Cefar Professional TENS / NMES Unit

Program Description and Recommendations

Program 1

Conventional TENS (high-frequency stimulation) is a good choice for both acute and long-term pain, both neurogenic and nociceptive. Conventional TENS is based on the Gate Control theory, which states that electric stimulation of A-beta fibers inhibits impulse transfer in the pain pathways. As a rule, the electrodes should be placed on or near the painful area, or over an area segmentally related to the painful area. Adjust the amplitude so that the stimulation gives strong, but pleasant paraesthesia – tingling. When using high-frequency stimulation, it’s important to ensure that the patient has normal sensory of touch in the area where the electrodes are placed.

Program 2

Burst TENS (low-frequency stimulation) is usually most effective for radiating (projected) pain in the arms and legs (rhizopathy), for conditions with reduced or changed sensory of touch, for deep muscular pain, or when the post-treatment effect of conventional TENS is too short. Burst TENS treatment alleviates pain by stimulating muscles to release the body’s own morphine-like substances, endorphins. Place the electrodes on a muscle in the painful area so that a visible contraction occurs, or on acupuncture points in the painful area. The stimulation should feel pleasant and give visible muscle contractions. Remember that the patient often feels the stimulation clearly before contractions become visible.

Program 3

Modulated pulse duration stimulation is a type of high-frequency stimulation where the pulse duration varies continuously. This can cause an undulating sensation, which may be more pleasant than a constant pulse duration. Use Program 3 for pain alleviation and a massage effect on muscles like the trapezius.

Program 4

Program 4 has a shorter pulse duration than the other programs. A short pulse duration is suitable for treating sensitive, nerve-rich areas like the face and high up on the neck. With a shorter pulse duration the amplitude can be increased, which makes it easier to find the right level without the patient experiencing pain.

Program 5

Mixed frequency stimulation is also called Han stimulation (3 sec at 2 Hz and 3 sec at 80 Hz). Stimulation frequencies switch every three seconds, giving a combination of high- and low-frequency stimulation, which can offer a more effective treatment. Place the electrodes as you would for low-frequency stimulation – on a muscle in the painful area.

Program 6

Program 6 is specifically designed for treating acupuncture points on a neurmodulation mode. For nausea, place the black electrode on acupuncture point PC6 (inside of the wrist) and the red one on acupuncture point TE5 (outside of the wrist). For pudendale pain as for incontinence treatment, place the electrode on SPE nerve on medial part of the ankle.

Program 7

Always use 2 channels and 4 electrodes with Program 7. A modulated pulse duration stimulation is obtained, but since the channels are alternately active, a massaging, pumping effect is experienced. Place the electrodes as for high-frequency stimulation when a pain relieving and massaging effect is desired.

Program 8

An increase in the tension of the contractured muscle fibres and the crushing of the capillary network resulting from this causes a decrease in the blood flow and a gradual accumulation of acid metabolites and free radicals. Without treatment, there is a risk that the contracture will become chronic and genuine atrophy of the capillary network may gradually occur. In addition to the general effect of increasing endorphin production in the hypothalamus, which elevates the pain perception threshold, there is a very significant localised effect. The 5 muscle twitches induced every second by stimulation produce very significant hyperaemia (increased blood flow to the area), which drains the acid metabolites and free radicals that had accumulated in the chronically contractured muscle areas.

Program 9

The principle is to cause a significant influx of tactile sensitivity in order to restrict the entry of pain impulses upon their return to the posterior horn of the spinal cord. We must therefore stimulate the sensitivity fibres on the skin of the painful area. To do this, it is necessary to use a frequency that is the same as the operational frequencies for the tactile sensitivity nerve fibres that could attend 100 Hz

Program 10

A muscle that is normally innervated, after a period of immobilisation or diminished movement due to pain or restricted range of motion, rapidly decreases in volume. This decrease depends on the degree and duration of the functional deficit. Slow fibres (type I) in particular are affected by disuse atrophy.

Programs 11-15

In the Programming mode you could create a custom program and select your own parameters.

Chattanooga Cefar Devices Warranty – LIMITED 3 YEARS

If there are any issues within the first 30 days of purchasing the device, you can return it to us, The Physio Store Inc. and we will replace the device free of charge. 

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Register before the warranty period runs out.  You will receive an email confirming your warranty registration.

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Our team at The Physio Store want your purchase to work for you.  We have a low-risk, 30-Day Money Back Guarantee (with only a few exceptions) allowing you to try the merchandise and see if it's right for you!  If after trying the merchandise, it does not work for you, you can exchange or return the merchandise for a full refund (minus the shipping costs)!  

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We want all of our customers to be happy, that's why over 80% of our products are covered by our money back guarantee.  To maintain hygienic standards in accordance with Ontario Health and Health Canada infection and disease prevention initiatives ALL medical, surgical, and rehabilitation equipment are non-returnable, unless they have a manufacturer guarantee.  Other items we do not return include (but are not limited to):