim to improve the voluntary the anterior tibial muscle.
  • Page 44 muscle spasms. It is important to carry out these programs under the physiotherapist or physician’s control. Stress incontinence Program effects Indications for use Time and intensity The stress incontinence consists The program must be used 1 PHASE: 20’ in urine leakages when sneezing, with specific vaginal...

  • Page 45: Program List Prevention (Available On Genesy Sii-Elite Sii)

    PROGRAM LIST PREVENTION (available on Genesy SII-Elite SII) Prevention programs Program effects Indications for use Programs and electrode placement (see the pictures) The prevention programs intend The reathletization programs - Ankle prevention (4-8) support preparation are indicated for muscle - Knee prevention (6-7) physical conditioning for the recovery and strengthening - Quadriceps muscle prevention (6-...

  • Page 46: Program List Special Sports

    PROGRAM LIST SPECIAL SPORTS Soccer Program effects Indications for use Time and intensity These programs are especially Indicated for soccer players Time intensity vary intended to improve the specific who want to improve their according to the program you conditional abilities of soccer and specific conditional abilities are using.
  • Page 47 Cycling Program effects Indications for use Time and intensity It improves the ability to maintain These programs are indicated to Time intensity vary the effort for an extended period of train strength and strength according to the program you time. The training programs for the endurance those are using.
  • Page 48 harmonious and more precise A special attention has been the intensity must be low- movement. paid to strengthen the deltoid intermediate. muscle, with three-stage progression according to the preparation level. Swimming Program effects Indications for use Time and intensity It permits to train the swimmer’s Indicated for swimmers who Time intensity...
  • Page 49 Volleyball Program effects Indications for use Time and intensity The specific volleyball programs We suggest carrying out the Time intensity vary intend to improve the strength maximum strength program at according to the program you expressions used in this sport, that the beginning of the athletic are using.
  • Page 50 using the speed endurance 2 program. Triathlon Program effects Indications for use Time and intensity These programs permit to train the suggest using these Time intensity vary musculature to bear at best the programs progressively, according to the program you prolonged and intense efforts, by starting with...

  • Page 51: G-Pulse Treatments (Only In Activa, Fit&Beauty And Swing)

    G-PULSE TREATMENTS (only in Activa, Fit&Beauty, Triathlon and Swing) These are treatments using microcurrents to treat wrinkles, stretch marks and skin flaws. Starting from the age of thirty, the metabolism starts to slow and progressively alter the natural renewal process of skin cellular tissues. The even more minor metabolic activity leads to a decrease in the skin thickness, to a thickening of the elastic fibers and to an alteration of the collagen, with an increase in the fibrotic...

  • Page 52: Operating Mode

    “3S” SEQUENTIAL DRAINAGE The “3S” programs simulate a real sequential drainage. The “3S” programs are characterized by an activation delay of the channels 3 and 4 compared with the channels 1 and 2. The Serial Sequential Stimulation permits to stimulate the musculature in kinetic chain thanks to the differentiated activation times of the muscular groups involved.

  • Page 53: The Recommended Accessories To Carry Out The 3S Sequential Drainage Programs

    After selecting the 3S Serial Sequential Stimulation program list, you will find a list of programs indicating the delay time of the channels 3 and 4 compared with channels 1 and 2. In some stimulators you will have the possibility to choose also the area to be treated and the frequency ( Hertz).

  • Page 54: Fast Band

     “Fast band” The “Fast band” is a special band intended to easily stimulate the muscles of the abdomen and glutei. Used together with the beauty programs, it permits to carry out massages and drainage with the maximum comfort. The band should be always used by covering the conductive parts with the specific gel (or by dampening it in water).
  • Page 55 CALFS - THIGHS It is necessary a “Fitness Top” kit of 8 conductive elastic bands Instructions: Immerse the conductive bands in water and wrap up them around thighs and calves as indicated in the picture. Connect the electrodes as shown in the picture. ...

  • Page 56: The Action Now Programs

    GLUTEI – ABDOMEN It is necessary a “Fast pad” kit and a “Fast band” kit. CH 3 CH 4 CH 1 CH 2 Instructions: Place the gel on the Fast band and on the Fast pad and wear them as shown in the picture. Connect the electrodes as shown in the picture.
  • Page 57 program, you can combine the leg extension phase by pressing the * button and stop it or not until the contraction ends and the rest starts. The Action Now program list can vary from a stimulator to another. The most complete list is shown below: Program name Ramp-Up time in seconds...

  • Page 58: Personal Trainer

    PERSONAL TRAINER Use suggestions for the main programs Below we report a brief guide organized in sectors (sport, beauty and fitness). Each sector contains information and advice on the working cycle and the electrode placement for each objective. This guide is an useful tool for those who desire to reach high level results, even not being able to consult a personal trainer or a sport trainer.
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  • Page 65 EXERCISES TO BE COMBINED WITH THE STIMULATION SUGGESTIONS EXERCISES TO BE COMBINED WITH THE STIMULATION SUGGESTIONS EXERCISES TO BE COMBINED WITH THE STIMULATION SUGGESTIONS Rev. 11.2014...
  • Page 66 EXERCISES TO BE COMBINED WITH THE STIMULATION SUGGESTIONS EXERCISES TO BE COMBINED WITH THE STIMULATION SUGGESTIONS EXERCISES TO BE COMBINED WITH THE STIMULATION SUGGESTIONS Rev. 11.2014...
  • Page 67 SUGGESTIONS ELECTRODE PLACEM. EXERCISES TO BE COMBINED WITH THE STIMULATION SUGGESTIONS EXERCISES TO BE COMBINED WITH THE STIMULATION SUGGESTIONS Rev. 11.2014...
  • Page 68 EXERCISES TO BE COMBINED WITH THE STIMULATION SUGGESTIONS EXERCISES TO BE COMBINED WITH THE STIMULATION SUGGESTIONS EXERCISES TO BE COMBINED WITH THE STIMULATION SUGGESTIONS Rev. 11.2014...
  • Page 69 EXERCISES TO BE COMBINED WITH THE STIMULATION SUGGESTIONS EXERCISES TO BE COMBINED WITH THE STIMULATION SUGGESTIONS EXERCISES TO BE COMBINED WITH THE STIMULATION SUGGESTIONS Rev. 11.2014...
  • Page 70 EXERCISES TO BE COMBINED WITH THE STIMULATION SUGGESTIONS EXERCISES TO BE COMBINED WITH THE STIMULATION SUGGESTIONS EXERCISES TO BE COMBINED WITH THE STIMULATION SUGGESTIONS Rev. 11.2014...

  • Page 71: Electrode Placement

    ELECTRODE PLACEMENT The correct electrode placement and the correct choice of their size are critical aspects for the electrostimulation to be effective. To choose the size of the electrodes and as for their placement it is necessary to refer to the images at the end of this guide.
  • Page 72 ELECTRODE PLACEMENT Rev. 11.2014...
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  • Page 84: Bibliography

    Bibliography Albright B., Yugo D. (1985) Quadriceps muscle strength gains utilising electrical stimulation. Phys Ther 65 : 696. Alon G., Mc Combe S.A., Koustantonio S., Stumphauser L.J., Burgwin K.C. Parent M.M., Boswoth R.A. (1987) Comparison of the effect of electrical stimulation and exercise on abdominal musculature.
  • Page 85 Garnett R.; Stephens J.A. Changes in the recruitment threshold of motor units produced by cutaneous stimulation in man. J Physiol. (London), 1981, 311: 463-473. Häkkinen K., Komi P. V. (1983) Alterations of mechanical characteristics of human skeletal muscles during strength training. Eur J Appl Physiol. 50: 161-172. Hartsel H.
  • Page 86 Solomonow M. External control of the neuromuscular system. IEEE Trans. Biomed. Eng, 1984, 31: 752-763. Soo C. L., Currier P., Threlded A. J. (1988) Augmenting voluntary torque of healthy muscle by optimisation of electrical stimulation: Phys Ther. 3: 333-337. Willoughby D. S., Simpson S (1996) The effects of combined electrostimulation and dynamic muscular contractions on the strength of college basket Ball players.
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