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PROTOCOL / CLINICAL INDICATION
STIMULATION PARAMETERS
45.4KHz, 62.5KHz, and 83.3KHz
INFRARED THERAPY
50% DF 1 min per frequency
Temporary relief of pain, muscle spasm,
Cycles through all frequencies
stiffness and increase local blood circulation.
continuously during the treatment
PADS SENSORY
5000Hz – 80/120 BPS Continuous
Vector OFF
Symptomatic relief of pain from localized
Treatment time of 15 minutes
dermatome or segmental origin.
PADS MOTOR
2500Hz – 2/6 BPS continuous
Vector OFF
Symptomatic relief of pain with inflammation, and
pain of generalized or multisegmental nature.
Treatment time of 15 minutes
PADS SENSORY-MOTOR
5000Hz – 100/2 BPS continuous
Symptomatic relief of pain with inflammation,
Treatment time of 30 minutes
pain of local, generalized single or multi-
segmental nature.
PADS MOTOR-SENSORY
5000Hz – 15/2/100 BPS continuous
Symptomatic relief of pain with inflammation,
and pain of local generalized, single or multi
Treatment time of 30 minutes
segmental nature.
PADS SEQ MOTOR-SENSORY
5000Hz – 2/15/100 BPS continuous
Symptomatic relief of pain with inflammation,
Treatment time of 30 minutes
pain of local, generalized single or
multisegmental nature.
PADS NERVE BLOCK
5000Hz Continuous
Symptomatic relief of pain from localized
Treatment time of 15 minutes
dermal or segmental origin.
PROBE SENSORY
5000Hz - 80/120 BPS continuous
Symptomatic relief of pain from localized
Treatment time of 60 sec
dermatome or segmental origin.
PROBE MOTOR
5000Hz – 4/13 BPS continuous
Symptomatic relief of pain with inflammation, and
Treatment time of 60 sec
pain of generalized or multisegmental nature.
PROBE NOXIOUS
Pulsed DC 4 Hz continuous +/-
Symptomatic relief of chronic and acute pain
Polarity
with inflammation, and pain of generalized or
Treatment time of 60 sec
multisegmental nature.
PROBE NERVE BLOCK
5000Hz Continuous
Symptomatic relief of pain from localized
Treatment time of 60 sec
dermal or segmental origin
OPERATIONAL SEQUENCE (Infrared)
Press INFRARED button until screen reads "INFRARED THERAPY"
Press START / STOP once to activate the treatment timer.
T15 will display in upper right corner.
Adjust treatment time if necessary using the TIME/PARAMETER button.
The treatment will end at the preset time or if the safety switch is pressed.
MODES OF OPERATION: Protocol reference sheet
PROTOCOL APPLICATION
Reference Sheet
MECHANISM OF ACTION
Mild to moderate heat from the IR Therapy pad, and photo stimulation effects on tissue
increase circulation and reduce pain and muscle spasm.
Sensory stimulation activates A-beta fibers causing the release of spinal Enkephalin
and Dynorphin to block pain at the segmental level (Gate Control). Duration of relief is
typically from 30 min to 2 hrs. Fast onset of relief usually within 20 minutes.
Motor level stimulation activates motor and A-delta fibers causing the release of
Bendorphin systemically. Duration of relief is typically from 2-6 hours. Slow Onset of
relief usually within 30 minutes to 1 hour.
Combines sensory and motor stimulation. Starts with sensory and ends with motor.
Less aggressive protocol. Duration of relief is typically from 2-6 hours. Faster onset of
relief usually within 20 minutes.
Combines motor and sensory stimulation. Starts with motor and ends with sensory.
More aggressive protocol. Duration of relief is typically from 2-6 hours. Slower onset of
relief usually within 30 minutes.
Combines motor and sensory stimulation. Starts at 2 Hz for 15 sec, 15 Hz for 15 sec
then 100Hz for 15 sec. The cycle repeats continuously during operation. Duration of
relief is typically from 2-6 hours. Faster onset of relief usually within 20 minutes.
Block pain by causing temporary nerve block via reactive depolarization (Conduction
block) of the pain signal to the spinal input. Also known as Wedensky Inhibition.
Duration of relief is typically from 1-2 hours. Fast onset of relief during treatment.
Sensory stimulation activates A-beta fibers releasing spinal Enkephalin and Dynorphin
to block pain at the segmental level (Gate Control). Duration of relief is typically from 30
min to 2 hrs. Fast onset of relief during treatment.
Motor level stimulation activates motor and A-delta fibers causing the release of
Bendorphin systemically. Duration of relief is typically from 2-6 hours. Fast onset of
relief during treatment.
Noxious level stimulation activates C and A-delta fibers causing the release of
Bendorphin systemically and triggering descending inhibition from the brainstem.
Duration of relief is typically from hours to days. Fast onset of relief during treatment.
Block pain by causing temporary nerve block via reactive depolarization (Conduction
block) of the pain signal to the spinal input. Also known as Wedensky inhibition.
Duration of relief is typically from 1-2 hours. Fast onset of relief during treatment.
OPERATIONAL SEQUENCE (Infrared + Stimulation)
Press selected Modality button until screen displays desired Protocol
Press START / STOP and treatment time will display in upper right corner.
Set Outputs A and B to obtain desired sensation per Application Technique.
Adjust treatment time if necessary using the TIME/PARAMETER button.
The treatment will end at the end of the preset time or if the safety switch is pressed.
APPLICATION TECHNIQUE
Target tissue - superficial and deep. Apply over or through the painful area or over the
involved spinal segments. Apply over the incision for post op pain management. Set
treatment time to 15 minutes for sub-acute to chronic, 7 minutes for acute.
Target tissue - superficial and deep. Bilateral bipolar or quadripolar through the painful
area or over the involved spinal segments. Apply parallel to incision line for post op pain
management. Set intensity to elicit a pleasant tingling sensation, just below muscle
contraction.
Target tissue - superficial and deep. Bipolar placement over local and distal acu / trigger
points; quadripolar placement over area of local pain; or quadripolar placement at spinal
segment. Set intensity to elicit a moderate motor twitch.
Target tissue - superficial and deep. Bipolar placement over local and distal acu / trigger
points; quadripolar placement over area of local pain; or quadripolar placement at spinal
segment. Set intensity to elicit a strong tingling sensation just below muscle contraction.
Target tissue - superficial and deep. Bipolar placement over local and distal acu / trigger
points; quadripolar placement over area of local pain; or quadripolar placement at spinal
segment. Set intensity to elicit a moderate motor twitch.
Target tissue - superficial and deep. Bipolar placement over local and distal acu / trigger
points; quadripolar placement over area of local pain; or quadripolar placement at spinal
segment. Set intensity to elicit a moderate muscle twitch.
Target tissue - superficial and deep. Bipolar placement over local nerve. Quadripolar
placement over area of local pain. Quadripolar placement at spinal segment. Set intensity
to elicit a numb gripping sensation, just below muscle contraction.
Target tissue - superficial and deep. Monopolar placement over local and distal acu / trigger
points and over area of local pain. Set intensity to elicit a strong sensory - tingling
sensation.
Target tissue - superficial and deep. Monopolar placement over local and distal acu / trigger
points or over area of local pain. Set intensity to elicit a strong pulsing or just visible muscle
twitch based on patient tolerance. Increase as adaptation occurs during point stimulation.
Target tissue - superficial and deep. Monopolar placement over local and distal acu /
trigger points or over area of local pain. Set intensity to elicit a strong pulsing or hot needle
sensation based on patient tolerance. Increase as adaptation occurs during point
stimulation.
Target tissue - superficial and deep. Monopolar placement over local acu / trigger points or
over area of local pain. Set intensity to elicit a numb gripping sensation.
Increase as adaptation occurs during point stimulation.
OPERATIONAL SEQUENCE (Probe)
Press selected Modality button until screen displays the desired Protocol
Locate the acu/trigger point using palpation and impedance measurement
Press START / STOP on the probe and T60 will display in upper right corner of the display.
Set Output using the probe controls to obtain the desired sensation per Application Technique.
Adjust treatment time if necessary using the TIME/PARAMETER button.
The treatment will end in 60 seconds or if the start/stop switch is pressed.
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