User Manual for Ultima 20 T.E.N.S UNIT PRESCRIBING INFORMATION FOREWORD Read this manual carefully before using your Ultima 20 T.E.N.S. The manufacturer strongly recommends carefully reading the “Warnings and Cautions”, and subsequent chapters of this manual. WARNINGS AND CAUTIONS Prescription labeling. The Ultima 5 Digital is an advanced, pocket sized, fully portable, Transcutaneous Electrical Nerve Stimulation (TENS) system designed to relieve both accute. User Manual for Ultima 5 T.E.N.S. UNIT PRESCRIBING INFORMATION FOREWORD A Read this User Manual carefully before you starl using your Ultima 5 T.E.N.S. The manufacturer strongly recommends carefully reading of the 'Wamings and Cautions' and Chaotens of this User Manual. WARNINGS AND CAUTIONS Prescription labeling: Federal law restricts.

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T.E.N.S- Transcutaneous Electrical Nerve Stimulation: TENS was designed to relieve pain by sending gentle electrical impulses through the skin to the nerves. This suppresses pain by blocking the pain signals before they reach the brain. This type of stimulation is characterized by biphasic, low volt, current and selectable parameters such as pulse rate and pulse width. TENS stimulates sensory nerves to block pain signals, stimulate endorphin production to help normalize sympathetic function.
EMS- Electrical Muscle Stimulation: EMS is predominately used by doctors and physical therapists to prevent, or reduce, muscle atrophy. This type of stimulation is characterized by a low volt stimulation targeted to stimulate motor nerves to cause a muscle contraction. EMS differs from TENS in that it is designed to stimulate muscle motor nerves, while TENS is designed to stimulate sensory nerve endings to help decrease pain. Enables patient to exercise an immobilized muscle by duplicating a conventional exercise.
Galvanic Stim: Galvanic stimulation is most useful in acute injuries associated with major tissue trauma with bleeding or swelling. In contrast to TENS and IFC units, which apply alternating current, galvanic stimulators apply direct current. Direct current creates an electrical field over the treated area that, theoretically, changes blood flow. The positive pad behaves like ice, causing reduced circulation to the area under the pad and reduction in swelling. The negative pad behaves like heat, causing increased circulation, reportedly speeding healing. High-voltage pulsed galvanic stimulation (HVPGS) is gaining widespread use for wound healing, edema reduction and pain relief Carpal Tunnel Syndrome and Diabetic Foot are two major areas of use.
Interferential Generator: Interferential stimulation differs from TENS because it allows a deeper penetration of the tissue with more comfort (compliance) and increased circulation. Interferential current is essentially a deeper form of TENS. In essence, IFC modulates a high frequency (4000 Hz) carrier waveform with the same signal produced by a TENS unit. The high frequency carrier waveform penetrates the skin more deeply than a regular TENS unit, with less user discomfort for a given level of stimulation. Deep in the tissues, the carrier waveform is cancelled out, resulting in a TENS-like signal deep under the skin.
M.E.N.S.- Micro-current Electrical Neuromuscular Stimulator: Where TENS is used to hide pain, micro-current, because of its close proximity of our own body’s current, is thought to work on a more cellular level. It has been theorized that healthy tissue is the result of the direct flow of electrical current throughout the body. Electrical balance is disrupted when the body is injured at a particular site, causing the electrical current to change course. The use of micro-current over the injured site is thought to realign this flow, thus aid in tissue repair.
Russian Stimulation: Is a specific form of electro-stimulation originally developed by the Russian Olympic team for muscle mass enhancement, it is now often used for muscle strengthening, muscle spasms & edema reduction in the United States. Russian muscle stimulation is similar to EMS. It is designed to stimulate motor nerves, however, the high frequency of 2500 Hz allows for deeper muscle penetration and a more complete/stronger contraction of the muscle fibers
EMS
What Is EMS?
E.M.S. stands for Electrical Muscle Stimulation. EMS is predominately used by doctors and physical therapists to prevent, or reduce, muscle atrophy. Atrophy is the weakening and loss of muscle tone, which is usually experienced after surgeries or injuries. EMS has proven to be an effective means of preventing muscle atrophy. Doctors also see EMS as a means of increasing blood flow to muscles, increasing range of motion, increasing muscle strength, as well as enhancing muscle endurance. EMS will have pain management attributes in regards to muscle related pain, such as a spastic muscle, sore muscles, or tight muscles. A TENS device is more suited for nerve related pain conditions (acute and chronic conditions).
While using the EMS, the brain sends a nerve impulse to the 'motor point' of your muscle. This signal is a message to the muscles to expand and contract. Electrodes are placed over the motor points of the muscle group to be exercised. When the stimulation is applied through the pads, the signal finds its way to these motor points and causes the muscle to expand and contract. This makes it possible to duplicate a conventional exercise, similar to an isometric exercise.
During an exercise, your brain sends a message down the spinal cord through the nerves with all the muscles you're using that causes them to relax and contract. This is called voluntary muscle action. Your brain is controlling the muscle.
Electrical muscle stimulation uses an outside electrical source that stimulates the nerves to send signals to your muscle to expand and contract. This is done by sending electrical current through self adhesive electrodes placed over the muscle. The current passes through your skin to the nerves in that area, causing the muscle to expand and contract.
Studies have shown that EMS stimulates large nerve axons (long outgrowths of a nerve cell body), some of which you cannot stimulate voluntarily. It is possible that EMS might allow for additional muscle hypertrophy (increased development of tissue by enlargement, without multiplication of cells).
EMS can increase muscle hypertrophy (growth), endurance and strength. EMS may be used only for this or with regular weight training by aiding recovery and helping muscles grow and get stronger. EMS can increase body temperature, heart rate and metabolism (promoting energy and fat absorption from the body).
How Does EMS Work?
Normally when you perform an exercise, your brain sends a message through your spinal cord to nerves indicating muscles to contract. EMS uses electrical impulses to stimulate the nerve axons.These impulses reach the nerve axons, signaling the muscles to contract and relax rhythmically as instructed by the EMS unit. EMS actually stimulates muscles that you can not normally exercise voluntarily. This allows you to train muscles that may normally have little activity.
Will EMS Improve My Physical Appearance?
EMS is widely used by bodybuilders and other athletes as a supplement to strength training. Olympic athletes have been utilizing EMS to enhance their training for over wenty years. EMS is used to increase muscle tone and endurance. For best results, many bodybuilders use EMS in conjunction with working out. A rhythmic pumping of the muscles, produced by the EMS unit, helps deliver nutrients and oxygen to the muscles. Concurrently, waste products such as lactic acid are pumped out of the muscles. This increased blood flow to the muscles cuts down on recovery time and promotes healthy muscle activity. Bodybuilders also frequently use EMS for the relaxation of muscle spasms. EMS provides an increase in range of motion, which reduces the chance of injury. Men and Women are increasingly using EMS to enhance their appearance by toning their abdominal and chest muscles.
Technical Information
Channels: Duel isolated between channels.
Intensity: (Amplitude): Adjustable 0-(80+or-10) mA peak into 500 ohm load each channel.
Pulse Rate: (Frequency): (Adjustable) (2+or-1) Hz~ (120+or-20%)Hz.
Pulse Width: (Duration): (250+or-1