14.10.3.5 Stimulation energy
The energy must firstly be adjusted on the third channel (TENS). The energy is gradually increased until the
patient feels a strong tingling sensation in the lumbar region.
The energy is then adjusted on channels 1 and 2 (endorphinic).
The energy is gradually increased in order to cause muscle twitches, visible if possibly (or at least palpable).
If the patient finds it hard to tolerate the energy increase, due to the discomfort it can cause, it is
recommended to temporarily stop increasing the energy on the first two channels. The energy is then
increased again on the third channel (TENS) in order to increase the feeling of paresthesia in the lumbar
region.
After a minute or two, the energy can be increased again on the first two stimulation channels so that the
muscle twitches can be seen.
It is essential to increase the energy on channels 1 and 2 suciently to cause visible (or at least palpable)
muscle twitches. In fact, these muscle twitches are directly responsible for the significant hyperaemia
eect and therefore guarantee the eectiveness of the treatment.
Note
When TENS is used in combination with an endorphinic programme (such as the Low back pain
programme in this case) the mi-TENS function is inactive.
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