Manual Sport Elite en V2

Manuel d’utilisation et d’applications

Gebrauchs- und Anwendungshandbuch

Manual de utilización y aplicaciones

User and applications manual

Manuale d’uso e di applicazioni

Gebruiksaanwijzing en specifieke toepassingen© Compex Médical SA – All rights reserved – 07/06 – Art. 885216/ V.2

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I. WARNINGS

1. Counter-indications

Important counter-indications■Cardiac stimulator (pacemaker)■Epilepsy■Pregnancy (no positioning in theabdominal area)■Serious arterial circulatory pro-blems in the lower limbs ■Abdominal or inguinal hernia

Precautions when using theCompex■After trauma or a recent operation(less than 6 months)■Muscular atrophy■Persistent pains■Need for muscular rehabilitation

Osteosynthesis equipmentThe presence of osteosynthesisequipment (metallic equipment incontact with the bone: pins,

screws, plates, prostheses, etc.) is not acontra-indication for the use of Compexprogrammes. The electrical current of theCompex is specially designed to have noharmful effect with regard toosteosynthesis equipment.

In all of the above cases, you are ad-vised to:■never use the Compex for prolon-ged periods without medical advice;■ consult your doctor if you are inany doubt whatsoever;■ read this manual carefully, in parti-cular chapter VI, which provides in-formation concerning the effects andindications of each stimulation pro-gramme.

2. Safety measures

What you should not do withthe Compex■Do not use the Compex in water orin a humid atmosphere (sauna, hydrotherapy, etc.). ■Never carry out an initial stimula-tion session on a person who is standing. The first five minutes of sti-mulation must always be performedon a person who is sitting or lyingdown. In rare instances, very highlystrung people may have a vagal reac-tion. This is of psychological originand is connected with a fear of themuscle stimulation as well as surpriseat seeing one of their musclescontract without having intentionallycontracted it themselves. This vagalreaction produces a feeling of weak-ness with a fainting tendency, slo-wing down of the heartrate and areduction in arterial blood pressure.If this does occur, all that is requiredis to stop the stimulation and liedown with the legs raised for thetime it takes for the feeling of weak-ness to disappear (5 to 10 minutes).■Never allow movement resultingfrom muscular contraction during astimulation session. You should always stimulate isometrically; thismeans that the extremities of the limbin which a muscle is being stimulatedmust be firmly fixed, so as to preventthe movement that results fromcontraction.■Do not use the device at less than1.5 metres from a short-wave device,a micro-wave device or high fre-quency (H.F.) surgical equipment toavoid the risk of causing skin irrita-tions or burns under the electrodes. Ifyou are in any doubt about using theCompex in close proximity to any

I. WARNINGS 1611. Counter-indications 1612. Safety measures 161

II. PRESENTATION 1631. Reception of equipment and accessories 1632. Presentation of the device 1643. Guarantee 1644. Maintenance 1655. Storage and transportation conditions 1656. Use conditions 1657. Elimination 1658. Standards 1659. Patent 16610. Normalised symbols 16611. Technical information 166

III. DIRECTIONS FOR USE 1671. Connections 1672. Preliminary settings: language, light intensity and sound volume 1673. Selecting a programme category 1684. Selecting a programme 1685. Personalising a programme 1696. During the stimulation session 1707. Electricity consumption and recharging 1718. Problems and solutions 172

IV. HOW DOES ELECTROSTIMULATION WORK 173

V. USE PRINCIPLES 1741. Placement of electrodes 1742. Stimulation position 1753. Setting the stimulation energy level 1754. Progression in the levels 175

VI. PROGRAMMES AND SPECIFIC APPLICATIONS 176Sport category 177Pain relief category 187Vascular category 193Massage category 197Rehabilitation category 200Fitness category 204

VII. TABLE WITH PLACEMENTS OF ELECTRODES AND STIMULATION POSITIONS 207

TABLE OF CONTENT

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Your stimulator is supplied with:

– The stimulator

– A battery charger

– One set of electrode cables with colour indicators (blue, green, yellow, red)

– Bags containing the electrodes (small (5 x 5 cm) and large (5 x 10 cm) electrodes)

– A user and applications manual

– A poster with the pictures for the placements of electrodes and the stimulation positions

– A DVD explaining how to use your Compex and the training planner

– A belt clip

II. PRESENTATION

1. Reception of equipment and accessories

However, avoid starting a stimula-tionsessionon the same area until theredness is no longer evident.

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other medical device, please consultits manufacturer or your doctor. ■Only use the electrode cables sup-plied by Compex.■Do not disconnect the stimulatorelectrode cables during the sessionwithout first switching off the stimu-lator.■Never connect stimulation cables toan external electric power supply be-cause of risk of electric shock.■No not use rechargeable batteriesother than the one supplied by Com-pex.■Never recharge the stimulator whencables and electrodes are stillconnected onto the user.■Never recharge the batteries withanother charger than the one sup-plied with the Compex.■Never use the Compex or the char-ger if it is damaged (case, cables,etc.) or if the compartment for the re-chargeable battery is open. There is arisk of electric discharge■Disconnect immediately the chargerif the Compex “bleeps” continuously,in case of abnormal heating or smell,or if smoke comes from the chargeror the Compex. Do not recharge thebatteries in a confined area (case,etc.) because of risk of fire or electricdischarge.■Keep the Compex and its accesso-ries out of the reach of children.■Do not allow any foreign items(soil, water, metal, etc.) to enter intothe Compex, the compartment for therechargeable battery and the charger.■Sudden temperature variations cancreate droplets in the device due tocondensation. Use the device onlyonce it reached ambient temperature.■Do not use the Compex while dri-ving or operating machinery.■Do not use the stimulator in themountains at an altitude higher than3.000 metres.

Where you should never applyelectrodes… ■To the head.■Counter-laterally: Do not use thetwo poles of the same channel (oneelectrode connected to thepositive/red pole and one electrodeconnected to the negative/blackpole) on either side of the body cen-treline (eg: right arm and left arm).■To or in the vicinity of skin lesionsof any kind (wounds, inflammations,burns, irritations, eczema, etc.).

Precautions when using theelectrodes■Only use the electrodes suppliedby Compex. Other electrodes mayhave electrical properties that areunsuitable for the Compex stimulator■Do not remove or move the elec-trodes during a stimulation sessionwithout first switching off the instru-ment.■Do not plunge the electrodes intowater.■Do not apply a solvent of any kindto the electrodes.■Before applying the electrodes, it is recommended to wash and degrease the skin, and then dry it■Apply the whole surface of theelectrodes to the skin.■For very important reasons of hy-giene, each user must have his ownelectrode set. Do not use the sameelectrodes on different people.■Do not use a set of electrodes formore than fifteen sessions, as thequality of the contact between theelectrode and the skin, which is im-portant for the comfort and effective-ness of stimulation, progressivelydegrades.■ In certain people with very sensi-tive skin, redness may be observedunder the electrodes after a stimula-tion session. Generally, this rednessis completely harmless and disap-pears after 10 to 20 minutes.


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4. Maintenance

To clean your unit, use a soft dusterand an alcohol-based cleaning pro-duct, which does not contain any sol-vents. In fact, solvents could damagethe plastic parts, especially the panelcovering the screen of your Compex.The user must not attempt any re-pairs to the device or any of its acces-sories. Never dismantle the Compexor the charger containing high-vol-tage parts because of risk of electricdischarge.Compex Médical SA declines allresponsibility for damages andconsequences resulting from anyattempt to open, modify or repair thedevice or any of its components by aperson or a service centre notofficially approved by CompexMédical SA.Compex stimulators do not requirecalibration or verification of perfor-mance parameters. The characteris-tics are systematically verified andvalidated for each device manufactu-red. These characteristics are stableand do not vary when used undernormal conditions.If your device seems not to functionas expected, regardless of the situa-tion, contact an official Compex ser-vice centre for assistance.Medical and health professionalsmust refer to local legislation for in-formation related to maintenance.Normally, these laws require verifica-tion of certain criteria at regular inter-vals.

5. Storage andtransportation conditions

The Compex contains rechargeablebatteries and so the storage andtransportation conditions must notexceed the following figures:

Storage and transportation temperature from -20°C to 45°

Max. relative humidity 75 %

Atmospheric pressure from 700 hPa to 1060 hPa

6. Use conditions

Temperature of use from 0°C to 40°C

Max. relative humidity from 30% to 75%

Atmospheric pressure from 700 hPa to1060 hPa

Do not use in an explosion riskarea.

7. Elimination

The Directive 2002/96/CEE (WEEE)has a first priority, the prevention ofwaste electrical and electronic equip-ment, and in addition, the re-use, re-cycling and other forms of recoveryof such wastes so as to reduce thedisposal of waste. The pictogram wheeled bin barredmeans that the equipment can not bethrown with the household refuse,but that it makes the object of a se-lective collection. The equipment has to be given to asuitable collection point for the treat-ment. By this way, you contribute to the sa-feguarding of the natural resourcesand the human health protection.Batteries must be disposed of in ac-cordance with your country’s natio-nal laws governing the disposal ofsuch items.

3. Guarantee

guarantee does not apply if the device was damaged further to ashock,

The guarantee is valid only on presen-tation of proof of purchase

Legal rights are not affected by thisguarantee.

A – “On/Off” switch

B – “i” button. To increase the energy level of several channels simultaneously

F

G

2. Presentation of the device

C – Sockets for the 4 electrode cables

D – Electrode cableschannel 1 = blue channel 2 = greenchannel 3 = yellow channel 4 = red

E – “+”/“–” keys of the 4 stimulation channels

F – Compartment for the rechargeable battery

G – Belt clip socket

B

A

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C

D

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The Compex stimulators are contrac-tually covered with a guarantee of 2(two) years: register on our web site:www.compex.info (section “Register”).The Compex guarantee comes intoeffect on the date of purchase of thedevice.The Compex guarantee applies to thestimulator (goods and work) anddoes not cover cables and electrodes.It covers all the defects resulting froma problem of quality of the materialor from a defective manufacture. Theguarantee does not apply if the de-vice was damaged further to a shock,


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1. Connections

The electrical impulses generated bythe Compex are transmitted to the

nerves by self-adhesive electrodes.The choice of the size, the connection andthe correct positioning of the electrodes areessential factors for ensuring effective andcomfortable stimulation. So they requireparticular care.To do all this – and for information on therecommended stimulation positions – referto the pictures and pictograms in the poster,and to the “Table with placements of elec-trodes and stimulation positions” in chap-ter VII. The specific applications containedin chapter VI also provide useful relevantinformation.

NeurostimulationAll electrical specifications are givenfor a charge between 500 and 1000ohms per channel.Channels: four independent and individuallyadjustable channels electrically insulated fromeach other and from ground

Impulse shape: constant rectangular currentcompensated to eliminate any direct currentcomponent to avoid any residual skin polarisation

Maximum current of an impulse: 120 milliamperes

Intensity increase interval: – Manual stimulation intensity adjustment: 0-999 (energy units)– Impulse duration: 0.5 mAFrom 50 to 400 microseconds

Maximum quantity of electricity per impulse: 96microcoulombs (2 x 48 µC compensated)

Typical rise time for an impulse3 microseconds (between 20% and 80% of maximum current)

Impulse frequencyfrom 1 to 150 Hertz

blue = channel 1 yellow = channel 3green = channel 2 red = channel 4

It is important to place the electrodescorrectly to the cable connectors; in orderto do so, press strongly the connector to theelectrode until you hear a double click.

Connecting the chargerThe Compex has considerable opera-ting autonomy, as it uses rechargea-ble batteries. To recharge them, usethe charger supplied with your de-vice and connect it to the base of thedevice, then plug the charger in asocket.To recharge the Compex, first discon-nect the electrode cables from thedevice.Before using your stimulator for thefirst time, it is always strongly recom-mended that you completely chargethe battery to improve its autonomyand extend its working life.

2. Preliminary settings:language, light intensity andsound volume

Before using the unit for the firsttime, you should select the workinglanguage of the device which isdisplayed on the options screen.Proceed as per the instructionsdescribed below.Afterwards, for the greatest comfort,Compex offers you a number ofsetting options (operating languageselection, display contrast setting andsound volume setting).To do this, display the optionsscreen by pressing the “On/Off”switch on the left of the Compex andhold it down for a few seconds.

III. DIRECTIONS FOR USEBefore using the unit for the first time, you are strongly advised to take careful noteof the counter-indications and safety measures detailed at the beginning of this ma-nual (chapter I: “Warnings”), as this powerful equipment is neither a toy nor a gadget!

1a Sockets for the four electrode cables1b Socket for the battery charger

Connecting the electrodes andcables.The electrode cables are connectedto the stimulator through sockets onthe base of the device.Four cables can be connected simul-taneously to the four channels of thedevice.For easier use and better identifica-tion of the four channels, we adviseyou to follow the colour of the elec-trode cables and the stimulatorsockets:

Fig.1 – Base of device

1a 1a1b

1a 1a

8. Standards

The Compex is based directly on medi-cal technology.To guarantee your safety, the design,manufacturing and distribution of Com-pex are in conformity with the require-ments of the European Directive93/42/CEE.The device is in conformity with thestandard for general safety rules forelectromedical devices IEC 60601-1, thestandard for electromagnetic compatibi-lity IEC 60601-1-2 and the standard forspecial safety rules for nerve and mus-cle stimulators IEC 60601-2-10.Current international standards (IEC60601-2-10 AM1 2001) require that awarning be given concerning the appli-cation of electrodes to the thorax (increased risk of cardiac fibrillation).Directive 2002/96/CEE Waste electricaland electronic equipment (WEEE).

9. Patent

Snap electrode: patent pending.

10. Normalised symbols

Important: Under some condi-tions, the effective figure for

the stimulation pulses can exceed 10mA and 10 V. The information givenin this handbook must be strictly ob-served.

The Compex is a class II deviceunit with its own internal electric

power, with type BF applied sectionsWaste electrical and electronicequipment (WEEE)The “On/Off” switch is a multi-function key:

Functions Symbol N°(according to CEI 878)On/Off (2 positions, stable) 01-03Waiting or preparation

for part of the unit 01-06Stop (switching off) 01-10

11. Technical information

General pointsPower supply NIMH rechargeablebattery (4,8 V ª 1200 mA/h)Chargers: The only chargers used forrecharging the battery bear the follo-wing information:

Type TR503-02-E-133A03Input 90-264 VAC / 47-63Hz / 0.5A max.Output 9V / 400mA / 6WType TR1509-06-E-133A03Input 90-264 VAC / 47-63Hz / 0.5A max.Output 9V / 1.4A / 15WType TR503-02-A-133A03Input 90-264 VAC /47-63Hz / 0.5A max.Output 9V / 400mA / 6WType TR1509-06-A-133A03Input 90-264 VAC / 47-63Hz / 0.5A max.Output 9V / 1.4A / 15WType TR503-02-U-133A03Input 90-264 VAC / 47-63Hz / 0.5A max.Output 9V / 400mA / 6WType TR1509-06-U-133A03Input 90-264 VAC / 47-63Hz / 0.5A max.Output 9V / 1.4A / 15W

EURO

PEUS

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a) = the stimulation session starts imme-diately;

START

4a To select the desired programme, pressthe “+”/“–” key of channel 1 (to go up or down),until the desired programme is displayed inwhite characters on a black background.

4b Press the “On/Off” key to return to the pre-vious screen.

4c After selecting the desired programme,press the “+”/“–” key of channel 4 which, depen-ding on the programme selected, displays thesymbol or .START

5a 5b 5c 5f

5d

5e

Fig.5

The programme personalisationscreen is not available for all pro-

grammes

5a Certain programmes require manual selec-tion of the muscular group that you want to sti-mulate and a figurine is displayed above channel 1.To select your desired group, press the “+”/“–”key of channel 1 (to go up or down). The sevenmuscular groups are displayed in succession inblack on the figurine:

Current international standards require that a warning be givenconcerning the application of elec-

trodes to the thorax (increased risk of cardiac fibrillation).

vbAbdomen and Lower back

fButtocks

cThighs

jLegs and Feet

mForearms and Hands

eShoulders and Arms

tdThorax and Back

5b The warming-up sequence suggested forsome programmes is active by default (an ani-mated rising convection symbol above the hea-ter). If you prefer to skip this sequence, pressthe “+”/“–” key of channel 2.

Warming-up

No warming-up

5. Personalising a programme

3a To select the desired category, press the“+”/“–” key of channel 1 (to go to the left) or chan-nel 3 (to go to the right), until the desired cate-gory is displayed in a frame.

3b To confirm your choice and to move on to theprogramme selection screen (see the next sec-tion: “Selecting a programme”), press the “+”/“–”key of channel 4

3c Press the “On/Off” key to switch off the sti-mulator.

4. Selecting a programme

To choose a programme, it is parti-cularly useful to consult chapter VI

of this manual (“Programmes and specificapplications”).

Regardless of the category you selec-ted in the previous step, a list contai-ning a select number of programmes

2a To select the language of your choice, pressthe “+”/“–” key of channel 1 (to go up or down),until the desired language is displayed in whitecharacters on a black background.

2b To set the contrast of the display, press the“+”/“–” key of channel 2 (“+” to increase the pre-ferred percentage and “–” to reduce it).

2c To set the sound volume, press the “+”/“–” ofchannel 3 (“+” to increase the preferred percen-tage and “–” to reduce it).

2d To confirm the parameters selected, pressthe “On/Off” switch. Your stimulator saves youroptions. It is now ready for use with the settingsyou selected.

3. Selecting a programmecategory

To switch on your stimulator, brieflypress the “On/Off” switch on the leftof the Compex. A musical signal canbe heard and a screen showing thedifferent programme categories is displayed.Before choosing a programme, youshould select the desired category.

2a 2b 2c2d

Fig.2

5d Total programme time in minutes.

5e By pressing the “On/Off” key, you can returnto the previous screen.

5f To confirm your selection and start the pro-gramme, press the “+”/“–” key of channel 4.

5c Certain programmes allow you to adjust the level of work. To do this, press the “+”/“–” key of chan-nel 3 (to go up or down), until the desired level of work is displayed.

Level 1 Level 2 Level 3 Level 4 Level 5

3a 3b3cFig.3

appears on the screen.

4a 4c

4b

Fig.4

b) = a parameter setting screen displays.


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8d The cursor is located under the hatched(right) part of the bar: you are in an active restphase.

The stimulation energy during theactive rest phase is automatically set

at 50% of the stimulation energy during themuscular contraction.

7e-8e Bar charts:7e The muscular contraction phase is repre-sented by the bar charts of the stimulationchannels used (which become black during thecontraction phase).8e The active rest phase is represented by thebar charts of the stimulation channels used(which become hatched during the active restphase).The stimulation energy during the active restphase is automatically set at 50% of the stimula-tion energy during the muscular contraction.

7f-8f You can interrupt the programme mo-mentarily ( = “PAUSE”) ”) by pressing the“On/Off” key. If you wish to restart the session,simply press the “+”/“–” key of channel 4.

After an interruption, stimulationrestarts at 80% of the stimulation

energy set before the .

Adjusting stimulation energy

9a During the session, the Compex “bleeps” andsome symbols start to flash above the ac-tive channels (over the energy indications): theCompex is prompting you to increase the stimu-lation energy level. If you cannot support an in-crease of the energy, just ignore this message.

+

STOP

STOP

End of programme

10a

10b

9a

Fig.9

Fig.10

one programme to another. Theexamples reproduced below aresufficient for you to understand thegeneral rules.

6a Le The Compex “bleeps” and the symbols ofthe four channels flash, changing from “+” to“000”: the four channels are at 0 energy. Youmust increase the stimulation energy so that thestimulation can start. To do this, press the “+” ofthe keys of the relevant channels, until the desiredsetting is reached.If you want to increase the energy level of all fourchannels simultaneously, press the “i” button, lo-cated below the “On/Off” key. You can also increasethe energy level of three first channels, by pres-sing the “i” button twice, or the energy level of twofirst channels only, by pressing three times thisbutton.Once you activate the “i” button, the associatedchannels are highlighted in white on a black back-ground.

6b Remaining time in minutes and seconds.

6c The animated rising convection symbol repre-sented the warming-up sequence.

6d Session progression scale. For details on how itworks, see the following section (“Programmeprogression”).

6e By pressing the “On/Off” key, you can return tothe previous screen.

Programme progressionStimulation does really start when thestimulation energy has beenincreased. The screens that aredisplayed during stimulation allowyou to observe the progression of thesession. These screens may differ from

6a

7a7d

7e7b

7f

8a 8d

8b

8f

7c

8c

6b

6c

6e

6d

8e

Fig.7

Fig.8

Fig.6

6. During the stimulation session

Setting stimulation energyWhen the programme starts, theCompex prompts you to increase thestimulation energy, a key factor forthe effectiveness of the stimulation.

7a-8a Remaining time (in minutes and se-conds) before the end of the programme.

7b-8b A small animated symbol indicating cate-gory to which the programme belongs.

7c-8c Session progression scale:The progression scale is composed of three dis-tinct parts: the programme consists of three sti-mulation sequences, i.e., warming up (lighthatching /left), the actual work (black area/centre)and relaxation at the end of the programme (hea-vier hatching/right).The progression scale can be also entirely hat-ched: the programme then consists of a singlestimulation sequence.The small cursor located just below the scalemoves horizontally and indicates precisely thestate of progression of the programme (here:start of the first sequence, i.e., the work se-quence).

7d-8d Contraction and active rest time bar:This bar is displayed at the right of the progres-sion scale, but only during the work sequence. Itindicates the duration of the contraction and ac-tive rest times.7d The cursor is located under the black (left)part of the bar: you are in a muscular contrac-tion phase.

11a

11bFig.11

10a At the end of the session, you hear a musi-cal signal and a small flag is displayed.

10b It is then only necessary to switch off thestimulator by pressing the “On/Off” key ( ).

7. Electricity consumptionand recharging

Never recharge the stimulator withcables still connected to it.Neverrecharge the batteries with a char-

ger different from the one supplied byCompex.

The Compex runs on rechargeablebatteries. The discharge time de-pends on the programmes and stimu-lation energy used.Before using your stimulator for thefirst time, it is always strongly recom-mended that you completely chargethe battery to improve its autonomyand extend its working life.If you do not use your device for along period of time, please regularlyrecharge the battery.

Electricity consumptionThe symbol of a small battery indi-cates the charge level of the batteries.

OFF


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IV. HOW DOES ELECTROSTIMULATION WORK

The principle of electrostimulation isto stimulate nerve fibres by means ofelectrical impulses transmitted byelectrodes.The electrical impulses generated byCompex stimulators are high-qualityimpulses – ensuring safety, comfortand efficiency – that stimulate diffe-rent types of nerve fibres:1. the motor nerves to stimulate a muscular res-ponse. The quantity of work and the benefits ob-tained depend on the stimulation parameters.This is known as electromuscularstimulation(EMS).

2. certain types of sensitive nerve fibres to obtainanalgesic or pain-relieving effects.

1. Motor nerve stimulation(EMS)

In voluntary activity, the order formuscular work comes from the brain,which sends a command to the nervefibres in the form of an electrical si-gnal. This signal is then transmitted tothe muscular fibres, which contract.The principle of electrostimulation ac-curately reproduces the process ob-served during a voluntary contraction.The stimulator sends an electrical cur-rent impulse to the nerve fibres, exci-ting them. This excitation is thentransmitted to the muscular fibrescausing a basic mechanical response(= muscular twitch). The latter consti-tutes the basic requirement for mus-cular contraction.This muscular response is completelyidentical to muscular work controlledby the brain. In other words, the mus-cle cannot distinguish whether thecommand comes from the brain orfrom the stimulator.The parameters of the Compex pro-grammes (number of impulses per se-cond, contraction time, rest time, total

Electricalimpulse

Motornerve

Stimulatedmuscle

Basic mechanical response = muscular twitch

Excitation Excitation transmission

programme time) subject the musclesto different types of work, accordingto muscular fibres. In fact, differenttypes of muscular fibres may be distin-guished according to their respectivecontraction speed: slow, intermediateand fast fibres. The fast fibres will obviously predominate in a sprinter,while a marathon runner will havemore slow fibres. With a good know-ledge of human physiology and a perfect mastery of the stimulation parameters of the various programmes,the muscular work can be directedvery precisely towards the desiredgoal (muscular reinforcement, increa-sed blood flow, firming up, etc.).

2. Stimulation of thesensitive nerves

The electrical impulses can also excitethe sensitive nerve fibres to obtain ananalgesic or pain-relieving effect.The stimulation of the tactile sensitivenerve fibres blocks the transmission ofpain by the nervous system. Thestimulation of another type of sensitivefibres creates an increase in theproduction of endorphins and,therefore, a reduction of pain.

1) there is no electrode connected to this channel;2) the electrodes are old, worn out and/or thecontact is poor: try using new electrodes;3) the electrode cable is defective: try it usinganother channel. If cable shows a default again,please replace.

Recharging errorA recharging error may happen du-ring charging. The Compex “bleeps”continuously and the followingscreen is displayed:

If this message appears, disconnectthe charger and the device switchesoff automatically. Please contact thehotline, noting this error code.If, for any reason, you experienceany other trouble with your device,please contact the hotline mentionedand approved by Compex Médical SA.

11a The small battery symbol has only two re-ference marks: The batteries are losing theircharge. Interrupt the session and recharge thedevice (see the following section).

11b The , symbol normally displayedabove the “+”/“–” key of channel 4 has disappea-red ( ) and the small battery flashes: Thebatteries are completely flat. It is no longer pos-sible to use the device. Recharge it immediately(see the following section).

RechargingTo recharge the Compex, first discon-nect the electrode cables from thedevice, then plug the charger in asocket and lastly connect the stimula-tor to the charger (see in section I:“Connecting the charger”). Thecharge menu illustrated below appearsautomatically.

START

13a

14a

Fig.13

Fig.14

Fig.15

12a The Compex has been charging for 3 mi-nutes and 8 seconds (a full charge may take from1h30 to 2 hours with the rapid charger deliveredwith your device).

12b Charging is in progress and the smallbattery symbol is not completely full.When charging is completed, total charge dura-tion flashes and the small battery is completelyfull. The Compex switches off automatically assoon as you disconnect the charger.

8. Problems and solutions

Electrode fault13a-14a The Compex “bleeps” and alternati-vely displays the symbol of a couple of elec-trodes and an arrow pointing to the channelwhere a problem has been detected. Below, thestimulator has detected an electrode fault onchannel 2 This message may mean that:

12a12b

Fig.12


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Therefore, always use the size of elec-trodes shown in the pictures. Unlessyou have other specific medical ins-tructions, always follow the place-ment directions in the pictures. Ifnecessary, find the best position byslightly moving the positive polarityelectrode, so as to obtain the bestmuscle contraction or the positionthat seems most comfortable.

Compex Group disclaims allresponsibility for electrodespositioned in any other manner.

2.Stimulation positions

To determine the stimulation positionto adopt depending on the placement

of the electrodes and the chosen pro-gramme, refer to the pictures and picto-grams on the poster and to the “Table withplacements of electrodes and stimulationpositions” in chapter VII.

The stimulation position depends onthe muscular group to be stimulatedand the programme chosen.For the programmes involving power-ful muscular contractions, the muscleshould always be stimulated in an iso-metric fashion. Consequently, youshould fix the extremity of the stimula-ted limb(s) firmly. In this way, youprovide maximum resistance to themovement and prevent any shorteningof the muscle during the contraction,which could create cramp pains andserious stiffness after the session. Forexample, when stimulating the quadri-ceps, the user should be in a seatedposition with the ankles fixed withstraps to prevent extension of theknees.For the other types of programmes(for example, the Pain programmesand the Active recovery programme),which do not involve powerful mus-

cular contractions, position yourselfas comfortably as possible.

3.Setting the stimulationenergy level

In a stimulated muscle, the numberof recruited fibres depends on the sti-mulation energy. For the programmesinvolving powerful muscular contrac-tions, it is therefore absolutely neces-sary to use maximum stimulationenergy, always at the limit of whatyou can support, so as to involve thegreatest possible number of fibres.The “Table with placements of elec-trodes and stimulation positions” inchapter VII provides information onthe energy to use, depending on theselected programme.

4.Progression in the levels

In general, it is not advisable to gothrough the different levels quicklywith the intention of reaching level 5as fast as possible. In fact, the diffe-rent levels correspond to progresswith electrostimulation.The simplest and most usual proce-dure is to start with level 1 and raisethe level when changing to a new sti-mulation cycle.At the end of a cycle, you may eitherstart a new cycle at the next level upor do some maintenance at the rateof 1 session a week at the last levelreached.

1.Placement of electrodes

It is recommended that you complywith the suggested placements. To do

this, refer to the pictures and pictogramsshown on the poster and to the “Table withplacements of electrodes and stimulation positions” in chapter VII.

A stimulation cable consists of twopoles:a positive pole (+) = red connection

a negative pole (–) = black connection

A different electrode must be connec-ted to each of the two poles.Note: It is possible and normal to havean electrode arrangement that leads

With pain relief programmes, elec-trostimulation can be used to treat localized sharp or chronic pains aswell as muscular pains.

one electrode connection free from acable.Depending on the characteristics ofthe current used for each programme,the electrode connected to the posi-tive pole (red connection) is more effective when placed in a “strategic”position.For all muscle electrostimulation pro-grammes, i.e., programmes involvingmuscle contractions, it is important toplace the positive polarity electrodeon the muscle motor point.The choice of electrodes size (largeor small) and the correct positioningof the electrodes on the musculargroup to be stimulated are determi-nant and essential factors for the effectiveness of the stimulation.

Benefits of electrostimulationElectrostimulation is a very effective way to makeyour muscles work:

■ with significant improvement of different mus-cular qualities,■ without cardio-vascular or mental fatigue,■ with limited stress on the joints and tendons.

Electrostimulation thus allows a greater quantityof work by the muscles compared with voluntaryactivity.

To be effective, this work must involve the grea-test possible number of muscular fibres. The num-ber of fibres working depends on the stimulationenergy. It will therefore be necessary to use the

V. USE PRINCIPLESThe use principles presented in this section should be considered generalrules. For all programmes, it is recommended that you read carefully the infor-mation and advice on use presented in chapter VI of this manual (“Pro-grammes and specific applications”).

maximum tolerable energy. The user controls thisaspect of stimulation. The higher the stimulationenergy, the greater the number of muscular fi-bres that are working and, therefore, the moresignificant the progress achieved.

To maximize your results, Compex recommendsthat you complement your electrostimulation ses-sions with other efforts, like:

■ regular exercise,■ proper and healthy nutrition,■ balanced lifestyle.

Warning: do not use the pain reliefprogrammes for a long period without medical advice.


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176At the end of a cycle, you may either start a new cycle at the next level up or dosome maintenance at the rate of 1 session a week at the last level reached

Sport category

You can of course choose a musculargroup different from the one indica-ted, depending on the activities youpractice or the body area you wish tostimulate. The specific applications provide youinformation on the placement ofelectrodes and the stimulation posi-tion to adopt. This information is re-presented by numbers (placement ofelectrodes) and letters (stimulationposition). They refer to the “Tablewith placements of electrodes and

stimulation positions” in chapter VIIand to the poster with the picturesfor the placements of electrodes andthe pictograms for the body posi-tions. The table also indicates the sti-mulation energy to use, according tothe programmeYou must select in the device themuscular group indicated on the figu-rine. When no figurine appears (–), itis not necessary to choose the muscu-lar group: the selection is automatic.

VI. PROGRAMMES AND SPECIFICAPPLICATIONSThe applications that follow are given by way of example. They provide a bet-ter understanding of how electrostimulation sessions can be combined withvoluntary activity. These protocols will help you to determine the best proce-dure to follow depending on your needs (choice of the programme, musculargroup, duration, placement of the electrodes, body position).

Neglected for many years, muscle preparation hastoday become indispensable for the competitive athlete.In this respect, muscular electrostimulation is a comple-mentary training technique widely used by an increa-sing number of athletes aiming to improve their level ofperformance. Increasing the maximum strength of amuscle, developing muscular volume, increasing the ex-plosive strength of muscles or improving the capacity ofmuscle fibres to sustain effort over long periods of timeare objectives that differ according to the sporting disci-pline being practised. Ensuring optimal muscle prepara-tion immediately before competition, combiningelectrostimulation with voluntary muscle training, opti-mising the effects of training techniques such as stret-ching, reproducing the muscular stress resulting from"plyometric" training or imposing a "restoration" activityon muscles is easily accessible today thanks to the highspecificity of the new programmes offered by yourCompex. The programmes of the Compex Sport cate-gory are designed to improve the muscle qualities ofcompetitive athletes training seriously on a voluntarybasis for at least five hours a week.For the four basic training programmes, Endurance, Re-sistance, Strength and Explosive strength, you are stron-gly advised to consult the Training planner available inthe user DVD. An interactive questions and answers sys-tem gives you access to a personalized training plan.Use of programmes of the Sport category is not suitablefor atrophied muscles that have suffered any kind of pathological process. For such muscles, it is essential touse programmes of the Rehabilitation category (see section "Rehabilitation category" of this manual).The protocols that follow are given by way of exampleonly. They provide a better understanding of how elec-trostimulation sessions can be combined with voluntarytraining.To define the level of Sport programmes in relation withyour personal characteristics, please see the trainingplanner available on the user DVD.


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Programmes Effects Uses

Fartlek

Training and preparationof muscles for all kinds ofmuscular work (endu-rance, resistance, strength,explosive strength)through different workingsequences

Active recovery

Marked increase in bloodflow

Accelerates the eliminationof waste from the muscularcontraction

Endorphinic effect (seePain category)

Relaxing effect

To improve and acceleratethe muscle recovery after anintensive exercise

To be used during the first 3hours after each session ofintensive training or after acompetition

Regeneration

Analgesic effect throughthe release of endorphins

Marked increase in bloodflow encouraging oxyge-nation and drainage

Activation of the oxydativemetabolism

Reactivation of proprio-ceptive pathways

To be used the day aftercompetition as recoverytraining or as a complementto this type of training, theintensity of which can thenbe reduced


Potentiation

Increased speed ofcontraction and powergain

Less nervous effort to at-tain maximum strength

For optimum muscle prepa-ration immediately beforecompetition

Endurance

Improved absorption ofoxygen by the stimulatedmuscles

Improved performance forendurance sports

For athletes who wish toimprove their performancein long-duration sportingevents

Resistance

Improved absorption ofoxygen by the stimulatedmuscles

Improved performance forendurance sports

For athletes who wish toimprove their performancein long-duration sportingevents

Hypertrophy

Increased muscle volume

Increased muscle resis-tance

For competitive athleteswho wish to increase theirmuscle mass

For body-builders

StrengthIncreased maximumstrength

Increased rate of muscularcontraction

For competitive athletespractising a discipline thatrequires strength and speed

Explosivestrength

At the beginning of the sea-son to “re-set” the musclesafter a rest period and be-fore more intensive andspecific training

During the season for thosewho do not have any prefe-rences for a single kind ofperformance and prefer toexercise their muscles withdifferent work-out methods

Increases the speed atwhich the level of strengthis attained

Improved efficiency of ex-plosive actions (jumping,sprinting, etc.)

For athletes practising a dis-cipline in which explosivestrength is an important fac-tor in performance

Sport Sport

Stretching

To optimise the effects ofthe voluntary technique ofstretching, by means of areduction of musculartonus obtained by specificactivation of the antagonistof the stretched muscle(reciprocal inhibition re-flex)

For all athletes who wish tomaintain or improve theirmuscular elasticity

To be used after all trainingsessions or during a specificstretching session


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Preparation for a runner training threetimes a week who wishes to progress inendurance (half-marathon, marathon)Munning as many miles as possible is es-sential in order to improve performancein endurance events. However, the strainon tendons and joints this type of trainingcauses is today universally recognised. In-tegrating Compex electrostimulation intothe training of the long-distance runneroffers an excellent alternative that canhelp to overcome this problem. The Endu-rance programme, which improves themuscles’ ability to absorb oxygen, and theCapillarization programme (Vascular cate-gory), which develops the capillaries inthe muscles, allow greater endurance tobe achieved while limiting the weekly mi-leage and therefore the risk of injury.

Cycle duration: 8 weeks, 5 x/weekProgression inthe levels:

Eg for 1 week

Mon: Rest

Tue: 1 x Endurance 8G cWed:- Voluntary warm up training 20’, then1-2 series of 6 x [30’’ fast / 30’’ slow]- Slow jogging 10’ at the end of the session,then 1 x Capillarization 8◊cThu: 1 x Endurance 8G cFri: Rest

Sat: Loose jogging 60’, then 1 x Endurance8G cSun: Extended run 1h30 (moderate speed),then 1 x Capillarization 8◊c

Programmes: Endurance 8G and Capillariza-tion 8◊c

Pre-season preparation of lactic capacityfor a resistance sport with three activetraining sessions per week (800 metres,track cycling, etc.)Example of planning to develop the lacticcapacity (resistance) of the quadriceps.For other disciplines, the choice of mus-cles to be stimulated may be different (todetermine these muscles in relation toyour sporting discipline, refer to the Trai-ning planner in the CD-ROM).During pre-season preparation for sportsthat make great demands on the lacticanaerobic system (intense effort sustainedover as long as possible), it is essential notto neglect specific muscle preparation. Sti-mulation of the quadriceps (or a differentkey muscle group depending on the disci-pline practised) by means of the Resis-tance programme results in improvedanaerobic power, as well as greater mus-cle tolerance to high concentrations oflactates. The practical benefits are evident:improved performance thanks to bettermuscular resistance to fatigue for exer-cises of the lactic anaerobic type.In order to optimise the effects of this pre-paration, you are advised to supplement itwith Capillarization sessions, carried outduring the week leading up to the compe-tition (see this part: "Programmes and spe-cific applications", "Vascular category","Achieving peak form before competitionfor resistance sports (eg: 800 metres, 1500metres, etc.)").An Active recovery session is recommen-ded after the most intensive training. It ac-celerates the rate of muscle recovery andreduces fatigue during the period of theseason when the amount of training ishigh.Cycle duration: 6-8 weeks, 4 x/week

Eg for 1 weekMon: 1 x Resistance 8G cTue: Voluntary training on the track Wed: 1 x Resistance 8G cThu: Voluntary intensive training on the track,then 1 x Active recovery 8◊cFri: RestSat: ResSun: 1 x Resistance 8G c, followed by ses-sion voluntary training on the track

Programmes: Resistance 8G and Active reco-very 8◊c

Specific applications

Use of Potentiation programme tooptimise the effects of explosive strength(sprints, jumps, squash, football,basketball, etc.) immediately beforespecific training or competitionThe Potentiation programme should beused on the key muscles involved in thediscipline practised. In this example, thekey muscles of the sprinter (quadriceps)will be stimulated. For other disciplinesthe choice of muscles to be stimulatedmay be different (refer if necessary to theTraining planner in the CD-ROM).The Potentiation programme must nottake the place of the voluntary warm-upusually performed before the competition.Activation of the cardiovascular system,short accelerations becoming progressi-vely faster, practice starts and stretchingwill therefore be carried out by the athleteaccording to his normal routine. A Poten-tiation session of short duration (approxi-mately 3 minutes) will be applied on thesprinter’s quadriceps immediately beforethe start of his race (or races, in the eventof qualifying events). The specific muscu-lar activation of the Potentiation pro-gramme allows the maximum level ofperformance to be attained in the veryfirst seconds of the race.

Cycle duration: 1x

Always carry out the session as soon as pos-sible before the start and at all events notmore than 10 minutes before the start. After10 minutes, the phenomenon of potentiationof muscle fibres quickly wears off

Programme: Potentiation 8G c

Sport Sport

Preparation for a cyclist training threetimes a week who wishes to improveendurance performanceEffort expended over a long period oftime makes demands on the aerobic meta-bolism, for which the decisive factor is thequantity of oxygen consumed by the mus-cles. To progress in endurance, it is there-fore necessary to increase as much aspossible the supply of oxygen to the mus-cles stimulated by this type of effort. Be-cause oxygen is conveyed by the blood, itis essential to have an efficient cardiovas-cular system, due to voluntary trainingunder certain conditions. However, amuscle capacity to consume the oxygen itreceives (oxydative capacity) can also beimproved by following a specific work re-gime.The Endurance programme of the Sportcategory leads to a significant improve-ment in the consumption of oxygen bymuscles. Combining this programme withthe Capillarization programme (Vascularcategory), which develops the network ofintramuscular capillaries, is particularlybeneficial and allows endurance athletesto improve their performance levels.

Cycle duration: 8 weeks, 5 x/week.

Eg for 1 week

Mon: Rest

Tue: 1 x Endurance 8G cWed: Cycle training 1h30 (moderate speed),then 1x Capillarization 8◊cThu: 1 x Endurance 8G cFri: Rest

Sat: Cycle training 60’ (moderate speed),then 1 x Endurance 8G cSun: Cycling 2h30 (moderate speed), then 1x Capillarization 8◊c

Programmes: Endurance 8G and Capillariza-tion 8◊c


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Pre-season preparation for a team sport(football, rugby, handball, volleyball, etc.)Planning example to develop the strengthof the quadriceps. Depending on thesport being practised, a different musclegroup may be chosen.During the preparatory pre-season periodfor team sports, it is essential not to ne-glect specific muscle preparation. In mostteam sports, the qualities of speed andstrength make all the difference. Stimula-tion of the quadriceps (or a different keymuscle depending on the sport concer-ned) by means of the Compex Strengthprogramme will result in increased speedof contraction and muscular strength. Thepractical benefits will be obvious: impro-ved speed off the mark and during move-ment, jumping, shooting power, etc.An Active recovery session, carried outafter the most intensive training, accele-rates muscular recuperation and reducesfatigue that has built up during the seasonwhen the workload is high.

Cycle duration: 6-8 weeks, 6 x/week

Eg for 1 week

Mon: 1 x Strength 8G cTue: Collective training, then 1 x Active reco-very 8◊cWed: 1 x Strength 8G cThu: Collective training, then 1 x Active re-covery 8◊cFri: 1 x Strength 8G cSat: Rest

Sun: Collective training or friendly match,then 1 x Active recovery 8◊c

Programmes: Strength 8G and Active reco-very 8◊c

Maintaining results achieved duringpreparation for team sports during thecompetitive period (football, rugby,handball, volleyball, etc.)This example concerns only athletes whohave completed a full cycle of training byelectrostimulation (at least 6 weeks) aspart of their pre-season preparation. Theweekly session of stimulation with theStrength programme should be carriedout on the same muscle groups as thosestimulated during the preparation period(in our example, the quadriceps).During the season, when matches areplayed regularly, care should be taken notto overtrain the specific musculature. Onthe other hand, nor should the benefits ofpreparation be lost by suspending stimu-lation training for too long a period. Du-ring this period of competition, musclequalities should be maintained by meansof one weekly session of stimulation car-ried out using the Strength programme. Itis also essential to leave a sufficiently longinterval between this single weekly stimu-lation session and the day of the competi-tion (3 days minimum).The Active recovery programme, whichmust be used during the first three hoursafter the match, as well as after each ses-sion of intensive training, restores muscleequilibrium more quickly.

Cycle duration: During the sport season

Eg for 1 week

Mon: Rest

Tue: Collective training, then 1 x Active reco-very 8◊c (if training is intensive)

Wed: 1 x Strength 8G cThu: Collective training, then 1 x Active re-covery 8◊c (if training is intensive)

Fri: Rest

Sat: Rest

Sun: Match, then 1 x Active recovery 8◊c(within the 3 hours that follow the competi-tion)

Programme: Active recovery 8◊c

Preparation for a cyclist training threetimes a week who wishes to improve hispowerDeveloping the strength of the thigh mus-cles is always beneficial for the competi-tive cyclist. Certain forms of training onthe bicycle (hill work) can make a contri-bution in this respect. However, resultswill be more spectacular if additional trai-ning using Compex muscular stimulationis undertaken at the same time.The special regime of muscle contractionsof the Strength programme and the largeamount of work to which the muscles aresubjected allow a significant increase ofthe strength of the thigh muscles.Moreover, the Active recovery pro-gramme, carried out within three hours ofthe most intensive training sessions, en-courages muscular recuperation andmakes it possible to follow on with quali-tative training under optimum conditions.

Cycle duration: 8 weeks, 5 x/week

Eg for 1 week

Mon: Rest

Tue: 1 x Strength 8G cWed: - Cycle training 45’ (moderate speed),then 5-10 times on a 500-700 m hill (rapidly)- Recovery during descent- Inactivity 15-20’, then 1 x Active recovery8◊cThu: 1 x Strength 8G cFri: Rest

Sat: Cycle training 60’ (moderate speed),then 1 x Strength 8G cSun: - Cycling 2h30-3 h (moderate speed)- Muscle strengthening on hills (use of a highgear ratio remaining seated), then 1 x Activerecovery 8◊c

Programmes: Strength 8G and Active reco-very 8◊c

Preparation for a swimmer training threetimes a week who wishes to improve hisswimming powerIn swimming, developing the propulsiveforce of the upper limbs is an importantfactor in improving performance. Certainforms of voluntary training practised inthe water can contribute to this. However,integrating Compex muscular stimulationinto the voluntary training programmemakes it possible to achieve far better re-sults. The special muscular contraction re-gime of the Strength programme and thelarge amount of work to which musclesare subjected will allow you to increase si-gnificantly the strength of the latissimusdorsi, key muscles for the swimmer.Moreover, the Active recovery pro-gramme, carried out within three hours ofthe most intensive training, encouragesmuscular recuperation and makes it possi-ble to follow on with qualitative trainingunder optimum conditions.


Eg for 1 week

Mon: Rest

Tue: 1 x Strength 18C eWed: 20-30’ swimming training (differentstyles), then 5-10 times 100 m with pull-boy- Recovery 100 m backstroke- Inactivity 15’, then 1 x Active recovery18◊eThu: 1 x Strength 18C eFri: Rest

Sat: 1 h swimming training including sometechnical work, then 1 x Strength 18C eSun:- 20-30’ swimming training (differentstyles), then 5-10 times 100 m with paddles - Recovery 100 m backstroke- Inactivity 15’, then 1 x Active recovery18◊e

Programmes: Strength 18C and Active reco-very 18◊e

Sport Sport


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Muscle volume for a body-buildertraining six times a weekIn this example, we assume that the body-builder wants to work on his/her calvesthat he/she considers to be his/her weakpoint. It is of course possible to stimulateother muscles as well. Also this stimula-tion routine can be applied to severalmuscular groups at the same time (e.g.calves then biceps).

Cycle duration: 12 weeks, 5 x/ week

Progression in the levels

Week 1: Hypertrophy level 1

Weeks 2-3: Hypertrophy level 2




Eg for 1 week.

Mon: Voluntary training focused on the mus-cles of the lower limbs, followed by activework on the calf muscles: 3 series of 5 repe-titions at 90% of Fmax., then Hypertrophy4A j followed by 1 x Capillarization 4◊jTue: Voluntary training focused on the mus-cles of the lower limbs, followed by activework on the calf muscles: 3 series of 5 repe-titions at 90% of Fmax., then Hypertrophy4A j followed by 1 x Capillarization 4◊jWed: Rest

Thu:Voluntary training focused on the mus-cles of the lower limbs, followed by activework on the calf muscles: 3 series of 5 repe-titions at 90% of Fmax., then Hypertrophy4A j followed by 1 x Capillarization 4◊jFri: Rest

Sat: Voluntary training focused on the mus-cles of the upper limbs, followed by activework on the calf muscles: 3 series of 5 repe-titions at 90% of Fmax., then 1 x Hypertro-phy 4A j followed by 1 x Capillarization 4◊jSun: Rest

Programmes:Hypertrophy 4A and Capillariza-tion 4◊j

Resuming activity after a break intraining: variable muscle preparationIn this example, we assume that thesportsman wants to work above all on thelatissimus dorsi. It is of course possible tostimulate other muscles as well. Also thisstimulation routine can be applied to se-veral muscular groups at the same time(e.g. latissimus dorsi then quadriceps).The fartlek comes from Scandinavia. It in-volves diversified training carried on in anatural setting. During training, differentwork-out routines are alternated and dif-ferent muscles are stimulated. For exam-ple, after a few minutes of slow jogging,the trainee does a series of accelerationsfollowed by some jumps, before resuminga slower jog, and so on. The objective isto work on different muscular qualitieswithout however emphasising any one inparticular. This activity is frequently doneeither at the beginning of the season, forgeneral muscular reactivation, or done re-gularly by leisure-time sports enthusiastswho do not want to emphasise any parti-cular kind of muscular performance, butrather want to stay fit and reach the rightlevel in all kinds of muscular work.At the beginning of the season or after asignificant break in training, the resump-tion of physical and/or sports activityshould be done progressively and becomeincreasingly specific. It is thus normal toperform a few initial sessions with the aimof making the muscles do all kinds ofwork to prepare them for later trainingthat will be more intensive and moreoriented towards a specific kind of perfor-mance.Through these eight sequences that auto-matically follow each other, the Fartlekprogramme imposes different kinds ofwork to the stimulated muscles and thusmakes them used to all kinds of effort.

Cycle duration: 1-2 week, 4-6 x/ week

Programme: Fartlek 18C d

Pre-season preparation of the explosivestrength of the quadriceps for an athletetraining three times a week (long jump orhigh jump, sprinting, etc.)For other disciplines the choice of mus-cles to be stimulated may be different(refer if necessary to the Training plannerin the CD-ROM).For all sports where the essential perfor-mance factor is explosive muscle strength,specific muscle preparation is the mainfactor in pre-season preparation. The ex-plosive strength of muscles may be defi-ned as the capacity of a muscle to attain ahigh level of maximum strength as quicklyas possible. To develop this quality, vo-luntary training relies on tiring muscle trai-ning sessions that often include the risk ofinjury, since they are necessarily carriedout using heavy weights. Integrating theuse of the Explosive strength programmelightens the muscle training sessions whileat the same time offering greater benefitsand more time for technical work.

Cycle duration: 6-8 weeks, 4 x/ week

Eg for 1 week

Mon:1 x Explosive strength 8G cTue: Voluntary training in stadium

Wed:1 x Explosive strength 8G cThu:Voluntary training including technicalwork jumping pit

Fri: 1 x Explosive strength 8G cSat: Rest

Sun:Voluntary training in stadium followed by1 x Explosive strength 8G c

Programme: Explosive strength 8G c

Muscle volume for a body-builderDespite repeated efforts during their vo-luntary training, many body-builders en-counter difficulties in developing certainmuscle groups. The specific stimulationimposed on muscles by the Hypertrophyprogramme significantly increases the vo-lume of the stimulated muscles. In addi-tion, for a similar session time, theCompex Hypertrophy programme providesa greater volume gain than voluntary trai-ning.The additional training imposed by thisstimulation programme on muscles not

sufficiently receptive to traditional trainingprovides a solution for the harmoniousdevelopment of all muscle groups withoutrecalcitrant areas.To obtain optimum progress, you are ad-vised to:1)precede the Hypertrophy sessions withshort voluntary training focused onstrength; for example 3 series of 5 repeti-tions at 90% of maximum force;2 )carry out a Capillarization session (Vas-cular category) directly after the Hypertro-phy session.

Muscle volume for a body-buildertraining three times a week In this example, we assume that the body-builder wants to work on his/her biceps,which he/she considers to be his/herweak point. It is of course possible to sti-mulate other muscles as well. Also this sti-mulation routine can be applied to severalmuscular groups at the same time (e.g. bi-ceps then calves).Cycle duration: 8 weeks, 3 x/ week


Week 1: Hypertrophy level 1Weeks 2-3: Hypertrophy level 2 Weeks 4-5: Hypertrophy level 3 Weeks 6-8: Hypertrophy level 4

Eg for 1 week.

Mon: RestTue: Voluntary training focused on the mus-cles of the lower limbs, followed by activework on the biceps: 3 series of 5 repetitionsat 90% of Fmax., then 1 x Hypertrophy 20Dm followed by 1 x Capillarization 20◊mWed: Rest Thu: Voluntary training focused on the mus-cles of the trunk, followed by active work onthe biceps: 3 series of 5 repetitions at 90%of Fmax., then 1 x Hypertrophy 20D m fol-lowed by 1 x Capillarization 20◊mFri: Rest Sat: Voluntary training focused on the mus-cles of the upper limbs, followed by activework on the biceps: 3 series of 5 repetitionsat 90% of Fmax., then 1 x Hypertrophy 20Dm followed by 1 x Capillarization 20◊mSun: Rest

Programmes: Hypertrophy 20D and Capillari-zation 20◊m

Sport Sport


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Sport

Preparation for a footballer wishing tooptimise the effects of active stretching ofthe hamstrings musclesThe Stretching programme consists in sti-mulating the antagonist (i.e. opposite)muscle of the muscle subjected to stret-ching in order to exploit a well-knownphysiological mechanism: reciprocal inhibi-tion reflex. This reflex, based on the pro-prioceptive sensitivity of muscles, consistsof a very marked muscular relaxation. Thisallows more efficient stretching, since it iscarried out on a more relaxed muscle.Stimulation is therefore performed on themuscle opposing the muscle being stret-ched. This stimulation consists of a pro-gressive appearance and disappearance(slowly and lasting a long time) of contrac-tions, with complete rest between contrac-tions. It is during the contraction (whichincreases with each new level) that theathlete stretches the chosen muscle groupby means of a traditional voluntary stret-ching technique.In this example, the stimulation is carriedout on the quadriceps in order to facilitatestretching of the hamstrings muscles duringthe contraction phases.

Cycle duration: Throughout the season, accordingto the frequency of voluntary stretching sessions

According to the normal duration of stretching(this depends on schools of physical trainingand each person’s feelings), choose the levelthat seems most appropriate.The proposedduration of stretching is:10 seconds for level 1

12 seconds for level 2




Programme: Stretching 8 c, Adopt the startingposition for the active stretching exercise

Use of the Regeneration programme toeliminate muscle fatigue more quickly(cross-country running, football,basketball, tennis, etc.) and restore goodmuscular sensations more quicklyThe Regeneration programme, known alsoas the "day-after programme" must beused on key muscles for the disciplinebeing practised. In this example, key mus-cles for the cross-country runner (quadri-ceps) will be stimulated. For otherdisciplines, the choice of muscles to be sti-mulated may be different (refer if neces-sary to the Training planner of theCD-ROM). Note that this type of pro-gramme is particularly beneficial for allsports where competitions are repeated atfrequent intervals, during tournaments andcups in various sports.The stimulation session using the Regene-ration programme must be carried out theday after a competition to replace or sup-plement so-called "restoration" training,which can therefore be less intensive.Contrary to the Active recovery pro-gramme, which provokes no tetaniccontractions and which must be used du-ring the three hours after the competitionor intensive training, the Regeneration pro-gramme is a form of light training which,in addition to an analgesic effect and anincreased blood flow, aims to impose asmall degree of anaerobic training and li-kewise to provoke slight tetanic contrac-tions that are not tiring, making it possibleto reactivate the proprioceptive pathways.Energy pathways are also gently stimula-ted, allowing their metabolic equilibriumto re-establish itself.

The session is composed of 6 stimulation se-quences that follow on automatically:

1st sequence: analgesic effect2nd sequence: marked increase in blood flow3rd sequence: tetanic contractions to res-tore muscular sensation4th sequence: activation of the oxydative metabolism5th sequence: marked increase in blood flow6th sequence: relaxing effect

Cycle duration: To be used throughout the sea-son, according to the frequency of competitions

Programme: Regeneration 8G c

Pain relief category

Physical pain is an abnormal and unpleasantsensation caused by an injury, a disorder or incor-rect functioning of a part of our organism. It is al-ways a signal sent to us by our bodies, one thatshould not be ignored, and that in all cases re-quires us to consult a doctor if it does not disap-pear quickly.The approach to pain adopted by the medicalprofession has changed considerably in recentyears. Treatment of the cause is always fundamen-tal, however the pain as such must be otherwiseremoved or at least considerably reduced andmade bearable for the patient. The means to com-bat pain have developed greatly, and there is nolonger any hesitation today in using powerfulanalgesics to improve the quality of life of patients.It is within this context that recourse to electrothe-rapy has developed. Excitation of the nerve fibresof sensation by means of electrical micro-impulsesis often the preferred method of combatting pain.Today, such analgesic electrotherapy is widelyused, particularly in rehabilitation medicine and inspecialist pain treatment centres.The precision of electrical currents allows theanalgesic action to be accurately targeted accor-ding to the type of pain. It is up to the user tochoose the most appropriate programme for thetype of pain and to follow practical recommenda-tions in order to obtain maximum effect.

If the pain is great and/or persistent, you are advised to consult a doctor. Only adoctor can make an accurate diagnosis and put in place therapeutic actions

designed to encourage the disappearance of the disorder.


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Pain relief Pain relief

Pathologies Programmes References

Neuralgia of the upperlimb(brachial neuralgia)

See applicationpage 190

Chronic muscular pain(polymyalgia) Endorphinic See application

page 190

Contracture(eg: localized contracture in externalside of the calf)

Decontrac-ture


Chronic muscular painin the back of the neck(cervical pain)

Cervical pain See applicationpage 190

Muscular pain in thethoracic region(thoracic back pain)

Thoracicback pain


Table of the pathologies

ModulatedTENS


ModulatedTENS

Blocks transmission ofpain by the nervous sys-tem

All acute or chronic locali-zed pain

EndorphinicAnalgesic action throughthe release of endorphins

Increased blood flow

To combat chronic muscu-lar pain

Thoracic backpain

Analgesic action throughthe release of endorphins

Increased arterial flow

Analgesic current specifi-cally adapted to low backpain (lumbar region)

DecontractureReduced muscular tension

Relaxing effect

To combat recent and loca-lized muscular pain

Cervical pain Analgesic action throughthe release of endorphins

Increased arterial flow

Analgesic current specifi-cally adapted to pains in theback of the neck

Table of the Pain programmes

The use of Modulated TENS, Endorphinic and Decontracture programmes should notbe prolonged without medical advice.

Chronic elbow pain(epicondylitis = tennis elbow) Epicondylitis See application

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Sharp and recent muscu-lar pains affecting amuscle in the low back(lumbago)

Lumbago See applicationpage 191

Muscular pain in the lowback region(low back pain)

Low backpain


EpicondylitisBlocks transmission ofpain by the nervous sys-tem

Analgesic current specifi-cally adapted to persistentpain in the elbow

LumbagoReduced muscular tension

Relaxing effect

Analgesic current specifi-cally adapted to sharp andsudden low back pain (lum-bar region)

Low backpain

Analgesic action throughthe release of endorphins

Increased blood flow

Analgesic current specifi-cally adapted to persistentlow back pain (lumbar re-gion)


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Pain relief Pain relief

Neuralgia of the upper limb (brachialneuralgia)Some people suffer from arthritis in thejoints of the vertebrae at the back of theneck, or from arthritis or periarthritis ofthe shoulder. These situations often giverise to pain that runs down one arm andis known as “brachial neuralgia”. Thesearm pains that start in the shoulder or theback of the neck can be reduced with theCompex Modulated TENS programme byfollowing the practical recommendationsoutlined below.

Cycle duration: 1 week, 1 x/day minimum, thenadapt according to how the pain develops

According to requirements, the ModulatedTENS programme can be repeated a numberof times during the same day

Programme: Modulated TENS 35◊

Chronic muscular pain (polymyalgia)Some people suffer from muscular painthat affects several muscles or parts of dif-ferent muscles at the same time. The loca-lization of this chronic pain can vary overtime. These continual and diffuse musclepains are the result of chronic contrac-tures in which acids and toxins accumu-late, irritating the nerves and causing pain.The Endorphinic programme is particu-larly effective against such pain since, inaddition to its pain-reducing effect, it in-creases the blood flow to the contracturedmuscular groups and removes from themaccumulations of acids and toxins.Example: localized pain in the biceps.However, the pain may affect other mus-cular groups. The practical application il-lustrated below remains valid, but it isthen necessary to place the electrodes onthe muscular group concerned.

Cycle duration: 4 weeks, 2 x/day, with a 10 mi-nute break between the 2 sessions

You are advised to consult your doctor if no im-provement is observed after the first week ofuse

Programme: Endorphinic 20◊

Contracture (eg: localized contracture inexternal side of the calf)After tiring muscle work, intense trainingor a sporting competition, certain musclesor certain parts of muscles often remaintense and slightly painful. These areknown as muscular contractures whichshould disappear after a few days withrest, good rehydration, a balanced foodintake with mineral salts and applicationof the Decontracture programme. . Thephenomenon of contracture frequently af-fects the calf muscles, but can also occurwith other muscles. In this case, simplyfollow the same practical recommenda-tions as below, but place the electrodeson the muscular group concerned.

Cycle duration: 1 week, 1 x/day


Programme: Decontracture 24◊

Chronic muscular pain in the back of theneck (cervical pain)Positions in which the muscles of theback of the neck remain tense for longperiods of time, for example working infront of a computer screen, may be res-ponsible for the onset of pain in the backof the neck or on either side of the baseof the neck, in the upper back. Thesepains are due to a contracture of the mus-cles, of which the prolonged tensioncrushes the blood vessels and preventsthe blood from supplying and oxygena-ting the muscle fibres. If this phenomenonis prolonged, there is an accumulation ofacid and the blood vessels atrophy. Thepain then becomes continuous or appearsafter only a few minutes spent working inan unfavourable position.These chronic pains in the back of theneck can be treated effectively with theCervical pain programme, which reacti-vates the circulation, drains accumulationsof acid, oxygenates the muscles, developsthe capillaries and relaxes the contractu-red muscles.

Specific applications Cycle duration: 4 weeks, 2 x/day, with a 10 mi-nute break between the 2 sessions


Programme: Cervical pain 15◊

Muscular pain in the thoracic region(thoracic back pain)Vertebral arthritis and positions in whichthe muscles of the spinal column remainunder tension for long periods of time areoften responsible for the onset of pain inthe middle of the back, which is accentua-ted with fatigue. Pressure of the fingers onthe muscles on either side of the spinalcolumn can often trigger a sharp pain.These pains are due to a contracture ofthe muscles, of which the prolonged ten-sion crushes the blood vessels and pre-vents the blood from supplying andoxygenating the muscle fibres. If the phe-nomenon is prolonged, there is an accu-mulation of acid and the blood vesselsatrophy. The pain then becomes conti-nuous or can appear after only a few mi-nutes spent working in an unfavourableposition.These chronic back pains can be effecti-vely treated with the Thoracic back painprogramme which reactivates the circula-tion, drains accumulations of acid, oxyge-nates the muscles, develops the capillariesand relaxes the contractured muscles.

Cycle duration: 4 weeks, 2 x/week with a 10 mi-nute break between the 2 sessions


Programme: Thoracic back pain 13◊

Muscular pain in the low back region(low back pain)Low-back pain is the most frequently en-countered pain. In a standing position, theentire weight of the trunk is concentratedon the joints between the last vertebraeand the sacrum. The low back region istherefore under particular strain. The discsbetween the vertebrae are crushed andthe low back muscles contractured andpainful.

There are very many treatments for the re-lief of low back pain sufferers; amongthese, the specific currents of the CompexLow back pain programme provide an ap-preciable improvement and can even re-solve the problem if it is essentiallymuscular in origin.

Cycle duration: 4 week, 2 x/day, with a 10 minutebreak between the 2 sessions


Programme: Low back pain 12◊

Sharp and recent muscular painsaffecting a muscle in the low back(lumbago)During back movement, for examplewhen lifting something, when turning orwhen standing up straight after bendingdown, a sudden pain can be triggered inthe low back. Those who suffer from thisproblem present a contracture of the lowback muscles and feel a sharp pain in thisregion; because they cannot stand com-pletely straight, they remain bent over onone side. All of these symptoms indicatewhat is known as lumbago, which is principally the result of a sharp and in-tense contracture of the low back muscles(lumbar region).In a situation such as this, it is always ne-cessary to consult a doctor to receive ap-propriate treatmentIn addition to such treatment, the specificCompex Lumbago programme can helpeffectively to relax the muscles and re-move the pain.



Programme: Lumbago 33◊


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Vascular category

The low frequency current used of the Vascularcategory of Compex programmes significantly im-proves blood circulation in the stimulated area.Indeed many people, more particularly womenwho remain standing for long periods, suffer fromcirculatory problems. These mainly affect the legsand are caused by stagnation of the blood and thelymph and are manifested by a feeling of "heavylegs", swelling, or the dilatation of surface veins.The consequences are multiple: fatigue, tension,pain, lack of oxygenation of tissue and the appea-rance of varicose veins and oedemas.According to the programme used, the musculartwitches are more or less rapid, separate, andadopt different rhythms. The result is a specificaction for each programme, and for this reasonyou are advised to follow closely the indicationsof the different treatments so that optimum resultscan be obtained.

Chronic elbow pain(epicondylitis = tennis elbow)All tendons of the muscles that allow usto stretch our hand, wrist and fingers endat the small external bone mass of theelbow (epicondyle). Hand and finger mo-vements therefore transmit tensions thatare concentrated in the tendon endings atthis bone mass.When hand movements are repetitive, asis the case for painters, tennis players oreven those who constantly use the mouseof a computer system, small injuries, ac-companied by inflammation and pain, de-velop in the region of the epicondyle.This is known as "epicondylitis", which ischaracterised by pain around the externalbone mass of the elbow when pressure isapplied or when the forearm muscles arecontracted.The Compex Epicondylitis programmesupplies specific current to combat thistype of pain. It acts effectively as a sup-plement to rest.However, it is neccary to consult yourdoctor if the pain gets worse or does notdisappear quickly after a few sessions.

Cycle duration: 1 week, 2 x/week minimum, thenadapt according to how the pain develops

According to requirements, the Epicondyiltisprogramme can be repeated a number oftimes during the same day.

Programme: Epicondylitis 36◊

Pain relief

If the symptoms are serious and/or persistent, you are advised to consult a doctor.Only a doctor can establish an accurate diagnosis and put in place all therapeuticmeasures required to cure the disorder.


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Vascular


Capillarization

Very marked increase inblood flow

Development of capillaries

Heavy legs

Increased venous return

Increased supply of oxy-gen to muscles

Drop in muscular tension

Elimination of tendency tohave cramp

To remove the feeling ofheaviness in the legs arisingin unusual situations (stan-ding for long periods, heat,hormonal imbalance linkedto the menstrual cycle, etc.)

Cramp prevention

Improved circulation toprevent the onset of noc-turnal cramp or crampafter strains

Cramp mainly affects mus-cles of the lower limbs, inparticular the calf muscles

Lymphaticdrainage

Deep massage of the sti-mulated area

Activation of return lym-phatic circulation

To contrast occasional swel-ling of the feet and ankles

As a supplement to pres-sure therapy or manuallymphatic drainage

Do not use without medicaladvice in case of oedemasthat are the side effect of apathological problem

In the period before competi-tion, for those participating inendurance or resistancesportsAs a supplement to a pro-gramme of the Aesthetic ca-tegory

To improve endurance inthose whose fitness level isnot high

Preparation for seasonal enduranceactivity (eg: hiking, bicycle touring)Sporting physical activities that last a longtime (walking, cycling, cross-country skiing,etc.) require strong muscles with a good ca-pillary circulation so that the muscle fibrescan be properly oxygenated. When a long-duration physical activity is not practised, ornot practised regularly enough, the muscleslose their capacity to effectively consumeoxygen and the capillary system becomes ra-refied. This lack of muscular quality makesexercising uncomfortable and limits thespeed of recuperation, and is responsible formany unpleasant side effects such as drowsi-ness, contractures, cramp and swelling.To restore to muscles their endurance andensure full activation of the capillary system,the Compex offers a very efficient mode ofstimulation.Cycle duration: 6-8 weeks, before starting the hike, 3x/week, alternating muscular groups

Programmes: Capillarization 8◊c and 25◊j

Achieving peak form before competitionfor resistance sports (eg: 800 metres,1500 metres, mountain biking, mountainstage in cycling, cycling pursuit on track,200 metres swimming, slalom)Sports that require maximum effort lastingbetween 30 seconds and 5 minutes are theso-called resistance sports. Rapid fibres mustwork at a capacity close to their maximumand be capable of maintaining this intensivework throughout the event without weake-ning, in other words the rapid fibres must beresistant.The Capillarization programme, which pro-duces a very significant increase in the bloodflow in the muscles, brings about develop-ment of the intramuscular capillary system(capillarization). This growth of the capilla-ries works best if it occurs around the rapidfibres. In this way, the latter’s exchange sur-face with the blood increases, allowing animproved supply of glucose, better diffusionof oxygen and quicker evacuation of lacticacid. Capillarization therefore allows therapid fibres to be more resistant and tomaintain their optimum capacity over a lon-ger period.However, prolonged or too frequent use ofthis programme may induce a modificationof rapid fibres into slow fibres, thereby ris-

king a decline in performance for strengthand speed sports. It is therefore important tofollow closely the recommendations belowconcerning the specific application in orderto benefit from the positive effects of thistreatment.Cycle duration: 1 week before competition, 2 x/day,with a 10 minute break between the 2 sessions

Programme: Capillarization 8◊c

Prevention of contractures in themuscles of the back of the neck forcyclists During voluntary training or competitions,some athletes experience the problem ofcontractures in support muscles (for exam-ple, the back of the neck for cyclists). Use ofthe Capillarization programme reduces, andmay resolve, this problem. The marked in-crease in blood circulation and developmentof the capillary system improve the oxygena-tion of fibres and their exchanges with theblood. The muscle therefore becomes lessprone to contractures.Cycle duration: 3 weeks, 1 x/day

Programme: Capillarization 15◊e

Prevention of the feeling of heaviness inthe legsThe feeling of heaviness in the legs is due toa temporary deficiency in the venous return,and not to major organic lesions. Stagnationof the blood mass in the legs is encouragedin certain situations: prolonged periods in astanding position, long periods continuouslyseated, intense heat, etc. The insufficientsupply of oxygen to the tissue, and in parti-cular the muscles, that results from this situa-tion, causes the feeling of heaviness anddiscomfort in the legs. Use of the Heavy legsprogramme accelerates the return of bloodto the veins and has an important relaxingeffect on the painful muscles.Cycle duration: Use this treatment whenever an oc-casional feeling of heaviness in the legs occurs

Programme: Heavy legs 25 JL j


Vascular


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VascularMassage category

The programmes of the Compex Massage cate-gory subject the muscles of the stimulated regionto moderate activity, which produces beneficialeffects that help to improve physical comfort andwell-being.Remaining in the same working position for along time (for example, sitting in front of a com-puter screen), conditions of stress, repeated jost-ling, insufficient muscular conditioning beforephysical activity are all very frequent situationsthat are often responsible for uncomfortable bo-dily sensations.The automatic progression of the various stimula-tion sequences, specific to each programme of theMassage category, allows each user to adapt theeffects of stimulation to his own needs and objec-tives.

If strong pain persists, the programmes of the Massage category should never beused for long periods without first seeking medical advice.

Prevention of cramp in the calf musclesMany people suffer from cramp in the calfmuscles, which can appear spontaneouslyduring rest at night or as a result of prolon-ged muscular effort. The phenomenon ofcramp may in part be caused by a disequi-librium of blood flow in the muscles.To improve the blood circulation and pre-vent the onset of cramp, the Compex of-fers a specific stimulation programme. Useof this programme in accordance with theprocedure below will allow you to obtainpositive results and limit the occurrence ofcramp.Cycle duration: 5 weeks, 1 x/day, at the end of theday or at night

Programme: Cramp prevention 25◊j

Prevention of occasional swelling of thefeet and anklesInsufficient blood circulation in theveins in unusual circumstances fre-quently gives rise to an accumulation ofblood and lymph in the extremities ofthe lower limbs.This phenomenon, which results inswelling of the ankles and feet, bringswith it an unpleasant sense of heavinessand tension in the areas concerned. Thedeep massage caused by the Lymphaticdrainage programme will effectively ac-tivate lymph return circulation and thusencourage the elimination of this disor-der.


Use this treatment whenever you expe-rience occasional swelling of the feet andankles

Programme: Lymphatic drainage 25◊j


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Massage


Relaxing massage

Decreased muscular ten-sion

Drainage of the toxins res-ponsible for the exaggera-ted increase of musculartone

Effect of well-being andrelaxation

To eliminate uncomfortableor painful sensations, follo-wing an exaggerated in-crease of muscular tone

Reviving massage

Considerable increase ofblood flow in the stimula-ted region

Improvement of tissueoxygenation

Elimination of free radicals

To contrast effectively sen-sations of fatigue and locali-sed heaviness

Toning massage

Activation of blood circula-tion

Recovery of muscularcontractile properties

Invigorating effect

To prepare the muscles inan ideal manner before anunusual/one-time physicalactivity

Treatment of uncomfortable musculartensions in the back of the neckRemaining in a seated position for longperiods, associated with repetitive move-ments of the upper limbs (as is frequentlythe case in front of a computer screen), isoften responsible for an uncomfortable –or even painful – increase of muscle ten-sion of the back of the neck muscles.Any other condition of stress may alsocreate situations leading to a state of ex-cessive muscular tension, which is oftenresponsible for painful or uncomfortablesensations.The in-depth effects produced by the Relaxing massage programme enable tocontrast effectively such painful sensa-tions, with a particularly significant resultin terms of relaxation.

Cycle duration:To be used on the back of the neckmuscles, whenever an occasional sensation ofpainful muscular tension is felt; to be repeated, ifnecessary, in cases of particularly strong muscu-lar tension

Programme: Relaxing massage 15◊d

Treatment of a localised sensation ofheaviness or an occasional state offatigueThe many stresses of everyday life areoften responsible for uncomfortable, oreven painful, physical sensations. A circu-lation slowdown is often the result of in-sufficient physical activity, frequentlyaggravated by the need in one’s workinglife to remain in the same position formany hours (in a seated position, forexample).Although not serious, this simple “vascu-lar slowdown” is, however, frequently thecause of unpleasant sensations (for exam-ple: a sensation of heaviness, often locali-sed in the lower limbs, but also, at times,in another region of the body).The Reviving massage programme pro-duces, in the greatest comfort, a reactiva-tion of the blood circulation that allows anacceleration of tissue oxygenation and theelimination of painful sensations, due toinsufficient physical effort.

Cycle duration: To be used on the calf muscles,whenever an occasional sensation of heaviness is felt; to be repeated, if necessary, in cases ofpersistent discomfort

Programme: Reviving massage 25◊j

Muscular and circulation conditioningbefore physical activityPeople who regularly practise sports arewell aware of the transition, which isoften painful, between a rest activity andan occasional physical effort.The objective of the usual warming-uptechniques is to respond to this need toactivate progressively the physiologicalfunctions involved in one-time physicalactivity. This physiological need is alsovery desirable for moderate but unusualphysical efforts, as is frequently the casefor most of us (treks, biking, jogging,etc.).The Toning massage programme offers anideal benefit in the form of optimal mus-cular and circulation conditioning beforeany type of physical effort. It allows us toavoid the uncomfortable sensations –usually experienced during the first fewminutes of unusual physical efforts – andto limit the secondary consequences of insufficient preparation (aches, etc.).

Cycle duration: To be used on the muscles mostsubject to stress in the physical activity involved(in this example: the quadriceps), in the lastthirty minutes preceding physical activity.

Programme: Toning massage 8◊c

Massage



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Rehabilitation


Disuse atrophy

Reactivation of the trophicaction of muscle fibres da-maged during atrophy

Treatment to combat anyreduction of muscle vo-lume:- as a result of trauma ne-cessitating immobilisation- accompanying degenera-tive lesions to joints

Musclegrowth

Increased diameter and ca-pacity of muscle fibres da-maged duringunder-activity or inactivityimposed by some kind ofpathological problem

Restoration of muscle vo-lume

After a period of using theDisuse atrophy treatment, assoon as the muscle showssigns of a slight recovery ofvolume or tone

Until the virtually completerestoration of muscle vo-lume

Reinforcement

Increase the strength of amuscle previously atro-phied

Increase the strength of amuscle affected by a pa-thological process

At the end of rehabilitation,when the muscle has regai-ned normal muscle volume

From the onset of rehabili-tation for non-atrophiedmuscles

Rehabilitation category

Osteosynthesis equipment: The presence of osteosynthesis equipment (metallicequipment in contact with the bone: pins, screws, plates, prostheses, etc.) is not acontra-indication for the use of Compex programmes. The electrical current of the

Compex are specially designed to have no harmful effect with regard to osteosynthesisequipment.

The muscular consequences of any pathological problemmust be treated by means of specific programmes. Indeed, im-proving the qualities of a healthy muscle or restoring the po-tential of a "convalescent" muscle require appropriate workregimes. In order to "redevelop" a convalescent muscle, it isnecessary to use the programmes of the Rehabilitation cate-gory.Muscle volume is quickly reduced after trauma to a bone or ajoint, particularly if the injury is treated by immobilisationand/or surgical intervention. This muscular atrophy can bemuch more progressive in the case of a degenerative injury(such as arthrosis, for example), since the reduction of muscleactivity then often increases slowly and is superimposed onthe developing pathology. The phenomenon of atrophy is ac-companied by a reduction of muscle strength; however, thesedisturbances are the consequence of various alterations at thelevel of the muscle fibres.In a rehabilitation process, it is essential, initially, to treat theatrophy (i.e. regain normal muscle volume) before attemptingto increase the strength of the muscle using the Reinforcementprogramme.The use of programmes of the Rehabilitation category mustunder no circumstances replace rehabilitation sessions carriedout in the presence of the physiotherapist. Although the resto-ration of initial muscular qualities is a key factor in the processof rehabilitation, other aspects (joint mobility, vigilance, resi-dual pain, etc.) can only be dealt with effectively by a compe-tent health professional.Some pathologies and some post-operative rehabilitations re-quire special precautions during use; you are therefore alwaysadvised to seek the opinion of your doctor or physiotherapist be-fore using any of the programmes of the Rehabilitation cate-gory.


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Development of the abdominal belt toprevent pain in the lumbar region (lowback pain)Low back pain arises most frequentlyamong subjects who do not have suffi-cient musculature in the abdominal re-gion.These muscles in fact represent a veritablenatural "corset", the role of which is toprotect the low back region from exces-sive stress of all kinds. This is why it is re-ferred to as the abdominal "belt". After about of lumbago, when the pain has stop-ped (see Section "Pain category" in Part IVof this manual), a common recommenda-tion is to improve the efficiency of the ab-dominal and back muscles to prevent anyrecurrence. The Disuse atrophy pro-gramme imposes a large amount of workon the abdominal muscles, without requi-ring the harmful or even dangerous posi-tions often adopted when voluntaryexercises are carried out incorrectly. Anabdominal belt that has greater strengthand endurance can then satisfactorily fulfilits role of protecting the low back region.

Cycle duration: 4 weeks, then maintenance

Weeks 1-4: 1 x/ day Disuse atrophy 10I vWeeks 5 and following weeks: 1 x/ day Disuseatrophy 10I v

Programme: Disuse atrophy 10I v

Development of the low back muscles toprevent pain in the lumbar region (lowback pain)Like the muscles of the abdominal region,the muscles of the low back (lumbar mus-cles) also play a role in protecting the lowback region. Subjects whose low backmuscles are inadequately effective areparticularly prone to low back pain. Oncethe pain in the low back has disappeared,patients are often advised to strengthenthe low back muscles with a view to pre-venting the recurrence of painful epi-sodes. However, carrying out voluntaryback exercises often presents serious diffi-culties for patients who suffer from lowback pain. That is why electrostimulationof the low back muscles using the Disuseatrophy programme is one of the prefer-red methods to improve the efficiency ofthese muscles.


Rehabilitation

Atrophy of the quadriceps as a result oftraumaThe quadriceps is a voluminous musclelocated in the anterior part of the thigh. Itis the main muscle that allows you tostretch the knee; its role is therefore es-sential for walking, running, climbingstairs, etc. Any trauma affecting a lowerlimb therefore results in a wasting of thismuscle, the reduction of muscle volumebeing more or less serious depending onthe duration of the period of inactivity.This atrophy is normally spectacular whenit occurs after trauma to the knee, particu-larly if the trauma was treated by meansof surgical intervention.The programmes of the Rehabilitation ca-tegory are specifically designed to treatthe deterioration of muscle fibres that re-sults from such a process. The progressi-veness of the work imposed by thedifferent recommended programmes isdecisive in obtaining optimum results.

Cycle duration: 10 weeks

Weeks 1-2: 1 x/ day Disuse atrophy 8G cWeeks 3-8: 1 x/ day Muscle growth 8G cWeeks 9-10: 1 x/ day Reinforcement 8G c

Programmes: Disuse atrophy, Muscle growthand Reinforcement 8G c

Atrophy of the gluteus as a result ofarthrosis of the hip (coxarthrosis)The pain and stiffening that result fromosteoarthrosis of the hip normally lead tounder-utilisation of the buttock muscles,causing a reduction of the volume andquality of these muscles.The main effect of this atrophy is to pro-duce instability of the pelvis, whichcauses limping and accentuates the painby increasing the pressures supported bythe joint. Lesions affecting the cartilageunfortunately remain irreversible. Howe-ver, a remedy for atrophy of the gluteusmakes it possible to improve the stabilityof the joint and therefore make the hipless painful by allowing it to maintain asatisfactory mechanical function.


Weeks 1-2: 1 x/ day Disuse atrophy 9ABL fWeeks 3-8: 1 x/ day Muscle growth 9ABL fWeeks 3-8: 1 x/ day Reinforcement 9ABL fWeek 11 and following weeks: 1 x/ day Rein-forcement 9ABL f

Programmes: Disuse atrophy, Muscle growthand Reinforcement 9ABL f

Development of the latissimus dorsi totreat and prevent tendinous shoulderpain (rotator cuff syndromes)The shoulder is a complex joint enablingus to make broad gestures (for example,raising our arms in the air). During someof these movements, the tendons in theshoulder can rub against or be compres-sed against bony fragments of the joint.When this phenomenon is repeated, oroccurs in certain patients who have anunfavourable anatomic constitution, suchdamage to the tendons causes them to be-come inflamed and thicker, resulting in aconsiderable increase in their degree ofcompression. The pain often then be-comes very severe, preventing all move-ment of the shoulder; it can even set in atnight and cause serious sleep deprivation.Appropriate medical treatment can onlybe put in place by consulting a doctor.However, electrostimulation of the latissi-mus dorsi by means of specific Compexprogrammes can reduce the distress towhich tendons are subjected by increasingtheir freedom of movement around theshoulder joint.


Weeks 1-2: 1 x/ day Disuse atrophy 18C eWeeks 3-6: 1 x/ day Muscle growth 18C eWeek 6 and following weeks: 1 x/ day Reinfor-cement 18C e

Programmes: Disuse atrophy Muscle growthand Reinforcement 18C e


Rehabilitation

Weeks 1-4: 1 x/ day Disuse atrophy 14LbWeeks 5 and following weeks: 1 x/ day Disuseatrophy 14Lb

Programme: Disuse atrophy 14Lb

Strengthening of the lateral peroneusmuscles after ankle sprainThe purpose of the lateral peroneus mus-cles is to maintain the stability of theankle joint and prevent it from rotating in-wardly. After a sprain, these muscles losetheir reflex-contraction capacity togetherwith much of their strength. Regainingcompetent lateral peroneal muscles after asprain is a fundamental step, withoutwhich recurrence is very probable. To dotheir job correctly, the lateral peronealsmust be strong enough to prevent the foottwisting inwards, but they must alsocontract reflexively at the precise momentwhen the heel tilts inwards. To developboth of these aspects, strength and speedof contraction, you should use the Reinfor-cement programme, which produces effi-cient lateral peroneal muscles andtherefore helps to prevent recurrence.


Weeks 1-4: 1 x/ day Reinforcement 2A jWeeks 5 and following weeks: 1 x/ day Rein-forcement 2A j, if you take part in a dange-rous sporting activity

Programme: Reinforcement 2A j


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Fitness

The treatments of the Fitness category are intended to make healthy muscles work,they are not suitable for atrophied muscles that have suffered from any kind of

pathological process. For such muscles, it is necessary to use the programmes of theRehabilitation category (see this section further on this chapter).

Fitness category


Muscle starter

Improvement of thecontractile qualities of in-sufficiently used muscles

Restoration and/or impro-vement of cellular ex-changes at the level of thestimulated muscles

To reactivate the muscles ofsedentary subjects and res-tore physiological muscularqualities

To complement efficiently avoluntary physical activitypracticed to be in goodcondition

Muscle building

Hypertrophy

Increased diameter of mus-cle fibres

For those who wish to gainmuscle volume and mass

Aerobic

Increased muscle ability tosustain long-lasting efforts

Improved consumption ofoxygen of the stimulatedmuscles

To improve physical com-fort during aerobic activities

To delay the onset of mus-cle fatigue during long-duration activities

To improve well-being during daily life activities

Today there are more fitness enthusiasts thanever before, and their number is rising. Apartfrom some rare individuals who have real compe-titive targets, the vast majority have only one aim:to restore their body to peak physical condition ormaintain it at that level.Cardio training therefore alternates with morespecific exercises to develop or maintain a goodquality musculature.With this in mind, the sought-after aims may differaccording to who is doing the training: increasingmuscle volume to achieve an imposing stature(body-building) or better muscle endurance to im-prove physical comfort during sustained efforts.Combined with a voluntary physical activity (aerobic exercises in the fitness facility, footing,cycling, swimming, etc.), which becomes morepleasant and therefore more effective, the pro-grammes of the Fitness category enable users toobtain a toned and harmonious figure.


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The following table will help you to determine which electrode placement andassociated stimulation position to adopt, depending on the chosen pro-gramme.

It should be read together with the poster:■ the numbers on the table refer to the electrode placement pictures in the poster;

■ the letters refer to the pictograms of the corresponding body positions.

The table also indicates the stimulation energy touse, according to the programme.

VII. TABLE WITH PLACEMENTS OFELECTRODES AND STIMULATION POSITIONS

Example:

Endurance 8 G c

POSTER

Fitness

Preparing the thighs prior to a weekskiing for a sedentary personSeasonal physical activity, such as skiing,even if practised as a leisure activity, willsubject the organism of sedentary subjectsto unusual stresses. The thigh muscles(quadriceps) are the muscles that are mostused, and these play an essential role inprotecting the knee joints. It is for this rea-son that the pleasure of the first few days’skiing is frequently spoilt by severe mus-cle sores, and even knee trauma, whichcan sometimes be serious. The CompexMuscle starter and Muscle building pro-grammes offer ideal muscular preparationfor the thigh muscles. You can then goskiing without fear of overdoing things,with enhanced pleasure and safety.Cycle duration: 6-8 weeks

Week 1-3: 2 x Muscle starter 8G c/ weekWeek 3-6: 3 x Muscle building 8G c/ week


Weeks 1-3: Muscle starter step to thenext level every sessionWeeks 1-3: Muscle building step to thenext level every week

Programmes: Muscle starter and Musclebuilding 8G c

Shaping and developing the shoulders foran active personMost voluntary physical activities, such asjogging or cycling, do not make intensiveuse of the shoulder muscles. That is whyit is particularly beneficial to offset thisunder-utilisation by combining Compexsessions with your voluntary training pro-gramme. The Muscle building programmeimposes a very large quantity of workspecifically on muscles of the upper body,bringing about an increase in volume andharmonious development of the shoul-ders. As opposed to voluntary exercisescarried out with heavy weights, that areliable to damage joints and tendons, sti-mulation with the Compex causes few, ifany, strains to joints and tendonsCycle duration: 4 weeks minimum

Eg for 1 week

Mon: 45’-1h of of voluntary physical activity(jogging, swimming, cycling, fitness activity,etc.), then 1 x Muscle building 17H eTue: RestWed: 1 x Muscle building 18C eThu: 45’-1h of voluntary physical activity (jog-ging, swimming, cycling, fitness activity, etc.)Fri: 1 x Muscle building 17H eSat: RestSun: 1 x Muscle building 18C e

Programmes: Muscle building 18C and 17H e

Improve physical comfort and pleasureduring long-lasting activity (eg: jogging,biking, leisure swimming)Many people, even on a non-competitivebasis, regularly practice an aerobic typephysical activity involving moderate inten-sity but long-lasting effort. This method istoday unanimously considered to be thehealthiest approach: it enables the personto improve and maintain cardio-vascularand muscle qualities. Using the Aerobicprogramme (possibly combined with theCapillarization programme of Vasclular ca-tegory), these enthusiasts can develop theability of their muscles to use efficientlythe oxygen provided by the organism.More pleasure, a better physical comfortduring leisure activities and the supple-mentary benefit of achieving objectivesare thus obtained.Cycle duration: 8 weeks 4 x/week,

Eg for 1 week

Mon: RestTue: 1 x Aerobic 8G cWed: 45’-1 h of voluntary activity of aerobictype (footing, cycling, swimming, etc.), thenaccording to your possibilities and optionally,1 x Capillarization 8◊cThu: 1 x Aerobic 8G cFri: RestSat: 45’-1 h of voluntary activity of aerobictype (footing, cycling, swimming, etc.)Sun: If possible, 1 h-1h15 of voluntary activityof aerobic type (footing, cycling, swimming,etc.), then, according to your possibilities andoptionally, 1 x Capillarization 8◊c

Programmes: Aerobic 8G and Capillarization8◊c


8


PAIN

RELIE

F M

odula

ted T

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Cove

r the

painf

ul ar

ea (e

g.: 2

6, 3

5, 3

6, 3

7, 3

8, 3

9); C

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posit

ion

Endo

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posit

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trode

on th

e pain

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4) or

stan

dard

plac

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t (01

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; Com

forta

ble po

sition

Cerv

ical p

ain

Thor

acic

back

pain

Low

back

pain

Lum

bago

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ndyli

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✺ ✱ ✱ ✱ ✱ ✱ ✱ ✱

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gy

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the i

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to ob

tain

a ten

sion t

hat is

clea

rly pe

rceiv

ed ( e

g.: 3

, 4, 5

, 7, 8

); Co

mfor

table

posit

ion

Activ

e rec

over

y

Rege

nera

tion

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C C C C C C C ◊ C

I I I I I I I ◊ I

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Ener

gy

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● ✱ ✺

= M

axi

mum

tole

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y=

Pro

nounce

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the b

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f el

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and

stim

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s

SPOR

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hat is

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g.: 3

, 4, 5

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); Co

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posit

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PAIN

RELIE

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Cove

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painf

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g.: 2

6, 3

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sition

Cerv

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back

pain

Lum

bago

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ndyli

tis

✺ ✱ ✱ ✱ ✱ ✱ ✱ ✱

- - - - -

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Ener

gy

● ● ● ● ● ● ● ✱ ●

◊ ◊ ◊ ◊ ◊ ◊ ◊ ◊ ◊

A A A A A A A ◊ A

A A A A A A A ◊ A

A A A A A A A ◊ A

IL IL IL IL IL IL IL ◊ IL

E E E E E E E ◊ E

E E E E E E E ◊ E

G G G G G G G ◊ G

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ABL

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ABL ◊ ABL

I I I I I I I ◊ I

I I I I I I I ◊ I

B B B B B B B ◊ B

B B B B B B B ◊ B

B B B B B B B ◊ B

B B B B B B B ◊ B

B B B B B B B ◊ B

H H H H H H H ◊ H

C C C C C C C ◊ C

D D D D D D D ◊ D

D D D D D D D ◊ D

D D D D D D D ◊ D

F F F F F F F ◊ F

F F F F F F F ◊ F

- - - - - - - - -

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208

Ener

gy

- - - - -

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mum

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Pro

nounce

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wit

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for

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posi

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and

stim

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VASC

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REHA

BILIT

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Mus

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● ● ●

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A A A

A A A

A A A

IL IL IL

E E E

E E E

G G G

ABL

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I I I

I I I

B B B

B B B

B B B

B B B

B B B

H H H

C C C

D D D

D D D

D D D

F F F

F F F

- - -

- - -

Ener

gy

✱ ✱ ✱ ✱

◊ - ◊ ◊

◊ - ◊ ◊

◊ - ◊ ◊

◊ - ◊ ◊

◊ - ◊ ◊

◊ - ◊ ◊

◊ - ◊ ◊

◊ - ◊ ◊

◊ - ◊ ◊

◊ - ◊ ◊

◊ - ◊ ◊

◊ - ◊ ◊

◊ - ◊ ◊

◊ - ◊ ◊

◊ - ◊ ◊

◊ - ◊ ◊

◊ - ◊ ◊

◊ - ◊ ◊

◊ - ◊ ◊

◊ - ◊ ◊

◊ - ◊ ◊

◊ - ◊ ◊

◊ - ◊ ◊

- - - -

◊ JL ◊ ◊

01

02

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25

210

Ener

gy

FITNE

SSM

uscle

star

ter

Mus

cle bu

ilding

Aero

bic

● ● ●

◊ ◊ ◊

A A A

A A A

A A A

IL IL IL

E E E

E E E

G G G

ABL

ABL

ABL

I I I

I I I

B B B

B B B

B B B

B B B

B B B

H H H

C C C

D D D

D D D

D D D

F F F

F F F

- - -

- - -

01

02

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06

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09

10

11

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23

24

25

Ener

gy

MAS

SAGE

Relax

ing m

assa

ge

Reviv

ing m

assa

ge

Tonin

g mas

sage

✱ ✱ ✱

◊ ◊ ◊

◊ ◊ ◊

◊ ◊ ◊

◊ ◊ ◊

◊ ◊ ◊

◊ ◊ ◊

◊ ◊ ◊

◊ ◊ ◊

◊ ◊ ◊

◊ ◊ ◊

◊ ◊ ◊

◊ ◊ ◊

◊ ◊ ◊

◊ ◊ ◊

◊ ◊ ◊

◊ ◊ ◊

◊ ◊ ◊

◊ ◊ ◊

◊ ◊ ◊

◊ ◊ ◊

◊ ◊ ◊

◊ ◊ ◊

◊ ◊ ◊

- - -

- - -

01

02

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06

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08

09

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11

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13

14

15

16

17

18

19

20

21

22

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25

Ener

gy

REHA

BILIT

ATIO

N Di

suse

atro

phy

Mus

cle gr

owth

Reinf

orce

men

t

● ● ●

Ener

gy

VASC

ULAR

Capil

lariza

tion

Heav

y leg

s

Cram

p pre

vent

ion

Lym

phat

ic dr

ainag

e

✱ ✱ ✱ ✱

- - - -

- - - -

- - - -

- - - -

- - - -

- - - ◊

- - - -

- - - -

- - - ◊

- - - -

- - - -

- - - -

- - - -

- - - -

- - - -

- - - -

- - - -

◊ - ◊ ◊

◊ - ◊ ◊

- - - -

- - - -

- - - -

- - - -

- - - -

Ener

gy

26

27

28

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30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

FITNE

SSM

uscle

star

ter

Mus

cle bu

ilding

Aero

bic

● ● ●

- - -

- - -

- - -

- - -

- - -

- - -

- - -

- - -

- - -

- - -

- - -

- - -

- - -

- - -

- - -

- - -

- - -

C C C

I I I

- - -

- - -

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- - -

Ener

gy

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

MAS

SAGE

Relax

ing m

assa

ge

Reviv

ing m

assa

ge

Tonin

g mas

sage

✱ ✱ ✱

- - -

- - -

- - -

- - -

- - -

- - -

- - -

- - -

- - -

- - -

- - -

- - -

- - -

- - -

- - -

- - -

- - -

◊ ◊ ◊

◊ ◊ ◊

- - -

- - -

- - -

- - -

- - -

Ener

gy

26

27

28

29

30

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32

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34

35

36

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- - -

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- - -

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C C C

I I I

- - -

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- - -


Documents

Manual Sport Elite en V2