CATEGORY VASCULAR
PROGRAM ARTERIAL INSUFFICIENCY
WHEN?
Arterial insuciency in the lower limbs is conventionally divided into four clinical stages.
These four stages (I, II, III, IV) depend on the approximate severity of the loss of blood
flow and the tissue-related consequences. The arterial insuciency 1 programme is to
be used to treat Stage II. In Stage II, arterial occlusion is responsible for pain that occurs
on exertion and is relieved by resting: this is known as intermittent claudication.
WHY?
To improve the absorption of oxygen by the muscles, increase tolerance on exertion
and walking distance.
HOW?
To avoid further reducing the supply of oxygen to the muscle fibres, the contractions
remain infra-tetanising (9 Hz) and are separated by long periods of active rest (3 Hz) in
order to avoid muscular fatigue.
PULSE WIDTH
To make it as comfortable as possible for the patient, use pulse widths equivalent to the
chronaxies of the motor nerves of the muscles being stimulated. The mi-SCAN function
can be used to determine the pulse widths suitable for the patient’s muscles.
ELECTRODES
Electrodes positioned according to the specific indication.
INTENSITY
Stimulation energies must be increased as high as possible whilst still remaining
comfortable for the patient.
+TENS
OPTION
No.
ARTERIAL INSUFFICIENCY MIN
CONTRACTION ACTIVE REST
FREQUENCY
9 Hz 3 Hz
DURATION OF RAMPUP
1 s 1 s
DURATION OF PHASE
15 s 15 s
DURATION OF RAMPDOWN
1 s 1 s
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