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Rehabmart UStim User Manual

Neuro muscular electrical stimulation unit
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UStim
Neuro Muscular Electrical
Stimulation Unit
Manufactured for:
Pain Management Technologies
User's manual
Rev. 2 ( 10/ 19 / 201 2 )

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Summary of Contents for Rehabmart UStim

  • Page 1 UStim Neuro Muscular Electrical Stimulation Unit Manufactured for: Pain Management Technologies User’s manual Rev. 2 ( 10/ 19 / 201 2 )

  • Page 2: Table Of Contents

    2. Muscular Stimulation techniques with EMS ........ 5 3. Contraindications..... 18 4. Instructions for Use ....20 5. Practical use of UStim ... 28 6. Starting a session ....33 7. Specifications ......42 8. Placement of Electrodes ..46 9.

  • Page 3: Introducing Ems

    USTIM - User’s manual Rev. 2(10/19/2012) 1. Introducing EMS E.M.S. stands for Electrical Muscle Stimulation. Following pain management, stimulated muscular contraction is the next most popular application of electro-therapy. After many years, E.M.S. has been used treat prevent localized muscular hypotony,in the rehabilitation field.
  • Page 4 How USTIM can help you? If you need to recover the muscular tone of a defined area of your body, after a period of immobility, USTIM can help you. If you need to regain your shape, but you don’t have enough time for regular exercise, USTIM can help you.
  • Page 5 USTIM dealer. Note: repeated treatment sessions and only our authorized service agents over an extended period of time. should carry out Repairs of the USTIM units. Exclusion: The batteries and electrode pads are not considered covered by this warranty.

  • Page 6: Muscular Stimulation Techniques With Ems

    USTIM - User’s manual Rev. 2(10/19/2012) 2. Muscular Stimulation Electrodes maintenance techniques with EMS The electrodes supplied with unit are self-adhesive and can be used At the first approach of muscular several times, by the same patient. electro stimulation, most...
  • Page 7 USTIM - User’s manual Rev. 2(10/19/2012) GENERAL INFORMATION The wave shape Statement: This unit is FDA To obtain a stimulated muscular approved, and according to the FDA contraction, obliged regulations, it is classified a Medical produce a depolarization of one or Device class IIa.
  • Page 8 USTIM - User’s manual Rev. 2(10/19/2012) Different types of biphasic pulses could be generated: In the drafts below, we can see pictures of PRESET programs the biphasic symmetrical pulses and ® P14 - EXPLOSIVE FORCE 1(under USTIM the biphasic alternated pulses.
  • Page 9 P9 - FORCE + RESISTANCE metabolism, and fast fibers characterized anaerobic ® P10 - FORCE + RESISTANCE (under USTIM metabolism. If we want to stimulate a muscle of which slow fibers are dominant, we have to use low   ...
  • Page 10 USTIM - User’s manual Rev. 2(10/19/2012) 9. Programs loaded in The frequency of pulses can also define electro your USTIM stimulation, passive training. Manual programs Physiological metabolic      characteristics of a muscle, in fact,  F ...
  • Page 11 USTIM - User’s manual Rev. 2(10/19/2012) Example of electrodes placement The Pulse WIDTH over the GLUTEI + WAIST According to scientific research, the most appropriate waveform to get a Wave: ALTERNATED muscular contraction symmetrical biphasic pulse. pulse-width must be such to allow a...
  • Page 12 USTIM - User’s manual Rev. 2(10/19/2012) Example of electrodes placement over the GLUTEI Table 1 - Examples of values (min. and max.) CHRONAXY, statistically Wave: simple BIPHASIC observed on some muscles of a healthy subject. C h r o n a x y C h r o n a x y min.(µsec)
  • Page 13 USTIM - User’s manual Rev. 2(10/19/2012) Example of electrodes placement The four phases of the over the THIGHS electro stimulation The muscular electro-stimulation, as Wave: ALTERNATED well as the voluntary contraction, must foresee an ACTIVATION phase (stimulation), followed by a REST phase (pause).
  • Page 14 USTIM - User’s manual Rev. 2(10/19/2012) Example of electrodes placement criterions selection STIMULATION time and PAUSE over the ABDOMEN + WAIST. time are fairly simple, also if Wave: ALTERNATED necessarily empirical: the higher is the stimulation level, the smaller will be the ACTIVATION phase with...
  • Page 15 USTIM - User’s manual Rev. 2(10/19/2012) Example of electrodes placement The stimulation level over the ABDOMINALS . Mathematical formulas Wave: ALTERNATED determining the optimal level of the electric stimulation don’t exist. The intensity must be suitable to provoke the level of the aimed contraction, but without bother or straight pain for the patient.
  • Page 16 USTIM - User’s manual Rev. 2(10/19/2012) Example of electrodes placement We don’t know if a high level of over the BREAST (pectorals). stimulation, above the subjective Wave: simple BIPHASIC tolerance limit, could be harmful for the muscular or nervous fibers.
  • Page 17 USTIM - User’s manual Rev. 2(10/19/2012) Electrodes positioning We know that an electrical generator for producing a current flow must be “closed” on a load. The load, in the electro stimulation, is represented by the muscle to be stimulated. The...
  • Page 18 USTIM - User’s manual Rev. 2(10/19/2012) Example of electrodes placement The better responding point, in a muscle, is the “motor point”; by over the GLUTEI muscles. stimulating on the motor point that Wave: simple BIPHASIC we can obtain a better muscular recruitment with less energy.

  • Page 19: Contraindications

    USTIM - User’s manual Rev. 2(10/19/2012) Example of electrodes placement 3. CONTRAINDICATIONS over the SPINAL muscles. BEFORE USE PLEASE READ Wave: ALTERNATED THE FOLLOWING: Who shouldn’t use EMS? Do not use USTIM unit under the following circumstances: WARNNINGS!!! (1) During the first 3 months of pregnancy, nor at anytime, on the abdomen during pregnancy.
  • Page 20 USTIM - User’s manual Rev. 2(10/19/2012) Example of electrodes placement Where should electrodes NOT over the DORSAL muscles. be placed? Wave: simple BIPHASIC 1. On the carotid sinuses located at the sides of the neck (Where a doctor feels for a pulse), or over the eyes.

  • Page 21: Instructions For Use

    USTIM - User’s manual Rev. 2(10/192012) 4. INSTRUCTIONS FOR USE Your USTIM unit has been designed to be simple and easy to use yet highly effective. Before use please read all the instructions and ensure that you don’t fall into one of the groups previously mentioned, who shouldn’t...
  • Page 22 USTIM - User’s manual Rev. 2(10/19/2012) Example of electrodes How to assemble your unit placement Assembly of the USTIM unit is very over the PECTORALS. easy and requires only five steps. Wave shape BIPHASIC STEP 1 - BATTERIES: Remove the...
  • Page 23 Remove the pads from the clear plastic shield and position on your body as required. STEP 5- Read section on “Operation of the USTIM Unit”, and decide how to use the unit for the treatment.
  • Page 24 USTIM - User’s manual Rev. 2(10/19/2012) NOTE: AFTER USE Example of electrodes placement over the ABDOMINAL muscles Always ensure that the unit is switched OFF before removing the Wave-shape ALTERNATED electrodes. After use, return the pads to the clear plastic shields. There is no need to separate the unit from the leads and pads.
  • Page 25 USTIM - User’s manual Rev. 2(10/19/2012) Advantage of the USTIM The aim of USTIM is to provide wide treatment options while maintaining or improving the operation friendly to the user. When a non-professional user tries to apply a NMS unit, the first question is: “which is the most suitable program for...
  • Page 26 BUT with black. the easiness of USTIM system (only M1 to M3 are under the USTIM control, while the M0 is totally free). General principles: A special algorithm, built-in the 1.
  • Page 27 USTIM - User’s manual Rev. 2(10/19/2012) Cumulative time recording Innovating features: Press and hold the ”FUNCTION ” Single parameter to be set by the “Prog” keys simultaneously at least user, and automatic setting of any 4 seconds, the display will show the time-based parameters.
  • Page 28 USTIM - User’s manual Rev. 2(10/19/2012) Parameter’s retention NOTE: AFTER USE During the session, you can modify Always ensure that unit one or more parameters of a manual switched OFF before removing the program M0---M3 (except pads. After use, return the pads to the intensity and the session time), the clear plastic shields.

  • Page 29: Practical Use Of Ustim

    USTIM - User’s manual Rev. 2(10/19/2012) 5. Practical use of USTIM The Program LOCK function Operation of the USTIM unit is based Simultaneously press and hold the on few intuitive functions of the and “Lock” keys at least 4 “Prog”...
  • Page 30 USTIM - User’s manual Rev. 2(10/19/2012) RISE-FALL times: 0-5s in steps of Function of key-buttons 0.25s ACTION time: 1-60s in steps of 1s. ON/OFF/P l a y / P a u s e allows switching REST time: 0-60s in steps of 1s.
  • Page 31 USTIM - User’s manual Rev. 2(10/19/2012) PROG Button: allows selecting display. Through the T down program, among the M0 keys you can change it within 6 (totally free) M1-M2-M3 seconds, before it re-assume the (under USTIM original function (pulse width).
  • Page 32 USTIM - User’s manual Rev. 2(10/19/2012) Modify the RISE time frequency in real time, while in use and obtaining the better comfort. The T Buttons: down Press change After having defined the REST time Pulse-width. (or the REST Ch2 time), by pressing...
  • Page 33 USTIM - User’s manual Rev. 2(10/19/2012) it will assume the original function original function (pulse width). (adjusting the pulse-width). The channels Ch1 and Ch2 always The Ch2 REST time work in synchronous way, which is the times of action and pause...

  • Page 34: Starting A Session

    USTIM - User’s manual Rev. 2(10/19/2012) programs, permanently in the manual programs.) 6. Starting a session Once defined the synchronism, by When you select one of the 17 pressing again the FUNCTION key PRESET programs, within 6 seconds, you will select the...
  • Page 35 40-50 Willing develop force, you can attain The ACTION time of whichever program is preset or defined by the 60-70 Hz. USTIM system, it is not required to modify it; nevertheless, you can change it (temporarily in the preset...
  • Page 36 USTIM - User’s manual Rev. 2(10/19/2012) Either the Frequency or the Pulse Resuming the practical width can be whenever changed and operations the changed effect will be immediately Whenever the unit is switched-on, the felt by the user. last used program will be loaded.