Full Fitness - Electric fitness equipment COMPEX - Free user manual and instructions

USER MANUAL Full Fitness COMPEX

User and applications manual

Directions for use 167
Programmes and specific applications 176
Table with placements of electrodes and stimulation positions 207

Espanol

Type TR1509-06-E-133A03

Input 90-264 VAC / 47-63Hz / 0.5A max.

Output 9V / 1.4A / 15W

Type TR503-02-A-133A03

Input 90-264 VAC /47-63Hz / 0.5A max.

Output 9V/400mA/6W

Type TR1509-06-A-133A03

Input 90-264 VAC / 47-63Hz / 0.5A max.

Output 9V / 1.4A / 15W

K Type TR503-02-U-133A03

Input 90-264 VAC / 47-63Hz / 0.5A max.

Output 9V/400mA/6W

Type TR1509-06-U-133A03

Input 90-264 VAC / 47-63Hz / 0.5A max.

Output 9V / 1.4A / 15W

Neurostimulation

$$ \text {b l e u} = \text {c a n a l 1 j a u n e} = \text {c a n a l 3} $$

$$ \text {v e r t} = \text {c a n a l 2} \quad \text {r o u g e} = \text {c a n a l 4} $$

Type TR1509-06-E-133A03

Input 90-264 VAC / 47-63Hz / 0.5A max.

Output 9V/1.4A/15W

Type TR503-02-A-133A03

Input 90-264 VAC /47-63Hz / 0.5A max.

Output 9V/400mA/6W

Type TR1509-06-A-133A03

Input 90-264 VAC / 47-63Hz / 0.5A max.

Output 9V/1.4A/15W

IK Type TR503-02-U-133A03

Input 90-264 VAC / 47-63Hz / 0.5A max.

Output 9V/400mA/6W

Type TR1509-06-U-133A03

Input 90-264 VAC / 47-63Hz / 0.5A max.

Output 9V/1.4A/15W

Neurostimulation

Fr: 1 x Muskeltraining 17H

Sa: Ruhe

So: 1 x Muskeltraining 18C

In this Zusammenhang, I have discussed the role of Schmerz in the treatment of epilepsies. In this case, Schmerz is a combination of two elements: the first element, Schmerz, which is the most important one in the diagnosis and the second, Schmerz, which is the most important one in the treatment of epilepsies. In this case, Schmerz is an important element in the diagnosis and the second element is the most important element in the treatment of epilepsies.

Type TR1509-06-E-133A03

Input 90-264 VAC / 47-63Hz / 0.5A max.

Output 9V/1.4A/15W

Type TR503-02-A-133A03

Input 90-264 VAC /47-63Hz / 0.5A max.

Output 9V/400mA/6W

Type TR1509-06-A-133A03

Input 90-264 VAC / 47-63Hz / 0.5A max.

Output 9V/1.4A/15W

IK Type TR503-02-U-133A03

Input 90-264 VAC / 47-63Hz / 0.5A max.

Output 9V/400mA/6W

Type TR1509-06-U-133A03

Input 90-264 VAC / 47-63Hz / 0.5A max.

Output 9V/1.4A/15W

Neurostimolazione

1. Counter-indications 161
2. Safety measures 161

II. PRESENTATION 163

1. Reception of equipment and accessories 163
2. Presentation of the device 164
3. Guarantee 164
4. Maintenance 165
5. Storage and transportation conditions 165
   6.Use conditions 165
6. Elimination 165
7. Standards 165
8. Patent 166
   10.Normalised symbols 166
9. Technical information 166

III. DIRECTIONS FOR USE 167

1. Connections 167
2. Preliminary settings: language, light intensity and sound volume 167
3. Selecting a programme category 168
4. Selecting a programme 168
5. Personalising a programme 169
   6.During the stimulation session 170
6. Electricity consumption and recharging 171
   8.Problems and solutions 172

IV. HOW DOES ELECTROSTIMULATION WORK 173

V. USE PRINCIPLES 174

1. Placement of electrodes 174
2. Stimulation position 175
   3.Setting the stimulation energy level 175
3. Progression in the levels 175

VI. PROGRAMMES AND SPECIFIC APPLICATIONS 176

Fitness category 177
Aesthetic category 187
Massage category 192
Vascular category 195
Pain relief category 198
Sport category 203

VII. TABLE WITH PLACEMENTS OF ELECTRODES

AND STIMULATION POSITIONS

I. WARNINGS

1. Counter-indications

Important counter-indications

Cardiac stimulator (pacemaker)
Epilepsy
■Pregnancy (no positioning in the abdominal area)
Serious arterial circulatory problems in the lower limbs
Abdominal or inguinal hernia

Precautions when using the Compex

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

Osteosynthesis equipment

The presence of osteosynthesis equipment (metallic equipment in contact with the bone: pins, screws, plates, prostheses, etc.) is not a contra-indication for the use of Compex programmes. The electrical current of the Compex is specially designed to have no harmful effect with regard to osteosynthesis equipment

In all of the above cases, you are advised to:

never use the Compex for prolonged periods without medical advice;
■consult your doctor if you are in any doubt whatsoever;
■read this manual carefully, in particular chapter VI, which provides information concerning the effects and indications of each stimulation programme.

2. Safety measures

What you should not do with the Compex

Do not use the Compex in water or in a humid atmosphere (sauna, hydrotherapy, etc.).
Never carry out an initial stimulation session on a person who is standing. The first five minutes of stimulation must always be performed on a person who is sitting or lying down. In rare instances, very highly strung people may have a vagal reaction. This is of psychological origin and is connected with a fear of the muscle stimulation as well as surprise at seeing one of their muscles contract without having intentionally contracted it themselves. This vagal reaction produces a feeling of weakness with a fainting tendency, slowing down of the heartrate and a reduction in arterial blood pressure. If this does occur, all that is required is to stop the stimulation and lie down with the legs raised for the time it takes for the feeling of weakness to disappear (5 to 10 minutes).
Never allow movement resulting from muscular contraction during a stimulation session. You should always stimulate isometrically; this means that the extremities of the limb in which a muscle is being stimulated must be firmly fixed, so as to prevent the movement that results from contraction.
Do not use the device at less than 1.5 metres from a short-wave device, a micro-wave device or high frequency (H.F.) surgical equipment to avoid the risk of causing skin irritations or burns under the electrodes. If you are in any doubt about using the

Compex in close proximity to any other medical device, please consult its manufacturer or your doctor.

Only use the electrode cables supplied by Compex.
Do not disconnect the stimulator electrode cables during the session without first switching off the stimulator.
■ Never connect stimulation cables to an external electric power supply because of risk of electric shock.
No not use rechargeable batteries other than the one supplied by Compex.
Never recharge the stimulator when cables and electrodes are still connected onto the user.
Never recharge the batteries with another charger than the one supplied with the Compex.
Never use the Compex or the charger if it is damaged (case, cables, etc.) or if the compartment for the rechargeable battery is open. There is a risk of electric discharge
Disconnect immediately the charger if the Compex "bleeps" continuously, in case of abnormal heating or smell, or if smoke comes from the charger or the Compex. Do not recharge the batteries in a confined area (case, etc.) because of risk of fire or electric discharge.
- Keep the Compex and its accessories out of the reach of children.
Do not allow any foreign items (soil, water, metal, etc.) to enter into the Compex, the compartment for the rechargeable battery and the charger.
Sudden temperature variations can create droplets in the device due to condensation. Use the device only once it reached ambient temperature.
Do not use the Compex while driving or operating machinery.
Do not use the stimulator in the mountains at an altitude higher than 3.000 metres.

Where you should never apply electrodes...

To the head.
Counter-laterally: Do not use the two poles of the same channel (one electrode connected to the positive/red pole and one electrode connected to the negative/black pole) on either side of the body centreline (eg: right arm and left arm).
To or in the vicinity of skin lesions of any kind (wounds, inflammations, burns, irritations, eczema, etc.).

Precautions when using the electrodes

Only use the electrodes supplied by Compex. Other electrodes may have electrical properties that are unsuitable for the Compex stimulator
Do not remove or move the electrodes during a stimulation session without first switching off the instrument.
Do not plunge the electrodes into water.
Do not apply a solvent of any kind to the electrodes.
Before applying the electrodes, it is recommended to wash and degrease the skin, and then dry it
Apply the whole surface of the electrodes to the skin.
For very important reasons of hygiene, each user must have his own electrode set. Do not use the same electrodes on different people.
Do not use a set of electrodes for more than fifteen sessions, as the quality of the contact between the electrode and the skin, which is important for the comfort and effectiveness of stimulation, progressively degrades.
In certain people with very sensitive skin, redness may be observed under the electrodes after a stimula

tion session. Generally, this redness is completely harmless and disappears after 10 to 20 minutes.

However, avoid starting a stimulation session on the same area until the redness is no longer evident.

II. PRESENTATION

1. Reception of equipment and accessories

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 belt clip

2. Presentation of the device

A - "On/Off" switch
B - "i" button. To increase the energy level of several channels simultaneously

C - Sockets for the 4 electrode cables
D - Electrode cables
channel 1 = blue channel 2 = green
channel 3 = yellow channel 4 = red
E- +^ / - ^ keys of the 4 stimulation channels
F - Compartment for the rechargeable battery
G-Belt clip socket

3. Guarantee

Refer to the flyer attached.

4. Maintenance

To clean your unit, use a soft duster and an alcohol-based cleaning product, which does not contain any solvents. In fact, solvents could damage the plastic parts, especially the panel covering the screen of your Compex.

The user must not attempt any repairs to the device or any of its accessories. Never dismantle the Compex or the charger containing high-voltage parts because of risk of electric discharge.

Compex Medical SA declines all responsibility for damages and consequences resulting from any attempt to open, modify or repair the device or any of its components by a person or a service centre not officially approved by Compex Medical SA.

Compex stimulators do not require calibration or verification of performance parameters. The characteristics are systematically verified and validated for each device manufactured. These characteristics are stable and do not vary when used under normal conditions.

If your device seems to not function as expected, regardless of the situation, contact an official Compex service centre for assistance.

Medical and health professionals must refer to local legislation for information related to maintenance. Normally, these laws require verification of certain criteria at regular intervals.

5. Storage conditions

The Compex contains rechargeable batteries and so the storage conditions must not exceed the following figures:

TempérStorage temperature from -20^ to 45^

Max. relative humidity	75%
Atmospheric pressure	from 700 hPa to 1060 hPa

1. 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 risk area.

7. Elimination

For environmental protection and according to the country's national requirements, the device, the battery and the accessories have to be eliminated with special waste.

8. Standards

The Compex is based directly on medical technology.

To guarantee your safety, the design, manufacturing and distribution of Compex are in conformity with the requirements of the European Directive 93/42/CEE.

The device is in conformity with the standard for general safety rules for electromedical devices IEC 60601-1, the standard for electromagnetic compatibility IEC 60601-1-2 and the standard for special safety rules for nerve and muscle stimulators IEC 60601-2-10.

Current international standards (IEC 60601-2-10 AM1 2001) require that a warning be given concerning the application of electrodes to the thorax (increased risk of cardiac fibrillation).

8. Standards

The Compex is based directly on medical technology.

To guarantee your safety, the design, manufacturing and distribution of Compex are in conformity with the requirements of the European Directive 93/42/CEE.

The device is in conformity with the standard for general safety rules for electromedical devices IEC 60601-1, the standard for electromagnetic compatibility IEC 60601-1-2 and the standard for special safety rules for nerve and muscle stimulators IEC 60601-2-10.

Current international standards (IEC 60601-2-10 AM1 2001) require that a warning be given concerning the application of electrodes to the thorax (increased risk of cardiac fibrillation).

Directive 2002/96/CEE Waste electrical and electronic equipment (WEEE).

9. Patent

Snap electrode: patent pending.

10. Normalised symbols

Important: Under some conditions, the effective figure for the stimulation pulses can exceed 10mA and 10V . The information given in this handbook must be strictly observed.

The Compex is a class II device unit with its own internal electric power, with type BF applied sections.

Waste electrical and electronic equipment (WEEE).

The "On/Off" switch is a multifunction key:

Functions Symbol N° (according to CEI 878)

On/Off (2 positions, stable) 01-03

Waiting or preparation

for part of the unit 01-06

Stop (switching off) 01-10

11. Technical information

General points

Power supply NIMH rechargeable battery (NIMH) (4,8V^a1200mA / h)

Chargers: The only chargers used for recharging the battery bear the following information:

Type TR503-02-E-133A03

Input 90-264 VAC / 47-63Hz / 0.5A max.

Output 9V/400mA/6W

Type TR1509-06-E-133A03

Input 90-264 VAC / 47-63Hz / 0.5A max.

Output 9V / 1.4A / 15W

Type TR503-02-A-133A03

S Input 90-264 VAC /47-63Hz / 0.5A max.

Output 9V/400mA/6W

Type TR1509-06-A-133A03

Input 90-264 VAC / 47-63Hz / 0.5A max.

Output 9V / 1.4A / 15W

Type TR503-02-U-133A03

Input 90-264 VAC / 47-63Hz / 0.5A max.

Output 9V/400mA/6W

Type TR1509-06-U-133A03

Input 90-264 VAC / 47-63Hz / 0.5A max.

Output 9V/1.4A/15W

Neurostimulation

All electrical specifications are given for a charge between 500 and 1000 ohms per channel.

Channels: four independent and individually adjustable channels electrically insulated from each other and from ground

Impulse shape: constant rectangular current compensated to eliminate any direct current component to avoid any residual skin polarisation

Maximum current of an impulse: 100 milliamperes

Intensity increase interval:

• Manual stimulation intensity adjustment: 0-694 (energy units)

• Impulse duration: 0.5mA

From 50 to 400 microseconds

Maximum quantity of electricity per impulse: 80 microcoulombs (2 x 40 C compensated)

Typical rise time for an impulse

3 microseconds (between 20% and 80% of maximum current)

Impulse frequency

from 1 to 150 Hertz

III. DIRECTIONS FOR USE

Before using the unit for the first time, you are strongly advised to take careful note of the counter-indications and safety measures detailed at the beginning of this manual (chapter I: "Warnings"), as this powerful equipment is neither a toy nor a gadget!

1. Connections

The electrical impulses generated by the Compex are transmitted to the nerves by self-adhesive electrodes.

The choice of the size, the connection and the correct positioning of the electrodes are essential factors for ensuring effective and comfortable stimulation. So they require particular care.

To do all this- and for information on the recommended stimulation positions - refer to the pictures and pictograms in the poster, and to the "Table with placements of electrodes and stimulation positions" in chapter VII. The specific applications contained in chapter VI also provide useful relevant information.

Fig.1 - Base of device

1a Sockets for the four electrode cables
1b Socket for the battery charger

Connecting the electrodes and cables.

The electrode cables are connected to the stimulator through sockets on the base of the device.
Four cables can be connected simultaneously to the four channels of the device.
For easier use and better identification of the four channels, we advise you to follow the colour of the electrode cables and the stimulator sockets:

blue = channel 1 yellow = channel 3

green = channel 2 red = channel 4

It is important to place the electrodes correctly to the cable connectors; in order to do so, press strongly the connector to the electrode until you hear a double click.

Connecting the charger

The Compex has considerable operating autonomy, as it uses rechargeable batteries. To recharge them, use the charger supplied with your device and connect it to the base of the device, then plug the charger in a socket.

To recharge the Compex, first disconnect the electrode cables from the device.

Before using your stimulator for the first time, it is always strongly recommended that you completely charge the battery to improve its autonomy and extend its working life.

2. Preliminary settings: language, light intensity and sound volume

Before using the unit for the first time, you should select the working language of the device which is displayed on the options screen. Proceed as per the instructions described below.

Afterwards, for the greatest comfort, Compex offers you a number of setting options (operating language selection, display contrast setting and sound volume setting).

To do this, display the options screen by pressing the "On/Off" switch on the left of the Compex and hold it down for a few seconds.

2a To select the language of your choice, press the + / - key of channel 1 (to go up or down), until the desired language is displayed in white characters on a black background.
2b To set the contrast of the display, press the + / - key of channel 2 (^+ + ^+ to increase the preferred percentage and - to reduce it).
2c To set the sound volume, press the + / - of channel 3 (^+ + ^+ to increase the preferred percentage and - to reduce it).
2d To confirm the parameters selected, press the "On/Off" switch. Your stimulator saves your options. It is now ready for use with the settings you selected.

3. Selecting a programme category

To switch on your stimulator, briefly press the "On/Off" switch on the left of the Compex. A musical signal can be heard and a screen showing the different programme categories is displayed.

Before choosing a programme, you should select the desired category.

3a To select the desired category, press the + / - key of channel 1 (to go to the left) or channel 3 (to go to the right), until the desired category is displayed in a frame.
3b To confirm your choice and to move on to the programme selection screen (see the next section: "Selecting a programme"), press the "+"/−" key of channel 4
3c Press the "On/Off" key to switch off the stimulator.

4. Selecting a programme

To choose a programme, it is particularly useful to consult chapter VI of this manual ("Programmes and specific applications").

Regardless of the category you selected in the previous step, a list containing a select number of programmes appears on the screen.

4a To select the desired programme, press the + / - key of channel 1 (to go up or down), until the desired programme is displayed in white characters on a black background.
4b Press the "On/Off" key to return to the previous screen.
4c After selecting the desired programme, press the + / - key of channel 4 which, depen

ding on the programme selected, displays the symbol or

5. Personalising a programme

The programme personalisation screen is not available for all programmes

5a Certain programmes require manual selection of the muscular group that you want to stimulate 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 seven muscular groups are displayed in succession in black on the figurine:

5b The warming-up sequence suggested for some programmes is active by default (an animated rising convection symbol above the heater). If you prefer to skip this sequence, press the + / - key of channel 2.

Current international standards require that a warning be given concerning the application of electrodes to the thorax (increased risk of cardiac fibrillation).

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

Level 1 Level 2

Level 3 Level 4 Level 5

5d Total programme time in minutes.

5e By pressing the "On/Off" key, you can return to the previous screen.

5f To confirm your selection and start the programme, press the + / - key of channel 4.

6. During the stimulation session

Setting stimulation energy

When the programme starts, the Compex prompts you to increase the stimulation energy, a key factor for the effectiveness of the stimulation.

6a The Compex "bleeps" and the symbols of the four channels flash, changing from "+" to 000": the four channels are at O energy. You must increase the stimulation energy so that the stimulation can start. To do this, press the ^+ of the keys of the relevant channels, until the desired setting is reached.

If you want to increase the energy level of all four channels simultaneously, press the "i" button, located below the "On/Off" key. You can also increase the energy level of three first channels, by pressing the "i" button twice, or the energy level of two first channels only, by pressing three times this button.

Once you activate the "i" button, the associated channels are highlighted in white on a black background.

6b Remaining time in minutes and seconds.
6c The animated rising convection symbol represented the warming-up sequence.
6d Session progression scale. For details on how it works, see the following section ("Programme progression").
6e By pressing the "On/Off" key, you can return to the previous screen.

Programme progression

Stimulation does really start when the stimulation energy has been increased. The screens that are displayed during stimulation allow you to observe the progression of the session. These screens may differ from

one programme to another. The examples reproduced below are sufficient for you to understand the general rules.

7a-8a Remaining time (in minutes and seconds) before the end of the programme.
7b-8b A small animated symbol indicating category to which the programme belongs.
7c-8c Session progression scale:

The progression scale is composed of three distinct parts: the programme consists of three stimulation sequences, i.e., warming up (light hatching/left), the actual work (black area/centre) and relaxation at the end of the programme (heavier hatching/right).

The progression scale can be also entirely hatched: the programme then consists of a single stimulation sequence.

The small cursor located just below the scale moves horizontally and indicates precisely the state of progression of the programme (here: start of the first sequence, i.e., the work sequence).

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

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

The stimulation energy during the active rest phase is automatically set at 50% of the stimulation energy during the muscular contraction.

7e-8e Bar charts:

7e The muscular contraction phase is represented by the bar charts of the stimulation channels used (which become black during the contraction phase).
8e The active rest phase is represented by the bar charts of the stimulation channels used (which become hatched during the active rest phase).

The stimulation energy during the active rest phase is automatically set at 50% of the stimulation energy during the muscular contraction.

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

After an interruption, stimulation restarts at 80% of the stimulation energy set before the ..

Adjusting stimulation energy

9a

Fig.9

9a During the session, the Compex "bleeps" and some symbols start to flash above the active channels (over the energy indications): the Compex is prompting you to increase the stimulation energy level. If you cannot support an increase of the energy, just ignore this message.

End of programme

10a

10b

Fig.10

10a At the end of the session, you hear a musical signal and a small flag is displayed.
10b It is then only necessary to switch off the stimulator by pressing the "On/Off" key [ ].

7. Electricity consumption and recharging

Never recharge the stimulator with cables still connected to it.

Never recharge the batteries with a charger different from the one supplied by Compex.

The Compex runs on rechargeable batteries. The discharge time depends on the programmes and stimulation energy used.

Before using your stimulator for the first time, it is always strongly recommended that you completely charge the battery to improve its autonomy and extend its working life.

If you do not use your device for a long period of time, please regularly recharge the battery.

Electricity consumption

The symbol of a small battery indicates the charge level of the batteries.

11a

Fig.11

11a The small battery symbol has only two reference marks: The batteries are losing their charge. Interrupt the session and recharge the device (see the following section).
11b The symbol normally displayed above the + / - key of channel 4 has disappeared [and the small battery flashes: The batteries are completely flat. It is no longer possible to use the device. Recharge it immediately (see the following section).

Recharging

To recharge the Compex, first disconnect the electrode cables from the device, then plug the charger in a socket and lastly connect the stimulator to the charger (see in section I: "Connecting the charger"). The charge menu illustrated below appears automatically.

12a LThe Compex has been charging for 3 minutes and 8 seconds (a full charge may take from 1h30 to 2 hours with the rapid charger delivered with your device).

12b Charging is in progress and the small battery symbol is not completely full. When charging is completed, total charge duration flashes and the small battery is completely full. The Compex switches off automatically as soon as you disconnect the charger.

8. Problems and solutions

Electrode fault

13a-14a The Compex "bleeps" and alternatively displays the symbol of a couple of electrodes and an arrow pointing to the channel where a problem has been detected. Below, the stimulator has detected an electrode fault on channel 2. This message may mean that:

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

Recharging error

A recharging error may happen during charging. The Compex "bleeps" continuously and the following screen is displayed:

If this message appears, disconnect the charger and the device switches off automatically. Please contact the hotline, noting this error code.

If, for any reason, you experience any other trouble with your device, please contact the hotline mentioned and approved by Compex Medical SA.

IV. HOW DOES IT WORK

The principle of electrostimulation is to stimulate nerve fibres by means of electrical impulses transmitted by electrodes.

The electrical impulses generated by Compex stimulators are high-quality impulses - ensuring safety, comfort and efficiency - that stimulate different types of nerve fibres:

1. the motor nerves to stimulate a muscular response. The quantity of work and the benefits obtained depend on the stimulation parameters. This is known as electromuscularstimulation (EMS).
2. certain types of sensitive nerve fibres to obtain analgesic or pain-relieving effects.

1. Motor nerve stimulation (EMS)

In voluntary activity, the order for muscular work comes from the brain, which sends a command to the nerve fibres in the form of an electrical signal. This signal is then transmitted to the muscular fibres, which contract.

The principle of electrostimulation accurately reproduces the process observed during a voluntary contraction. The stimulator sends an electrical current impulse to the nerve fibres, exciting them. This excitation is then transmitted to the muscular fibres causing a basic mechanical response (= muscular twitch). The latter constitutes the basic requirement for muscular contraction.

This muscular response is completely identical to muscular work controlled by the brain. In other words, the muscle cannot distinguish whether the command comes from the brain or from the stimulator.

The parameters of the Compex programmes (number of impulses per se

Basic mechanical response = muscular twitch

cond, contraction time, rest time, total programme time) subject the muscles to different types of work, according to muscular fibres. In fact, different types of muscular fibres may be distinguished according to their respective contraction speed: slow, intermediate and fast fibres. The fast fibres will obviously predominate in a sprinter, while a marathon runner will have more slow fibres. With a good knowledge of human physiology and a perfect mastery of the stimulation parameters of the various programmes, the muscular work can be directed very precisely towards the desired goal (muscular reinforcement, increased blood flow, firming up, etc.).

2. Stimulation of the sensitive nerves

The electrical impulses can also excite the sensitive nerve fibres to obtain an analgesic or pain-relieving effect.

The stimulation of the tactile sensitive nerve fibres blocks the transmission of pain by the nervous system. The stimulation of another type of sensitive fibres creates an increase in the production of endorphins and, therefore, a reduction of pain.

With pain relief programmes, electrostimulation can be used to treat localized sharp or chronic pains as well as muscular pains.

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

Benefits of electrostimulation

Electrostimulation is a very effective way to make your muscles work:

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

Electrostimulation thus allows a greater quantity of work by the muscles compared with voluntary activity.

To be effective, this work must involve the greatest possible number of muscular fibres. The number of fibres working depends on the stimulation energy. It will therefore be necessary to use the

maximum tolerable energy. The user controls this aspect of stimulation. The higher the stimulation energy, the greater the number of muscular fibres that are working and, therefore, the more significant the progress achieved.

To maximize your results, Compex recommends that you complement your electrostimulation sessions with other efforts, like:

regular exercise,
proper and healthy nutrition,
balanced lifestyle.

V. USE PRINCIPLES

The use principles presented in this section should be considered general rules. For all programmes, it is recommended that you read carefully the information and advice on use presented in chapter VI of this manual ("Programmes and specific applications").

1.Placement of electrodes

It is recommended that you comply with the suggested placements. To do this, refer to the pictures and pictograms shown on the poster and to the "Table with placements of electrodes and stimulation positions" in chapter VII.

A stimulation cable consists of two poles:

a positive pole (+) = red connection

a negative pole (-) = black connection

A different electrode must be connected to each of the two poles.

Note: It is possible and normal to have an electrode arrangement that leads

one electrode connection free from a cable.

Depending on the characteristics of the current used for each programme, the electrode connected to the positive pole (red connection) is more effective when placed in a "strategic" position.

For all muscle electrostimulation programmes, i.e., programmes involving muscle contractions, it is important to place the positive polarity electrode on the muscle motor point.

The choice of electrodes size (large or small) and the correct positioning of the electrodes on the muscular group to be stimulated are determinant and essential factors for the ef

fectiveness of the stimulation. Therefore, always use the size of electrodes shown in the pictures. Unless you have other specific medical instructions, always follow the placement directions in the pictures. If necessary, find the best position by slightly moving the positive polarity electrode, so as to obtain the best muscle contraction or the position that seems most comfortable.

ompex Group disclaims all responsibility for electrodes positioned in any other manner.

2.Stimulation positions

To determine the stimulation position to adopt depending on the placement of the electrodes and the chosen programme, refer to the pictures and pictograms on the poster and to the "Table with placements of electrodes and stimulation positions" in chapter VII.

The stimulation position depends on the muscular group to be stimulated and the programme chosen.

For the programmes involving powerful muscular contractions, the muscle should always be stimulated in an isometric fashion. Consequently, you should fix the extremity of the stimulated limb(s) firmly. In this way, you provide maximum resistance to the movement and prevent any shortening of the muscle during the contraction, which could create cramp pains and serious stiffness after the session. For example, when stimulating the quadriceps, the user should be in a seated position with the ankles fixed with straps to prevent extension of the knees.

For the other types of programmes (for example, the Pain programmes and the Active recovery programme), which do not involve powerful mus

cular contractions, position yourself as comfortably as possible.

3.Setting the stimulation energy level

In a stimulated muscle, the number of recruited fibres depends on the stimulation energy. For the programmes involving powerful muscular contractions, it is therefore absolutely necessary to use maximum stimulation energy, always at the limit of what you can support, so as to involve the greatest possible number of fibres.

The "Table with placements of electrodes and stimulation positions" in chapter VII provides information on the energy to use, depending on the selected programme.

4. Progression in the levels

In general, it is not advisable to go through the different levels quickly with the intention of reaching level 5 as fast as possible. In fact, the different levels correspond to progress with electrostimulation.

The simplest and most usual procedure is to start with level 1 and raise the level when changing to a new stimulation cycle.

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

VI. PROGRAMMES AND SPECIFIC APPLICATIONS

The applications that follow are given by way of example. They provide a better understanding of how electrostimulation sessions can be combined with voluntary activity. These protocols will help you to determine the best procedure to follow depending on your needs (choice of the programme, muscular group, duration, placement of the electrodes, body position).

You can of course choose a muscular group different from the one indicated, depending on the activities you practice or the body area you wish to stimulate.

The specific applications provide you information on the placement of electrodes and the stimulation position to adopt. This information is represented by numbers (placement of electrodes) and letters (stimulation position). They refer to the "Table with placements of electrodes and

stimulation positions" in chapter VII and to the poster with the pictures for the placements of electrodes and the pictograms for the body positions. The table also indicates the stimulation energy to use, according to the programme

You must select in the device the muscular group indicated on the figurine. When no figurine appears (-) , it is not necessary to choose the muscular group: the selection is automatic.

Fitness category

Physical fitness has become a widely shared objective. Many of us would like to restore, improve or maintain a good physical condition. Some may want to do even more and improve their body tone and the harmony of their figure, with well sculpted and, for some people, spectacularly developed muscles.

The highly diversified, but very specific Fitness category programmes simulate, quantitatively and with precision, the muscle work required for different kinds of physical exercises. For both beginners and professionals and regardless of the objectives aimed at, these programmes have beneficial effects and allow fast and very significant muscular progress.

For both beginners and competitive athletes, the programmes of the Fitness category of the Compex are the ideal complement of voluntary indoor training. They ensure results faster and with less effort.

The programmes of the Fitness category are intended to make healthy muscles work. They are not suitable for muscles that are atrophied or affected by any kind of pathological process.

Programmes	Effects	Uses
Muscle starter	Improved muscle metabo-lism and contractile quali-ties	To reactivate the muscles of sedentary users and restore physiological muscle quali-ties
	Increased cellular ex-changes at the level of the stimulated muscles	The ideal preparation for using the other Fitness cate-gory programmes
Muscle building	Improved muscle trophism	To improve the musculature in general (strength, vo-
	Balanced increase of mus-cular tone and volume	lume, tone)Particularly recommended before using the Hypertonic or Hypertrophy programmes
Hypertrophy	Increased muscle volume	To be used after the Muscle
	Increased muscle fibre dia-meter	starter and Muscle building programmes
	Improved muscle resis-tance	For body-building enthu-siasts and users who want to increase their muscle mass
Hypertonic	Increased muscle tone wi-thout a significant volume increase	To be used after the Muscle
	To have firm muscles	starter and Muscle building For those who want very
		firm and wiry muscles, but without a great muscle vo-
Aerobic	Improved aerobic endu-rance	For those who do fitness
	Improved oxygen consumption by muscle fi-bres	exercises regularly to in-
		crease their endurance and
		improve the harmony of
		their figure
Jogging	Improved micro-circula-tion and intra-muscular ex-changes	For those who have never
	Increased muscle endu-rance and aerobic capacity	done any active or stimula-ted jogging
		For those who do recreatio-nal jogging and want to re-
		place a voluntary jogging
		session by a stimulation ses-
Step	The effects on muscles are identical to those obtained by using a stepping machine Increased muscle tone	To be used on quadriceps only For muscles that are already trained and prepared: -either by active stepping exercises and the Muscle starter programme -or by the Jogging program-mcused up to level 3 inclusive
Anaerobic	Improved muscle capacity for intense and prolonged effort	For those who want to pro-gress or improve their com-fort level for activities that require resistance
Sprint	Increased muscle contrac-tion strength and speed Increased muscle explosi-sive power	PFor those who do regular fitness exercises and are perfectly trained and want to improve the "explosive" power of their muscles in the "tapering" phase
Combined workout	Training and preparation of muscles for all kinds of muscular work through different working se-quences Maintaining good general physical condition	At the beginning of the sea-son to "re-set" the muscles after a rest period and be-fore more intensive and specific training During the season for the persons who do not have any preferences for a single kind of performance and prefer to exercise their mus-cles with different work-out methods
Stretching	Optimisation of the effects of the voluntary stretching technique, through the de-creased muscle tone obtai-ned by the specific activation of the antagonist of the stretched muscle (reciprocal inhibition re-flex)	For all sports practitioners who want to maintain or improve the elasticity of their muscles To be used after all training sessions or during a specific stretching session

Specific applications

Preliminary preparation for a beginner who wants to start muscle training with electrostimulation

The muscles of a sedentary person receive limited stimulation and therefore have a low level of performance. In these cases, a sudden increase of muscular activity often triggers off severe muscle sores, a reversible pain that is without serious consequences, but is very uncomfortable. The pain usually starts on the first or second day after an intense muscular effort and may last several days. It frequently entails major disruptions of the normal movements associated with everyday life, such as for instance, climbing up and, above all, going down stairs.

To avoid this kind of inconvenience, Compex has developed the Muscle starter programme, included in the Fitness category, which controls very progressive work specially suited to the muscles of a beginner which have never been stimulated by a Compex device. The muscles stimulated by the Muscle starter programme are thus ideally prepared for starting a new stimulation cycle using another Fitness category programme, to be chosen to achieve the required objectives (Hypertrophy, Hypertonic, Aerobic, etc.).

Cycle duration: 3 weeks, 2x/week

Then immediately begin a new stimulation cycle with another programme chosen to achieve the required objectives (Muscle building, Aerobic, Hypertonic, etc.)

Progression in the levels:

Weeks 1-3: Step to the next level every session

Programme: Muscle starter

Placement of electrodes, stimulation positions and muscular group to be selected in the device according to the stimulated muscle.

Preparing the thighs prior to a week skiing for a sedentary person

Seasonal physical activity, such as skiing, even if practised as a leisure activity, will subject the organism of sedentary subjects to unusual stresses. The thigh muscles (quadiceps) are the muscles that are most used, and these play an essential role in protecting the knee joints. It is for this reason that the pleasure of the first few days' skiing is frequently spoilt by severe muscle sores, and even knee trauma, which can sometimes be serious. The Compex Muscle starter and Muscle building programmes offer ideal muscular preparation for the thigh muscles. You can then go skiing without fear of overdoing things, with enhanced pleasure and safety.

Cycle duration: 6-8 weeks.

Weeks 1-3: 2 x Muscle starter 8G/week.

Weeks. 4-6/8: 3 x Muscle building 8G /week.

Progression in the levels:

Weeks 1-3: Muscle starter Step to the next level every session

Weeks 4-6/8: Muscle building Step to the next level every week

Programmes: Muscle starter and Muscle building 8G

Preparation for a fitness enthusiast who wants to develop harmonious shoulder muscles with a moderate increase in muscle volume

Most voluntary physical activities, such as jogging and cycling, require the shoulder muscles to do only limited work. That is why it is particularly important to compensate this under-utilisation by associating Compex sessions with your voluntary training schedule. The The Muscle building programme imposes a lot of specific work to the muscles of the upper part of your body and thus ensures the harmonious development of your shoulders,

with firm and well shaped muscles. Unlike voluntary exercises involving heavy weights that can be traumatic for your joints and tendons, stimulation with Compex involves no, or very little stress for your joints and tendons.

Cycle duration: 5 weeks 4 x/week, alternating muscular groups

To be done after a use cycle of the Muscle starter programme, as indicated in the previous application

Progression in the levels:

Weeks 1-5: Step to the next level every week

Eg for 1 week

Mon: 45'-1h of voluntary physical activity (jogging, swimming, cycling, fitness activity, etc.), then 1 x Muscle building 17H

Tue: Rest

Wed: 1 x Muscle building 18C

Thu: 45'-1h of voluntary physical activity (jogging, swimming, cycling, fitness activity, etc.)

Fri: 1 x Muscle building 17H

Sat: Best

Sun: 1 x Muscle building 18C

Programme: Muscle building 17H @et 18C

Muscle volume for a body-builder

Despite repeated efforts during their voluntary training, many body-builders encounter difficulties in developing certain muscle groups. The specific stimulation imposed on muscles by the Hypertrophy programme significantly increases the volume of the stimulated muscles. In addition, for a similar session time, the Compex Hypertrophy programme provides a greater volume gain than voluntary training.

The additional workload imposed by this stimulation programme on muscles not sufficiently receptive to traditional training provides a solution for the harmonious development of all muscle groups without recalcitrant areas.

To obtain optimum progress, you are advised:

1) for fitness exercise beginners who have never used electrostimulation before, to do a complete cycle with the Muscle starter,programme and then a complete cycle with the Muscle building, cycle before starting the stimulation procedure described in the application below;
2) to precede the Hypertrophy sessions with short voluntary training focused on strength; for example 3 series of 5 repetitions at 90% of maximum force;
3) to carry out a Capillarization session directly after the Hypertrophy.session.

Muscle volume for a body-builder training three times a week

In this example, the body-builder wants to work on his/her biceps, which he/she considers to be his/her weak point. It is of course possible to stimulate other muscles as well. Also this stimulation routine can be applied to several muscular groups at the same time (e.g. biceps then calves).

Cycle duration: 8 weeks, 3 x/week

Progression in the levels:

Week 1: Hypertrophy level 1

Week 2-3: Hypertrophy level 2

Week 4-5: Hypertrophy level 3

Week 6-8: Hypertrophy level 4

Eg for 1 week

Mon:Rest

Tue: Voluntary training focused on the muscles of the lower limbs, followed by active work on the biceps: 3 series of 5 repetitions at 90% of Fmax., then 1 x Hypertrophy 20D follow by 1 x Capillarization 20

Wed:Rest

Thu: Voluntary training focused on the muscles of the trunk, followed by active work on the biceps: 3 series of 5 repetitions at 90% of Fmax., then 1 x Hypertrophy 20D follow by 1 x Capillarization 20

Fri:Rest

Sat: Voluntary training focused on the muscles of the upper limbs, followed by active work on the biceps: 3 series of 5 repetitions at 90% of Fmax., then 1 x Hypertrophy 20D follow by 1 x Capillarization 20

Sun: Rest

Programmes: Hypertrophy 20D et Capillarization 20

Muscle volume for a body-builder training six times a week minimum

In this example, the body-builder wants to work on his/her calves that he/she considers to be his/her weak point. It is of course possible to stimulate other muscles as well. Also this stimulation routine can be applied to several muscular 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

Week 2-3: Hypertrophy level 2

Week 4-5: Hypertrophy level 3

Week 6-8: Hypertrophie level 4

Week 9-12: Hypertrophie level 5

Eg for 1 week

Mon: Voluntary training focused on the muscles of the lower limbs, followed by active work on the calf muscles: 3 series of 5 repetitions at 90% of Fmax., then 1 x Hypertrophy 4A follow by 1 x Capillarization 4

Tue: Voluntary training focused on the muscles of the upper limbs, followed by active work on the calf muscles: 3 series of 5 repetitions at 90% of Fmax., then 1 x Hypertrophy 4A follow by 1 x Capillarization 4

Wed:Rest

Thu: Voluntary training focused on the muscles of the lower limbs, followed by active work on the calf muscles: 3 series of 5 repetitions at 90% of Fmax., then 1 x Hypertrophy 4A follow by 1 x Capillarization 4

Fri: Voluntary training focused on the muscles of the upper limbs, followed by active work on the calf muscles: 3 series of 5 repetitions at 90% of Fmax., then 1 x Hypertrophy 4A follow by 1 x Capillarization 4

Sat: Voluntary training focused on the muscles of the muscles of the trunk, followed by active work on the calf muscles: 3 series of 5 repetitions at 90% of Fmax., then 1 x Hypertrophy 4A follow by 1 x Capillarization 4

Sun: Rest

Programmes: Hypertrophy 4A etCapillarization 4

Developing and sculpting your abdominal belt

To restore or develop the qualities of your abdominal muscles, they must do a lot of intensive work. Also, the voluntary exercises of the abdominal belt required to achieve results are unpleasant and often also dangerous. Indeed, if they are not performed correctly, they can cause crushing of the lumbar spine accompanied, as a consequence, by the onset or aggravation of pain in the lower back

Compex offers a specific stimulation mode to make your abdominal belt firmer, improve its tone and give it a more harmonious shape, or even to develop a "rock-hard" abdomen. All this can be achieved without the minimum stress and danger for the lumbar spine. The The Muscle starter programme allows you to reactivate the abdominal belt muscles before starting the more intensive work of the Muscle building programme. The specific work required for definition and better muscular tone can then be started using thee Hypertony programme.

Cycle duration: Beginner: 13 weeks.

Week 1-3: 2 x Muscle starter 10!

Abdos (for the whole abdominal belt) ou 11I

(for the rectus abdominis muscles)/week

Week 4-8:3 x Muscle building 101 (for the whole abdominal belt) ou 111 (for the rectus abdominis muscles)/week

Week 9-13: 3 x Hypertony 10I (ensemble de la sangle abdominale) ou 11I

Start directly with the week 4 programme, possibly adding a fourth or even a fifth weekly session (for those who do at least 4 to 6 voluntary training sessions per week)

Progression in the levels:

Week 1-3: IMuscle starter Step to the next level every session

Week 4-8: Muscle building Step to the next level every week

Week 9-13: Hypertony Step to the next level every week

Programmes: Muscle starter, Muscle building and Hypertony 10I or 11I

Developing aerobic capacity for an expert fitness enthusiast

In this example, the fitness enthusiastic wants to work above all on his/her thighs. It is of course possible to stimulate other muscles as well. Also this stimulation routine can be applied to several muscular groups at the same time (e.g. thighs then deltoids).

The intensity of the efforts sustained during many fitness exercises is supported essentially by the aerobic metabolism, for which a good utilisation of oxygen is crucial.

To use oxygen well, it is necessary to have:

1) an efficient cardio-vascular system, which can therefore transport large quantities of oxygenated blood to the muscles; 2) muscles capable of absorbing the maximum possible amount of the oxygen that reaches them.

The Aerobic programme enables the user to improve the capacity of the muscles to consume oxygen. It is particularly suited to active and well trained fitness enthusiasts. The latter will therefore improve their comfort level when practising aerobic exercises. Also, the length and/or number of these exercises may thus be gradually increased and progressively done at more sustained rhythms. The effectiveness of the work done will thus greatly increase, with significant muscular benefits.

This programme is not suitable for beginners or people who are not adequately trained. Such users will achieve better results at the beginning by using the Jogging programme on their quadriceps.

Cycle duration: 12 weeks, 3 x/week

Progression in the levels

Week 1: Aerobic level 1

Week 2-3: Aerobic level 2

Week 4-5: Aerobic level 3

Week 6-8: Aerobic level 4

Week 9-12: Aerobic level. 5

Eg for 1 week

Mon: 45'-1 h of physical activity in the fitness facility, then 1 x 8G Aerobic

Tue: Rest

Wed: 45'1 h of physical activity in the fitness facility, then 1 x Aerobic 8G

Thu: Rest

Fri: 1 x Aerobic 8G

Sat:Rest

Sun: 1 h of voluntary physical activity (jogging, swimming, cycling, etc.)

Programme: Aerobic 8G

Progress in endurance for a jogging beginner or a regular non-competitive jogger

In addition to the planning example presented here, the Jogging programme is very useful for those who practise this discipline regularly for recreation and cannot do a training session for some reason (bad weather, lack of time, fatigue, etc.). In such cases, they may usefully replace the training they cannot do with a stimulation session using the Jogging programme.

Jogging entails an effort of average intensity, but sustained for a long time. This kind of effort is characteristic of endurance activities in which oxygen consumption by the muscles is a determinant factor. Without trying to attain the performance levels required for sport, jogging beginners or leisure-time joggers can significantly improve their endurance by using the Jogging programme. They will thus feel more comfortable when running at a given speed and will be capable of doing long runs more easily.

Fitness

Cycle duration: 3-6 weeks, 2-3 x/week

Eg for 1 week

Mon: 30'-1 h of jogging or physical activity in a fitness facility

Tue:1x Jogging 8G

Wed: 45'-1 h of physical activity in a fitness facility

Thu:1x JoggingBG

Fri:Rest

Sat: physical activity (jogging, swimming, cycling, etc.), then 1 x Jogging 8G

Sun: Rest

Programme: Jogging 8G

Preparation for a well trained person who wants to improve the tone of his/her quadriceps using the Step programme

The Step programme imposes on the quadriceps do the same kind of work as voluntary exercises on a stepping machine. The contractions occur at a very fast rate, which accelerates from level to level, thus progressively increasing the difficulty of the sessions. This kind of very tonic work improves the firmness of the muscle tissue and helps the user to develop well shaped and very resistant thighs

The use of the Step programme should be limited only to muscles that are well prepared:

1) either through active stepping exercises and the Muscle starter programme (see the first application of the Fitness category);
2) or through the use of the Jogging programme up to level 3 inclusive (see the following application)..

The Step programme can be used in two ways:

Mode n^1 : The classic approach with progress from one level to the next with cycles lasting several weeks each;

Mode n^2 : During the same session, the five levels are used for a few minutes each in increasing order.

Cycle duration:

Mode n° 1: 3-6 weeks, 3 x/week

Mode n°2: 6 weeks., 3 x/week.

Week 1: 1 session = 6 minutes with each session of 5 levels

Week 2: 1 session = 7 minutes with each session of 5 levels

Week 3: 1 session = 8 minutes with each session of 5 levels

Week 4: 1 session = 9 minutes with each session of 5 levels

Week 5: 1 session = 10 minutes with each session of 5 levels

Week 6: 1 session = 12 minutes with each session of 5 levels

Programme: Step 8G

Preparation for a fitness enthusiast who wants to develop his/her capacity to sustain an intense effort

In this example, the fitness enthusiast wants to work above all on his/her quadriceps. It is of course possible to stimulate other muscles as well. Also this stimulation routine can be applied to several muscular groups at the same time (e.g. thighs then buttocks).

Resistance efforts are characterised by high levels of work intensity sustained for as long as possible, often up to the point of exhaustion. During such efforts, it is mainly the lactic anaerobic metabolism that comes under stress. The factor that limits performance is muscular fatigue linked, among other things, to the accumulation of lactic acid and the capacity of the muscle to tolerate a high concentration of this acid.

The specific routine of muscular fibre activation of the Anaerobic programme produces a major improvement in the tolerance of the muscle for high concentrations of lactic acid. The user thus improves his/her resistance: an effort can be sustained for a longer time at the same level of intensity or for the same time at a higher level of intensity.

Cycle duration: 3-6 weeks, 2-3 x/week

Eg for 1 week

Mon:1 x Anaerobic 8G

Tue: Normal training in a fitness facility

Wed:1 x Anaerobic 8G

Thu: Normal training in a fitness facility

Fri: 1 x Anaerobie 8G (optional)

Sat: Normal training in a fitness facility or other outdoor physical activity

Sun:Rest

Programme: Anaerobic 8G

Preparation for a well trained fitness enthusiast who wants to develop his/her muscle explosive power

In this example, the fitness enthusiast wants to work above all on his/her calves. It is of course possible to stimulate other muscles as well. Also this stimulation routine can be applied to several muscular groups at the same time (e.g. calves then biceps).

By doing fitness exercises, anyone who already has well trained muscles may want to improve the strength and speed of muscular contraction. This depends on muscle explosive power that is defined as the capacity of a muscle to reach its maximum contraction strength as quickly as possible. This quality is an essential factor for gestural effectiveness for movements done with strength and speed: springing, jumping, pulling, throwing, etc

The special muscle contraction routines of the Sprint programme and the great quantity of specific work to which the muscles are subjected enable you to increase your muscle explosive power significantly.

Cycle duration: 3-6 weeks, 3 x/week

Eg for 1 week.

Mon: 1 x Sprint 4A

Tue: Normal training in a fitness facility

Wed:1xSprint4A

Thu: Normal training in a fitness facility

Fri: 1 x Sprint 4A

Sat: Normal training in a fitness facility or other outdoor physical activity

Sun: Rest

Programme: Sprint 4A

Resuming activity after a break in training: varied muscle preparation

In this example, the fitness enthusiast wants to work above all on the latissimus dorsi. It is of course possible to stimulate other muscles as well. Also this stimulation routine can be applied to several muscular groups at the same time (e.g. latissimus dorsi then thighs).

An increasing number of people emphasise a diversified training carried on in a natural setting. During training, different work-out routines are alternated and different muscles are stimulated. For example, after a few minutes of slow jogging, the trainee does a series of accelerations followed by some jumps, before resuming a slower jog, and so on. The objective is to work on different muscular qualities without however emphasising any one in particular. This kind of activity is frequently done either at the beginning of the season, for general muscular reactivation, or done regularly by leisure-time sports enthusiasts who do not want to emphasise any particular kind of muscular performance, but rather want to stay fit and reach the right level in all kinds of muscular work.

At the beginning of the season or after a significant break in training, the resumption of physical and/or sports activity should be done progressively and become increasingly specific. It is thus normal to perform a few initial sessions with the aim of making the muscles do all kinds of work to prepare them for later training that will be more intensive and more oriented towards a specific kind of performance.

Through these 8 sequences that automatically follow each other, the Combined workout programme imposes different kinds of work to the stimulated muscles and thus makes them used to all kinds of effort.

Cycle duration: 3-6 weeks, 3 x/week

Programme: Combined workout 18 C

Preparation for a fitness enthusiast who wants to adopt a varied muscle training approach

In this example, the fitness enthusiast wants to work above all on her arms. It is of course possible to stimulate other muscles as well. Also this stimulation routine can be applied to several muscular groups at the same time (e.g. arms then thighs).

An increasing number of people emphasise a diversified training carried on in a natural setting. During training, different work-out routines are alternated and different muscles are stimulated. For example, after a few minutes of slow jogging, the trainee does a series of accelerations followed by some jumps, before resuming a slower jog, and so on. The objective is to work on different muscular qualities without however emphasising any one in particular. This kind of activity is frequently done either at the beginning of the season, for general muscular reactivation, or done regularly by leisure-time sports enthusiasts who do not want to emphasise any particular kind of muscular performance, but rather want to stay fit and reach the right level in all kinds of muscular work.

Most fitness enthusiasts want to improve their muscle qualities and, with this aim in mind, pursue objectives that may be different: improved muscle tone, increased endurance, greater muscle volume, etc. The means used to achieve these different objectives involve different kinds of voluntary training and the use of specific electrostimulation programmes.

Other fitness enthusiasts prefer to develop all their muscular qualities, without any emphasis on any one of them in particular. In this case, it is useful to subject the muscles, during the same session, to various kinds of stimulation, such as those produced by the Combined workout programme through its 8 routines that automatically form a sequence.

Cycle duration: 3-6 weeks, 2-3 x/week

Eg for 1 week

Mon: 1 x Combined workout21D

Tue:Normal training in a fitness facility

Wed:1xCombined workout 21D

Thu: Normal training in a fitness facility

Fri: 1 x Combined workout 21D [optional]

Sat: Normal training in a fitness facility or other outdoor physical activity

Sun:Rest

Programme: Combined workout 21D

Preparation for a fitness enthusiast who wants to optimise the effects of his/her active stretching sessions for quadriceps

The Stretching programme consists in stimulating the antagonist (i.e. opposite) muscle of the muscle subjected to stretching in order to exploit a well-known physiological mechanism: reciprocal inhibition reflex. This reflex, based on the proprioceptive sensitivity of muscles, consists of a very marked muscular relaxation. This allows more efficient stretching, since it is carried out on a more relaxed muscle.

Stimulation is therefore performed on the muscle opposing the muscle being stretched. This stimulation consists of a progressive appearance and disappearance (slowly and lasting a long time) of contractions, with complete rest between contractions. It is during the contraction (which increases with each new level) that the athlete stretches the chosen muscle group by means of a traditional voluntary stretching technique.

In this example, stimulation is applied to the hamstrings muscles to facilitate the stretching of the quadriceps during the contraction phases.

Cycle duration: Throughout the season, according to the frequency of voluntary stretching sessions. According to the normal duration of stretching (this depends on schools of physical training and each person's feelings), choose the level that seems most appropriate.

The proposed duration of stretching is:

10 seconds for level 1
12 seconds for level 2
14 seconds for level 3
16 seconds for level 4
18 seconds for level 5

Programme: Stretching 5 the starting position for the active stretching exercise

Aesthetic category

Thanks to their great diversity and their high specificity, the Compex Aesthetic programmes provide the solution for everyone who wants to regain and keep the benefits of intense muscular activity. These programmes allow you to restore and maintain a firm body, shapely figure and toned skin.

Indeed a sedentary life-style is very bad for the figure, especially if you have a poorly balanced diet. The muscles which are not used much lose their qualities: loss of strength, reduced tone, slackness. They can no longer carry out their tasks of supporting the body and holding the organs in place. The body becomes soft and loose, with clear consequences on body shape. Insufficient muscular activity also leads to disturbances of blood circulation. Cellular exchanges slow down, fat storage increases and the supportive skin tissues lose their elasticity.

Programmes	Effects	Uses
Abs	Combine the beneficial effects of the Toning and Firming programmes adapted to the specificities of the muscles of the abdominal belt	To reduce your waist line, while improving the muscular support of the abdominal wall
Buttocks	Subjects the buttocks muscles to the most appropriate work for improving the figure	To restore and improve the tone of the buttocks region
Toning	To tone the muscles To be used to begin with in order to tone up and prepare the muscles before more intensive firming work
Firming	To regain muscle firmness and restore the support function of the muscles	To be used as the main treatment for muscle fir- ming
Shaping	To define and sculpt the body when the muscles are already firm	To be used when the fir- ming phase is finished
Elasticity	To improve the circulation and skin elasticity	To be used as a comple- ment to the Muscle firming or Shaping programmes
Calorilysis	To increase the calorie ex- penditure	To be used as a comple- ment to a low-calorie diet in order to accentuate the ca- lore deficit
Adipostress	To create intensive electric stress and vasodilation in fat cell masses or areas of cellulite	To be used in conjunction with other cellulite treat- ments for a more aggressive treatment of cellulite

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

Specific applications

To reduce your waist and tone up your abdominal belt

The Abs programme is especially appropriate for improving the qualities of support and firmness of the abdominal belt muscles. The various work routines, associated with the tonic massage performed during the rest phases, guarantee beneficial results on the waist line.

Cycle duration: 3-6 weeks, 4 x/week

Programme: Abs 491

To improve the firmness and shape of your buttocks

The considerable amount of progressive and specific work of the buttocks muscles produced by the Buttocks programme effectively increases the firmness of these muscles. The shape of the buttocks improves progressively, with beneficial effects on the whole figure.

Cycle duration; 3-6 weeks, 4 x/week

Programme: Buttocks9A, B ou L

To firm and sculpt the body

Toning, Firming and Shaping programmes impose perfectly adapted and progressive work on the muscles. This very intensive muscular activity (hundreds of seconds of sustained contractions) first tones and firms your muscles, then redefines their contours to sculpt your body.

In this example, we assume that the fitness enthusiast wants to work on her arms. It is of course possible to stimulate other muscles as well. Also this stimulation routine can be applied to several muscular groups at the same time (e.g. arms then thighs)

Cycle duration; 13 weeks

Week 1-3: 4 x Toning 21D /week

Week 4-8: 4 x Firming 21D 公/week

Week 9-13: 4 x Shaping 21D /week

Progression in the levels

Week 1-3: Toning Step to the next level every session

Week 4-8: Fiming Step to the next level every week

Week 9-13: Shaping Step to the next level every week

Programmes: Toning, Firming and Shaping 21D

To firm the body and attack cellulite

The above specific applications is intended for people who are generally slim but whose body lacks firmness and has local accumulations of cellulite. The great efficacy of the, Toning Fiming and Shaping programmes allows the restoration of strong muscles, a firm body and a shapely figure. The local application of the Adipostress programme as a complement to another anti-cellulite treatment (ultrasound, drainage, hydrotherapy, suction, compression rollers, etc.), helps you to correct the localized defects and imperfections of the hypodermis.

In this example, we assume that the fitness enthusiast wants to work on her thighs. It is of course possible to stimulate other muscles as well. Also this stimulation routine can be applied to several muscular groups at the same time (e.g. thighs then arms)

Cycle duration: 13 weeks.

Weeks 1-3: 2 x Toning 8G /week

Weeks 4-8: 3 x Firming 8G et 3 x Adipostress 8G /week.

Weeks 9-13: 3 x Shaping 8G et 3 x Adi-postress 8G /week.

Progression in the levels

Weeks 1-3: Toning Step to the next level every session

Weeks 4-8: Fiming Step to the next level every week

Weeks 9-13: Shaping Step to the next level every week

Weeks 4-13: Adipostress Step to the next level every two weeks

Programmes: Toning, Fiming, Shaping et Adipostress 8G

To firm the body and improve the elasticity of the skin

These programmes are intended for people who have just lost weight or people whose skin has lost its tone and elastic qualities over the years. The great efficacy of the Toning, Fiming and Shaping programmes allows the restoration of strong muscles, a firm body and a shapely figure. The combination with the Elasticity programme increases the oxygen flow in the skin, intensifies cellular exchanges and activates the elastic fibres so as to retighten the skin and restore its elasticity.

In this example, we assume that the fitness enthusiast wants to work on her arms. It is of course possible to stimulate other muscles as well. Also this stimulation routine can be applied to several muscular groups at the same time (e.g. arms then thighs)

Cycle duration: 13 weeks

Weeks 1-3:2 x Toning 19D, 20D or 21D /week.

Weeks 4-8: 3 x Fiming 19D, 20D or 21D et 3 x Elasticity 19, 20 or 21 /week.

Weeks 9-13: 3 x Shaping 19D, 20D or 21D and 3 x Elasticity 19◇, 20◇ or 21◇ /week

Progression in the levels.

Weeks 1-3: Toning Step to the next level every session

Weeks 4-8: Fiming Step to the next level every week

Weeks 9-13: Shaping Step to the next level every week

Weeks 4-13: Elasticity Step to the next level every two weeks

Programmes: Toning, Fimng, Shaping 19D, 20D or 21D and Elasticity 19, 20 or 21

To burn maximum calories

Electrostimulation causes muscle work and therefore the expenditure of energy, which means calories burnt. However, unless combined with a suitable diet, the calories burnt by physical activity, even intensive, cannot produce significant weight lost. For example, a person of 70 kg who runs a marathon expends about 3,000 kcal, i.e. only one third of a kilo of fat. It is therefore necessary to have a low-calorie diet in order to lose weight. Muscle work will then be useful, because it allows more calories to be burnt. The Compex Calorilysis Calorilysis programme was developed with this in mind: it makes large muscle groups work at a rhythm that consumes many calories.

The ideal thing is to have a well-balanced diet, low in calories but rich in vitamins, protein, minerals and trace elements, combined with half an hour of cycling or swimming a day, and to use the Calorilysis programme to burn a maximum of calories and consequently make your diet as effective as possible.

Cycle duration: 15 weeks, 3 x/week

Progression in the levels

Week 1: Calorilysis level 1

Weeks 2-3: Calorilysis level 2

Weeks 4-6: Calorilysis level 3

Weeks 7-10: Calorilysis level 4

Weeks 11-15: Calorilysis level. 5

Programme : In each week, it is advisable to alternate the muscle groups to be stimulated as described below.

1st session of the week: Calorilysis 9A,B or L

2nd session of the week: Calorilysis 8G

3rd session of the week: Calorilysis 101

To act on local cellulite concentrations

Even slim people with a firm body can have local cellulite accumulations, i.e. areas of skin characterized by infiltration of the tissues and an "orange peel" appearance. Many treatments are available to tackle this problem but, except for surgical intervention, none of them has proved to be really satisfactory in terms of efficacy. On the other hand, a combination of local cutaneous treatments (ultrasound, drainage, mesotherapy, suction, compression rollers, etc.) seems to give the best results.

It is in this context that the Adipostress programme is of interest. Used alone, it cannot eliminate cellulite even though it is clearly more effective than the old electrolipolysis. On the other hand, the electric stress applied to the fat deposits and the cutaneous vasodilation reinforce the actions of other local treatments used simultaneously.

Cycle duration: 5 weeks, 3 x/week

Progression in the levels Step to the next level every week

Programmes: Adipostress 341

Massage category

The programmes of the Compex Massage category subject the muscles of the stimulated region to moderate activity, which produces beneficial effects that help to improve physical comfort and well-being.

Remaining in the same working position for a long time (for example, sitting in front of a computer screen), conditions of stress, repeated jostling, insufficient muscular conditioning before physical activity are all very frequent situations that are often responsible for uncomfortable bodily sensations.

The automatic progression of the various stimulation sequences, specific to each programme of the Massage category, allows each user to adapt the effects of stimulation to his own needs and objectives.

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

Programmes	Effects	Uses
Relaxing massage	Decreased muscular tension Drainage of the toxins responsible for the exaggerated increase of muscular tone Effect of well-being and relaxation	To eliminate uncomfortable or painful sensations, following an exaggerated increase of muscular tone
Reviving massage	Considerable increase of blood flow in the stimulated region Improvement of tissue oxygenation Elimination of free radicals	To contrast effectively sensations of fatigue and localized heaviness
Toning massage	Activation of blood circulation Recovery of muscular contractile properties Invigorating effect	To prepare the muscles in an ideal manner before an unusual/one-time physical activity

Treatment of uncomfortable muscular tensions in the back of the neck

Remaining in a seated position for long periods, associated with repetitive movements of the upper limbs (as is frequently the case in front of a computer screen), is often responsible for an uncomfortable - or even painful - increase of muscle tension of the back of the neck muscles.

Any other condition of stress may also create situations leading to a state of excessive muscular tension, which is often responsible for painful or uncomfortable sensations.

The in-depth effects produced by the Relaxing massage programme enable to contrast effectively such painful sensations, with a particularly significant result in terms of relaxation.

Cycle duration: To be used on the back of the neck muscles, whenever an occasional sensation of painful muscular tension is felt; to be repeated, if necessary, in cases of particularly strong muscular tension

Programme: Relaxing massage 15

Treatment of a localised sensation of heaviness or an occasional state of fatigue

The many stresses of everyday life are often responsible for uncomfortable, or even painful, physical sensations. A circulation slowdown is often the result of insufficient physical activity, frequently aggravated by the need in one's working life to remain in the same position for many hours (in a seated position, for example).

Although not serious, this simple "vascular slowdown" is, however, frequently the cause of unpleasant sensations (for example: a sensation of heaviness, often localised in the lower limbs, but also, at times, in another region of the body).

The programme produces, in the greatest comfort, a reactivation of the blood circulation that allows an acceleration of tissue oxygenation and the elimination of painful sensations, due to insufficient 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 of persistent discomfort

Programme: Reviving massage 25

Muscular and circulation conditioning before physical activity

People who regularly practise sports are well aware of the transition, which is often painful, between a rest activity and an occasional physical effort.

LeThe objective of the usual warming-up techniques is to respond to this need to activate progressively the physiological functions involved in one-time physical activity. This physiological need is also very desirable for moderate but unusual physical efforts, as is frequently the case for most of us (treks, biking, jogging, etc.).

The Toning massage programme offers an ideal benefit in the form of optimal muscular and circulation conditioning before any type of physical effort. It allows us to avoid the uncomfortable sensations - usually experienced during the first few minutes of unusual physical efforts - and to limit the secondary consequences of insufficient preparation (aches, etc.).

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

Programme: Toning massage8

Vascular category

The low frequency current used of the Vascular category of Compex programmes significantly improves blood circulation in the stimulated area.

Indeed many people, more particularly women who remain standing for long periods, suffer from circulatory problems. These mainly affect the legs and are caused by stagnation of the blood and the lymph and are manifested by a feeling of "heavy legs", swelling, or the dilatation of surface veins. The consequences are multiple: fatigue, tension, pain, lack of oxygenation of tissue and the appearance of varicose veins and oedemas.

According to the programme used, the muscular twitches are more or less rapid, separate, and adopt different rhythms. The result is a specific action for each programme, and for this reason you are advised to follow closely the indications of the different treatments so that optimum results can be obtained.

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 therapeutic measures required to cure the disorder.

Programmes	Effects	Uses
Capillarization	Very marked increase in blood flowDevelopment of capillaries	In the period before competi-tion, for those participating in endurance or resistance sportsAs a supplement to a pro-gramme of the Aesthetic ca-tergoryTo improve endurance in those whose fitness level is not high
Heavy legs	Increased venous returnIncreased supply of oxy-gen to musclesDrop in muscular tensionElimination of tendency to have cramp	To remove the feeling of heaviness in the legs arising in unusual situations (stan-ding for long periods, heat,hormonal imbalance linked to the menstrual cycle, etc.)
Crampprevention	Improved circulation to prevent the onset of noc-urnal cramp or cramp after strains	Cramp mainly affects mus-cles of the lower limbs, in particular the calf muscles
Lymphaticdrainage	Deep massage of the stimulated areaActivation of return lym- phatic circulation	To contrast occasional swel-ling of the feet and anklesAs a supplement to pres-sure therapy or manual lymphatic drainageDo not use without medical advice in case of oedemas that are the side effect of a pathological problem

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

Specific applications

Preparation for seasonal endurance activity (eg: hiking, bicycle touring)

Sporting physical activities that last a long time (walking, cycling, cross-country skiing, etc.) require strong muscles with a good capillary circulation so that the muscle fibres can be properly oxygenated. When a long-duration physical activity is not practised, or not practised regularly enough, the muscles lose their capacity to effectively consume oxygen and the capillary system becomes rarefied. This lack of muscular quality makes exercising uncomfortable and limits the speed of recuperation, and is responsible for many unpleasant side effects such as drowsiness, contractures, cramp and swelling.

To restore to muscles their endurance and ensure full activation of the capillary system, the Compex offers a very efficient mode of stimulation.

Cycle duration: 6-8 weeks, before starting the hike, 3 x/week, alternating muscular groups

Programme: Capillarization 8 and 25

Supplement to the Muscle tone, Muscle firming, Shaping or Refinement programmes of the Aesthetic category

Voluntary muscle work or work carried out with electrostimulation can be supplemented to good effect by the Capillarization programme. Indeed, the marked increase in blood flow in the muscle capillaries produced by the Capillarization treatment allows maximum oxygenation of the muscles and surrounding tissue. Muscle fibres are thus correctly oxygenated and obtain maximum benefit from the exercise they have just carried out. In addition, drainage and oxygenation of the surrounding tissue restores equilibrium and rounds off the work.

Cycle duration: 13 weeks, Follow each session Muscle tone, Muscle firming or Shaping with 1 Capillarization session.

Programme: Capillarization on the same muscle group as the programme of the Aesthetic category used previously

Prevention of the feeling of heaviness in the legs

The feeling of heaviness in the legs is due to a temporary deficiency in the venous return, and not to major organic lesions. Stagnation of the blood mass in the legs is encouraged

in certain situations: prolonged periods in a standing position, long periods continuously seated, intense heat, etc. The insufficient supply of oxygen to the tissue, and in particular the muscles, that results from this situation, causes the feeling of heaviness and discomfort in the legs. Use of the Heavy legs programme accelerates the return of blood to the veins and has an important relaxing effect on the painful muscles.

Cycle duration: Use this treatment whenever an occasional feeling of heaviness in the legs occurs

Programme: Heavy legs 25 J and L

Prevention of cramp in the calf muscles

Many people suffer from cramp in the calf muscles, which can appear spontaneously during rest at night or as a result of prolonged muscular effort. The phenomenon of cramp may in part be caused by a disequilibrium of blood flow in the muscles.

To improve the blood circulation and prevent the onset of cramp, the Compex offers a specific stimulation programme. Use of this programme in accordance with the procedure below will allow you to obtain positive results and limit the occurrence of cramp.

Cycle duration: 5 weeks, 1 x/day, at the end of the day or at night

Programme: Cramp prevention 25

Prevention of occasional swelling of the feet and ankles

Insufficient blood circulation in the veins in unusual circumstances frequently gives rise to an accumulation of blood and lymph in the extremities of the lower limbs.

This phenomenon, which results in swelling of the ankles and feet, brings with it an unpleasant sense of heaviness and tension in the areas concerned. The deep massage caused by the Lymphatic drainage programme will effectively activate lymph return circulation and thus encourage the elimination of this disorder.

Cycle duration: 8 weeks, 3 x/week

Use this treatment whenever you experience occasional swelling of the feet and ankles

Programme: Lymphatic drainag 25

Pain relief category

Physical pain is an abnormal and unpleasant sensation caused by an injury, a disorder or incorrect functioning of a part of our organism. It is always a signal sent to us by our bodies, one that should not be ignored, and that in all cases requires us to consult a doctor if it does not disappear quickly.

The approach to pain adopted by the medical profession has changed considerably in recent years. Treatment of the cause is always fundamental, however the pain as such must be otherwise removed or at least considerably reduced and made bearable for the patient. The means to combat pain have developed greatly, and there is no longer any hesitation today in using powerful analgesics to improve the quality of life of patients.

It is within this context that recourse to electrotherapy has developed. Excitation of the nerve fibres of sensation by means of electrical micro-impulses is often the preferred method of combatting pain. Today, such analgesic electrotherapy is widely used, particularly in rehabilitation medicine and in specialist pain treatment centres.

The precision of electrical currents allows the analgesic action to be accurately targeted according to the type of pain. It is up to the user to choose the most appropriate programme for the type of pain and to follow practical recommendations in order to obtain maximum effect.

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

Table of the pathologies

Pathologies	Programmes	References
Neuralgia of the upper limb (brachial neuralgia)	Modulated TENS	See application page 201
Chronic muscular pain (polymyalgia)	Endorphinic	See application page 201
Contracture (eg: localized contracture in external side of the calf)	Decontrac-ture	See application page 201
Chronic muscular pain in the back of the neck (cervical pain)	Cervical pain	See application page 201
Sharp and recent muscu-lar pains affecting a muscle in the low back (lumbago)	Lumbago	See application page 202

Table of the Pain programmes

Programmes	Effects	Uses
Modulated TENS	Blocks transmission of pain by the nervous system	All acute or chronic localized pain
Endorphinic	Analgesic action through the release of endorphins Increased blood flow	To combat chronic muscular pain
Decontracture	Reduced muscular tension Relaxing effect	To combat recent and localized muscular pain
Cervical pain	Analgesic action through the release of endorphins Increased arterial flow	Analgesic current specifically adapted to pains in the back of the neck
Lumbago	Reduced muscular tension Relaxing effect	Analgesic current specifically adapted to sharp and sudden low back pain (lumbar region)

The use of Modulated TENS, Endorphinic and Decontracture programmes should not be prolonged without medical advice.

Specific applications

Neuralgia of the upper limb (brachial neuralgia)

CeSome people suffer from arthritis in the joints of the vertebrae at the back of the neck, or from arthritis or periarthritis of the shoulder. These situations often give rise to pain that runs down one arm and is known as "brachial neuralgia". These arm pains that start in the shoulder or the back of the neck can be reduced with the Compex Modulated TENS programme by following the practical recommendations outlined below.

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

According to requirements, the Modulated TENS programme can be repeated a number of times during the same day

Programme: Modulated TENS 35

Chronic muscular pain (polymyalgia)

Some people suffer from muscular pain that affects several muscles or parts of different muscles at the same time. The localization of this chronic pain can vary over time. These continual and diffuse muscle pains are the result of chronic contractures in which acids and toxins accumulate, irritating the nerves and causing pain. The Endorphinic programme is particularly effective against such pain since, in addition to its pain-reducing effect, it increases the blood flow to the contracted muscular groups and removes from them accumulations of acids and toxins.

Example: localized pain in the biceps. However, the pain may affect other muscular groups. The practical application illustrated below remains valid, but it is then necessary to place the electrodes on the muscular group concerned.

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

You are advised to consult your doctor if no improvement is observed after the first week of use

Programme: Endorphinic 20

Contracture (eg: localized contracture in external side of the calf)

After tiring muscle work, intense training or a sporting competition, certain muscles or certain parts of muscles often remain tense and slightly painful. These are known as muscular contractures which should disappear after a few days with rest, good rehydration, a balanced food intake with mineral salts and application of the Decontracture programme. The phenomenon of contracture frequently affects the calf muscles, but can also occur with other muscles. In this case, simply follow the same practical recommendations as below, but place the electrodes on the muscular group concerned.

Cycle duration: 1 week, 1 x/day

You are advised to consult your doctor if no improvement is observed after the first week of use

Programme: Decontracture24

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

Positions in which the muscles of the back of the neck remain tense for long periods of time, for example working in front of a computer screen, may be responsible for the onset of pain in the back of the neck or on either side of the base of the neck, in the upper back. These pains are due to a contracture of the muscles, of which the prolonged tension crushes the blood vessels and prevents the blood from supplying and oxygenating the muscle fibres. If this phenomenon is prolonged, there is an accumulation of acid and the blood vessels atrophy. The pain then becomes continuous or appears after only a few minutes spent working in an unfavourable position.

These chronic pains in the back of the neck can be treated effectively with the Cervical pain programme, which reactivates the circulation, drains accumulations of acid, oxygenates the muscles, develops the capillaries and relaxes the contractured muscles.

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

You are advised to consult your doctor if no improvement is observed after the first week of use

Programme: Cervical pain 15

Sharp and recent muscular pains affecting a muscle in the low back (lumbago)

During back movement, for example when lifting something, when turning or when standing up straight after bending down, a sudden pain can be triggered in the low back. Those who suffer from this problem present a contracture of the low back muscles and feel a sharp pain in this region; because they cannot stand completely straight, they remain bent over on one side. All of these symptoms indicate what is known as lumbago, which is principally the result of a sharp and intense contracture of the low back muscles (lumbar region).

In a situation such as this, it is always necessary to consult a doctor to receive appropriate treatment

In addition to such treatment, the specific Compex Lumbago programme can help effectively to relax the muscles and remove the pain.

Cycle duration: 4 weeks, 3 x/week

You are advised to consult your doctor if no improvement is observed after the first week of use

Programme: Lumbago 33

Sport category

Neglected for many years, muscle preparation has today become indispensable for the competitive athlete. In this respect, muscular electrostimulation is a complementary training technique widely used by an increasing number of athletes aiming to improve their level of performance. Increasing the maximum strength of a muscle or improving the capacity of muscle fibres to sustain effort over long periods of time are objectives that differ according to the sporting discipline being practised. The programmes of the Compex Sport category are designed to improve the muscle qualities of competitive athletes training seriously on a voluntary basis for at least five hours a week.

Use of programmes of the Sport category is not suitable for atrophied muscles that have suffered any kind of pathological process.

Programmes	Effects	Uses
Endurance	Improved absorption of oxygen by the stimulated muscles Improved performance for endurance sports	For athletes who wish to improve their performance in long-duration sporting events
Strength	Increased maximum strength Increased rate of muscular contraction	For competitive athletes practising a discipline that requires strength and speed
Active recovery	Marked increase in blood flow Accelerates the elimination of waste from the muscular contraction Endorphinic effect (see Pain category) Relaxing effect	To improve and accelerate the muscle recovery after an intensive exercise To be used during the first 3 hours after each session of intensive training or after a competition

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

Specific applications

Preparation for a cyclist training three times a week who wishes to improve endurance performance

Effort expended over a long period of time makes demands on the aerobic metabolism, for which the decisive factor is the quantity of oxygen consumed by the muscles. To progress in endurance, it is therefore necessary to increase as much as possible the supply of oxygen to the muscles stimulated by this type of effort. Because oxygen is conveyed by the blood, it is essential to have an efficient cardiovascular system, due to voluntary training under certain conditions. However, a muscle capacity to consume the oxygen it receives (oxydative capacity) can also be improved by following a specific work regime.

The Endurance programme of the Sport category leads to a significant improvement in the consumption of oxygen by muscles. Combining this programme with the Capillarization programme which develops the network of intramuscular capillaries, is particularly beneficial and allows endurance athletes to improve their performance levels.

Cycle duration: 8 weeks, 5 x/week

Eg for 1 week

Mon:Rest

Tue:1xEndurance8G

Wed: Cycle training 1h30 (moderate speed), then 1 x Capillarization B

Thu:1xEndurance8G

Fri:Rest

Sat: Cycle training 60' (moderate speed), then 1 x Endurance 8G

Sun: Cycling 2h30 (moderate speed), then 1 x Capillarization 8

Programmes: Endurance 8G and Capillarization 8

Preparation for a runner training three times a week who wishes to progress in endurance (half-marathon, marathon)

Running as many miles as possible is essential in order to improve performance in endurance events. However, the strain on tendons and joints this type of training causes is today universally recognised. Integrating Compex electrostimulation into the training of the long-distance runner offers an excellent alternative that can help to overcome this problem. The Endurance programme, which improves the muscles' ability to absorb oxygen, and the Capillarization programme, which develops the capillaries in the muscles, allow greater endurance to be achieved while limiting the weekly mileage and therefore the risk of injury.

Cycle duration: 8 weeks, 5 x/week

Eg for 1 week

Mon:Rest

Tue:1xEndurance8G

Wed: - Training: Warm up training 20^ , then 1-2 series of 6 x [30" fast / 30" slow]

• Slow jogging 10' at the end of the session, then 1 x Capillarization 8

Thu:1xEndurance8G

Fri:Rest

Sat: Loose jogging 60', then 1 x Endurance 8G

Sun: Extended run 1h30 (moderate speed), then 1 x Capillarization 8

Programmes: Endurance 8G and

Capillarization 8

Pre-season preparation for a team sport (football, rugby, handball, volleyball, etc.)

Planning example to develop the strength of the quadriceps. Depending on the sport being practised, a different muscle group may be chosen.

During the preparatory pre-season period for team sports, it is essential not to neglect specific muscle preparation. In most team sports, the qualities of speed and strength make all the difference. Stimulation of the quadriceps (or a different key muscle depending on the sport concerned) by means of the Compex Strength programme will result in increased speed of contraction and muscular strength. The practical benefits will be obvious: improved speed off the mark and during movement, jumping, shooting power, etc.

An Active recovery session, carried out after the most intensive training, accelerates muscular recuperation and reduces fatigue that has built up during the season when the workload is high.

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

Eg for 1 week

Mon:1 x Strength 8G

Tue: Collective training, then 1 xActive recovery 8

Wed:1xStrength8G

Thu: Collective training, then 1 x Active recovery 8

Fri:1xStrength8G

Sat: Rest

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

Programmes: Strength 8G and Active recovery 8

Maintaining results achieved during preparation for team sports during the competitive period (football, rugby, handball, volleyball, etc.)

This example concerns only athletes who have completed a full cycle of training by electrostimulation (at least 6 weeks) as part of their pre-season preparation. The weekly session of stimulation with the Strength programme should be carried out on the same muscle groups as those stimulated during the preparation period (in our example, the quadriceps).

During the season, when matches are played regularly, care should be taken not to overtrain the specific musculature. On the other hand, nor should the benefits of preparation be lost by suspending stimulation training for too long a period. During this period of competition, muscle qualities should be maintained by means of one weekly session of stimulation carried out using the Strength programme. It is also essential to leave a sufficiently long interval between this single weekly stimulation session and the day of the competition (3 days minimum).

The Active recovery programme, which must be used during the first three hours after the match, as well as after each session of intensive training, restores muscle equilibrium more quickly.

Cycle duration: During the sport season, 4x/week

Eg for 1 week

Mon:Rest

Tue: Collective training, then 1 x Active recovery 8 (if training is intensive)

Wed:1xStrength8G

Thu: Collective training, then 1 x Active recovery8 (if training is intensive)

Fri:Rest

Sat:Rest

Sun: Match, then 1 x Active recovery 80 × Thighs (within the 3 hours that follow the competition)

Programme: Active recovery 8

VII. TABLE WITH PLACEMENTS OF ELECTRODES AND STIMULATION POSITIONS

The following table will help you to determine which electrode placement and associated stimulation position to adopt, depending on the chosen programme.

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 to use, according to the programme.

Example:

Table with placements of electrodes and stimulation positions

FITNESS

Energy

01020304050607080910111213141516171819202122232425

Muscle starter

◇

A

A

A

IL

E

E

G

ABL

I

I

B

B

B

B

B

H

C

D

D

F

F

-

-

Muscle building

◇

A

A

A

IL

E

E

G

ABL

I

I

B

B

B

B

B

H

C

D

D

F

F

-

-

Hypertrophy

◇

A

A

A

IL

E

E

G

ABL

I

I

B

B

B

B

B

H

C

D

D

F

F

-

-

Hypertonic

-

-

-

A

-

-

-

G

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Aerobic

◇

A

A

A

IL

E

E

G

ABL

I

I

B

B

B

B

B

H

C

D

D

F

F

-

-

Jogging

-

-

-

-

-

-

-

G

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Step

-

-

-

-

-

-

-

G

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Anaerobic

◇

A

A

A

IL

E

E

G

ABL

I

I

B

B

B

B

B

H

C

D

D

F

F

-

-

Sprint

◇

A

A

A

IL

E

E

G

ABL

I

I

B

B

B

B

B

H

C

D

D

F

F

-

-

Combined workout

◇

A

A

A

IL

E

E

G

ABL

I

I

B

B

B

B

B

H

C

D

D

F

F

-

-

Stretching

Increase progressively the intensities to obtain a tension that is clearly perceived (eg.: 3, 4, 5, 7, 8); Comfortable position

AESTHETIC

Energy

01020304050607080910111213141516171819202122232425

Abs

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Buttocks

-

-

-

-

-

-

-

-

ABL

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Toning

◇

A

A

A

IL

E

E

G

ABL

I

I

B

B

B

B

B

H

C

D

D

F

F

-

-

Firming

◇

A

A

A

IL

E

E

G

ABL

I

I

B

B

B

B

B

H

C

D

D

F

F

-

-

Shaping

◇

A

A

A

IL

E

E

G

ABL

I

I

B

B

B

B

B

H

C

D

D

F

F

-

-

Elasticity

◇

◇

◇

◇

◇

◇

◇

◇

◇

◇

◇

◇

◇

◇

◇

◇

◇

◇

◇

◇

◇

-

-

Calorilysis

-

-

-

-

-

-

-

G

ABL

I

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Adipostress

-

-

-

-

-

◇

-

-

-

-

-

-

-

-

-

-

-

◇

◇

◇

-

-

-

-

Table with placements of electrodes and stimulation positions

MASSAGE	Energy	01020304050607080910111213141516171819202122232425
Relaxing massage	*	◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◆
Reviving massage	*	◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◆
Tonig massage	*	◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇
VASCULAR	Energy	01020304050607080910111213141516171819202122232425
Capillarization	*	◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◆
	*	- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Heavy legs	*	◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇
Cramp prevention	*	◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇○
Lymphatic drainage	*	◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇◇•
PAIN RELIEF	Energy	01020304050607080910111213141516171819202122232425
Modulated TENS	*	Cover the painful area (eg.: 26, 35, 36, 37, 38, 39); Comfortable position
Endorphinic	*	Positive electrode on the painful point (eg.: 12, 13, 15); Comfortable position
Decontracture	*	Positive electrode on the painful point (eg.: 24) or standard placement (01-23); Comfortable position
Cervical pain	*	- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Lumbago	*	- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - *
SPORT	Energy	01020304050607080910111213141516171819202122232425
Endurance	●	◇ A A A A IL E E G ABL I I B B B B B ABL C D D F F - -
Strength	●	◇ A A A A IL E E G ABL I I B B B B ABL C D D F F - -
Active recovery	*	◇ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◝ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◜ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◔ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◄ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◇
MASSAGE	Energy	262728293031323334353637383940414243444546474849
Relaxing massage	*	- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Reviving massage	*	- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Tonig massage	*	- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 14243444546474849
VASCULAR	Energy	262728293031323334353637383940414243444546474849
Capillarization	*	- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Heavy legs	*	- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 142443444546474849
Cramp prevention	*	- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - +
Lymphatic drainage	*	- - - - - - - - - - - 14243444546474849
PAIN RELIEF	Energy	262728293031323334353637383940414243444546474849
Modulated TENS	*	Cover the painful area (eg.: 26, 35, 36, 37, 38, 39); Comfortable position
Endorphinic	*	Positive electrode on the painful point (eg.: 12, 13, 15); Comfortable position
Decontracture	*	Positive electrode on the painful point (eg.: 24) or standard placement (01-23); Comfortable position
Cervical pain	*	- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Lumbago	*	- - - - - - - - - - 14243444546474849
SPORT	Energy	262728293031323334353637383940414243444546474849
Endurance	*	- - - - - - - - - - - - - - - - - - - - - - - - - - - - C I - - - - - -
Strength	*	- - - - - - - - - - - - - - - - - - - C I - - - - - -
Active recovery	*	- 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14

& = Comfortable position Letters in the table refer to Non applicable pictograms for the body positions in the poster
= Maximum tolerable energy
= Pronounced twitches
= Tickling sensation

SUMARIO

I. ADVERTENCIAS 213

Type TR1509-06-E-133A03

Input 90-264 VAC / 47-63Hz / 0.5A max.

Output 9V / 1.4A / 15W

SA Type TR503-02-A-133A03
Input 90-264 VAC /47-63Hz / 0.5A max.

Output 9V/400mA/6W

Type TR1509-06-A-133A03

Input 90-264 VAC / 47-63Hz / 0.5A max.

Output 9V / 1.4A / 15W

UK Type TR503-02-U-133A03

Input 90-264 VAC / 47-63Hz / 0.5A max.

Output 9V/400mA/6W

Type TR1509-06-U-133A03

Input 90-264 VAC / 47-63Hz / 0.5A max.

Output 9V / 1.4A / 15W

Neuroestimulación

$$ \text {a z u l} = \text {c a n a l 1} \text {a m a r i l l o} = \text {c a n a l 3} $$

$$ \text {v e r d e} = \text {c a n a l} 2 \text {r o j o} = \text {c a n a l} 4 $$

Use this treatment when you are in a situation where you are not able to cope with the problem.

I. WAARSCHUWINGEN 265

1. Contra-indications 265
2. Veiligheidsmaatregelen 265

II. WEERGAVE 267

1. Contra-indications

Belangrijke contra-indications

Programma: Mix training 21D

Weken 1-3:4x Tonus 21D /week.

Weken 4-8: 4 x Versteviging 21D /week.

Weken 9-13:4xVorming 21D /week.

Vooruitgang in de niveaus:

Weken 1-3:2x Tonus 19D,20D of 21D

/week.

Weken 4-8:3 x Versteviging19D,20D of

21D en 3 x Elasticiteit19, 20 of 21

/week.

Weken 9-13: 3 x Vorming19D, 20D of 21D

en 3 x Elasticiteit19,20of 21

/week.

Vooruitgang in de niveaus:

1ste sessie van de week: Calorilyse 9A,B of L

2de sessie de week: Calorilyse BG

3de sessie de week: Calorilyse 10I