Lang English
LangId en
AnyCustom_Prog Custom
AnyCustom_Prog_fullname Custom Programme
AnyCustom_Prog_more This programme allows you to customise your own treatment. You can create treatments ranging from 1 to 5 phases.\nPhases are useful to specify portions of a programme with a specific time duration and type. For example, you can create a 10-minute warm-up with continuous stimulation (phase 1) followed by an EMG game for voluntary training (phase 2).
AnyCustom_Prog_start 1. \\>Make sure the electrodes are suitably placed and well connected before you begin.\\<\n2. \\>Press the START button to begin the first phase and follow the on-screen prompts. You can check the progress of your programme using information on the top header of your screen.\\<\n3. \\>Use the on-screen buttons on the left to skip phases or to return to completed phases.\\<
AnyCustom_Prog_enc Please consider a suitable time schedule for your treatment, so that you can work consistently to achieve your goal.
AnyCustom_Prog_mod Multi-phase customisable programme.
PelvicFloor6 Pelvic Floor (6)
PelvicFloor22 Pelvic Floor (22)
PelvicFloor Pelvic Floor
Rehab25 Rehab (25)
Rehab Rehab
Sports Sports
PelvicFloor_P1 Pain
PelvicFloor_P1_fullname Period Pain using skin electrodes.
PelvicFloor_P1_more Most women experience some form of period pain during their lifetime. The medical term for period pain is dysmenorrhoea.\n\nPeriod pain is usually felt as painful muscle cramps in your lower abdomen, which can sometimes spread to your back and thighs. Sometimes the pain comes in intense spasms, while at other times the pain may be dull but more constant.\n\nThe pain usually starts when your bleeding begins, and normally lasts for 12-24 hours.
PelvicFloor_P1_start Caution! \nYou can use the vaginal probe only when the conditions allow you to: no bleeding, no vaginal infection or inflammation.\n1. \\>You can either use a vaginal electrode or external skin electrodes placed over the lumbo-sacral area on the lower spine. You can use one (probe) or one or two (skin electrodes) channels of stimulation.\\<\n2. \\>If using the vaginal probe, gently place the clean moistened electrode probe into the vagina. Place it firmly to ensure the metal part of the probe is within the vagina. The metal plates of the electrode should face side-ways towards the thighs and the whole surface of the metal plates should make contact with the vaginal wall. Firmly fitted underwear will help to prevent the probe slipping out of place. The most suitable position is laying on a comfortable surface with feet flat on the surface with knees slightly bent and kept together or cross one leg over the other knee for better contact.\\<\n3. \\>Press + to increase intensity until a comfortable stimulation is felt. Do not go above 40 mA, typical level is 10-20 mA. The intensity level must be below the contraction threshold. Focus on muscle relaxation during the treatment.\\<
PelvicFloor_P1_enc Use any time when period pain occurs. Use in moderation. Do not use longer than 6 hours a day.
PelvicFloor_P1_mod Single phase programme with low frequency TENS.
PelvicFloor_P2 Tibialis
PelvicFloor_P2_fullname Tibialis TENS
PelvicFloor_P2_more TENS on tibial nerve is a possible alternative to sacral nerve stimulation, because the neurophysiologic targets might be similar but TENS method is non-invasive and cheaper. Tibial stimulation is also the alternative to vaginal stimulation using the internal vaginal probe.
PelvicFloor_P2_start 1. \\>Place electrodes alongside the tibial nerve. Use one channel only on either leg.\\<\n2. \\>Press + to increase intensity until a comfortable electrical tingling is felt. Don't go above 40 mA, typical level is 10-20 mA. The intensity level must be below the contraction threshold. Focus on muscle relaxation during the treatment.\\<
PelvicFloor_P2_enc Use in moderation. Do not use longer than 6 hours a day.
PelvicFloor_P2_mod Single phase programme with low frequency TENS.
PelvicFloor_P3 Stress
PelvicFloor_P3_fullname Stress Incontinence
PelvicFloor_P3_more Stress Incontinence is also referred as incontinence due to strain and damage on the pelvic floor nerves and muscles that support the bladder. The damage is typically caused by child delivery, weight lifting, coughing, constipation, gynecological surgery, or degenerative changes of the spine. The muscular sagging of the pelvic floor causes the gradual subsidence of the internal organs. As a result the urine leaks at a time of increased pressure on the bladder, when the internal bladder pressure is greater than the force of the urethra valve. In addition to this programme, try out EMG biofeedback and a probe, please check how the pelvic floor is functioning. EMG is also helpful in establishing influence of the degenerative changes in spine over the pelvic floor function.
PelvicFloor_P3_start STOP! If you or your therapist thinks that your condition is severe (you cannot feel electrical stimulation of over 55 mA, organ prolapse occurs) then please start from P01 (low frequency programme) and use it until your sensation goes back to normal and you achieve a better continence. You may resume this programme  if you can withstand a work/rest training and you have a good feeling of low intensity (10-20mA) electrical stimulation.\n1. \\>Gently place the clean moistened electrode probe into the vagina. Place it firmly to ensure the metal part of the probe is within the vagina. The metal plates of the electrode should face side-ways towards the thighs and the whole surface of the metal plates should make contact with the vaginal wall. Firmly fitted underwear will help to prevent the probe slipping out of place. The most suitable position is laying on comfortable surface with feet flat on the surface with knees slightly bent and kept together or cross one leg over the other knee for better contact.\\<\n2. \\>This programme consist of 2 phases: first phase is Warm Up. Slowly adjust the intensity with +/- buttons to feel a comfortable but not discomforting level of stimulation. Do not exceed the level of 55mA. There is no need to contract muscles during warm up.\\<\n3. \\>Second phase starts automatically, but with a safe lower level of intensity. Please increase mA to the comfortable level of muscle contraction. When the stimulation is felt, try to contract muscles and relax them over the rest time of stimulation. Do not contract buttocks, thighs nor abdomen. Breathe freely. Exercise until fatigue is felt.\\<
PelvicFloor_P3_enc Repeat the programme 1 - 2 times a day, 4 - 5 times a week until it improves. Keep a record of how often and how much you lose urine to see the changes.
PelvicFloor_P3_mod Multi-phase programme with medium-high frequency neuro-muscular stimulation.
PelvicFloor_P5 Mixed
PelvicFloor_P5_fullname Mixed Urge and Stress Incontinence
PelvicFloor_P5_more Mixed incontinence is defined as the combination of stress and urge incontinence, this combination accounts for approximately 33% of all cases of incontinence in women. Mixed incontinence is not uncommon in the elderly female population and can sometimes be complicated by urinary retention, which makes it a treatment challenge requiring staged multimodal treatment. Please consult with the Specialist if the muscular stimulation can be a part of your treatment.
PelvicFloor_P5_start 1. \\>Gently place the clean moistened electrode probe into the vagina. Place it firmly to ensure the metal part of the probe is within the vagina. The metal plates of the electrode should face side-ways towards the thighs and the whole surface of the metal plates should make contact with the vaginal wall. Firmly fitted underwear will help to prevent the probe slipping out of place. The most suitable position is laying on comfortable surface with feet flat on the surface with knees slightly bent and kept together or with one leg crossed over the other knee for better contact.\\<\n2. \\>This programme consists of 4 phases: two phases of Work/Rest for stress incontinence treatment, followed by 2 phases of continuous stimulation which targets the bladder overreaction. \\<\n3. \\>First phase is Work/Rest stimulation. Please increase mA to the comfortable level of muscle contraction. Do not exceed the level of 55mA. When the stimulation is felt, try to contract muscles and relax them over the rest time of stimulation. Do not contract buttocks, thighs nor abdomen. Breathe freely. Exercise until fatigue is felt. You can always press SET button to skip the rest of the phase.\\<\n4. \\>Second phase starts automatically, but with a safe lower level of intensity. Please increase mA to the comfortable level of muscle contraction. Follow the same practice as described for phase 1.\\<\n5. \\>Third and fourth phase starts automatically, but with a safe lower level of intensity.\\<\nPress + to increase intensity until a comfortable electrical tingling is felt. Do not go above 40 mA, typical level is 10-20 mA. The intensity level must be below the contraction threshold.
PelvicFloor_P5_enc The suggested overall length of therapy is 3 months.
PelvicFloor_P5_mod Multi-phase programme with mixed high and low frequency neuro-muscular stimulation.
PelvicFloor_P4 Urge
PelvicFloor_P4_fullname Overactive Bladder (Urge Incontinence)
PelvicFloor_P4_more An Overactive Bladder is a condition that results from sudden, involuntary contraction of the muscle in the wall of the urinary bladder. Overactive bladder causes a sudden and unstoppable need to urinate (urinary urgency), even though the bladder may only contain a small amount of urine. These involuntary contractions may occur in the night (one of the causes of nocturia) but also during the day. These contractions often lead to unexpected leakage of small amounts of urine. \nSTOP! If you think your desire to urinate is abnormal, please consult your GP for referral to a specialist to establish the cause of the symptoms. Low frequency stimulation is only helpful in case of genuine OAB. Other causes of bladder overreaction may be present when the pudendal nerve is functioning normally, and the desire to pass urine frequently may be caused by bacterial or viral inflammation, nephrolithiasis, as well as a weak proximal bladder neck, see below.\nIMPORTANT! With the help of a specialist, please conduct the pelvic floor examination using EMG. Flaccid muscles allow the penetration of drops of urine into the urethra and cause reflex micturition. This gives the same feeling as urinary bladder OAB, but can be prevented by adequate muscle exercise and stimulation. In addition to this programme, EMG study also allows you to assess the impact of degenerative changes of the spine to the pelvic floor function. Stimulation provides a safe, drug-free method of improved control over the mechanisms of pelvic floor function (enervation, blood circulation, muscle function). A urinary incontinence disorder specialist can undertake the appropriate examinations needed to advise you on a selection of the appropriate stimulation parameters. A specialist can also help in determining a treatment schedule as well as periodic EMG assessment of your rehabilitation progress.
PelvicFloor_P4_start The overall rules: \n1. \\>Avoid foods and liquids which irritate the bladder. \\<\n2. \\>Try to delay the moment of emptying the bladder. Do not limit fluid intake. \\<\n\nVaginal stimulation: \nGently place the clean moistened electrode probe into the vagina. Place it firmly to ensure the metal part of the probe is fully inserted. The metal plates of the electrode should face side-ways towards thighs and the whole surface of the plates should be in contact with the vaginal wall. Firmly fitted underwear helps to prevent the probe slipping out of place. Slowly adjust the intensity with +/- buttons to feel a comfortable but not discomforting level of stimulation. Do not exceed the level of 55mA. Use 1-2 times a day.\n\nFunctional Stimulation: \nTo stimulate the sacral micturition center, stick adhesive electrodes on either side of the spine, at the level of the sacrum. The intensity of stimulation should be clearly felt, but not to exceed 15 mA. Use 2-3 times a day.
PelvicFloor_P4_enc Use as prophylaxis of genuine urge incontinence to inhibit the bladder overreaction. Use once every day for 3 months. The result should be noticeable after the second week of everyday use, after third month please check with gynaecologist.
PelvicFloor_P4_mod Multi-phase programme with medium frequency TENS.
PelvicFloor_P6 Work Out
PelvicFloor_P6_fullname Pelvic Floor Work Out
PelvicFloor_P6_more The pelvic floor muscles are located between your legs, and run from your pubic bone at the front to the base of your spine at the back. They are in the shape of a sling and hold your bladder and urethra (the tube that urine comes out of) in place. Since we walk on two legs, the pelvic floor muscle group holds in place very important organs such as the intestines, bladder, urethra and vagina. The urethra, rectum and vagina are our natural outlets which are kept in place only when our pelvic floor muscles are in good shape and react properly to intra abdominal pressure. Weakened muscles are common among young women after childbirth as well as women after menopause, and by the weakening of muscles associated with aging. However it is important to note that muscle stimulation treatment has produced some very good results in women aged over 80.
PelvicFloor_P6_start STOP! If you or your therapist thinks that your condition is severe (you cannot feel electrical stimulation of over 55 mA, organ prolapse occurs) then please start from P01 (low frequency programme) and use it until your sensation goes back to normal and you achieve a better continence. You may resume this programme if you can withstand a work/rest training and you have a good feeling of low intensity (10-20mA) electrical stimulation.\n1. \\>Gently place the clean moistened electrode probe into the vagina. Place it firmly to ensure the metal part of the probe is within the vagina. The metal plates of the electrode should face side-ways towards the thighs and the whole surface of the metal plates should make contact with the vaginal wall. Firmly fitted underwear will help to prevent the probe slipping out of place. The most suitable position is laying on comfortable surface with feet flat on the surface with knees slightly bent and kept together or with one leg crossed over the other knee for better contact.\\<\n2. \\>This programme consists of 3 phases. Slowly adjust the intensity with +/- buttons to feel a comfortable but not discomforting level of stimulation. Do not exceed the level of 55mA. There is no need to contract muscles during warm up.\\<\n3. \\>Second and third phase starts automatically, but with a safe lower level of intensity. Please increase mA to the comfortable level of muscle contraction. When the stimulation is felt, try to contract muscles and relax them over the rest time of stimulation. Do not contract buttocks, thighs nor abdomen. Breathe freely. Exercise until fatigue is felt.\\<
PelvicFloor_P6_enc Repeat the programme 1 - 2 times a day, 5 - 7 times a week for about 3 months.
PelvicFloor_P6_mod Multi-phase programme with medium-high frequency neuro-muscular stimulation.
EMGCustom EMG Custom
EMGCustom_P1 Your EMG
EMGCustom_P1_fullname Your EMG
EMGCustom_P1_more EMG stands for Electromyography. This is also referred as Muscle Biofeedback, when you see your muscle performance on screen. EMG serves two purposes: It is very helpful tool for voluntary contraction exercise. EMG is also an extremely useful assessment tool if you need to evaluate muscle rehabilitation progress.
EMGCustom_P1_start 1. \\>Please set up your EMG treatment: go to the programme settings screen which shows the actual values. Press the settings button below to enter the screen where you can update the values using on-screen buttons. Set up the required work and rest time, number of trials, etc. Escape by pressing the Done button. \\<\n2. \\>Connect your electrodes (probe) to the leadwire, connect the leadwire to the CH socket of your device. Please note, there is REF socket as well but the use of Reference electrode is not necessary if you can keep the device on hands constantly touching the rear metal plate with your fingers. This duplicates the reference connection. Attach two skin electrode pads to your body. Identify the muscle you want to measure. Use the electrodes placement charts to identify where the two skin electrodes should be placed. If you use the vaginal or rectal probe electrode, read the probe manual prior to insertion. \\<\n3. \\>Once the electrodes are placed, go to the EMG screen and try to relax below 4uV. If the reading of the unit is unstable and your graph does not go down, make sure: \\<\na) your threshold is set to 10uV or lower; \nb) you touch the rear metal plate and \nc) move away from electromagnetic fields: mobile phones, PC, power equipment. \n4. \\>You are ready to use EMG when you can relax below 4uV.\\<\n5. \\>Press START. Your aim is to follow the prompts. When you see the Work line, please contract as much and as high as you can until you see the Rest line. When contracting, try to hold your graph above the threshold line, but do not go above your natural limits. When relaxing, try to relax as much as you can and as quickly as possible. A good relaxation is below 4uV. This Contraction-Relaxation circle will be repeated "Trials" number of times, as per settings.\\<\n6. \\>By the end of an EMG session, the statistics will be displayed.\\<
EMGCustom_P1_enc 
EMGCustom_P1_mod This programme allows you to customise your own EMG treatment.
STIMCustom STIM Custom
STIMCustom_P1 Your STIM
STIMCustom_P1_fullname Your STIM
STIMCustom_P1_more STIM stands for Stimulation. This is also referred as NMS (Neuro-Muscular stimulation), when your muscle is contracted by a designed series of electrical impulses. STIM can be used for a wide range of physiotherapy purposes: muscle rehabilitation, muscle bulk development, and pelvic floor workout to promote continence.
STIMCustom_P1_start 1. \\>Please set up the required stimulation treatment: go to the programme settings screen which shows the actual values. Press the settings button below to enter the screen where you can update the values using on-screen buttons. Set up the required parameters (type of stimulation, frequency, pulse width, etc). Escape by pressing the Done button.\\<\n2. \\>Connect your electrodes (probe) to the leadwire, connect the leadwire to the CH socket of your device. Use the electrodes placement charts to identify where the two skin electrodes should be placed. If you use the vaginal or rectal probe electrode, read the probe manual prior to insertion.\\<\n3. \\>Once the electrodes are placed, go to the Stimulation screen. Adjust mA to begin the stimulation session.\\<
STIMCustom_P1_enc 
STIMCustom_P2 
ETSCustom ETS Custom
ETSCustom_P1 Your ETS
ETSCustom_P1_fullname Your ETS
ETSCustom_P1_more ETS stands for EMG triggered by Stimulation. Try EMG before you go to ETS, you will find that ETS is like EMG, with  one substantial difference: When you contract your muscle in ETS and reach the threshold, a stimulation will occur which helps to hold the contraction. ETS is a very powerful technique for muscular rehabilitation, especially useful for Incontinence and Stroke rehabilitation.
ETSCustom_P1_start 1. \\>Please set up your ETS treatment: go to the programme settings screen which shows the actual values. Press the settings button below to enter the screen where you can update the values using on-screen buttons. Set up the required work and rest time, number of trials, etc. Escape by pressing the Done button. \\<\n2. \\>Connect your electrodes (probe) to the leadwire, connect the leadwire to the CH socket of your device. Please note, there is REF socket as well but the use of Reference electrode is not necessary if you can keep the device on hands constantly touching the rear metal plate with your fingers. This duplicates the reference connection. Attach two skin electrode pads to your body. Identify the muscle you want to measure. Use the electrodes placement charts to identify where the two skin electrodes should be placed. If you use the vaginal or rectal probe electrode, read the probe manual prior to insertion. \\<\n3. \\>Once the electrodes are placed, go to the ETS display and try to relax below 4uV. If the reading of the unit is unstable and your graph does not go down, make sure: \\<\na) your threshold is set to 10uV or lower; \nb) you touch the rear metal plate; \nc) move away from electromagnetic fields: mobile phones, PC, power equipment. \n4. \\>You are ready to use ETS when you can relax below 4uV. Adjust mA to establish the comfortable level of stimulation.  Your aim is to follow the prompts and contract above the threshold when the device prompts to Work. When you see the Work line, please contract as much and as high as you can. If you reach the threshold, the stimulation begins automatically and helps you to hold the contraction. It is usual to contract voluntarily at the same time for better results. Do not go above your natural limits: keep the mA levels reasonable. When relaxing, try to relax as much as you can and as quickly as possible. A good relaxation is below 4uV. This Contraction-Relaxation circle will be repeated "Trials" number of times, as per settings.\\<\n5. \\>By the end of an ETS session, the statistics will be displayed.\\<
ETSCustom_P1_enc 
ETSCustom_P1_mod This programme allows you to customise your own ETS treatment.
ETSCustom_P2 
ETSCustom_P2_fullname 
Template_P1 Template 10/6
Template_P1_fullname Template: 10 sec of relaxation / 6 sec of contraction
Template_P1_more This training is ideal to get started with templates. Once this template is mastered well, you can continue to use other more demanding templates.
Template_P1_start Press START on screen and follow the template: try to keep your EMG graph (red) inside the yellow template line, or as close as possible.
Template_P1_enc Use this template on daily basis for several months, then twice a week as a follow-up to keep you in shape.
Template_P1_mod EMG Biofeedback Template
Template_P2 Template 10/3-3-3
Template_P2_fullname Template: 10 sec. of relaxation, 3 rapid contractions of 3 seconds each
Template_P2_more This training can be used for training of fast twitch fibres.
Template_P2_start Press START on screen and follow the template: try to keep your EMG graph (red) inside the yellow template line, or as close as possible.
Template_P2_enc Use this template on daily basis for several months, then twice a week as a follow-up to keep you in shape.
Template_P2_mod EMG Biofeedback Template
Template_P3 Template 10/8
Template_P3_fullname Template: 10 sec. of relaxation, 8 sec of contraction
Template_P3_more This training can be used for general training of slow twitch fibers, when the condition is improved. This template might be too difficult for the initial stage of rehabilitation, then please start from Template.1: 10/6.
Template_P3_start Press START on screen and follow the template: try to keep your EMG graph (red) inside the yellow template line, or as close as possible.
Template_P3_enc Use this template on daily basis for several months, then twice a week as a follow-up to keep you in shape.
Template_P3_mod EMG Biofeedback Template
Template_P4 Template 10/10
Template_P4_fullname Template: 10 sec. of relaxation, 10 sec of contraction
Template_P4_more This training can be used for general training of slow twitch fibers, when the condition is improved. This template might be too difficult for the initial stage of rehabilitation, then please start from Template.1: 10/6.
Template_P4_start Press START on screen and follow the template: try to keep your EMG graph (red) inside the yellow template line, or as close as possible.
Template_P4_enc Use this template on daily basis for several months, then twice a week as a follow-up to keep you in shape.
Template_P4_mod EMG Biofeedback Template
Template_P5 Custom Shape
Template_P5_fullname Custom Shape
Template_P5_more This programme allows you to draw your own custom shape of Template. For example, you can draw your relaxation curve which will go gradually down in time.
Template_P5_start Press START on screen and follow the template: try to keep your EMG graph (red) inside the yellow template line, or as close as possible.
Template_P5_enc Use this template on daily basis for several months, then twice a week as a follow-up to keep you in shape.
Template_P5_mod EMG Biofeedback Template
CustomPhases 
CustomPhases_P1 CON Custom phase
CustomPhases_P1_ph1i Press mA+ to begin. Most of the time the Continuous stimulation is used for Pain relief or neurological rehabilitation. In these cases, generally you should increase mA until you feel a mild tingling sensation. However, please be advised by your physiotherapist of the suitable intensity level for your custom treatment.
CustomPhases_P1_more CON - continuous stimulation phase. This is the simplest stimulation phase. The continuous stimulation over the set phase time with constant Hz and μS. Hz and μS are the same for all channels. \nThis phase is especially useful for set up TENS-like programmes with high or low frequency. Also, specific nerve stimulation like 10Hz for Overactive Bladder.
CustomPhases_P2 SYN Custom phase
CustomPhases_P2_ph1i Press mA+ to begin. Most of the time the Work/rest Synchronous stimulation is used for muscle contraction. In this case generally you should increase mA until you observe a strong comfortable and not a painful muscle contraction. However, please be advised by your physiotherapist of the suitable intensity level for your custom treatment.
CustomPhases_P2_more SYN - synchronous Work/Rest stimulation phase. During work time the constant Hz and μS stimulation appears. During rest time  EMG is measured which provides additional ability to monitor the muscle response just after and between stimulation. The STIM SYN phase has a function of channel Delay, which makes it possible to set up a sequential stimulation to perform complex movements, such as arm lifting, standing up from a chair, etc. To use a simple work/rest stimulation, set up the STIM SYN phase with Delay=0. (all channels begin stimulation at the same time).\nSYN is the basic Work/Rest stimulation programme and is mainly used for muscle exercise.
CustomPhases_P3 ALT Custom phase
CustomPhases_P3_ph1i Press mA+ to begin. Most of the time the Work/Rest Alternating stimulation is used for antagonist muscle contraction. In this case, generally you should increase mA until you observe a strong comfortable and a not painful muscle contraction. However, please be advised by your physiotherapist of the suitable intensity level for your custom treatment.
CustomPhases_P3_more ALT - Alternating stimulation phase. During odd work periods only channel 1 stimulates while channel 2 has zero mA. During even work periods only channel 2 stimulates while channel 1 has zero mA. During the rest periods the EMG graph is displayed which is useful for muscle fatigue observations. Often this phase is used where it is essential to swing the limb by stimulating alternatively the antagonist (flexors and extensors) muscle groups. During odd work periods the flexors are stimulated, whilst during even work periods the extensors are stimulated.
CustomPhases_P4 MOD Custom phase
CustomPhases_P4_ph1i Press mA+ to begin. Most of the time the Modulated stimulation is used for pain relief or neurological rehabilitation. In these cases, generally you should increase mA until you feel a mild tingling sensation. However, please be advised by your physiotherapist of the suitable intensity level for your custom treatment.
CustomPhases_P4_more MOD - Modulated Hz and uS stimulation phase. The idea of modulated stimulation is that during the Work time it stimulates with high Hz and low μS, During Rest time it stimulates with low Hz and high μS. During Ramp Up + Ramp down time (modulation time) frequency and pulse width are modulating from high to low and vice versa. During modulation the mA level on all channels remains the same. During Work time and Rest time the continuous stimulation appears.\nThis phase is practical for TENS modulated which found to be the best pain-relieving current, modulation works against accommodation effect.
CustomPhases_P5 EMG Custom phase
CustomPhases_P5_ph1i Press and hold SET button for 5 sec to set up Work, Rest time etc.\nReady to begin? Press AUTO and immediately contract your muscle for 3-5 seconds as high as you can. This will adjust the EMG threshold (level of the graph). Repeat pressing AUTO until the graph is scaled so that you relaxation is below the threshold line and contraction is above the line. Press START to begin, follow the on-screen commands with your voluntary contractions.
CustomPhases_P5_more This fully-programmable EMG phase allows you to define your own timings for voluntary contraction. Press and hold SET button for 5 sec to set up Work, Rest time, number of repetitions (Trials) and the rest of the parameters. Go through the settings, then press START to begin your voluntary exercise. Your aim is to follow the prompts. When you see arrows flashing up, please contract until you see the relaxation prompt - arrows down. When contracting, try to hold your graph above the threshold line. When relaxing, try to relax as much as you can as quickly as possible. A good relaxation is below 4 uV. . To select the number of Contraction - Relaxation cycles required set the number in Trials. Press START to begin.
CustomPhases_P6 ETS Custom phase
CustomPhases_P6_ph1i Press and hold SET button for 5 sec to set up Work, Rest time etc. \nReady to begin? Press AUTO and immediately contract your muscle for 3-5 seconds as high as you can. This will adjust the EMG threshold (level of the graph). Repeat pressing AUTO until the graph is scaled so that you relaxation is below the threshold line and contraction is above the line. Press mA+ to begin, adjust the initial stimulation intensity and follow the on-screen commands with your voluntary contractions.
CustomPhases_P6_more This fully-programmable ETS phase allows you to define your own timings for voluntary contraction and stimulation time when the threshold is reached. Press and hold SET button for 5 sec to set up Work, Rest time, number of repetitions (Trials) and stimulation parameters. Go through the settings, then increase mA to a comfortable level. Afterwards, the  unit will be prompting to relax, then contract. Your aim is to follow the prompts. When you see arrows flashing up, please contract until you see the relaxation prompt - arrows down. When contracting, try to hold your graph above the threshold line. When relaxing, try to relax as much as you can as quickly as possible. A good relaxation is below 4 uV. To select the number of Contraction-Relaxation cycles required set the number in Trials.
SimplePF_P1 Pain
SimplePF_P1_fullname Period Pain using skin electrodes
SimplePF_P1_more Most women experience some form of period pain during their lifetime. The medical term for period pain is dysmenorrhoea.\n\nPeriod pain is usually felt as painful muscle cramps in your lower abdomen, which can sometimes spread to your back and thighs. Sometimes the pain comes in intense spasms, while at other times the pain may be dull but more constant.\n\nThe pain usually starts when your bleeding begins, and normally lasts for 12-24 hours.
SimplePF_P1_start Caution! You can use the vaginal probe only when the conditions allow you to: no bleeding, no vaginal infection or inflammation.\n1. \\>You can either use a vaginal electrode or external skin electrodes placed over the lumbo-sacral area on the lower spine. You can use one (probe) or one or two (skin electrodes) channels of stimulation.\\<\n2. \\>If using the vaginal probe, gently place the clean moistened electrode probe into the vagina. Place it firmly to ensure the metal part of the probe is within the vagina. The metal plates of the electrode should face side-ways towards the thighs and the whole surface of the metal plates should make contact with the vaginal wall. Firmly fitted underwear will help to prevent the probe slipping out of place. The most suitable position is laying on a comfortable surface with feet flat on the surface with knees slightly bent and kept together or with one leg crossed over the other knee for better contact.\\<\n3. \\>Press + to increase intensity until a comfortable stimulation is felt. Do not go above 40 mA, typical level is 10-20 mA. The intensity level must be below the contraction threshold. Focus on muscle relaxation during the treatment.\\<
SimplePF_P1_enc Use any time when period pain occurs. Use in moderation. Don't use longer than 6 hours a day.
SimplePF_P2 Tibialis
SimplePF_P2_fullname Tibialis TENS
SimplePF_P2_more TENS on tibial nerve is a possible alternative to sacral nerve stimulation, because the neurophysiologic targets might be similar but the TENS method is non-invasive and cheaper. Tibial stimulation is also the alternative to vaginal stimulation using the internal vaginal probe.
SimplePF_P2_start 1. \\>Place electrodes alongside the tibial nerve. Use one channel only on either leg.\\<\n2. \\>Press + to increase intensity until a comfortable electrical tingling is felt. Don't go above 40 mA, typical level is 10-20 mA. The intensity level must be below the contraction threshold. Focus on muscle relaxation during the treatment.\\<
SimplePF_P2_enc Use in moderation. Don't use longer than 6 hours a day.
SimplePF_P3 General Pain
SimplePF_P3_fullname General Pelvic Pain and Prostatitis Pain using skin electrodes
SimplePF_P3_more There are many causes of pelvic floor pain that often coexist with other ailments such as prostate pain, inflammation of the bladder or intestines, constipation and urinary disorders. Pain can also be caused by recurrent, non-infectious inflammation, vaginismus, and inflammation of the coccyx or sacroiliac joints. These symptoms are often accompanied by increased pelvic muscle tone and blood circulation problems. This programme is a typical TENS solution for pelvic pain.
SimplePF_P3_start 1. \\>Stick adhesive electrodes on either side of the spine, at the level of the sacrum. \\<\n2. \\>Press + to increase intensity until a comfortable electrical tingling is felt. Don't go above 40 mA, typical level is 10-20 mA. The intensity level must be below the contraction threshold. Focus on muscle relaxation during the treatment.\\<
SimplePF_P3_enc Use any time when pelvic pain occurs. Use in moderation. Don't use longer than 6 hours a day.
SimplePF_P4 Sensation
SimplePF_P4_fullname Warm Up and Sensation improvement
SimplePF_P4_more Doing warm up stimulation before your voluntary or stimulation workout is important in many ways. A good warm up will gradually increase circulation to your muscles and prepare your sensory nerves for greater stimulation currents during the workout. This programme is also one of the best to start with if a patient is in a weak condition, not feeling the stimulation until well above 20 mA.
SimplePF_P4_start 1. \\>Gently place the clean moistened electrode probe into the vagina. Place it firmly to ensure the metal part of the probe is within the vagina. The metal plates of the electrode should face side-ways towards the thighs and the whole surface of the metal plates should make contact with the vaginal wall. Firmly fitted underwear will help to prevent the probe slipping out of place. The most suitable position is laying on a comfortable surface with feet flat on the surface with knees slightly bent and kept together or with one leg crossed over the other knee for better contact.\\<\n2. \\>This programme consists of 3 phases. Slowly adjust the intensity with +/-buttons to feel a comfortable but not discomforting level of stimulation which invokes muscular contraction. For Warm up, do not exceed the level of 55mA. For sensitivity improvement, the aim is always to keep the intensity below the muscular contraction level. Keep it below 50 mA even if you don't feel it. Even without sensation, this programme gradually builds up your ability to feel your pelvic floor.\\<
SimplePF_P4_enc This is a suitable programme for very weak pelvic floor or after surgery. You may use it  in addition to your main exercise treatment. Your main treatment programme may already have a warm up phase. For the sensitivity improvement, your aim is to start feeling the intensity of 10-20 mA.
SimplePF_P5 Childbirth 1
SimplePF_P5_fullname Stress Incontinence after Childbirth 1
SimplePF_P5_more Normally, your nerves, ligaments, and pelvic floor muscles work together to support your bladder and keep the urethra closed so urine doesn't leak out. Overstretching or injury to these areas during pregnancy or childbirth can cause them to stop working properly.\nThe chance of having urinary incontinence is higher for mothers who have had many children, especially if they delivered vaginally. However, women who have reached menopause experience incontinence in similar numbers regardless of the number of pregnancies they had or the type of delivery. Therefore it is very important to keep your pelvic floor muscles in tune and act proactively.
SimplePF_P5_start STOP! This programme is designed for a generally healthy person. Otherwise, please start from P04 (low frequency 2-10 Hz programme) and use it until your sensation goes back to normal and you achieve a better continence. Use this programme only if you can withstand a work/rest training and you have a good feeling of low intensity (10-20mA) electrical stimulation.\n1. \\>Gently place the clean moistened electrode probe into the vagina. Place it firmly to ensure the metal part of the probe is within the vagina. The metal plates of the electrode should face side-ways towards the thighs and the whole surface of the metal plates should make contact with the vaginal wall. Firmly fitted underwear will help to prevent the probe slipping out of place. The most suitable position is laying on comfortable surface with feet flat on the surface with knees slightly bent and kept together or with one leg crossed over the other knee for better contact.\\<\n2. \\>This programme consists of 2 phases: first phase is Warm Up. Slowly adjust the intensity with +/-buttons to feel a comfortable but not discomforting level of stimulation. Do not exceed the level of 55mA. There is no need to contract muscles during warm up.\\<\n3. \\>Second phase starts automatically, but with a safe lower level of intensity. Please increase mA to the comfortable level of muscle contraction. When the stimulation is felt, try to contract muscles and relax them over the rest time of stimulation. Don't contract buttocks, thighs nor abdomen. Breathe freely. Exercise until fatigue is felt.\\<
SimplePF_P5_enc Repeat the programme 1 - 2 times a day, 4 - 5 times a week until you feel an improvement. Keep a record of how often and how much you lose urine to see the changes. Once the improvements are noticeable, you can use more difficult programmes (with longer work time).
SimplePF_P6 Childbirth 2
SimplePF_P6_fullname Stress Incontinence after Childbirth 2
SimplePF_P6_more Normally, your nerves, ligaments, and pelvic floor muscles work together to support your bladder and keep the urethra closed so urine doesn't leak out. Overstretching or injury to these areas during pregnancy or childbirth can cause them to stop working properly.\nThe chance of having urinary incontinence is higher for mothers who have had many children, especially if they delivered vaginally. However, women who have reached menopause experience incontinence in similar numbers regardless of the number of pregnancies they had or the type of delivery. Therefore it is very important to keep your pelvic floor muscles in tune and act proactively.
SimplePF_P6_start STOP! This programme is designed for a generally healthy person. Otherwise, please start from P04 (low frequency 2-10 Hz programme) and use it until your sensation goes back to normal and you achieve a better continence. Use this programme only if you can withstand a work/rest training and you have a good feeling of low intensity (10-20mA) electrical stimulation.\n1. \\>Gently place the clean moistened electrode probe into the vagina. Place it firmly to ensure the metal part of the probe is within the vagina. The metal plates of the electrode should face side-ways towards the thighs and the whole surface of the metal plates should make contact with the vaginal wall. Firmly fitted underwear will help to prevent the probe slipping out of place. The most suitable position is laying on comfortable surface with feet flat on the surface with knees slightly bent and kept together or with one leg crossed over the other knee for better contact.\\<\n2. \\>This programme consist of 2 phases: first phase is Warm Up. Slowly adjust the intensity with +/-buttons to feel a comfortable but not discomforting level of stimulation. Do not exceed the level of 55mA. There is no need to contract muscles during warm up.\\<\n3. \\>Second phase starts automatically, but with a safe lower level of intensity. Please increase mA to the comfortable level of muscle contraction. When the stimulation is felt, try to contract muscles and relax them over the rest time of stimulation. Don't contract buttocks, thighs nor abdomen. Breathe freely. Exercise until fatigue is felt.\\<
SimplePF_P6_enc Repeat the programme 1 - 2 times a day, 4 - 5 times a week until you feel an improvement. Keep a record of how often and how much you lose urine to see the changes.
SimplePF_P7 Stress 1
SimplePF_P7_fullname Stress Incontinence 1
SimplePF_P7_more Stress Incontinence is also referred as incontinence due to strain and damage on the pelvic floor nerves and muscles that support the bladder. The damage is typically caused by child delivery, weight lifting, coughing, constipation, gynecological surgery, or degenerative changes of the spine. The muscular sagging of the pelvic floor causes the gradual subsidence of the internal organs. As a result the urine leaks at a time of increased pressure on the bladder, when the internal bladder pressure is greater than the force of the urethra valve. In addition to this programme, try out EMG biofeedback and a probe, please check how the pelvic floor is functioning. EMG is also helpful in establishing influence of the degenerative changes in spine over the pelvic floor function.
SimplePF_P7_start STOP! This programme is designed for a generally healthy person. Otherwise, please start from P04 (low frequency 2-10 Hz programme) and use it until your sensation goes back to normal and you achieve a better continence. Use this programme only if you can withstand a work/rest training and you have a good feeling of low intensity (10-20mA) electrical stimulation.\n1. \\>Gently place the clean moistened electrode probe into the vagina. Place it firmly to ensure the metal part of the probe is within the vagina. The metal plates of the electrode should face side-ways towards the thighs and the whole surface of the metal plates should make contact with the vaginal wall. Firmly fitted underwear will help to prevent the probe slipping out of place. The most suitable position is laying on comfortable surface with feet flat on the surface with knees slightly bent and kept together or with one leg crossed over the other knee for better contact.\\<\n2. \\>This programme consists of 2 phases: first phase is Warm Up. Slowly adjust the intensity with +/-buttons to feel a comfortable but not discomforting level of stimulation. Do not exceed the level of 55mA. There is no need to contract muscles during warm up.\\<\n3. \\>Second phase starts automatically, but with a safe lower level of intensity. Please increase mA to the comfortable level of muscle contraction. When the stimulation is felt, try to contract muscles and relax them over the rest time of stimulation. Don't contract buttocks, thighs nor abdomen. Breathe freely. Exercise until fatigue is felt.\\<
SimplePF_P7_enc Repeat the programme 1 - 2 times a day, 4 - 5 times a week until you feel an improvement. Keep a record of how often and how much you lose urine to see the changes. Once the improvements are noticeable, you can use more difficult programmes (with longer work time).
SimplePF_P8 Stress 2
SimplePF_P8_fullname Stress Incontinence 2
SimplePF_P8_more Stress Incontinence is also referred as incontinence due to strain and damage on the pelvic floor nerves and muscles that support the bladder. The damage is typically caused by child delivery, weight lifting, coughing, constipation, gynaecological surgery, or degenerative changes of the spine. The muscular sagging of the pelvic floor causes the gradual subsidence of the internal organs. As a result the urine leaks at a time of increased pressure on the bladder, when the internal bladder pressure is greater than the force of the urethra valve. In addition to this programme, try out EMG biofeedback and a probe, please check how the pelvic floor is functioning. EMG is also helpful in establishing influence of the degenerative changes in spine over the pelvic floor function.
SimplePF_P8_start STOP! This programme is designed for people with general good health. Otherwise, please start from P04 (low frequency 2-10 Hz programme) and use it until your sensation goes back to normal and you achieve a better continence. Use this programme only if you can withstand a work/rest training and you have a good feeling of low intensity (10-20mA) electrical stimulation.\n1. \\>Gently place the clean moistened electrode probe into the vagina. Place it firmly to ensure the metal part of the probe is within the vagina. The metal plates of the electrode should face side-ways towards the thighs and the whole surface of the metal plates should make contact with the vaginal wall. Firmly fitted underwear will help to prevent the probe slipping out of place. The most suitable position is laying on comfortable surface with feet flat on the surface with knees slightly bent and kept together or with one leg crossed over the other knee for better contact.\\<\n2. \\>This programme consist of 2 phases: first phase is Warm Up. Slowly adjust the intensity with +/-buttons to feel a comfortable but not discomforting level of stimulation. Do not exceed the level of 55mA. There is no need to contract muscles during warm up.\\<\n3. \\>Second phase starts automatically, but with a safe lower level of intensity. Please increase mA to the comfortable level of muscle contraction. When the stimulation is felt, try to contract muscles and relax them over the rest time of stimulation. Don't contract buttocks, thighs nor abdomen. Breathe freely. Exercise until fatigue is felt.\\<
SimplePF_P8_enc Repeat the programme 1 - 2 times a day, 4 - 5 times a week until you feel an improvement. Keep a record of how often and how much you lose urine to see the changes.
SimplePF_P9 Mixed 1
SimplePF_P9_fullname Mixed Urge and Stress Incontinence 1
SimplePF_P9_more Mixed incontinence defined as the combination of stress and urge incontinence, this combination accounts for approximately 33% of all cases of incontinence in women. Mixed incontinence is not uncommon in the elderly female population and can sometimes be complicated by urinary retention, which makes it a treatment challenge requiring staged multimodal treatment. Please discuss with your Specialist if the muscular stimulation can be a part of your treatment.
SimplePF_P9_start 1. \\>Gently place the clean moistened electrode probe into the vagina. Place it firmly to ensure the metal part of the probe is within the vagina. The metal plates of the electrode should face side-ways towards the thighs and the whole surface of the metal plates should make contact with the vaginal wall. Firmly fitted underwear will help to prevent the probe slipping out of place. The most suitable position is laying on comfortable surface with feet flat on the surface with knees slightly bent and kept together or with one leg crossed over the other knee for better contact.\\<\n2. \\>This programme consists of 4 phases: two phases of Work/Rest for stress incontinence treatment, followed by 2 phases of continuous stimulation which targets the bladder overreaction. \\<\n3. \\>First phase is Work/Rest stimulation. Please increase mA to the comfortable level of muscle contraction. Do not exceed the level of 55mA. When the stimulation is felt, try to contract muscles and relax them over the rest time of stimulation. Don't contract buttocks, thighs nor abdomen. Breathe freely. Exercise until fatigue is felt. You can always press SET button to skip the rest of the phase.\\<\n4. \\>Second phase starts automatically, but with a safe lower level of intensity. Please increase mA to the comfortable level of muscle contraction. Follow the same practice as described for phase 1.\\<\n5. \\>Third and fourth phase starts automatically, but with a safe lower level of intensity. 2. Press + to increase intensity until a comfortable electrical tingling is felt. Don't go above 40 mA, typical level is 10-20 mA. The intensity level must be below the contraction threshold.\\<
SimplePF_P9_enc The suggested overall length of therapy is 3 months.
SimplePF_P10 Mixed 2
SimplePF_P10_fullname Mixed Urge and Stress Incontinence 2
SimplePF_P10_more Mixed incontinence defined as the combination of stress and urge incontinence, this combination accounts for approximately 33% of all cases of incontinence in women. Mixed incontinence is not uncommon in the elderly female population and can sometimes be complicated by urinary retention, which makes it a treatment challenge requiring staged multimodal treatment. Please discuss with your Specialist if the muscular stimulation can be a part of your treatment.
SimplePF_P10_start 1. \\>Gently place the clean moistened electrode probe into the vagina. Place it firmly to ensure the metal part of the probe is within the vagina. The metal plates of the electrode should face side-ways towards the thighs and the whole surface of the metal plates should make contact with the vaginal wall. Firmly fitted underwear will help to prevent the probe slipping out of place. The most suitable position is laying on comfortable surface with feet flat on the surface with knees slightly bent and kept together or with one leg crossed over the other knee for better contact.\\<\n2. \\>This programme consists of 4 phases: two phases of Work/Rest for stress incontinence treatment, followed by 2 phases of continuous stimulation which targets the bladder overreaction. \\<\n3. \\>First phase is Work/Rest stimulation. Please increase mA to the comfortable level of muscle contraction. Do not exceed the level of 55mA. When the stimulation is felt, try to contract muscles and relax them over the rest time of stimulation. Don't contract buttocks, thighs nor abdomen. Breathe freely. Exercise until fatigue is felt. You can always press SET button to skip the rest of the phase.\\<\n4. \\>Second phase starts automatically, but with a safe lower level of intensity. Please increase mA to the comfortable level of muscle contraction. Follow the same practice as described for phase 1.\\<\n5. \\>Third and fourth phase starts automatically, but with a safe lower level of intensity. 2. Press + to increase intensity until a comfortable electrical tingling is felt. Don't go above 40 mA, typical level is 10-20 mA. The intensity level must be below the contraction threshold.\\<
SimplePF_P10_enc The suggested overall length of therapy is 3 months.
SimplePF_P11 Urge 1
SimplePF_P11_fullname Overactive Bladder 1 (Urge Incontinence)
SimplePF_P11_more An Overactive Bladder is a condition that results from sudden, involuntary contraction of the muscle in the wall of the urinary bladder. Overactive bladder causes a sudden and unstoppable need to urinate (urinary urgency), even though the bladder may only contain a small amount of urine. These involuntary contractions may occur in the night (one of the causes of nocturia) but also during the day. These contractions often lead to unexpected leakage of small amounts of urine. \nSTOP! If you think your desire to urinate is abnormal, please consult your GP for referral to a specialist to establish the cause of the symptoms. Low frequency stimulation is only helpful in case of genuine OAB. Other causes of bladder overreaction may be present when the pudendal nerve is functioning normally, and the desire to pass urine frequently may be caused by bacterial or viral inflammation, nephrolithiasis, as well as a weak proximal bladder neck (see below).\nIMPORTANT! With the help of a specialist, please conduct the pelvic floor examination using EMG. Flaccid muscles allow the penetration of drops of urine into the urethra and cause reflex micturition. This gives the same feeling as urinary bladder OAB, but can be prevented by adequate muscle exercise and stimulation. In addition to this programme, EMG study also allows you to assess the impact of degenerative changes of the spine to the pelvic floor function. Stimulation provides a safe, drug-free method of improved control over the mechanisms of pelvic floor function (enervation, blood circulation, muscle function). A urinary incontinence disorder specialist can undertake the appropriate examinations needed to advise you on a selection of the appropriate stimulation parameters. A specialist can also help in determining a treatment schedule as well as periodic EMG assessment of your rehabilitation progress.
SimplePF_P11_start The overall rules: \n1. \\>Avoid foods and liquids which irritate the bladder. \\<\n2. \\>Try to delay the moment of emptying the bladder. Do not limit fluid intake. \\<\n\nVaginal stimulation: \nGently place the clean moistened electrode probe into the vagina. Place it firmly to ensure the metal part of the probe is fully inserted. The metal plates of the electrode should face side-ways towards thighs and the whole surface of the plates should be in contact with the vaginal wall. Firmly fitted underwear helps to prevent the probe slipping out of place. Slowly adjust the intensity with +/- buttons to feel a comfortable but not discomforting level of stimulation. Do not exceed the level of 55mA. Use 1-2 times a day.\n\nFunctional Stimulation: \nTo stimulate the sacral micturition center, stick adhesive electrodes on either side of the spine, at the level of the sacrum. The intensity of stimulation should be clearly felt, but not to exceed 15 mA. Use 2-3 times a day.
SimplePF_P11_enc Use as prophylaxis of genuine urge incontinence to inhibit the bladder overreaction. Use once every day for 3 months. The result should be noticeable after the second week of everyday use, after third month please check with your gynaecologist.
SimplePF_P12 Urge 2
SimplePF_P12_fullname Overactive Bladder 2 (Urge Incontinence)
SimplePF_P12_more An Overactive Bladder is a condition that results from sudden, involuntary contraction of the muscle in the wall of the urinary bladder. Overactive bladder causes a sudden and unstoppable need to urinate (urinary urgency), even though the bladder may only contain a small amount of urine. These involuntary contractions may occur in the night (one of the causes of nocturia) but also during the day. These contractions often lead to unexpected leakage of small amounts of urine. \nSTOP! If you think your desire to urinate is abnormal, please consult your GP for referral to a specialist to establish the cause of the symptoms. Low frequency stimulation is only helpful in case of genuine OAB. Other causes of bladder overreaction may be present when the pudendal nerve is functioning normally, and the desire to pass urine frequently may be caused by bacterial or viral inflammation, nephrolithiasis, as well as a weak proximal bladder neck (see below).\nIMPORTANT! With the help of a specialist, please conduct the pelvic floor examination using EMG. Flaccid muscles allow the penetration of drops of urine into the urethra and cause reflex micturition. This gives the same feeling as urinary bladder OAB, but can be prevented by adequate muscle exercise and stimulation. In addition to this programme, EMG study also allows you to assess the impact of degenerative changes of the spine to the pelvic floor function. Stimulation provides a safe, drug-free method of improved control over the mechanisms of pelvic floor function (enervation, blood circulation, muscle function). A urinary incontinence disorder specialist can undertake the appropriate examinations needed to advise you on a selection of the appropriate stimulation parameters. A specialist can also help in determining a treatment schedule as well as periodic EMG assessment of your rehabilitation progress.
SimplePF_P12_start The overall rules: \n1. \\>Avoid foods and liquids which irritate the bladder. \\<\n2. \\>Try to delay the moment of emptying the bladder. Do not limit fluid intake. \\<\n\nVaginal stimulation: \nGently place the clean moistened electrode probe into the vagina. Place it firmly to ensure the metal part of the probe is fully inserted. The metal plates of the electrode should face side-ways towards thighs and whole surface of the plates should be in contact with the vaginal wall. Firmly fitted underwear helps to prevent the probe slipping out ofplace. Slowly adjust the intensity with +/- buttons to feel a comfortable but not discomforting level of stimulation. Do not exceed the level of 55mA. Use 1-2 times a day.\n\nFunctional Stimulation: \nTo stimulate the sacral micturition center, stick adhesive electrodes on either side of the spine, at the level of the sacrum. The intensity of stimulation should be clearly felt, but not to exceed 15 mA. Use 2-3 times a day.
SimplePF_P12_enc Use as prophylaxis of genuine urge incontinence to inhibit the bladder overreaction. Use once every day for 3 month. The result should be noticeable after second week of every day use, after third month please check with your gynaecologist.
SimplePF_P13 Urge 3
SimplePF_P13_fullname Overactive Bladder 3 (Urge Incontinence)
SimplePF_P13_more An Overactive Bladder is a condition that results from sudden, involuntary contraction of the muscle in the wall of the urinary bladder. Overactive bladder causes a sudden and unstoppable need to urinate (urinary urgency), even though the bladder may only contain a small amount of urine. These involuntary contractions may occur in the night (one of the causes of nocturia) but also during the day. These contractions often lead to unexpected leakage of small amounts of urine. \nSTOP! If you think your desire to urinate is abnormal, please consult your GP for referral to a specialist to establish the cause of the symptoms. Low frequency stimulation is only helpful in case of genuine OAB. Other causes of bladder overreaction may be present when the pudendal nerve is functioning normally, and the desire to pass urine frequently may be caused by bacterial or viral inflammation, nephrolithiasis, as well as a weak proximal bladder neck, see below.\nIMPORTANT! With the help of a specialist, please conduct the pelvic floor examination using EMG. Flaccid muscles allow the penetration of drops of urine into the urethra and cause reflex micturition. This gives the same feeling as urinary bladder OAB, but can be prevented by adequate muscle exercise and stimulation. In addition to this programme, EMG study also allows you to assess the impact of degenerative changes of the spine to the pelvic floor function. Stimulation provides a safe, drug-free method of improved control over the mechanisms of pelvic floor function (enervation, blood circulation, muscle function). A urinary incontinence disorder specialist can undertake the appropriate examinations needed to advise you on a selection of the appropriate stimulation parameters. A specialist can also help in determining a treatment schedule as well as periodic EMG assessment of your rehabilitation progress.
SimplePF_P13_start The overall rules: \n1. \\>Avoid foods and liquids which irritate the bladder. \\<\n2. \\>Try to delay the moment of emptying the bladder Do not limit fluid intake. \\<\n\nVaginal stimulation: \nGently place the clean moistened electrode probe into the vagina. Place it firmly to ensure the metal part of the probe is fully inserted. The metal plates of the electrode should face side-ways towards thighs and whole surface of the plates should be in contact with the vaginal wall. Firmly fitted underwear helps to prevent the probe slipping out ofplace. Slowly adjust the intensity with +/-buttons to feel a comfortable but not discomforting level of stimulation. Do not exceed the level of 55mA. Use 1-2 times a day.\n\nFunctional Stimulation: \nTo stimulate the sacral micturition center, stick adhesive electrodes on either side of the spine, at the level of the sacrum. The intensity of stimulation should be clearly felt, but not to exceed 15 mA. Use 2-3 times a day.
SimplePF_P13_enc Use as prophylaxis of genuine urge incontinence to inhibit the bladder overreaction. Use once every day for 3 month. The result should be noticeable after second week of every day use, after third month please check with gynaecologist.
SimplePF_P14 Faecal 1
SimplePF_P14_fullname Faecal (Bowel) Incontinence 1
SimplePF_P14_more Faecal (Bowel) incontinence is an inability to control bowel movements, resulting in the involuntary passage of stools.\n\nThe experience of bowel incontinence can vary from person to person. Some people feel a sudden, urgent need to go to the toilet, and incontinence occurs because they are unable to reach a toilet in time. This is known as urge bowel incontinence.\n\nOther people may experience no sensation before passing a stool, known as passive incontinence or passive soiling, or they may pass a small piece of stool while passing wind.\n\nSome people experience incontinence on a daily basis, whereas for others problems only occur from time to time.
SimplePF_P14_start STOP! If you have a lack of sensation or serious incontinence, you should consult your treatment with the specialist. As a part of your treatment, the muscular stimulation may play a crucial role, but don't rush into this programme. The low frequency stimulation like programme P4 is advisable to establish a better sensation before you continue to this programme.  \n1. \\>Go to the toilet to empty yourself completely prior to exercise.\\<\n2. \\>Gently place the clean moistened rectal electrode probe into the anus with a gentle swirl movement. Use only electrically-conductive gels and lubricants. Follow the instructions of insertion from the probe leaflet. Your probe may have a circular depth gauge. Place it firmly to ensure the metal part of the probe is within the rectum, don't place it too deep as the plates should be just below the surface. Firmly fitted underwear will help to prevent the probe slipping out of place. The most suitable position is laying on comfortable surface with feet flat on the surface.\\<\n3. \\>This programme consists of 2 phases: first phase is Warm Up. Slowly adjust the intensity with +/-buttons to feel a comfortable but not discomforting level of stimulation. Do not exceed the level of 55mA. Try to relax but don’t push the probe out. This is to exercise tightness with the minimum level of muscular engagement.  \\<\n4. \\>Second phase starts automatically, but with a safe lower level of intensity. Please increase mA to the comfortable level of muscle contraction. When the stimulation is felt, try to contract muscles (control the stool) and relax (don't empty) over the rest time of stimulation. Don't contract buttocks, thighs nor abdomen. Breathe freely. Exercise until fatigue is felt.\\<
SimplePF_P14_enc Repeat the programme twice a day, 6 - 7 days a week until it improves. Keep a record of how often and how much faecal matter you lose to see the changes. Once the improvements are noticeable, you can use more difficult programmes (with longer work time).
SimplePF_P15 Faecal 2
SimplePF_P15_fullname Faecal (Bowel) Incontinence 2
SimplePF_P15_more Faecal (Bowel) incontinence is an inability to control bowel movements, resulting in the involuntary passage of stools.\n\nThe experience of bowel incontinence can vary from person to person. Some people feel a sudden, urgent need to go to the toilet, and incontinence occurs because they are unable to reach a toilet in time. This is known as urge bowel incontinence.\n\nOther people may experience no sensation before passing a stool, known as passive incontinence or passive soiling, or they may pass a small piece of stool while passing wind.\n\nSome people experience incontinence on a daily basis, whereas for others problems only occur from time to time.
SimplePF_P15_start STOP! If you have a lack of sensation or serious incontinence, you should consult your treatment with the specialist. As a part of your treatment, the muscular stimulation may play a crucial role, but don't rush into this programme. The low frequency stimulation like programme P4 is advisable to establish a better sensation before you continue to this programme. \n1. \\>Go to the toilet to empty yourself completely prior to exercise.\\<\n2. \\>Gently place the clean moistened rectal electrode probe into the anus with a gentle swirl movement. Use only electrically-conductive gels and lubricants. Follow the instructions of insertion from the probe leaflet. Your probe may have a circular depth gauge. Place it firmly to ensure the metal part of the probe is within the rectum, don't place it too deep as the plates should be just below the surface. Firmly fitted underwear will help to prevent the probe slipping out of place. The most suitable position is laying on comfortable surface with feet flat on the surface.\\<\n3. \\>This programme consists of 2 phases: first phase is Warm Up. Slowly adjust the intensity with +/-buttons to feel a comfortable but not discomforting level of stimulation. Do not exceed the level of 55mA. Try to relax but don’t push the probe out. This is to exercise tightness with the minimum level of muscular engagement.  \\<\n4. \\>Second phase starts automatically, but with a safe lower level of intensity. Please increase mA to the comfortable level of muscle contraction. When the stimulation is felt, try to contract muscles (control the stool) and relax (don't empty) over the rest time of stimulation. Don't contract buttocks, thighs nor abdomen. Breathe freely. Exercise until fatigue is felt.\\<
SimplePF_P15_enc Repeat the programme twice a day, 6 - 7 days a week until it improves. Keep a record of how often and how much faecal matter you lose to see the changes. Once the improvements are noticeable, you can use more difficult programmes (with longer work time).
SimplePF_P16 Work Out
SimplePF_P16_fullname Pelvic Floor Work Out
SimplePF_P16_more The pelvic floor muscles are located between your legs, and run from your pubic bone at the front to the base of your spine at the back. They are in the shape of a sling and hold your bladder and urethra (the tube that urine comes out of) in place. Since we walk on two legs, the pelvic floor muscle group hold in place very important organs such as the intestines, bladder, urethra and vagina. The urethra, rectum and vagina are our natural outlets which are kept in place only when our pelvic floor muscles are in good shape and react properly to intra abdominal pressure. Weakened muscles are common among young women after childbirth as well as women after menopause, and by the weakening of muscles associated with aging. However it is important to note that muscle stimulation treatment has produced some very good results in women aged over 80.
SimplePF_P16_start STOP! This programme is designed for a generally healthy person. Otherwise, please start from P04 (low frequency 2-10 Hz programme) and use it until your sensation goes back to normal and you achieve a better continence. Use this programme only if you can withstand a work/rest training and you have a good feeling of low intensity (10-20mA) electrical stimulation.\n1. \\>Gently place the clean moistened electrode probe into the vagina. Place it firmly to ensure the metal part of the probe is within the vagina. The metal plates of the electrode should face side-ways towards the thighs and the whole surface of the metal plates should make contact with the vaginal wall. Firmly fitted underwear will help to prevent the probe slipping out of place. The most suitable position is laying on comfortable surface with feet flat on the surface with knees slightly bent and kept together or cross one leg over the other knee for better contact.\\<\n2. \\>This programme consists of 3 phases. Slowly adjust the intensity with +/-buttons to feel a comfortable but not discomforting level of stimulation. Do not exceed the level of 55mA. There is no need to contract muscles during warm up.\\<\n3. \\>Second and third phase starts automatically, but with a safe lower level of intensity. Please increase mA to the comfortable level of muscle contraction. When the stimulation is felt, try to contract muscles and relax them over the rest time of stimulation. Don't contract buttocks, thighs nor abdomen. Breathe freely. Exercise until fatigue is felt.\\<
SimplePF_P16_enc Follow steps 1 -2 times a day, 5 - 7 times a week for about 3 months.
SimplePF_P17 Endurance
SimplePF_P17_fullname Building up muscle Endurance
SimplePF_P17_more Building up the resistance to fatigue is especially important for women whose work entails long periods of standing, or when lifting heavy objects. Furthermore, this programme plays an important part of the overall treatment of mixed and stress urinary incontinence.
SimplePF_P17_start STOP! This programme is designed for a generally healthy person. Otherwise, please start from P04 (low frequency 2-10 Hz programme) and use it until your sensation goes back to normal and you achieve a better continence. Use this programme only if you can withstand a work/rest training and you have a good feeling of low intensity (10-20mA) electrical stimulation.\n1. \\>Gently place the clean moistened electrode probe into the vagina. Place it firmly to ensure the metal part of the probe is within the vagina. The metal plates of the electrode should face side-ways towards the thighs and the whole surface of the metal plates should make contact with the vaginal wall. Firmly fitted underwear will help to prevent the probe slipping out of place. The most suitable position is laying on comfortable surface with feet flat on the surface with knees slightly bent and kept together or cross one leg over the other knee for better contact.\\<\n2. \\>This programme consists of 2 phases: first phase is a Warm Up. Slowly adjust the intensity with +/-buttons to feel a comfortable but not discomforting level of stimulation. Do not exceed the level of 55mA. There is no need to contract muscles during warm up.\\<\n3. \\>Second phase starts automatically, but with a safe lower level of intensity. Please increase mA to the comfortable level of muscle contraction. When the stimulation is felt, try to contract muscles and relax them over the rest time of stimulation. Don't contract buttocks, thighs nor abdomen. Breathe freely. Exercise until fatigue is felt.\\<
SimplePF_P17_enc Repeat the programme 1-2 times a day, 4-5 times a week until improvement is felt. Keep a record of how often and how much urine is lost and observe any changes. Once improvement is noticeable, more difficult programmes (with longer work time) can be employed.
SimplePF_P18 Vascularisat.
SimplePF_P18_fullname Vascularisation and lack of sensitivity
SimplePF_P18_more Weakened pelvic muscles as well as neurological damage in the perinatal period is among the most common causes of decreased sensation over urine control and lack of vaginal sensation.
SimplePF_P18_start 1. \\>Gently place the clean moistened electrode probe into the vagina. Place it firmly to ensure the metal part of the probe is within the vagina. The metal plates of the electrode should face side-ways towards the thighs and the whole surface of the metal plates should make contact with the vaginal wall. Firmly fitted underwear will help to prevent the probe slipping out of place. The most suitable position is laying on comfortable surface with feet flat on the surface with knees slightly bent and kept together or cross one leg over the other knee for better contact.\\<\n2. \\>This programme consist of many phases: first phase is a Low frequency stimulation. Slowly adjust the intensity with +/-buttons to feel a comfortable but not discomforting level of stimulation. Do not exceed the level of 55mA. \\<\n3. \\>Second and all consequent phase starts automatically, but with a safe lower level of intensity. Please increase mA to the comfortable level of stimulation.\\<\n4. \\>This programme targets nerves not muscles, don't increase the intensity to the muscle contraction level.\\<
SimplePF_P18_enc Follow steps 1 -2 times a day, 5 - 7 times a week for about 3 months.
SimplePF_P19 Toning
SimplePF_P19_fullname Pelvic Floor Toning
SimplePF_P19_more Flaccid muscles, also known as hypotonicity, is a condition characterized by a decrease or loss of normal muscle tone due to the deterioration of the lower motor nerve cells.
SimplePF_P19_start STOP! This programme is designed for generally healthy person. Otherwise, please start from P04 (low frequency 2-10 Hz programme) and use it until your sensation goes back to normal and you achieve a better continence. Use this programme only if you can withstand a work/rest training and you have a good feeling of low intensity (10-20mA) electrical stimulation.\n1. \\>Gently place the clean moistened electrode probe into the vagina. Place it firmly to ensure the metal part of the probe is within the vagina. The metal plates of the electrode should face side-ways towards the thighs and the whole surface of the metal plates should make contact with the vaginal wall. Firmly fitted underwear will help to prevent the probe slipping out of place. The most suitable position is laying on comfortable surface with feet flat on the surface with knees slightly bent and kept together or cross one leg over the other knee for better contact.\\<\n2. \\>This programme consist of 2 phases: first phase is Warm Up. Slowly adjust the intensity with +/-buttons to feel a comfortable but not discomforting level of stimulation. Do not exceed the level of 55mA. There is no need to contract muscles during warm up.\\<\n3. \\>Second phase starts automatically, but with a safe lower level of intensity. Please increase mA to the comfortable level of muscle contraction. When the stimulation is felt, try to contract muscles and relax them over the rest time of stimulation. Don't contract buttocks, thighs nor abdomen. Breathe freely. Exercise until fatigue is felt.\\<
SimplePF_P19_enc Repeat the programme 2-3 times a day, 4-6 times a week. Keep using for a minimum of 3 months until improvement is felt. Make an appointment with your therapist for EMG evaluation and assessment.
SimplePF_P20 Relaxation
SimplePF_P20_fullname Pelvic Muscle Relaxation
SimplePF_P20_more Long-term increased muscle tension may be a result of a habit of urine over-holding. Another reason might be due to nervous damage or blood supply disorders. This often causes difficulties with urination or bowel emptying. Among other after effects are: anal fissure, non-infectious inflammation of the pelvis, etc.
SimplePF_P20_start 1. \\>Gently place the clean moistened electrode probe into the vagina. Place it firmly to ensure the metal part of the probe is within the vagina. The metal plates of the electrode should face side-ways towards the thighs and the whole surface of the metal plates should make contact with the vaginal wall. Firmly fitted underwear will help to prevent the probe slipping out of place. The most suitable position is laying on comfortable surface with feet flat on the surface with knees slightly bent and kept together or cross one leg over the other knee for better contact.\\<\n2. \\>This programme consist of 2 phases: first phase is Warm Up. Slowly adjust the intensity with +/-buttons to feel a comfortable but not discomforting level of stimulation. Do not exceed the level of 55mA. Second phase starts automatically, but with a safe lower level of intensity. Please increase mA to the comfortable level.\\<\n3. \\>During the whole treatment: don't increase the intensity of stimulation to the level of muscle contraction, this programme is designed to relax the tense pelvic floor muscles. When the stimulation is felt, try to relax but don't push the probe out, hold urine. This is to exercise urine hold with a minimum level of muscular engagement. The effective relaxation of pelvic floor reduces pain when you hold urine.\\<
SimplePF_P20_enc Repeat the programme 1-2 times a day, 4-5 times a week until improvement is felt. Keep a record of the results: less pain, quicker emptying, etc. If you notice any other symptoms of pelvic disorders, please contact a specialist to get any additional advice of your further options of treatment.
SimplePF_P21 EMG
SimplePF_P21_fullname EMG Biofeedback Training to promote continence
SimplePF_P21_more EMG stands for Electromyography. This is also referred to as Muscle Biofeedback, when you see your muscle performance on screen. EMG serves two purposes: It is very helpful tool for voluntary contraction exercise. EMG is also an extremely useful assessment tool if you need to evaluate muscle rehabilitation progress.
SimplePF_P21_start 1. \\>Gently place the clean moistened electrode probe into the vagina. Place it firmly to ensure the metal part of the probe is within the vagina. The metal plates of the electrode should face side-ways towards the thighs and the whole surface of the metal plates should make contact with the vaginal wall. Firmly fitted underwear will help to prevent the probe slipping out of place. The most suitable position is laying on comfortable surface with feet flat on the surface with knees slightly bent and kept together or cross one leg over the other knee for better contact. \\<\n2. \\>You should always use (REF) reference wire for precise EMG measurement! Please connect the ref wire to the skin electrode of any type, place the electrode pad on inner hip. This is to make a precise measurement. \\<\n3. \\>Once the leadwire is connected to the probe and the REF wire is connected, press mA+ to begin the Warm up stimulation phase. This will get tissues ready for better voluntary contractions.\\<\n4. \\>The next phase is EMG, you will notice the EMG graph. This graph represents the level of your pelvic floor contraction. Try to relax below 4uV. If the reading of the unit is unstable and your graph does not go down, make sure: a) Your thresholds are set to 10uV or lower b) You use REF wire c) Move away from electromagnetic fields: mobile phones, PC, power equipment. \\<\n5. \\>Press AUTO button and at the same time, contract the muscle for 3-5 seconds. This will adjust the threshold level. Repeat the same procedure until the threshold is acceptable. Your threshold should be adjusted in such way that when you relax, your graph is below the threshold line (the horizontal line which is in the middle of your graph area). When you contract, your EMG should be running above this line.\\<\n6. \\>If you can relax below 4 uV and hold below this level for 10 seconds, then you are ready to begin your active EMG phase. Press START. Your aim is to follow the prompts. When you see arrows flashing up, please contract until you see the relaxation prompt - arrows down. When contracting, try to hold your graph above the threshold line. When relaxing, try to relax as much as you can as quickly as possible. A good relaxation is below 3.5uV. This Contraction-Relaxation circle will be repeated 6 times. \\<\n7. \\>By the end of an EMG session, the statistics will be displayed. This might be useful to write them down after each session, if you are going to see a specialist this data can help to evaluate your progress.\\<
SimplePF_P21_enc Use as a voluntary contraction training programme, 2-4 times a day, several days a week. You can combine your pelvic floor workout stimulation programme with this EMG biofeedback training programme. It is a good practice to do the stimulation regularly and EMG programme once a week.
SimplePF_P22 ETS
SimplePF_P22_fullname ETS [EMG Triggered Stimulation] training to promote continence
SimplePF_P22_more ETS stands for EMG triggered Stimulation. Try EMG before you go to ETS, you will find that ETS is like EMG, with one substantial difference: When you contract your muscle in ETS and reach the threshold, a stimulation will occur which helps to hold the contraction. ETS is a very powerful technique for muscular rehabilitation, especially useful for Incontinence and Stroke rehabilitation.
SimplePF_P22_start 1. \\>Gently place the clean moistened electrode probe into the vagina. Place it firmly to ensure the metal part of the probe is within the vagina. The metal plates of the electrode should face side-ways towards the thighs and the whole surface of the metal plates should make contact with the vaginal wall. Firmly fitted underwear will help to prevent the probe slipping out of place. The most suitable position is laying on comfortable surface with feet flat on the surface with knees slightly bent and kept together or cross one leg over the other knee for better contact. 2. You should always use (REF) reference wire for precise EMG measurement! Please connect the ref wire to the skin electrode of any type, place the electrode pad on inner hip. This is to make a precise measurement. \\<\n3. \\>Once the leadwire is connected to the probe and the REF wire is connected, \\<\npress mA+ to begin the Warm up stimulation phase. This will get tissues ready for better voluntary contractions.\n4. \\>The next phase is ETS, you will notice the biofeedback graph on the screen. This graph represent the level of you pelvic floor contraction. Try to relax below 4uV. If the reading of the unit is unstable and your graph does not go down, make sure: a) Your thresholds are set to 10uV or lower b) You use REF wire c) Move away from electromagnetic fields: mobile phones, PC, power equipment. \\<\n5. \\>Press THRS buttons to adjust the threshold (which also scales the graph sensitivity). Your threshold should be adjusted in such way that when you relax, your graph is below the threshold line (the horizontal line in the middle of your graph area), when you contract, you should be able to reach this line, which plays a role of target which you should hit to trigger the stimulation.\\<\n6. \\>If you can relax below 4 uV and hold below this level for 10 seconds, then you are ready to begin your active ETS phase. Increase mA to the level of comfortable muscle contraction.  Your aim is to follow the prompts. When you see arrows flashing up, please contract until you see the relaxation prompt - arrows down. When contracting, try to reach the threshold line. As soon as it is reached, the stimulation will appear to help you hold your muscle contracted. When relaxing, try to relax as much as you can as quickly as possible. A good relaxation is below 3.5uV. This Contraction - Hold - Relaxation circle will be repeated 30 times. \\<\n7. \\>By the end of the session, the statistics will be displayed. This might be useful to write them down after each session, if you going to see a specialist this data can help to evaluate your progress.\\<
SimplePF_P22_enc Use once a day before the stimulation programme or instead of it. This training is found to be more efficient for neuromuscular reeducation than EMG on its own or stimulation only.
Rehab_P1 Warm up 1
Rehab_P1_fullname Warm up 1 (small muscles)
Rehab_P1_more Warming up is an important initial step to get your muscles back in shape, especially after disuse. This programme is suitable for smaller muscles such as muscles on arms or lower legs.
Rehab_P1_start If this programme is used after surgery or injury, please make sure, with your medical supervisor, that all wounds and stitches are healed before you apply muscle stimulation.\n1. \\>Place the electrodes on to clean, grease-free skin, over the selected muscles. General electrodes placement hint: The red pin should be placed on the centre of the muscle bulk. The black pin goes on the area near the distal muscle insertion (the end of a muscle which is distal [most distant] from the body centre). \\<\n2. \\>Keep a minimum distance of 1 cm from one electrode to another: During stimulation the electrodes should not touch each other. \\<\n3. \\>Increase mA until you feel a comfortable contraction. If you go over 45 mA and don't feel anything, please contact your therapist.\\<
Rehab_P1_enc Use one to two sessions per day, 5 days a week, per 3 months. For better results use regularly.
Rehab_P2 Warm up 2
Rehab_P2_fullname Warm up 2 (large muscles)
Rehab_P2_more Warming up is an important initial step to get your muscles back in shape, especially after disuse. This programme is suitable for medium to large muscles such as upper legs muscles.
Rehab_P2_start If this programme is used after surgery or injury, please make sure, with your medical supervisor, that all wounds and stitches are healed before you apply muscle stimulation.\n1. \\>Place the electrodes on to clean, grease-free skin, over the selected muscles. General electrodes placement hint: The red pin should be placed on the centre of the muscle bulk. The black pin goes on the area near the distal muscle insertion (the end of a muscle which is distal [most distant] from the body centre). \\<\n2. \\>Keep a minimum distance of 1 cm from one electrode to another: During stimulation the electrodes should not touch each other. \\<\n3. \\>Increase mA until you feel a comfortable contraction. If you go over 45 mA and don't feel anything, please contact your therapist.\\<
Rehab_P2_enc Use one to two sessions per day, 5 days a week, per 3 months. For better results use regularly.
Rehab_P3 Recovery 1
Rehab_P3_fullname After Stroke - Muscle Recovery 1 (small muscles)
Rehab_P3_more This programme is used for muscular recovery after the efforts which led to muscular exhaustion. It removes lactic acid from the muscles, an excess of which leads to impairment of effort and muscular pain.
Rehab_P3_start 1. \\>Place the electrodes on to clean, grease-free skin, over the selected muscles. General electrodes placement hint: The red pin should be placed on the centre of the muscle bulk. The black pin goes on the area near the distal muscle insertion (the end of a muscle which is distal [most distant] from the body centre). \\<\n2. \\>Keep a minimum distance of 1 cm from one electrode to another: During stimulation the electrodes should not touch each other. \\<\n3. \\>Increase mA until you feel a comfortable contraction. If you go over 45 mA and don't feel anything, please contact your therapist.\\<
Rehab_P3_enc Use one to two sessions per day, 5 days a week, per 3 months. For better results use regularly.
Rehab_P4 Recovery 2
Rehab_P4_fullname After Stroke - Muscle Recovery 2 (large muscles)
Rehab_P4_more This programme is used for muscular recovery after the efforts which led to muscular exhaustion. It removes lactic acid from the muscles, an excess of which leads to impairment of effort and muscular pain.
Rehab_P4_start 1. \\>Place the electrodes on to clean, grease-free skin, over the selected muscles. General electrodes placement hint: The red pin should be placed on the centre of the muscle bulk. The black pin goes on the area near the distal muscle insertion (the end of a muscle which is distal [most distant] from the body centre). \\<\n2. \\>Keep a minimum distance of 1 cm from one electrode to another: During stimulation the electrodes should not touch each other. \\<\n3. \\>Increase mA until you feel a comfortable contraction. If you go over 45 mA and don't feel anything, please contact your therapist.\\<
Rehab_P4_enc Use one to two sessions per day, 5 days a week, per 3 months. For better results use regularly.
Rehab_P5 Workout 1
Rehab_P5_fullname Workout 1 (large muscles)
Rehab_P5_more You can get your muscles back in shape by using Work/Rest stimulation. The electrical stimulation substitutes natural body movements to achieve artificial muscle contractions. This programme is suitable for medium to large muscles such as upper legs muscles.
Rehab_P5_start 1. \\>Place the electrodes on to clean, grease-free skin, over the selected muscles. General electrodes placement hint: The red pin should be placed on the centre of the muscle bulk. The black pin goes on the area near the distal muscle insertion (the end of a muscle which is distal [most distant] from the body centre). \\<\n2. \\>Keep a minimum distance of 1 cm from one electrode to another: During stimulation the electrodes should not touch each other. \\<\n3. \\>Increase mA until you feel a comfortable contraction. If you go over 45 mA and don't feel anything, please contact your therapist.\\<
Rehab_P5_enc Use one to two sessions per day, 5 days a week, per 3 months. For better results use regularly.
Rehab_P6 Workout 2
Rehab_P6_fullname Workout 2 (small muscles)
Rehab_P6_more You can get your muscles back in shape by using Work/Rest stimulation. The electrical stimulation substitutes natural body movements to achieve artificial muscle contractions. This programme is suitable for smaller muscles such as muscles on arms or lower legs.
Rehab_P6_start 1. \\>Place the electrodes on to clean, grease-free skin, over the selected muscles. General electrodes placement hint: The red pin should be placed on the centre of the muscle bulk. The black pin goes on the area near the distal muscle insertion (the end of a muscle which is distal [most distant] from the body centre). \\<\n2. \\>Keep a minimum distance of 1 cm from one electrode to another: During stimulation the electrodes should not touch each other. \\<\n3. \\>Increase mA until you feel a comfortable contraction. If you go over 45 mA and don't feel anything, please contact your therapist.\\<
Rehab_P6_enc Use one to two sessions per day, 5 days a week, per 3 months. For better results use regularly.
Rehab_P7 Shoulder
Rehab_P7_fullname After Stroke - Shoulder Subluxation
Rehab_P7_more Shoulder subluxation is a common occurrence after stroke and can be due to shoulder muscle weakness as well as spasticity of other muscles. It is characterized by the upper arm bone (humerus) dropping out of the shoulder socket. The same situation is with the abnormal positioning of the shoulder blade (scapula). \nIn this situation, please work together with your physiotherapist on placing the shoulder back to the normal position before muscle strengthening is taking place.
Rehab_P7_start 1. \\>Place the electrodes on to clean, grease-free skin, over the selected muscles. General electrodes placement hint: The red pin should be placed on the centre of the muscle bulk. The black pin goes on the area near the distal muscle insertion (the end of a muscle which is distal [most distant] from the body centre). \\<\n2. \\>Keep a minimum distance of 1 cm from one electrode to another: During stimulation the electrodes should not touch each other. \\<\n3. \\>Increase mA until you feel a comfortable contraction. If you go over 45 mA and don't feel anything, please contact your therapist.\\<
Rehab_P7_enc Use one to two sessions per day, 5 days a week, per 3 months. For better results use regularly.
Rehab_P8 Upper Limb
Rehab_P8_fullname After Stroke - Upper Limb
Rehab_P8_more Loss of arm and hand function, movement, and strength are common after a stroke. Pain and spasticity are also common after a stroke. Electrical stimulation may be useful for increasing arm and hand function and for preventing pain and dysfunction after a stroke.
Rehab_P8_start 1. \\>Place the electrodes on to clean, grease-free skin, over the selected muscles. General electrodes placement hint: The red pin should be placed on the centre of the muscle bulk. The black pin goes on the area near the distal muscle insertion (the end of a muscle which is distal [most distant] from the body centre). \\<\n2. \\>Keep a minimum distance of 1 cm from one electrode to another: During stimulation the electrodes should not touch each other. \\<\n3. \\>Increase mA until you feel a comfortable contraction. If you go over 45 mA and don't feel anything, please contact your therapist.\\<
Rehab_P8_enc Use one to two sessions per day, 5 days a week, per 3 months. For better results use regularly.
Rehab_P9 Foot drop 1
Rehab_P9_fullname Foot drop Rehabilitation
Rehab_P9_more Foot drop is the inability to lift the foot and toes properly when walking. It is caused by weakness or paralysis of the muscles that lift the foot.People with foot drop tend to scuff their toes along the ground.\nFoot drop is often linked to damage or disease of the brain or spinal cord, although it may also result from injury to the nerves in the leg.\n\nIf foot drop is caused by an injury or nerve damage, recovery is often possible. However, if it's caused by a progressive neurological condition such as multiple sclerosis, foot drop will probably be a lifelong symptom to manage.\n\nThis programme is for muscular rehabilitation of tibial muscle which controls foot when you walk. Use it for muscle strengthening, for walking exercise, use the next programme: Foot drop exercise.
Rehab_P9_start 1. \\>Place the electrodes on to clean, grease-free skin, over the selected muscles. General electrodes placement hint: The red pin should be placed on the centre of the muscle bulk. The black pin goes on the area near the distal muscle insertion (the end of a muscle which is distal [most distant] from the body centre). \\<\n2. \\>Keep a minimum distance of 1 cm from one electrode to another: During stimulation the electrodes should not touch each other. \\<\n3. \\>Increase mA until you feel a comfortable contraction. If you go over 45 mA and don't feel anything, please contact your therapist.\\<
Rehab_P9_enc Use one to two sessions per day, 5 days a week, per 3 months. For better results use regularly.
Rehab_P10 Foot drop 2
Rehab_P10_fullname Foot drop Exercise
Rehab_P10_more Foot drop is the inability to lift the foot and toes properly when walking. It is caused by weakness or paralysis of the muscles that lift the foot. People with foot drop tend to scuff their toes along the ground.\nFoot drop is often linked to damage or disease of the brain or spinal cord, although it may also result from injury to the nerves in the leg.\n\nIf foot drop is caused by an injury or nerve damage, recovery is often possible. However, if it's caused by a progressive neurological condition such as multiple sclerosis, foot drop will probably be a lifelong symptom to manage.\n\nThis programme is for active walking training when you walk and the stimulator helps you to control the tibial contraction. Use previous programme for tibialis strengthening.
Rehab_P10_start 1. \\>Place the electrodes on to clean, grease-free skin, over the selected muscles. General electrodes placement hint: The red pin should be placed on the centre of the muscle bulk. The black pin goes on the area near the distal muscle insertion (the end of a muscle which is distal [most distant] from the body centre). \\<\n2. \\>Keep a minimum distance of 1 cm from one electrode to another: During stimulation the electrodes should not touch each other. \\<\n3. \\>Increase mA until you feel a comfortable contraction. If you go over 45 mA and don't feel anything, please contact your therapist.\\<
Rehab_P10_enc Use one to two sessions per day, 5 days a week, per 3 months. For better results use regularly.
Rehab_P11 MS 1
Rehab_P11_fullname Multiple Sclerosis 1 (small muscles)
Rehab_P11_more Multiple sclerosis (MS) is a chronic autoimmune disorder with a multifaceted etiology. It affects movement, sensation, and bodily functions. It causes deterioration of nerve myelin (nerve jacket), which determines the quality of the conduction of stimuli. As a result of the disease: numbness, muscle paresis, muscle stiffness and spasticity occur, also urinary incontinence, etc.
Rehab_P11_start 1. \\>Place the electrodes on to clean, grease-free skin, over the selected muscles. General electrodes placement hint: The red pin should be placed on the centre of the muscle bulk. The black pin goes on the area near the distal muscle insertion (the end of a muscle which is distal [most distant] from the body centre). \\<\n2. \\>Keep a minimum distance of 1 cm from one electrode to another: During stimulation the electrodes should not touch each other. \\<\n3. \\>Increase mA until you feel a comfortable contraction. If you go over 45 mA and don't feel anything, please contact your therapist.\\<
Rehab_P11_enc Use one to two sessions per day, 5 days a week, per 3 months. For better results use regularly.
Rehab_P12 MS 2
Rehab_P12_fullname Multiple Sclerosis 2 (large muscles)
Rehab_P12_more Multiple sclerosis (MS) is a chronic autoimmune disorder with a multifaceted etiology. It affects movement, sensation, and bodily functions. It causes deterioration of nerve myelin (nerve jacket), which determines the quality of the conduction of stimuli. As a result of the disease: numbness, muscle paresis, muscle stiffness and spasticity occur, also urinary incontinence, etc.
Rehab_P12_start 1. \\>Place the electrodes on to clean, grease-free skin, over the selected muscles. General electrodes placement hint: The red pin should be placed on the centre of the muscle bulk. The black pin goes on the area near the distal muscle insertion (the end of a muscle which is distal [most distant] from the body centre). \\<\n2. \\>Keep a minimum distance of 1 cm from one electrode to another: During stimulation the electrodes should not touch each other. \\<\n3. \\>Increase mA until you feel a comfortable contraction. If you go over 45 mA and don't feel anything, please contact your therapist.\\<
Rehab_P12_enc Use one to two sessions per day, 5 days a week, per 3 months. For better results use regularly.
Rehab_P13 MS 3
Rehab_P13_fullname Multiple Sclerosis 3 (spasm reduction)
Rehab_P13_more Multiple sclerosis (MS) is a chronic autoimmune disorder with a multifaceted etiology. It affects movement, sensation, and bodily functions. It causes deterioration of nerve myelin (nerve jacket), which determines the quality of the conduction of stimuli. As a result of the disease: numbness, muscle paresis, muscle stiffness and spasticity occur, also urinary incontinence, etc.\nUse this programme for spasm reduction.
Rehab_P13_start 1. \\>Place the electrodes on to clean, grease-free skin, over the selected muscles. General electrodes placement hint: The red pin should be placed on the centre of the muscle bulk. The black pin goes on the area near the distal muscle insertion (the end of a muscle which is distal [most distant] from the body centre). \\<\n2. \\>Keep a minimum distance of 1 cm from one electrode to another: During stimulation the electrodes should not touch each other. \\<\n3. \\>Increase mA until you feel a comfortable contraction. If you go over 45 mA and don't feel anything, please contact your therapist.\\<
Rehab_P13_enc Use one to two sessions per day, 5 days a week, per 3 months. For better results use regularly.
Rehab_P14 Quads
Rehab_P14_fullname Quadriceps workout
Rehab_P14_more You can get your muscles back in shape by using Work/Rest stimulation. The electrical stimulation substitutes natural body movements to achieve artificial muscle contractions. This programme is suitable for quadriceps muscles.
Rehab_P14_start 1. \\>Place the electrodes on to clean, grease-free skin, over the selected muscles. General electrodes placement hint: The red pin should be placed on the centre of the muscle bulk. The black pin goes on the area near the distal muscle insertion (the end of a muscle which is distal [most distant] from the body centre). \\<\n2. \\>Keep a minimum distance of 1 cm from one electrode to another: During stimulation the electrodes should not touch each other. \\<\n3. \\>Increase mA until you feel a comfortable contraction. If you go over 45 mA and don't feel anything, please contact your therapist.\\<
Rehab_P14_enc Use one to two sessions per day, 5 days a week, per 3 months. For better results use regularly.
Rehab_P15 Small muscles 1
Rehab_P15_fullname Small muscles training 1
Rehab_P15_more Small muscles are delicate and require extra attention to details while stimulating them. Inappropriately high level of stimulation on delicate skin areas or misplaced electrodes may cause skin burns and other serious consequences. If skin irritation occurs, please stop the treatment, consider custom shaped or perhaps hypoallergenic quality electrodes. Please also consider re-positioning of electrodes. \nIf problems persists or you are unsure, please stop the procedure and consult your specialist with regards to your training.
Rehab_P15_start 1. \\>Place the electrodes on to clean, grease-free skin, over the selected muscles. General electrodes placement hint: The red pin should be placed on the centre of the muscle bulk. The black pin goes on the area near the distal muscle insertion (the end of a muscle which is distal [most distant] from the body centre). \\<\n2. \\>Keep a minimum distance of 1 cm from one electrode to another: During stimulation the electrodes should not touch each other. \\<\n3. \\>Increase mA until you feel a comfortable contraction. If you go over 45 mA and don't feel anything, please contact your therapist.\\<
Rehab_P15_enc Use one to two sessions per day, 5 days a week, per 3 months. For better results use regularly.
Rehab_P16 Small muscles 2
Rehab_P16_fullname Small muscles training 2
Rehab_P16_more Small muscles are delicate and require extra attention to details while stimulating them. Inappropriately high level of stimulation on delicate skin areas or misplaced electrodes may cause skin burns and other serious consequences. If skin irritation occurs, please stop the treatment, consider custom shaped or perhaps hypoallergenic quality electrodes. Please also consider re-positioning of electrodes. \nIf problems persists or you are unsure, please stop the procedure and consult your specialist with regards to your training.
Rehab_P16_start 1. \\>Place the electrodes on to clean, grease-free skin, over the selected muscles. General electrodes placement hint: The red pin should be placed on the centre of the muscle bulk. The black pin goes on the area near the distal muscle insertion (the end of a muscle which is distal [most distant] from the body centre). \\<\n2. \\>Keep a minimum distance of 1 cm from one electrode to another: During stimulation the electrodes should not touch each other. \\<\n3. \\>Increase mA until you feel a comfortable contraction. If you go over 45 mA and don't feel anything, please contact your therapist.\\<
Rehab_P16_enc Use one to two sessions per day, 5 days a week, per 3 months. For better results use regularly.
Rehab_P17 Metabolism
Rehab_P17_fullname Metabolism improvement
Rehab_P17_more Electrical stimulation speeds up metabolism in tissues, which has a wide range of positive effects on your muscles and skin, for example a reduction of swelling. This programme is a good starter for very weak muscles by getting them ready for more difficult Work/Rest exercises.
Rehab_P17_start 1. \\>Place the electrodes on to clean, grease-free skin, over the selected muscles. General electrodes placement hint: The red pin should be placed on the centre of the muscle bulk. The black pin goes on the area near the distal muscle insertion (the end of a muscle which is distal [most distant] from the body centre). \\<\n2. \\>Keep a minimum distance of 1 cm from one electrode to another: During stimulation the electrodes should not touch each other. \\<\n3. \\>Increase mA until you feel gentle electrical tingling. Do not exceed a level of 60mA. If you don’t feel stimulation, keep using up to 60mA, typically the sensation improves in several weeks of use. Remember that sensation also depends on electrodes size and distance.\\<
Rehab_P17_enc Use one to two sessions per day, 5 days a week, per 3 months. For better results use regularly.
Rehab_P18 Vascular. 1
Rehab_P18_fullname Vascularisation 1
Rehab_P18_more Vascularisation is a process whereby body tissue becomes vascular and develops capillaries. The TENS-like electrical stimulation produce a massaging effect which stimulates capillary growth.
Rehab_P18_start 1. \\>Place the electrodes on to clean, grease-free skin, over the selected muscles. General electrodes placement hint: The red pin should be placed on the centre of the muscle bulk. The black pin goes on the area near the distal muscle insertion (the end of a muscle which is distal [most distant] from the body centre). \\<\n2. \\>Keep a minimum distance of 1 cm from one electrode to another: During stimulation the electrodes should not touch each other. \\<\n3. \\>Increase mA until you feel gentle electrical tingling. Do not exceed a level of 60mA. If you don’t feel stimulation, keep using up to 60mA, typically the sensation improves in several weeks of use. Remember that sensation also depends on electrodes size and distance.\\<
Rehab_P18_enc Use one to two sessions per day, 5 days a week, per 3 months. For better results use regularly.
Rehab_P19 Vascular. 2
Rehab_P19_fullname Vascularisation 2
Rehab_P19_more Vascularisation is a process whereby body tissue becomes vascular and develops capillaries. The TENS-like electrical stimulation produce a massaging effect which stimulates capillary growth
Rehab_P19_start 1. \\>Place the electrodes on to clean, grease-free skin, over the selected muscles. General electrodes placement hint: The red pin should be placed on the centre of the muscle bulk. The black pin goes on the area near the distal muscle insertion (the end of a muscle which is distal [most distant] from the body centre). \\<\n2. \\>Keep a minimum distance of 1 cm from one electrode to another: During stimulation the electrodes should not touch each other. \\<\n3. \\>Increase mA until you feel gentle electrical tingling. Do not exceed a level of 60mA. If you don’t feel stimulation, keep using up to 60mA, typically the sensation improves in several weeks of use. Remember that sensation also depends on electrodes size and distance.\\<
Rehab_P19_enc Use one to two sessions per day, 5 days a week, per 3 months. For better results use regularly.
Rehab_P20 Vascular. 3
Rehab_P20_fullname Vascularisation 3
Rehab_P20_more Vascularisation is a process whereby body tissue becomes vascular and develops capillaries. The TENS-like electrical stimulation produce a massaging effect which stimulates capillary growth.
Rehab_P20_start 1. \\>Place the electrodes on to clean, grease-free skin, over the selected muscles. General electrodes placement hint: The red pin should be placed on the centre of the muscle bulk. The black pin goes on the area near the distal muscle insertion (the end of a muscle which is distal [most distant] from the body centre). \\<\n2. \\>Keep a minimum distance of 1 cm from one electrode to another: During stimulation the electrodes should not touch each other. \\<\n3. \\>Increase mA until you feel gentle electrical tingling. Do not exceed a level of 60mA. If you don’t feel stimulation, keep using up to 60mA, typically the sensation improves in several weeks of use. Remember that sensation also depends on electrodes size and distance.\\<
Rehab_P20_enc Use one to two sessions per day, 5 days a week, per 3 months. For better results use regularly.
Rehab_P21 EMG
Rehab_P21_fullname EMG Biofeedback Training to improve muscular management
Rehab_P21_more EMG stands for Electromyography. This is also referred as Muscle Biofeedback, when you see your muscle performance on screen. EMG serves two purposes: It is very helpful tool for voluntary contraction exercise. EMG is also an extremely useful assessment tool if you need to evaluate muscle rehabilitation progress.
Rehab_P21_start 1. \\>Identify the muscle you want to measure. Use the Electrodes Placement charts. Attach the electrodes to your body. Use larger electrodes sizes for large muscle groups. You need to place two channel electrodes on the muscle you want to be measured, plus the REF electrode. Each channel has 2 electrodes to be placed. One of the channel electrodes must be placed at the motor point of the muscle. The motor point is usually located at the centre of the muscle mass, where the motor nerve enters the muscle. Another channel electrode should be placed near the upper insertion or top of the muscle. Channel electrodes should be at least 1cm away from each other. \\<\n2. \\>You should always use (REF) reference wire for precise EMG measurement! Please connect the ref wire to the skin electrode of any type, place the electrode pad anywhere on your limb. The position on your body is not important. \\<\n3. \\>Once the electrodes are placed on the muscle and the REF wire is connected, press mA+ to begin the Warm up stimulation phase. This will get tissues ready for better voluntary contractions.\\<\n4. \\>The next phase is EMG, you will notice the EMG graph. This graph represent the level of your muscle contraction. Try to relax below 4uV. If the reading of the unit is unstable and your graph does not go down, make sure: a) Your thresholds are set to 10uV or lower b) You use REF wire c) Move away from electromagnetic fields: mobile phones, PC, power equipment. \\<\n5. \\>Press AUTO button and at the same time, contract the muscle for 3-5 seconds. This will adjust the threshold level. Repeat the same procedure until the threshold is acceptable. Your threshold should be adjusted in such way that when you relax, your graph is below the threshold line (the horizontal line which is in the middle of your graph area). When you contract, your EMG should be running above this line.\\<\n6. \\>If you can relax below 4 uV and hold below this level for 10 seconds, then you are ready to begin your active EMG phase. Press START. Your aim is to follow the prompts. When you see arrows flashing up, please contract until you see the relaxation prompt - arrows down. When contracting, try to hold your graph above the threshold line. When relaxing, try to relax as much as you can as quickly as possible. A good relaxation is below 3.5uV. This Contraction-Relaxation circle will be repeated 5 times. \\<\n7. \\>By the end of an EMG session, the statistics will be displayed. This might be useful to write them down after each session, if you going to see a specialist this data can help to evaluate your progress.\\<
Rehab_P21_enc Use as a voluntary contraction training programme, 2-4 times a day, several days a week. You can combine your workout stimulation programme with this EMG biofeedback training programme. It is a good practice to do the stimulation regularly and EMG programme once a week.
Rehab_P22 ETS
Rehab_P22_fullname ETS [EMG Triggered Stimulation] for neuromuscular re-education
Rehab_P22_more ETS stands for EMG triggered Stimulation. Try EMG before you go to ETS, you will find that ETS is like EMG, with one substantial difference: When you contract your muscle in ETS and reach the threshold, a stimulation will occur which helps to hold the contraction. ETS is a very powerful technique for muscular rehabilitation, especially useful for Incontinence and Stroke rehabilitation.
Rehab_P22_start 1. \\>Identify the muscles you want to train. Use the Electrodes Placement charts. Attach the electrodes to your body. Use larger electrodes sizes for large muscle groups. You need to place two channel electrodes on the muscle you want to be trained, plus the REF electrode. Each channel has 2 electrodes to be placed. One of the channel electrodes must be placed at the motor point of the muscle. The motor point is usually located at the centre of the muscle mass, where the motor nerve enters the muscle. Another channel electrode should be placed near the upper insertion or top of the muscle. Channel electrodes should be at least 1cm away from each other. \\<\n2. \\>You should always use (REF) reference wire for precise measurement of muscular response. Please connect the REF wire to the skin electrode of any type, place the electrode pad anywhere on your limb. The position on your body is not important. \\<\n3. \\>Once the electrodes are placed on the muscle and the REF wire is connected, press mA+ to begin the Warm up stimulation phase. This will get tissues ready for better voluntary contractions.\\<\n4. \\>The next phase is ETS, you will notice the biofeedback graph on the screen. This graph represent the level of you contraction. Try to relax below 4uV. If the reading of the unit is unstable and your graph does not go down, make sure: a) Your thresholds are set to 10uV or lower b) You use REF wire c) Move away from electromagnetic fields: mobile phones, PC, power equipment. \\<\n5. \\>Press AUTO button and at the same time, contract the muscle for 3-5 seconds. This will adjust the threshold level. Repeat the same procedure until the threshold is acceptable. Your threshold should be adjusted in such way that when you relax, your graph is below the threshold line (the horizontal line which is in the middle of your graph area). When you contract, your EMG should be running above this line.\\<\n6. \\>If you can relax below 4 uV and hold below this level for 10 seconds, then you are ready to begin your active ETS phase. Increase mA tot he level of comfortable muscle contraction.  Your aim is to follow the prompts. When you see arrows flashing up, please contract until you see the relaxation prompt - arrows down. When contracting, try to reach the threshold line. As soon as it reached, the stimulation will appear to help you holding your muscle contracted. When relaxing, try to relax as much as you can as quickly as possible. A good relaxation is below 3.5uV. This Contraction - Hold - Relaxation circle will be repeated 30 times. \\<\n7. \\>By the end of the session, the statistics will be displayed. This might be useful to write them down after each session, if you going to see a specialist this data can help to evaluate your progress.\\<
Rehab_P22_enc Use once a day before the stimulation programme or instead of it. This training is found to be more efficient for neuromuscular reeducation than EMG on its own or stimulation only.
Rehab_P23 Low TENS
Rehab_P23_fullname Low frequency TENS
Rehab_P23_more Low frequency TENS is generally used for local pain relief, where the electrodes are being placed across the painful place on limb, back or joint.
Rehab_P23_start 1. \\>Place the electrodes on to clean, grease-free skin, over the selected muscles. General electrodes placement hint: The red pin should be placed on the centre of the muscle bulk. The black pin goes on the area near the distal muscle insertion (the end of a muscle which is distal [most distant] from the body centre). \\<\n2. \\>Keep a minimum distance of 1 cm from one electrode to another: During stimulation the electrodes should not touch each other. \\<\n3. \\>Increase mA until you feel gentle electrical tingling. Do not exceed a level of 60mA. If you don’t feel stimulation, keep using up to 60mA, typically the sensation improves in several weeks of use. Remember that sensation also depends on electrodes size and distance.\\<
Rehab_P23_enc Use one to two sessions per day, 5 days a week, per 3 months. For better results use regularly.
Rehab_P24 High TENS
Rehab_P24_fullname High frequency TENS
Rehab_P24_more High frequency TENS is generally used to trigger pain gate control mechanism. The electrodes are placed along an enervation line which comes from the painful region. One electrode is placed near the painful are on the limb, back or joint. Another electrode is placed on the corresponding myotomme near the vertebra.
Rehab_P24_start 1. \\>Place the electrodes on to clean, grease-free skin, over the selected muscles. General electrodes placement hint: The red pin should be placed on the centre of the muscle bulk. The black pin goes on the area near the distal muscle insertion (the end of a muscle which is distal [most distant] from the body centre). \\<\n2. \\>Keep a minimum distance of 1 cm from one electrode to another: During stimulation the electrodes should not touch each other. \\<\n3. \\>Increase mA until you feel gentle electrical tingling. Do not exceed a level of 60mA. If you don’t feel stimulation, keep using up to 60mA, typically the sensation improves in several weeks of use. Remember that sensation also depends on electrodes size and distance.\\<
Rehab_P24_enc Use one to two sessions per day, 5 days a week, per 3 months. For better results use regularly.
Rehab_P25 Han TENS
Rehab_P25_fullname HAN-type Modulated Frequency TENS
Rehab_P25_more HAN TENS is a mixture of high and low frequency current for pain relief.
Rehab_P25_start 1. \\>Place the electrodes on to clean, grease-free skin, over the selected muscles. General electrodes placement hint: The red pin should be placed on the centre of the muscle bulk. The black pin goes on the area near the distal muscle insertion (the end of a muscle which is distal [most distant] from the body centre). \\<\n2. \\>Keep a minimum distance of 1 cm from one electrode to another: During stimulation the electrodes should not touch each other. \\<\n3. \\>Increase mA until you feel gentle electrical tingling. Do not exceed a level of 60mA. If you don’t feel stimulation, keep using up to 60mA, typically the sensation improves in several weeks of use. Remember that sensation also depends on electrodes size and distance.\\<
Rehab_P25_enc Use one to two sessions per day, 5 days a week, per 3 months. For better results use regularly.
FESswitch_custom Hand Switch Custom
FESswitch_custom_fullname Hand Switch Custom
FESswitch_custom_more FES stands for Functional Electrical Stimulation. It involves using electrical stimulation to activate the weak muscles through the stimulation of intact peripheral motor nerves to promote normal functional movement, for example assisting walking for patients with foot drop.\n\nYou should consult appropriate treatments with a physiotherapist prior to the commencement of treatment. FES is most effective when highly specific training parameters are selected.
FESswitch_custom_start 1. \\>Set up the FES treatment by entering the programme settings screen. Here, you can update the parameters using the on-screen buttons, including the type of stimulation, frequency, pulse width etc.\\<\n2. \\>Tap the Done button to approve the changes.\\<\n3. \\>Connect your electrodes to the lead wire and connect the lead wire to the device.\\<\n4. \\>Using the electrode placement charts, connect the skin electrodes.\\<\n5. \\>Connect the Remote Control to the device\\<\n6. \\>Slowly adjust the intensity with the mA+ and mA- buttons until you reach a suitable level.\\<\n7. \\>Press the hand switch button to activate Manual Control Mode. The intensity will decrease to 0mA and the screen will pass to the Rest Time screen. Here, you will be able to monitor your EMG levels. The Rest time counter will also be displayed.\\<\n8. \\>To start stimulation, press and hold the Remote Switch button (the icon in the header will turn Red). The work time counter shall be displayed in the treatment screen area and stimulation will be delivered at the previously set level.\\<\n9. \\>To stop the stimulation, release the Remote Switch button (the icon in the header will turn White). The device will return to the rest screen, where you will be able to monitor your EMG levels.\\<
FESswitch_custom_enc 
PelvicFloor15 Pelvic Floor (15)
Rehab9 Rehab (9)
SimplePFN_P1 Pain
SimplePFN_P1_fullname Pelvic Pain TENS
SimplePFN_P1_more Most women experience some form of period pain during their lifetime. The medical term for period pain is dysmenorrhoea.\n\nPeriod pain is usually felt as painful muscle cramps in your lower abdomen, which can sometimes spread to your back and thighs. Sometimes the pain comes in intense spasms, while at other times the pain may be dull but more constant.\n\nThe pain usually starts when your bleeding begins, and normally lasts for 12-24 hours.
SimplePFN_P1_start Caution! You can use the vaginal probe only when the conditions allow you to: no bleeding, no vaginal infection or inflammation.\n1. \\>You can either use a vaginal electrode or external skin electrodes placed over the lumbo-sacral area on the lower spine. You can use one (probe) or one or two (skin electrodes) channels of stimulation.\\<\n2. \\>If using the vaginal probe, gently place the clean moistened electrode probe into the vagina. Place it firmly to ensure the metal part of the probe is within the vagina. The metal plates of the electrode should face side-ways towards the thighs and the whole surface of the metal plates should make contact with the vaginal wall. Firmly fitted underwear will help to prevent the probe slipping out of place. The most suitable position is laying on a comfortable surface with feet flat on the surface with knees slightly bent and kept together or with one leg crossed over the other knee for better contact.\\<\n3. \\>Press + to increase intensity until a comfortable stimulation is felt. Do not go above 40 mA, typical level is 10-20 mA. The intensity level must be below the contraction threshold. Focus on muscle relaxation during the treatment.\\<
SimplePFN_P1_enc Use any time when period pain occurs. Use in moderation. Do not use longer than 6 hours a day.
SimplePFN_P2 Tibialis
SimplePFN_P2_fullname Tibialis TENS - Urge urinary incontinence (Overactive bladder)
SimplePFN_P2_more TENS on tibial nerve is a possible alternative to sacral nerve stimulation for pelvic pain relief, because the neurophysiologic targets might be similar but the TENS method is non-invasive and cheaper. Tibial stimulation is also the alternative to vaginal pelvic pain relief stimulation using the internal vaginal probe.
SimplePFN_P2_start 1. \\>Place electrodes alongside the tibial nerve. Use one channel only on either leg.\\<\n2. \\>Press + to increase intensity until a comfortable electrical tingling is felt. Don't go above 40 mA, typical level is 10-20 mA. The intensity level must be below the contraction threshold. Focus on muscle relaxation during the treatment.\\<
SimplePFN_P2_enc Use in moderation. Don't use longer than 6 hours a day.
SimplePFN_P3 Stress
SimplePFN_P3_fullname Stress Urinary Incontinence
SimplePFN_P3_more Stress urinary incontinence is also referred as incontinence due to strain and damage on the pelvic floor nerves and muscles that support the bladder. The damage is typically caused by child delivery, weight lifting, coughing, constipation, gynaecological surgery, or degenerative changes of the spine. The muscular sagging of the pelvic floor causes the gradual subsidence of the internal organs. As a result the urine leaks at a time of increased pressure on the bladder, when the internal bladder pressure is greater than the force of the urethra valve. In addition to this programme, try out EMG biofeedback and a probe, please check how the pelvic floor is functioning. EMG is also helpful in establishing influence of the degenerative changes in spine over the pelvic floor function.
SimplePFN_P3_start STOP! This programme is designed for people with general good health. Otherwise, please start from P10 (low frequency 2-10 Hz programme) and use it until your sensation goes back to normal and you achieve a better continence. Use this programme only if you can withstand a work/rest training and you have a good feeling of low intensity (10-20mA) electrical stimulation.\n1. \\>Gently place the clean moistened electrode probe into the vagina. Place it firmly to ensure the metal part of the probe is within the vagina. The metal plates of the electrode should face side-ways towards the thighs and the whole surface of the metal plates should make contact with the vaginal wall. Firmly fitted underwear will help to prevent the probe slipping out of place. The most suitable position is laying on comfortable surface with feet flat on the surface with knees slightly bent and kept together or with one leg crossed over the other knee for better contact.\\<\n2. \\>This programme consist of 2 phases: first phase is Warm Up. Slowly adjust the intensity with +/-buttons to feel a comfortable but not discomforting level of stimulation. Do not exceed the level of 55mA. There is no need to contract muscles during warm up.\\<\n3. \\>Second phase starts automatically, but with a safe lower level of intensity. Please increase mA to the comfortable level of muscle contraction. When the stimulation is felt, try to contract muscles and relax them over the rest time of stimulation. Don't contract buttocks, thighs nor abdomen. Breathe freely. Exercise until fatigue is felt.\\<
SimplePFN_P3_enc Repeat the programme 1 - 2 times a day, 4 - 5 times a week until you feel an improvement. Keep a record of how often and how much you lose urine to see the changes.
SimplePFN_P4 Urge
SimplePFN_P4_fullname Urge urinary incontinence (Overactive bladder)
SimplePFN_P4_more An Overactive Bladder is a condition that results from sudden, involuntary contraction of the muscle in the wall of the urinary bladder. Overactive bladder causes a sudden and unstoppable need to urinate (urinary urgency), even though the bladder may only contain a small amount of urine. These involuntary contractions may occur in the night (one of the causes of nocturia) but also during the day. These contractions often lead to unexpected leakage of small amounts of urine. \nSTOP! If you think your desire to urinate is abnormal, please consult your GP for referral to a specialist to establish the cause of the symptoms. Low frequency stimulation is only helpful in case of genuine OAB. Other causes of bladder overreaction may be present when the pudendal nerve is functioning normally, and the desire to pass urine frequently may be caused by bacterial or viral inflammation, nephrolithiasis, as well as a weak proximal bladder neck (see below).\nIMPORTANT! With the help of a specialist, please conduct the pelvic floor examination using EMG. Flaccid muscles allow the penetration of drops of urine into the urethra and cause reflex micturition. This gives the same feeling as urinary bladder OAB, but can be prevented by adequate muscle exercise and stimulation. In addition to this programme, EMG study also allows you to assess the impact of degenerative changes of the spine to the pelvic floor function. Stimulation provides a safe, drug-free method of improved control over the mechanisms of pelvic floor function (enervation, blood circulation, muscle function). A urinary incontinence disorder specialist can undertake the appropriate examinations needed to advise you on a selection of the appropriate stimulation parameters. A specialist can also help in determining a treatment schedule as well as periodic EMG assessment of your rehabilitation progress.
SimplePFN_P4_start The overall rules: \n1. \\>Avoid foods and liquids which irritate the bladder. \\<\n2. \\>Try to delay the moment of emptying the bladder. Do not limit fluid intake. \\<\n\nVaginal stimulation: \nGently place the clean moistened electrode probe into the vagina. Place it firmly to ensure the metal part of the probe is fully inserted. The metal plates of the electrode should face side-ways towards thighs and the whole surface of the plates should be in contact with the vaginal wall. Firmly fitted underwear helps to prevent the probe slipping out of place. Slowly adjust the intensity with +/- buttons to feel a comfortable but not discomforting level of stimulation. Do not exceed the level of 55mA. Use 1-2 times a day.\n\nFunctional Stimulation: \nTo stimulate the sacral micturition center, stick adhesive electrodes on either side of the spine, at the level of the sacrum. The intensity of stimulation should be clearly felt, but not to exceed 15 mA. Use 2-3 times a day.
SimplePFN_P4_enc Use as prophylaxis of genuine urge incontinence to inhibit the bladder overreaction. Use once every day for 3 months. The result should be noticeable after the second week of everyday use, after third month please check with gynaecologist.
SimplePFN_P5 Stress (ETS)
SimplePFN_P5_fullname ETS for stress urinary incontinence
SimplePFN_P5_more Stress urinary incontinence is also referred as incontinence due to strain and damage on the pelvic floor nerves and muscles that support the bladder. The damage is typically caused by child delivery, weight lifting, coughing, constipation, gynaecological surgery, or degenerative changes of the spine. The muscular sagging of the pelvic floor causes the gradual subsidence of the internal organs. As a result the urine leaks at a time of increased pressure on the bladder, when the internal bladder pressure is greater than the force of the urethra valve. In addition to this programme, try out EMG biofeedback and a probe, please check how the pelvic floor is functioning. EMG is also helpful in establishing influence of the degenerative changes in spine over the pelvic floor function.\nETS stands for EMG triggered Stimulation. Try EMG before you go to ETS, you will find that ETS is like EMG, with one substantial difference: When you contract your muscle in ETS and reach the threshold, a stimulation will occur which helps to hold the contraction. ETS is a very powerful technique for muscular rehabilitation, especially useful for Incontinence and Stroke rehabilitation.
SimplePFN_P5_start STOP! If you have a lack of sensation or serious incontinence, you should consult your treatment with the specialist. As a part of your treatment, the muscular stimulation may play a crucial role, but don't rush into this programme. The low frequency stimulation like programme P10 is advisable to establish a better sensation before you continue to this programme.  \n1. \\>Gently place the clean moistened electrode probe into the vagina. Place it firmly to ensure the metal part of the probe is within the vagina. The metal plates of the electrode should face side-ways towards the thighs and the whole surface of the metal plates should make contact with the vaginal wall. Firmly fitted underwear will help to prevent the probe slipping out of place. The most suitable position is laying on comfortable surface with feet flat on the surface with knees slightly bent and kept together or cross one leg over the other knee for better contact.\\<\n2. \\>You should always use (REF) reference wire for precise EMG measurement! Please connect the ref wire to the skin electrode of any type, place the electrode pad on inner hip. This is to make a precise measurement. \\<\nAfter opening home screen of the program, you will notice the biofeedback graph on the screen. This graph represent the level of you pelvic floor contraction. Try to relax below 4uV. If the reading of the unit is unstable and your graph does not go down, make sure: a) Your thresholds are set to 10uV or lower b) You use REF wire c) Move away from electromagnetic fields: mobile phones, PC, power equipment. \n3. \\>Press THRS buttons to adjust the threshold (which also scales the graph sensitivity). Your threshold should be adjusted in such way that when you relax, your graph is below the threshold line (the horizontal line in the middle of your graph area), when you contract, you should be able to reach this line, which plays a role of target which you should hit to trigger the stimulation.\\<\n4. \\>If you can relax below 4 uV and hold below this level for 10 seconds, then you are ready to begin your active ETS phase. Increase mA to the level of comfortable muscle contraction.  Your aim is to follow the prompts. When you see arrows flashing up, please contract until you see the relaxation prompt - arrows down. When contracting, try to reach the threshold line. As soon as it is reached, the stimulation will appear to help you hold your muscle contracted. When relaxing, try to relax as much as you can as quickly as possible. A good relaxation is below 3.5uV. This Contraction - Hold - Relaxation circle will be repeated 30 times. \\<\n5. \\>By the end of the session, the statistics will be displayed. This might be useful to write them down after each session, if you going to see a specialist this data can help to evaluate your progress.\\<
SimplePFN_P5_enc Use once a day before the stimulation programme or instead of it. This training is found to be more efficient for neuromuscular reeducation than EMG on its own or stimulation only.
SimplePFN_P6 Faecal (EMG)
SimplePFN_P6_fullname EMG for faecal incontinence
SimplePFN_P6_more Faecal (Bowel) incontinence is an inability to control bowel movements, resulting in the involuntary passage of stools.\nThe experience of bowel incontinence can vary from person to person. Some people feel a sudden, urgent need to go to the toilet, and incontinence occurs because they are unable to reach a toilet in time. This is known as urge bowel incontinence.\nOther people may experience no sensation before passing a stool, known as passive incontinence or passive soiling, or they may pass a small piece of stool while passing wind.\n\nSome people experience incontinence on a daily basis, whereas for others problems only occur from time to time.\n\nEMG stands for Electromyography. This is also referred to as Muscle Biofeedback, when you see your muscle performance on screen. EMG serves two purposes: It is very helpful tool for voluntary contraction exercise. EMG is also an extremely useful assessment tool if you need to evaluate muscle rehabilitation progress.
SimplePFN_P6_start 1. \\>Go to the toilet to empty yourself completely prior to exercise.\\<\n2. \\>Gently place the clean moistened rectal electrode probe into the anus with a gentle swirl movement. Use only electrically-conductive gels and lubricants. Follow the instructions of insertion from the probe leaflet. Your probe may have a circular depth gauge. Place it firmly to ensure the metal part of the probe is within the rectum, don't place it too deep as the plates should be just below the surface. Firmly fitted underwear will help to prevent the probe slipping out of place. The most suitable position is laying on comfortable surface with feet flat on the surface.\\<\n3. \\>You should always use (REF) reference wire for precise EMG measurement! Please connect the ref wire to the skin electrode of any type, place the electrode pad on inner hip. This is to make a precise measurement. \\<\n4. \\>After opening home screen of the program, you will notice the EMG graph. This graph represents the level of your pelvic floor contraction. Try to relax below 4uV. If the reading of the unit is unstable and your graph does not go down, make sure: a) Your thresholds are set to 10uV or lower b) You use REF wire c) Move away from electromagnetic fields: mobile phones, PC, power equipment. \\<\n5. \\>Press AUTO button and at the same time, contract the muscle for 3-5 seconds. This will adjust the threshold level. Repeat the same procedure until the threshold is acceptable. Your threshold should be adjusted in such way that when you relax, your graph is below the threshold line (the horizontal line which is in the middle of your graph area). When you contract, your EMG should be running above this line.\\<\n6. \\>If you can relax below 4 uV and hold below this level for 10 seconds, then you are ready to begin your active EMG phase. Press START. Your aim is to follow the prompts. When you see arrows flashing up, please contract until you see the relaxation prompt - arrows down. When contracting, try to hold your graph above the threshold line. When relaxing, try to relax as much as you can as quickly as possible. A good relaxation is below 3.5uV. This Contraction-Relaxation circle will be repeated 6 times. \\<\n7. \\>By the end of an EMG session, the statistics will be displayed. This might be useful to write them down after each session, if you are going to see a specialist this data can help to evaluate your progress.\\<
SimplePFN_P6_enc Use as a voluntary contraction training programme, 2-4 times a day, several days a week. You can combine your pelvic floor workout stimulation programme with this EMG biofeedback training programme. It is a good practice to do the stimulation regularly and EMG programme once a week.
SimplePFN_P7 Faecal (ETS)
SimplePFN_P7_fullname ETS for faecal incontinence
SimplePFN_P7_more Faecal (Bowel) incontinence is an inability to control bowel movements, resulting in the involuntary passage of stools.\nThe experience of bowel incontinence can vary from person to person. Some people feel a sudden, urgent need to go to the toilet, and incontinence occurs because they are unable to reach a toilet in time. This is known as urge bowel incontinence.\nOther people may experience no sensation before passing a stool, known as passive incontinence or passive soiling, or they may pass a small piece of stool while passing wind.\n\nSome people experience incontinence on a daily basis, whereas for others problems only occur from time to time.
SimplePFN_P7_start STOP! If you have a lack of sensation or serious incontinence, you should consult your treatment with the specialist. As a part of your treatment, the muscular stimulation may play a crucial role, but don't rush into this programme. The low frequency stimulation like programme P10 is advisable to establish a better sensation before you continue to this programme. \n1. \\>Go to the toilet to empty yourself completely prior to exercise.\\<\n2. \\>Gently place the clean moistened rectal electrode probe into the anus with a gentle swirl movement. Use only electrically-conductive gels and lubricants. Follow the instructions of insertion from the probe leaflet. Your probe may have a circular depth gauge. Place it firmly to ensure the metal part of the probe is within the rectum, don't place it too deep as the plates should be just below the surface. Firmly fitted underwear will help to prevent the probe slipping out of place. The most suitable position is laying on comfortable surface with feet flat on the surface.\\<\n3. \\>Gently place the clean moistened electrode probe into the vagina. Place it firmly to ensure the metal part of the probe is within the vagina. The metal plates of the electrode should face side-ways towards the thighs and the whole surface of the metal plates should make contact with the vaginal wall. Firmly fitted underwear will help to prevent the probe slipping out of place. The most suitable position is laying on comfortable surface with feet flat on the surface with knees slightly bent and kept together or cross one leg over the other knee for better contact. \\<\n4. \\>You should always use (REF) reference wire for precise EMG measurement! Please connect the ref wire to the skin electrode of any type, place the electrode pad on inner hip. This is to make a precise measurement. \\<\n5. \\>After opening home screen of the program, you will notice the biofeedback graph on the screen. This graph represent the level of you pelvic floor contraction. Try to relax below 4uV. If the reading of the unit is unstable and your graph does not go down, make sure: a) Your thresholds are set to 10uV or lower b) You use REF wire c) Move away from electromagnetic fields: mobile phones, PC, power equipment. \\<\n6. \\>Press THRS buttons to adjust the threshold (which also scales the graph sensitivity). Your threshold should be adjusted in such way that when you relax, your graph is below the threshold line (the horizontal line in the middle of your graph area), when you contract, you should be able to reach this line, which plays a role of target which you should hit to trigger the stimulation.\\<\n7. \\>If you can relax below 4 uV and hold below this level for 10 seconds, then you are ready to begin your active ETS phase. Increase mA to the level of comfortable muscle contraction.  Your aim is to follow the prompts. When you see arrows flashing up, please contract until you see the relaxation prompt - arrows down. When contracting, try to reach the threshold line. As soon as it is reached, the stimulation will appear to help you hold your muscle contracted. When relaxing, try to relax as much as you can as quickly as possible. A good relaxation is below 3.5uV. This Contraction - Hold - Relaxation circle will be repeated 30 times. \\<\n8. \\>By the end of the session, the statistics will be displayed. This might be useful to write them down after each session, if you going to see a specialist this data can help to evaluate your progress.\\<
SimplePFN_P7_enc Use once a day before the stimulation programme or instead of it. This training is found to be more efficient for neuromuscular reeducation than EMG on its own or stimulation only.
SimplePFN_P8 Stress (EMG)
SimplePFN_P8_fullname EMG for stress urinary Incontinence
SimplePFN_P8_more Stress urinary incontinence is also referred as incontinence due to strain and damage on the pelvic floor nerves and muscles that support the bladder. The damage is typically caused by child delivery, weight lifting, coughing, constipation, gynaecological surgery, or degenerative changes of the spine. The muscular sagging of the pelvic floor causes the gradual subsidence of the internal organs. As a result the urine leaks at a time of increased pressure on the bladder, when the internal bladder pressure is greater than the force of the urethra valve. In addition to this programme, try out EMG biofeedback and a probe, please check how the pelvic floor is functioning. EMG is also helpful in establishing influence of the degenerative changes in spine over the pelvic floor function.\n\nEMG stands for Electromyography. This is also referred to as Muscle Biofeedback, when you see your muscle performance on screen. EMG serves two purposes: It is very helpful tool for voluntary contraction exercise. EMG is also an extremely useful assessment tool if you need to evaluate muscle rehabilitation progress.
SimplePFN_P8_start 1. \\>Go to the toilet to empty yourself completely prior to exercise.\\<\n2. \\>Gently place the clean moistened rectal electrode probe into the anus with a gentle swirl movement. Use only electrically-conductive gels and lubricants. Follow the instructions of insertion from the probe leaflet. Your probe may have a circular depth gauge. Place it firmly to ensure the metal part of the probe is within the rectum, don't place it too deep as the plates should be just below the surface. Firmly fitted underwear will help to prevent the probe slipping out of place. The most suitable position is laying on comfortable surface with feet flat on the surface.\\<\n3. \\>You should always use (REF) reference wire for precise EMG measurement! Please connect the ref wire to the skin electrode of any type, place the electrode pad on inner hip. This is to make a precise measurement. \\<\n4. \\>After opening home screen of the program, you will notice the EMG graph. This graph represents the level of your pelvic floor contraction. Try to relax below 4uV. If the reading of the unit is unstable and your graph does not go down, make sure: a) Your thresholds are set to 10uV or lower b) You use REF wire c) Move away from electromagnetic fields: mobile phones, PC, power equipment. \\<\n5. \\>Press AUTO button and at the same time, contract the muscle for 3-5 seconds. This will adjust the threshold level. Repeat the same procedure until the threshold is acceptable. Your threshold should be adjusted in such way that when you relax, your graph is below the threshold line (the horizontal line which is in the middle of your graph area). When you contract, your EMG should be running above this line.\\<\n6. \\>If you can relax below 4 uV and hold below this level for 10 seconds, then you are ready to begin your active EMG phase. Press START. Your aim is to follow the prompts. When you see arrows flashing up, please contract until you see the relaxation prompt - arrows down. When contracting, try to hold your graph above the threshold line. When relaxing, try to relax as much as you can as quickly as possible. A good relaxation is below 3.5uV. This Contraction-Relaxation circle will be repeated 6 times. \\<\n7. \\>By the end of an EMG session, the statistics will be displayed. This might be useful to write them down after each session, if you are going to see a specialist this data can help to evaluate your progress.\\<
SimplePFN_P8_enc Use as a voluntary contraction training programme, 2-4 times a day, several days a week. You can combine your pelvic floor workout stimulation programme with this EMG biofeedback training programme. It is a good practice to do the stimulation regularly and EMG programme once a week.
SimplePFN_P9 Urge (EMG)
SimplePFN_P9_fullname EMG for urge urinary incontinence (Overactive bladder)
SimplePFN_P9_more An Overactive Bladder is a condition that results from sudden, involuntary contraction of the muscle in the wall of the urinary bladder. Overactive bladder causes a sudden and unstoppable need to urinate (urinary urgency), even though the bladder may only contain a small amount of urine. These involuntary contractions may occur in the night (one of the causes of nocturia) but also during the day. These contractions often lead to unexpected leakage of small amounts of urine. \nSTOP! If you think your desire to urinate is abnormal, please consult your GP for referral to a specialist to establish the cause of the symptoms. Low frequency stimulation is only helpful in case of genuine OAB. Other causes of bladder overreaction may be present when the pudendal nerve is functioning normally, and the desire to pass urine frequently may be caused by bacterial or viral inflammation, nephrolithiasis, as well as a weak proximal bladder neck (see below).\nIMPORTANT! With the help of a specialist, please conduct the pelvic floor examination using EMG. Flaccid muscles allow the penetration of drops of urine into the urethra and cause reflex micturition. This gives the same feeling as urinary bladder OAB, but can be prevented by adequate muscle exercise and stimulation. In addition to this programme, EMG study also allows you to assess the impact of degenerative changes of the spine to the pelvic floor function. Stimulation provides a safe, drug-free method of improved control over the mechanisms of pelvic floor function (enervation, blood circulation, muscle function). A urinary incontinence disorder specialist can undertake the appropriate examinations needed to advise you on a selection of the appropriate stimulation parameters. A specialist can also help in determining a treatment schedule as well as periodic EMG assessment of your rehabilitation progress.\n\nEMG stands for Electromyography. This is also referred to as Muscle Biofeedback, when you see your muscle performance on screen. EMG serves two purposes: It is very helpful tool for voluntary contraction exercise. EMG is also an extremely useful assessment tool if you need to evaluate muscle rehabilitation progress.
SimplePFN_P9_start 1. \\>Go to the toilet to empty yourself completely prior to exercise.\\<\n2. \\>Gently place the clean moistened rectal electrode probe into the anus with a gentle swirl movement. Use only electrically-conductive gels and lubricants. Follow the instructions of insertion from the probe leaflet. Your probe may have a circular depth gauge. Place it firmly to ensure the metal part of the probe is within the rectum, don't place it too deep as the plates should be just below the surface. Firmly fitted underwear will help to prevent the probe slipping out of place. The most suitable position is laying on comfortable surface with feet flat on the surface.\\<\n3. \\>You should always use (REF) reference wire for precise EMG measurement! Please connect the ref wire to the skin electrode of any type, place the electrode pad on inner hip. This is to make a precise measurement. \\<\n4. \\>After opening home screen of the program  you will notice the EMG graph. This graph represents the level of your pelvic floor contraction. Try to relax below 4uV. If the reading of the unit is unstable and your graph does not go down, make sure: a) Your thresholds are set to 10uV or lower b) You use REF wire c) Move away from electromagnetic fields: mobile phones, PC, power equipment. \\<\n5. \\>Press AUTO button and at the same time, contract the muscle for 3-5 seconds. This will adjust the threshold level. Repeat the same procedure until the threshold is acceptable. Your threshold should be adjusted in such way that when you relax, your graph is below the threshold line (the horizontal line which is in the middle of your graph area). When you contract, your EMG should be running above this line.\\<\n6. \\>If you can relax below 4 uV and hold below this level for 10 seconds, then you are ready to begin your active EMG phase. Press START. Your aim is to follow the prompts. When you see arrows flashing up, please contract until you see the relaxation prompt - arrows down. When contracting, try to hold your graph above the threshold line. When relaxing, try to relax as much as you can as quickly as possible. A good relaxation is below 3.5uV. This Contraction-Relaxation circle will be repeated 6 times. \\<\n7. \\>By the end of an EMG session, the statistics will be displayed. This might be useful to write them down after each session, if you are going to see a specialist this data can help to evaluate your progress.\\<
SimplePFN_P9_enc Use as a voluntary contraction training programme, 2-4 times a day, several days a week. You can combine your pelvic floor workout stimulation programme with this EMG biofeedback training programme. It is a good practice to do the stimulation regularly and EMG programme once a week.
SimplePFN_P10 Sensation
SimplePFN_P10_fullname Warm up & sensation
SimplePFN_P10_more Doing warm up stimulation before your voluntary or stimulation workout is important in many ways. A good warm up will gradually increase circulation to your muscles and prepare your sensory nerves for greater stimulation currents during the workout. This programme is also one of the best to start with if a patient is in a weak condition, not feeling the stimulation until well above 20 mA.
SimplePFN_P10_start 1. \\>Gently place the clean moistened electrode probe into the vagina. Place it firmly to ensure the metal part of the probe is within the vagina. The metal plates of the electrode should face side-ways towards the thighs and the whole surface of the metal plates should make contact with the vaginal wall. Firmly fitted underwear will help to prevent the probe slipping out of place. The most suitable position is laying on a comfortable surface with feet flat on the surface with knees slightly bent and kept together or with one leg crossed over the other knee for better contact.\\<\n2. \\>This programme consists of 3 phases. Slowly adjust the intensity with +/-buttons to feel a comfortable but not discomforting level of stimulation which invokes muscular contraction. For Warm up, do not exceed the level of 55mA. For sensitivity improvement, the aim is always to keep the intensity below the muscular contraction level. Keep it below 50 mA even if you don't feel it. Even without sensation, this programme gradually builds up your ability to feel your pelvic floor.\\<
SimplePFN_P10_enc This is a suitable programme for very weak pelvic floor or after surgery. You may use it  in addition to your main exercise treatment. Your main treatment programme may already have a warm up phase. For the sensitivity improvement, your aim is to start feeling the intensity of 10-20 mA.
SimplePFN_P11 Work Out
SimplePFN_P11_fullname Pelvic Floor Work Out
SimplePFN_P11_more The pelvic floor muscles are located between your legs, and run from your pubic bone at the front to the base of your spine at the back. They are in the shape of a sling and hold your bladder and urethra (the tube that urine comes out of) in place. Since we walk on two legs, the pelvic floor muscle group hold in place very important organs such as the intestines, bladder, urethra and vagina. The urethra, rectum and vagina are our natural outlets which are kept in place only when our pelvic floor muscles are in good shape and react properly to intra abdominal pressure. Weakened muscles are common among young women after childbirth as well as women after menopause, and by the weakening of muscles associated with aging. However it is important to note that muscle stimulation treatment has produced some very good results in women aged over 80.
SimplePFN_P11_start STOP! This programme is designed for a generally healthy person. Otherwise, please start from P04 (low frequency 2-10 Hz programme) and use it until your sensation goes back to normal and you achieve a better continence. Use this programme only if you can withstand a work/rest training and you have a good feeling of low intensity (10-20mA) electrical stimulation.\n1. \\>Gently place the clean moistened electrode probe into the vagina. Place it firmly to ensure the metal part of the probe is within the vagina. The metal plates of the electrode should face side-ways towards the thighs and the whole surface of the metal plates should make contact with the vaginal wall. Firmly fitted underwear will help to prevent the probe slipping out of place. The most suitable position is laying on comfortable surface with feet flat on the surface with knees slightly bent and kept together or cross one leg over the other knee for better contact.\\<\n2. \\>This programme consists of 3 phases. Slowly adjust the intensity with +/-buttons to feel a comfortable but not discomforting level of stimulation. Do not exceed the level of 55mA. There is no need to contract muscles during warm up.\\<\n3. \\>Second and third phase starts automatically, but with a safe lower level of intensity. Please increase mA to the comfortable level of muscle contraction. When the stimulation is felt, try to contract muscles and relax them over the rest time of stimulation. Don't contract buttocks, thighs nor abdomen. Breathe freely. Exercise until fatigue is felt.\\<
SimplePFN_P11_enc Follow steps 1 -2 times a day, 5 - 7 times a week for about 3 months.
SimplePFN_P12 Endurance
SimplePFN_P12_fullname Building up muscle endurance
SimplePFN_P12_more Building up the resistance to fatigue is especially important for women whose work entails long periods of standing, or when lifting heavy objects. Furthermore, this programme plays an important part of the overall treatment of mixed and stress urinary incontinence.
SimplePFN_P12_start STOP! This programme is designed for a generally healthy person. Otherwise, please start from P04 (low frequency 2-10 Hz programme) and use it until your sensation goes back to normal and you achieve a better continence. Use this programme only if you can withstand a work/rest training and you have a good feeling of low intensity (10-20mA) electrical stimulation.\n1. \\>Gently place the clean moistened electrode probe into the vagina. Place it firmly to ensure the metal part of the probe is within the vagina. The metal plates of the electrode should face side-ways towards the thighs and the whole surface of the metal plates should make contact with the vaginal wall. Firmly fitted underwear will help to prevent the probe slipping out of place. The most suitable position is laying on comfortable surface with feet flat on the surface with knees slightly bent and kept together or cross one leg over the other knee for better contact.\\<\n2. \\>This programme consists of 2 phases: first phase is a Warm Up. Slowly adjust the intensity with +/-buttons to feel a comfortable but not discomforting level of stimulation. Do not exceed the level of 55mA. There is no need to contract muscles during warm up.\\<\n3. \\>Second phase starts automatically, but with a safe lower level of intensity. Please increase mA to the comfortable level of muscle contraction. When the stimulation is felt, try to contract muscles and relax them over the rest time of stimulation. Don't contract buttocks, thighs nor abdomen. Breathe freely. Exercise until fatigue is felt.\\<
SimplePFN_P12_enc Repeat the programme 1-2 times a day, 4-5 times a week until improvement is felt. Keep a record of how often and how much urine is lost and observe any changes. Once improvement is noticeable, more difficult programmes (with longer work time) can be employed.
SimplePFN_P13 Toning
SimplePFN_P13_fullname Pelvic Floor Toning
SimplePFN_P13_more Flaccid muscles, also known as hypotonicity, is a condition characterized by a decrease or loss of normal muscle tone due to the deterioration of the lower motor nerve cells.
SimplePFN_P13_start STOP! This programme is designed for generally healthy person. Otherwise, please start from P04 (low frequency 2-10 Hz programme) and use it until your sensation goes back to normal and you achieve a better continence. Use this programme only if you can withstand a work/rest training and you have a good feeling of low intensity (10-20mA) electrical stimulation.\n1. \\>Gently place the clean moistened electrode probe into the vagina. Place it firmly to ensure the metal part of the probe is within the vagina. The metal plates of the electrode should face side-ways towards the thighs and the whole surface of the metal plates should make contact with the vaginal wall. Firmly fitted underwear will help to prevent the probe slipping out of place. The most suitable position is laying on comfortable surface with feet flat on the surface with knees slightly bent and kept together or cross one leg over the other knee for better contact.\\<\n2. \\>This programme consist of 2 phases: first phase is Warm Up. Slowly adjust the intensity with +/-buttons to feel a comfortable but not discomforting level of stimulation. Do not exceed the level of 55mA. There is no need to contract muscles during warm up.\\<\n3. \\>Second phase starts automatically, but with a safe lower level of intensity. Please increase mA to the comfortable level of muscle contraction. When the stimulation is felt, try to contract muscles and relax them over the rest time of stimulation. Don't contract buttocks, thighs nor abdomen. Breathe freely. Exercise until fatigue is felt.\\<
SimplePFN_P13_enc Repeat the programme 2-3 times a day, 4-6 times a week. Keep using for a minimum of 3 months until improvement is felt. Make an appointment with your therapist for EMG evaluation and assessment.
SimplePFN_P14 Relaxation
SimplePFN_P14_fullname Pelvic Muscle Relaxation
SimplePFN_P14_more Long-term increased muscle tension may be a result of a habit of urine over-holding. Another reason might be due to nervous damage or blood supply disorders. This often causes difficulties with urination or bowel emptying. Among other after effects are: anal fissure, non-infectious inflammation of the pelvis, etc.
SimplePFN_P14_start 1. \\>Gently place the clean moistened electrode probe into the vagina. Place it firmly to ensure the metal part of the probe is within the vagina. The metal plates of the electrode should face side-ways towards the thighs and the whole surface of the metal plates should make contact with the vaginal wall. Firmly fitted underwear will help to prevent the probe slipping out of place. The most suitable position is laying on comfortable surface with feet flat on the surface with knees slightly bent and kept together or cross one leg over the other knee for better contact.\\<\n2. \\>This programme consist of 2 phases: first phase is Warm Up. Slowly adjust the intensity with +/-buttons to feel a comfortable but not discomforting level of stimulation. Do not exceed the level of 55mA. Second phase starts automatically, but with a safe lower level of intensity. Please increase mA to the comfortable level.\\<\n3. \\>During the whole treatment: don't increase the intensity of stimulation to the level of muscle contraction, this programme is designed to relax the tense pelvic floor muscles. When the stimulation is felt, try to relax but don't push the probe out, hold urine. This is to exercise urine hold with a minimum level of muscular engagement. The effective relaxation of pelvic floor reduces pain when you hold urine.\\<
SimplePFN_P14_enc Repeat the programme 1-2 times a day, 4-5 times a week until improvement is felt. Keep a record of the results: less pain, quicker emptying, etc. If you notice any other symptoms of pelvic disorders, please contact a specialist to get any additional advice of your further options of treatment.
SimplePFN_P15 EMG
SimplePFN_P15_fullname EMG Biofeedback Training
SimplePFN_P15_more EMG stands for Electromyography. This is also referred to as Muscle Biofeedback, when you see your muscle performance on screen. EMG serves two purposes: It is very helpful tool for voluntary contraction exercise. EMG is also an extremely useful assessment tool if you need to evaluate muscle rehabilitation progress.
SimplePFN_P15_start 1. \\>Gently place the clean moistened electrode probe into the vagina. Place it firmly to ensure the metal part of the probe is within the vagina. The metal plates of the electrode should face side-ways towards the thighs and the whole surface of the metal plates should make contact with the vaginal wall. Firmly fitted underwear will help to prevent the probe slipping out of place. The most suitable position is laying on comfortable surface with feet flat on the surface with knees slightly bent and kept together or cross one leg over the other knee for better contact. \\<\n2. \\>You should always use (REF) reference wire for precise EMG measurement! Please connect the ref wire to the skin electrode of any type, place the electrode pad on inner hip. This is to make a precise measurement. \\<\n3. \\>Once the leadwire is connected to the probe and the REF wire is connected, press mA+ to begin the Warm up stimulation phase. This will get tissues ready for better voluntary contractions.\\<\n4. \\>The next phase is EMG, you will notice the EMG graph. This graph represents the level of your pelvic floor contraction. Try to relax below 4uV. If the reading of the unit is unstable and your graph does not go down, make sure: a) Your thresholds are set to 10uV or lower b) You use REF wire c) Move away from electromagnetic fields: mobile phones, PC, power equipment. \\<\n5. \\>Press AUTO button and at the same time, contract the muscle for 3-5 seconds. This will adjust the threshold level. Repeat the same procedure until the threshold is acceptable. Your threshold should be adjusted in such way that when you relax, your graph is below the threshold line (the horizontal line which is in the middle of your graph area). When you contract, your EMG should be running above this line.\\<\n6. \\>If you can relax below 4 uV and hold below this level for 10 seconds, then you are ready to begin your active EMG phase. Press START. Your aim is to follow the prompts. When you see arrows flashing up, please contract until you see the relaxation prompt - arrows down. When contracting, try to hold your graph above the threshold line. When relaxing, try to relax as much as you can as quickly as possible. A good relaxation is below 3.5uV. This Contraction-Relaxation circle will be repeated 6 times. \\<\n7. \\>By the end of an EMG session, the statistics will be displayed. This might be useful to write them down after each session, if you are going to see a specialist this data can help to evaluate your progress.\\<
SimplePFN_P15_enc Use as a voluntary contraction training programme, 2-4 times a day, several days a week. You can combine your pelvic floor workout stimulation programme with this EMG biofeedback training programme. It is a good practice to do the stimulation regularly and EMG programme once a week.
SimpleRN_P1 Stroke (EMG)
SimpleRN_P1_fullname EMG Biofeedback for hemiplegic stroke
SimpleRN_P1_more Hemiplegia is paralysis of the muscles of the lower face, arm, and leg on one side of the body. In addition to motor problems other losses may occur eg. sensation, memory, cognition. The most common cause of hemiplegia is stroke, which damages the corticospinal tracts in one hemisphere of the brain\n\nExercise with EMG biofeedback can be effective tool for improving muscle strength, and functional level or it can  facilitate a reduction in muscle spasticity in hemiplegic patients with stroke\n\nEMG stands for Electromyography. This is also referred as Muscle Biofeedback, when you see your muscle performance on screen. EMG serves two purposes: It is very helpful tool for voluntary contraction exercise. EMG is also an extremely useful assessment tool if you need to evaluate muscle rehabilitation progress.
SimpleRN_P1_start 1. \\>Identify the muscle you want to measure. Use the Electrodes Placement charts. Attach the electrodes to your body. Use larger electrodes sizes for large muscle groups. You need to place two channel electrodes on the muscle you want to be measured, plus the REF electrode. Each channel has 2 electrodes to be placed. One of the channel electrodes must be placed at the motor point of the muscle. The motor point is usually located at the centre of the muscle mass, where the motor nerve enters the muscle. Another channel electrode should be placed near the upper insertion or top of the muscle. Channel electrodes should be at least 1cm away from each other.\\<\n2. \\>You should always use (REF) reference wire for precise EMG measurement! Please connect the ref wire to the skin electrode of any type, place the electrode pad anywhere on your limb. The position on your body is not important.\\<\n3. \\>After opening Home screen of the program, you will notice the EMG graph. This graph represent the level of your muscle contraction. Try to relax below 4uV. If the reading of the unit is unstable and your graph does not go down, make sure: a) Your thresholds are set to 10uV or lower b) You use REF wire c) Move away from electromagnetic fields: mobile phones, PC, power equipment.\\<\n4. \\>Press AUTO button and at the same time, contract the muscle for 3-5 seconds. This will adjust the threshold level. Repeat the same procedure until the threshold is acceptable. Your threshold should be adjusted in such way that when you relax, your graph is below the threshold line (the horizontal line which is in the middle of your graph area). When you contract, your EMG should be running above this line.\\<\n5. \\>If you can relax below 4 uV and hold below this level for 10 seconds, then you are ready to begin your active EMG phase. Press START. Your aim is to follow the prompts. When you see arrows flashing up, please contract until you see the relaxation prompt - arrows down. When contracting, try to hold your graph above the threshold line. When relaxing, try to relax as much as you can as quickly as possible. A good relaxation is below 3.5uV. This Contraction-Relaxation circle will be repeated 5 times.\\<\n6. \\>By the end of an EMG session, the statistics will be displayed. This might be useful to write them down after each session, if you going to see a specialist this data can help to evaluate your progress.\\<
SimpleRN_P1_enc Use as a voluntary contraction training programme, 2-4 times a day, several days a week. You can combine your workout stimulation programme with this EMG biofeedback training programme. It is a good practice to do the stimulation regularly and EMG programme once a week.
SimpleRN_P2 Stroke (ETS)
SimpleRN_P2_fullname ETS motor recovery after stroke
SimpleRN_P2_more Impaired limb mobility caused by the loss of central\nregulation of excitability of muscle spindles and the loss of functional equilibrium between antagonistic muscles (flexors and extensors) is the most troublesome condition in patients after cerebral stroke. This contributes to an induced position of the limb and makes the\ncourse of movement irregular, which in consequence,\nreduces the patient’s mobility and ability to deal with\nbasic daily activities\n\nETS can be an effective method of\nnormalization of muscle tension in the limbs as well as restoration of the function in patients with stroke.\n\nETS stands for EMG triggered Stimulation. Try EMG before you go to ETS, you will find that ETS is like EMG, with one substantial difference: When you contract your muscle in ETS and reach the threshold, a stimulation will occur which helps to hold the contraction. ETS is a very powerful technique for muscular rehabilitation, especially useful for Incontinence and Stroke rehabilitation.
SimpleRN_P2_start 1. \\>Identify the muscles you want to train. Use the Electrodes Placement charts. Attach the electrodes to your body. Use larger electrodes sizes for large muscle groups. You need to place two channel electrodes on the muscle you want to be trained, plus the REF electrode. Each channel has 2 electrodes to be placed. One of the channel electrodes must be placed at the motor point of the muscle. The motor point is usually located at the centre of the muscle mass, where the motor nerve enters the muscle. Another channel electrode should be placed near the upper insertion or top of the muscle. Channel electrodes should be at least 1cm away from each other. \\<\n2. \\>You should always use (REF) reference wire for precise measurement of muscular response. Please connect the REF wire to the skin electrode of any type, place the electrode pad anywhere on your limb. The position on your body is not important. \\<\n3. \\>After opening Home screen of the program, you will notice the biofeedback graph on the screen. This graph represent the level of you contraction. Try to relax below 4uV. If the reading of the unit is unstable and your graph does not go down, make sure: a) Your thresholds are set to 10uV or lower b) You use REF wire c) Move away from electromagnetic fields: mobile phones, PC, power equipment. \\<\n4. \\>Press AUTO button and at the same time, contract the muscle for 3-5 seconds. This will adjust the threshold level. Repeat the same procedure until the threshold is acceptable. Your threshold should be adjusted in such way that when you relax, your graph is below the threshold line (the horizontal line which is in the middle of your graph area). When you contract, your EMG should be running above this line.\\<\n5. \\>If you can relax below 4 uV and hold below this level for 10 seconds, then you are ready to begin your active ETS phase. Increase mA tot he level of comfortable muscle contraction.  Your aim is to follow the prompts. When you see arrows flashing up, please contract until you see the relaxation prompt - arrows down. When contracting, try to reach the threshold line. As soon as it reached, the stimulation will appear to help you holding your muscle contracted. When relaxing, try to relax as much as you can as quickly as possible. A good relaxation is below 3.5uV. This Contraction - Hold - Relaxation circle will be repeated 30 times. \\<\n6. \\>By the end of the session, the statistics will be displayed. This might be useful to write them down after each session, if you going to see a specialist this data can help to evaluate your progress.\\<
SimpleRN_P2_enc Use once a day before the stimulation programme or instead of it. This training is found to be more efficient for neuromuscular reeducation than EMG on its own or stimulation only.
SimpleRN_P3 Warm Up 1
SimpleRN_P3_fullname Warm up 1 (small muscles)
SimpleRN_P3_more Warming up is an important initial step to get your muscles back in shape, especially after disuse. This programme is suitable for smaller muscles such as muscles on arms or lower legs.
SimpleRN_P3_start If this programme is used after surgery or injury, please make sure, with your medical supervisor, that all wounds and stitches are healed before you apply muscle stimulation.\n1. \\>Place the electrodes on to clean, grease-free skin, over the selected muscles. General electrodes placement hint: The red pin should be placed on the centre of the muscle bulk. The black pin goes on the area near the distal muscle insertion (the end of a muscle which is distal [most distant] from the body centre). \\<\n2. \\>Keep a minimum distance of 1 cm from one electrode to another: During stimulation the electrodes should not touch each other. \\<\n3. \\>Increase mA until you feel a comfortable contraction. If you go over 45 mA and don't feel anything, please contact your therapist.\\<
SimpleRN_P3_enc Use one to two sessions per day, 5 days a week, per 3 months. For better results use regularly.
SimpleRN_P4 Warm Up 2
SimpleRN_P4_fullname Warm Up 2 (large muscles)
SimpleRN_P4_more Warming up is an important initial step to get your muscles back in shape, especially after disuse. This programme is suitable for medium to large muscles such as upper legs muscles.
SimpleRN_P4_start If this programme is used after surgery or injury, please make sure, with your medical supervisor, that all wounds and stitches are healed before you apply muscle stimulation.\n1. \\>Place the electrodes on to clean, grease-free skin, over the selected muscles. General electrodes placement hint: The red pin should be placed on the centre of the muscle bulk. The black pin goes on the area near the distal muscle insertion (the end of a muscle which is distal [most distant] from the body centre). \\<\n2. \\>Keep a minimum distance of 1 cm from one electrode to another: During stimulation the electrodes should not touch each other. \\<\n3. \\>Increase mA until you feel a comfortable contraction. If you go over 45 mA and don't feel anything, please contact your therapist.\\<
SimpleRN_P4_enc Use one to two sessions per day, 5 days a week, per 3 months. For better results use regularly.
SimpleRN_P5 Workout 1
SimpleRN_P5_fullname Workout 1 (large muscles)
SimpleRN_P5_more You can get your muscles back in shape by using Work/Rest stimulation. The electrical stimulation substitutes natural body movements to achieve artificial muscle contractions. This programme is suitable for medium to large muscles such as upper legs muscles.
SimpleRN_P5_start 1. \\>Place the electrodes on to clean, grease-free skin, over the selected muscles. General electrodes placement hint: The red pin should be placed on the centre of the muscle bulk. The black pin goes on the area near the distal muscle insertion (the end of a muscle which is distal [most distant] from the body centre). \\<\n2. \\>Keep a minimum distance of 1 cm from one electrode to another: During stimulation the electrodes should not touch each other. \\<\n3. \\>Increase mA until you feel a comfortable contraction. If you go over 45 mA and don't feel anything, please contact your therapist.\\<
SimpleRN_P5_enc Use one to two sessions per day, 5 days a week, per 3 months. For better results use regularly.
SimpleRN_P6 Workout 2
SimpleRN_P6_fullname Workout 2 (small muscles)
SimpleRN_P6_more You can get your muscles back in shape by using Work/Rest stimulation. The electrical stimulation substitutes natural body movements to achieve artificial muscle contractions. This programme is suitable for smaller muscles such as muscles on arms or lower legs.
SimpleRN_P6_start 1. \\>Place the electrodes on to clean, grease-free skin, over the selected muscles. General electrodes placement hint: The red pin should be placed on the centre of the muscle bulk. The black pin goes on the area near the distal muscle insertion (the end of a muscle which is distal [most distant] from the body centre). \\<\n2. \\>Keep a minimum distance of 1 cm from one electrode to another: During stimulation the electrodes should not touch each other. \\<\n3. \\>Increase mA until you feel a comfortable contraction. If you go over 45 mA and don't feel anything, please contact your therapist.\\<
SimpleRN_P6_enc Use one to two sessions per day, 5 days a week, per 3 months. For better results use regularly.
SimpleRN_P7 Quads
SimpleRN_P7_fullname Quadriceps workout
SimpleRN_P7_more You can get your muscles back in shape by using Work/Rest stimulation. The electrical stimulation substitutes natural body movements to achieve artificial muscle contractions. This programme is suitable for quadriceps muscles.
SimpleRN_P7_start 1. \\>Place the electrodes on to clean, grease-free skin, over the selected muscles. General electrodes placement hint: The red pin should be placed on the centre of the muscle bulk. The black pin goes on the area near the distal muscle insertion (the end of a muscle which is distal [most distant] from the body centre). \\<\n2. \\>Keep a minimum distance of 1 cm from one electrode to another: During stimulation the electrodes should not touch each other. \\<\n3. \\>Increase mA until you feel a comfortable contraction. If you go over 45 mA and don't feel anything, please contact your therapist.\\<
SimpleRN_P7_enc Use one to two sessions per day, 5 days a week, per 3 months. For better results use regularly.
SimpleRN_P8 Small muscles 1
SimpleRN_P8_fullname Small muscles training 1
SimpleRN_P8_more Small muscles are delicate and require extra attention to details while stimulating them. Inappropriately high level of stimulation on delicate skin areas or misplaced electrodes may cause skin burns and other serious consequences. If skin irritation occurs, please stop the treatment, consider custom shaped or perhaps hypoallergenic quality electrodes. Please also consider re-positioning of electrodes. \nIf problems persists or you are unsure, please stop the procedure and consult your specialist with regards to your training.
SimpleRN_P8_start 1. \\>Place the electrodes on to clean, grease-free skin, over the selected muscles. General electrodes placement hint: The red pin should be placed on the centre of the muscle bulk. The black pin goes on the area near the distal muscle insertion (the end of a muscle which is distal [most distant] from the body centre). \\<\n2. \\>Keep a minimum distance of 1 cm from one electrode to another: During stimulation the electrodes should not touch each other. \\<\n3. \\>Increase mA until you feel a comfortable contraction. If you go over 45 mA and don't feel anything, please contact your therapist.\\<
SimpleRN_P8_enc Use one to two sessions per day, 5 days a week, per 3 months. For better results use regularly.
SimpleRN_P9 Small muscles 2
SimpleRN_P9_fullname Small muscles training 2
SimpleRN_P9_more Small muscles are delicate and require extra attention to details while stimulating them. Inappropriately high level of stimulation on delicate skin areas or misplaced electrodes may cause skin burns and other serious consequences. If skin irritation occurs, please stop the treatment, consider custom shaped or perhaps hypoallergenic quality electrodes. Please also consider re-positioning of electrodes. \nIf problems persists or you are unsure, please stop the procedure and consult your specialist with regards to your training.
SimpleRN_P9_start 1. \\>Place the electrodes on to clean, grease-free skin, over the selected muscles. General electrodes placement hint: The red pin should be placed on the centre of the muscle bulk. The black pin goes on the area near the distal muscle insertion (the end of a muscle which is distal [most distant] from the body centre). \\<\n2. \\>Keep a minimum distance of 1 cm from one electrode to another: During stimulation the electrodes should not touch each other. \\<\n3. \\>Increase mA until you feel a comfortable contraction. If you go over 45 mA and don't feel anything, please contact your therapist.\\<
SimpleRN_P9_enc Use one to two sessions per day, 5 days a week, per 3 months. For better results use regularly.
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PelvicFloorPFN_P1 Pain
PelvicFloorPFN_P1_fullname Pelvic Pain TENS
PelvicFloorPFN_P1_more Most women experience some form of period pain during their lifetime. The medical term for period pain is dysmenorrhoea.\n\nPeriod pain is usually felt as painful muscle cramps in your lower abdomen, which can sometimes spread to your back and thighs. Sometimes the pain comes in intense spasms, while at other times the pain may be dull but more constant.\n\nThe pain usually starts when your bleeding begins, and normally lasts for 12-24 hours.
PelvicFloorPFN_P1_start Caution! You can use the vaginal probe only when the conditions allow you to: no bleeding, no vaginal infection or inflammation.\n1. \\>You can either use a vaginal electrode or external skin electrodes placed over the lumbo-sacral area on the lower spine. You can use one (probe) or one or two (skin electrodes) channels of stimulation.\\<\n2. \\>If using the vaginal probe, gently place the clean moistened electrode probe into the vagina. Place it firmly to ensure the metal part of the probe is within the vagina. The metal plates of the electrode should face side-ways towards the thighs and the whole surface of the metal plates should make contact with the vaginal wall. Firmly fitted underwear will help to prevent the probe slipping out of place. The most suitable position is laying on a comfortable surface with feet flat on the surface with knees slightly bent and kept together or with one leg crossed over the other knee for better contact.\\<\n3. \\>Press + to increase intensity until a comfortable stimulation is felt. Do not go above 40 mA, typical level is 10-20 mA. The intensity level must be below the contraction threshold. Focus on muscle relaxation during the treatment.\\<
PelvicFloorPFN_P1_enc Use any time when period pain occurs. Use in moderation. Do not use longer than 6 hours a day.
PelvicFloorPFN_P1_mod 
PelvicFloorPFN_P2 Tibialis
PelvicFloorPFN_P2_fullname Tibialis TENS - Urge urinary incontinence (Overactive bladder)
PelvicFloorPFN_P2_more TENS on tibial nerve is a possible alternative to sacral nerve stimulation for pelvic pain relief, because the neurophysiologic targets might be similar but the TENS method is non-invasive and cheaper. Tibial stimulation is also the alternative to vaginal pelvic pain relief stimulation using the internal vaginal probe.
PelvicFloorPFN_P2_start 1. \\>Place electrodes alongside the tibial nerve. Use one channel only on either leg.\\<\n2. \\>Press + to increase intensity until a comfortable electrical tingling is felt. Don't go above 40 mA, typical level is 10-20 mA. The intensity level must be below the contraction threshold. Focus on muscle relaxation during the treatment.\\<
PelvicFloorPFN_P2_enc Use in moderation. Don't use longer than 6 hours a day.
PelvicFloorPFN_P2_mod 
PelvicFloorPFN_P3 Stress
PelvicFloorPFN_P3_fullname Stress Urinary Incontinence
PelvicFloorPFN_P3_more Stress urinary incontinence is also referred as incontinence due to strain and damage on the pelvic floor nerves and muscles that support the bladder. The damage is typically caused by child delivery, weight lifting, coughing, constipation, gynaecological surgery, or degenerative changes of the spine. The muscular sagging of the pelvic floor causes the gradual subsidence of the internal organs. As a result the urine leaks at a time of increased pressure on the bladder, when the internal bladder pressure is greater than the force of the urethra valve. In addition to this programme, try out EMG biofeedback and a probe, please check how the pelvic floor is functioning. EMG is also helpful in establishing influence of the degenerative changes in spine over the pelvic floor function.
PelvicFloorPFN_P3_start STOP! This programme is designed for people with general good health. Otherwise, please start from P10 (low frequency 2-10 Hz programme) and use it until your sensation goes back to normal and you achieve a better continence. Use this programme only if you can withstand a work/rest training and you have a good feeling of low intensity (10-20mA) electrical stimulation.\n1. \\>Gently place the clean moistened electrode probe into the vagina. Place it firmly to ensure the metal part of the probe is within the vagina. The metal plates of the electrode should face side-ways towards the thighs and the whole surface of the metal plates should make contact with the vaginal wall. Firmly fitted underwear will help to prevent the probe slipping out of place. The most suitable position is laying on comfortable surface with feet flat on the surface with knees slightly bent and kept together or with one leg crossed over the other knee for better contact.\\<\n2. \\>This programme consist of 2 phases: first phase is Warm Up. Slowly adjust the intensity with +/-buttons to feel a comfortable but not discomforting level of stimulation. Do not exceed the level of 55mA. There is no need to contract muscles during warm up.\\<\n3. \\>Second phase starts automatically, but with a safe lower level of intensity. Please increase mA to the comfortable level of muscle contraction. When the stimulation is felt, try to contract muscles and relax them over the rest time of stimulation. Don't contract buttocks, thighs nor abdomen. Breathe freely. Exercise until fatigue is felt.\\<
PelvicFloorPFN_P3_enc Repeat the programme 1 - 2 times a day, 4 - 5 times a week until you feel an improvement. Keep a record of how often and how much you lose urine to see the changes.
PelvicFloorPFN_P3_mod 
PelvicFloorPFN_P4 Urge
PelvicFloorPFN_P4_fullname Urge urinary incontinence (Overactive bladder)
PelvicFloorPFN_P4_more An Overactive Bladder is a condition that results from sudden, involuntary contraction of the muscle in the wall of the urinary bladder. Overactive bladder causes a sudden and unstoppable need to urinate (urinary urgency), even though the bladder may only contain a small amount of urine. These involuntary contractions may occur in the night (one of the causes of nocturia) but also during the day. These contractions often lead to unexpected leakage of small amounts of urine. \nSTOP! If you think your desire to urinate is abnormal, please consult your GP for referral to a specialist to establish the cause of the symptoms. Low frequency stimulation is only helpful in case of genuine OAB. Other causes of bladder overreaction may be present when the pudendal nerve is functioning normally, and the desire to pass urine frequently may be caused by bacterial or viral inflammation, nephrolithiasis, as well as a weak proximal bladder neck (see below).\nIMPORTANT! With the help of a specialist, please conduct the pelvic floor examination using EMG. Flaccid muscles allow the penetration of drops of urine into the urethra and cause reflex micturition. This gives the same feeling as urinary bladder OAB, but can be prevented by adequate muscle exercise and stimulation. In addition to this programme, EMG study also allows you to assess the impact of degenerative changes of the spine to the pelvic floor function. Stimulation provides a safe, drug-free method of improved control over the mechanisms of pelvic floor function (enervation, blood circulation, muscle function). A urinary incontinence disorder specialist can undertake the appropriate examinations needed to advise you on a selection of the appropriate stimulation parameters. A specialist can also help in determining a treatment schedule as well as periodic EMG assessment of your rehabilitation progress.
PelvicFloorPFN_P4_start The overall rules: \n1. \\>Avoid foods and liquids which irritate the bladder. \\<\n2. \\>Try to delay the moment of emptying the bladder. Do not limit fluid intake. \\<\n\nVaginal stimulation: \nGently place the clean moistened electrode probe into the vagina. Place it firmly to ensure the metal part of the probe is fully inserted. The metal plates of the electrode should face side-ways towards thighs and the whole surface of the plates should be in contact with the vaginal wall. Firmly fitted underwear helps to prevent the probe slipping out of place. Slowly adjust the intensity with +/- buttons to feel a comfortable but not discomforting level of stimulation. Do not exceed the level of 55mA. Use 1-2 times a day.\n\nFunctional Stimulation: \nTo stimulate the sacral micturition center, stick adhesive electrodes on either side of the spine, at the level of the sacrum. The intensity of stimulation should be clearly felt, but not to exceed 15 mA. Use 2-3 times a day.
PelvicFloorPFN_P4_enc Use as prophylaxis of genuine urge incontinence to inhibit the bladder overreaction. Use once every day for 3 months. The result should be noticeable after the second week of everyday use, after third month please check with gynaecologist.
PelvicFloorPFN_P4_mod 
PelvicFloorPFN_P5 Stress (ETS)
PelvicFloorPFN_P5_fullname ETS for stress urinary incontinence
PelvicFloorPFN_P5_more Stress urinary incontinence is also referred as incontinence due to strain and damage on the pelvic floor nerves and muscles that support the bladder. The damage is typically caused by child delivery, weight lifting, coughing, constipation, gynaecological surgery, or degenerative changes of the spine. The muscular sagging of the pelvic floor causes the gradual subsidence of the internal organs. As a result the urine leaks at a time of increased pressure on the bladder, when the internal bladder pressure is greater than the force of the urethra valve. In addition to this programme, try out EMG biofeedback and a probe, please check how the pelvic floor is functioning. EMG is also helpful in establishing influence of the degenerative changes in spine over the pelvic floor function.\nETS stands for EMG triggered Stimulation. Try EMG before you go to ETS, you will find that ETS is like EMG, with one substantial difference: When you contract your muscle in ETS and reach the threshold, a stimulation will occur which helps to hold the contraction. ETS is a very powerful technique for muscular rehabilitation, especially useful for Incontinence and Stroke rehabilitation.
PelvicFloorPFN_P5_start STOP! If you have a lack of sensation or serious incontinence, you should consult your treatment with the specialist. As a part of your treatment, the muscular stimulation may play a crucial role, but don't rush into this programme. The low frequency stimulation like programme P10 is advisable to establish a better sensation before you continue to this programme.  \n1. \\>Gently place the clean moistened electrode probe into the vagina. Place it firmly to ensure the metal part of the probe is within the vagina. The metal plates of the electrode should face side-ways towards the thighs and the whole surface of the metal plates should make contact with the vaginal wall. Firmly fitted underwear will help to prevent the probe slipping out of place. The most suitable position is laying on comfortable surface with feet flat on the surface with knees slightly bent and kept together or cross one leg over the other knee for better contact.\\<\n2. \\>You should always use (REF) reference wire for precise EMG measurement! Please connect the ref wire to the skin electrode of any type, place the electrode pad on inner hip. This is to make a precise measurement. \\<\nAfter opening home screen of the program, you will notice the biofeedback graph on the screen. This graph represent the level of you pelvic floor contraction. Try to relax below 4uV. If the reading of the unit is unstable and your graph does not go down, make sure: a) Your thresholds are set to 10uV or lower b) You use REF wire c) Move away from electromagnetic fields: mobile phones, PC, power equipment. \n3. \\>Press THRS buttons to adjust the threshold (which also scales the graph sensitivity). Your threshold should be adjusted in such way that when you relax, your graph is below the threshold line (the horizontal line in the middle of your graph area), when you contract, you should be able to reach this line, which plays a role of target which you should hit to trigger the stimulation.\\<\n4. \\>If you can relax below 4 uV and hold below this level for 10 seconds, then you are ready to begin your active ETS phase. Increase mA to the level of comfortable muscle contraction.  Your aim is to follow the prompts. When you see arrows flashing up, please contract until you see the relaxation prompt - arrows down. When contracting, try to reach the threshold line. As soon as it is reached, the stimulation will appear to help you hold your muscle contracted. When relaxing, try to relax as much as you can as quickly as possible. A good relaxation is below 3.5uV. This Contraction - Hold - Relaxation circle will be repeated 30 times. \\<\n5. \\>By the end of the session, the statistics will be displayed. This might be useful to write them down after each session, if you going to see a specialist this data can help to evaluate your progress.\\<
PelvicFloorPFN_P5_enc Use once a day before the stimulation programme or instead of it. This training is found to be more efficient for neuromuscular reeducation than EMG on its own or stimulation only.
PelvicFloorPFN_P5_mod 
PelvicFloorPFN_P6 Work Out
PelvicFloorPFN_P6_fullname Pelvic Floor Work Out
PelvicFloorPFN_P6_more The pelvic floor muscles are located between your legs, and run from your pubic bone at the front to the base of your spine at the back. They are in the shape of a sling and hold your bladder and urethra (the tube that urine comes out of) in place. Since we walk on two legs, the pelvic floor muscle group hold in place very important organs such as the intestines, bladder, urethra and vagina. The urethra, rectum and vagina are our natural outlets which are kept in place only when our pelvic floor muscles are in good shape and react properly to intra abdominal pressure. Weakened muscles are common among young women after childbirth as well as women after menopause, and by the weakening of muscles associated with aging. However it is important to note that muscle stimulation treatment has produced some very good results in women aged over 80.
PelvicFloorPFN_P6_start STOP! This programme is designed for a generally healthy person. Otherwise, please start from P04 (low frequency 2-10 Hz programme) and use it until your sensation goes back to normal and you achieve a better continence. Use this programme only if you can withstand a work/rest training and you have a good feeling of low intensity (10-20mA) electrical stimulation.\n1. \\>Gently place the clean moistened electrode probe into the vagina. Place it firmly to ensure the metal part of the probe is within the vagina. The metal plates of the electrode should face side-ways towards the thighs and the whole surface of the metal plates should make contact with the vaginal wall. Firmly fitted underwear will help to prevent the probe slipping out of place. The most suitable position is laying on comfortable surface with feet flat on the surface with knees slightly bent and kept together or cross one leg over the other knee for better contact.\\<\n2. \\>This programme consists of 3 phases. Slowly adjust the intensity with +/-buttons to feel a comfortable but not discomforting level of stimulation. Do not exceed the level of 55mA. There is no need to contract muscles during warm up.\\<\n3. \\>Second and third phase starts automatically, but with a safe lower level of intensity. Please increase mA to the comfortable level of muscle contraction. When the stimulation is felt, try to contract muscles and relax them over the rest time of stimulation. Don't contract buttocks, thighs nor abdomen. Breathe freely. Exercise until fatigue is felt.\\<
PelvicFloorPFN_P6_enc Follow steps 1 -2 times a day, 5 - 7 times a week for about 3 months.
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