Massage Programmes; Information On Placing The Electrodes; Application; Advice On Application - Beurer EM 40 Gebrauchsanleitung

6.4 Massage programmes

Prog. no. Massage form
1 Tap and grasp massage
2 Knead and grasp massage
3 Tap massage
4 Side of hand/pressing massage
5 Side of hand/pressing massage
6 Vibratory massage
7 Tap massage (switch between electrodes)
8 Massage jet (switch between electrodes)
9 Pressure massage jet (switch between electrodes)
10 Combination programme (switch between electrodes)
Electrodes must be placed so that they surround the muscle segments in ques-
tion. For optimal effect, electrode distance must not be greater than approx.
15 cm.
The electrodes should not be applied to the anterior wall of the thorax, i.e.
never massage the left or right large pectoral muscle.

6.5 Information on placing the electrodes

For the desired success of any stimulation application, it is important that
electrodes are placed sensibly.
We advise you to coordinate with your doctor regarding the best electrode
positions for your intended field of application.
The electrode positions suggested inside the cover (Figs. 1-28) serve as a guide.
The following applies when choosing electrode positions:
Electrode distance
The greater the electrode distance which is selected, the greater will be the
volume of tissue that is stimulated. This applies to the area and the depth of
the tissue volume. At the same time, however, the strength of tissue stimulation
decreases as the electrode distance becomes greater, which means that, if a
greater electrode distance is chosen, a greater volume is stimulated, but stimu-
lation is weaker. To increase stimulation, pulse intensity must then be increased.
The following guideline holds when selecting electrode distances:
• most reasonable distance: approx. 5-15 cm
• below 5 cm, it is mainly surface structures which are strongly stimulated
• over 15 cm, large-area and deep structures are stimulated very weakly
Electrode relationship to muscle fibre orientation
Choice of current flow direction must be adapted to the muscle fibre ori-
entation according to the desired muscle layer. If surface muscles are to be
reached, the electrodes must be placed parallel to the fibre orientation (p. 2,
fig. 16; 1A-1B/2A-2B). If deep tissue layers are to be reached, the electrodes
must be placed crosswise to the fibre orientation (p. 2, fig. 16; 1A-2A/1B-2B).
The latter arrangement can, for example, be achieved via the cross electrode
arrangement, e.g. p. 2, fig. 16; 1A-2B/2A-1B.
In the treatment of pain (TENS) using the Digital TENS/EMS machine with
its 2 separately controllable channels and in each case 2 adhesive electrodes,
it is advisable to either position the electrodes of one channel so that the pain
spot lies between the electrodes or else you position one electrode directly on
the pain spot and the other at least 2-3 cm away.
The electrodes of the second channel can be used to treat other pain spots simul-
taneously or else, however, together with the electrodes of the first channel, to
surround the pain area (opposite). A cross arrangement is again advisable here.
Massage function tip: always use all 4 electrodes to ensure optimal treatment.
In order to extend the durability of the electrodes, use them on clean skin
which is as free as possible from hair and grease. If necessary, clean the skin
with water before application and remove the hair.
If an electrode becomes detached during the application, the pulse intensity
of both channels goes to the lowest setting. Press the ON/OFF key to enter
pause mode, reposition the electrode and continue application by pressing the
ON/OFF key again and setting the required pulse intensity.

7. Application

7.1 Advice on application

• If the machine is not used within 3 minutes, it switches off automatically
(automatic switch-off function). When it is switched on again, the LCD main
menu screen appears, with the last used submenu flashing.
24