Clinical Guide - DJO CEFAR REHAB X2 Manual De Instrucciones

CLINICAL GUIDE

38 INTRODUCTION
This clinical guide gives tips and practical advice on how to use the CEFAR REHAB X2 to treat common
orthopedic and neurological indications.
The guide is organized by indication area. For each indication, the guide gives the goal of treatment
and suggestions for where to place the electrodes. NMES is an active training method, and the pictures
show how NMES can be integrated with training. For each indication, appropriate programs are sug-
gested, but custom programs can also be created for patient-specific treatment.
A program with a short pulse duration, 200 μs, is ideal for treating smaller muscle groups, while a
longer pulse duration, 350–400 μs, is better for larger muscle groups. The length of the work time and
the rest time varies from program to program. For weaker muscles, we recommend programs with
longer rest times, to give the muscle time to rest between contractions.
Just as with other training methods, NMES treatment should be adjusted to the patient's ability.
Depending on the muscular status and where the patient is in the rehabilitation process, treatment can
last from 5 to 60 minutes and be repeated from three times a week to twice a day. Remember that
the patient may develop sore muscles after NMES treatment.
Suitable electrode sizes are suggested for each indication. We use the electrodes sizes shown below.
The electrodes we recommend are shadowed.
1 2 3 4
1
2
3 40 x 60 mm
5 6 7
4 50 x 100 mm
5 80 x 130 mm
6 50 x 50 mm
7 50 x 90 mm
32 mm
ø
50 mm
ø