Enraf-Academy Introduction Note

  • Users of Enraf-Nonius treatment devices must be trained in how to use the system properly and have the appropriate skills.
  • Any treatment instructions regarding treatment location, duration and strength require medical knowledge and should only be given by authorised doctors, therapists and health professionals. It is imperative that these instructions are followed.
  • Before using Enraf-Nonius equipment, read, understand and practice the instructions for use. Know the limitations and hazards associated with using the device. Also observe the precautionary and operational decals placed on the unit.

Electrotherapy (electrical currents)

Electrotherapy is the use of electrical energy as a medical treatment. Electrotherapy (or Electro Physical Agents – EPA’s) comprise a wide variety of treatment methods for several indications and conditions like electrical currents, short- and microwave and ultrasound. In this "Electrotherapy" section we limit the scope to electrical currents for therapeutics purposes. that is:

  • Interferential Currents
  • Biphasic Pulsed Currents (TENS)
  • Premodulated currents
  • Russian Stimulation
  • Micro Currents
  • High Voltage
  • Diadynamic Currents
  • Galvanic Currents
  • Faradic Currents

These current forms in Enraf-Nonius electrotherapy equipment are primarily designed for pain management, muscle stimulation and tissue regeneration.

Want to know more?

For more information please go to

www.electrotherapy.org

Enraf-Nonius Electrotherapy Equipment

   

Enraf-Nonius
 
Enraf-Nonius

Endomed 484
Allround 4-channel electrostimulator
Leaflet Manual Youtube
   

Enraf-Nonius
 
Enraf-Nonius

Endomed 182
Cheapest professional device for interferential current (ifc) and tens
Leaflet Manual Youtube
   

Enraf-Nonius
 
Enraf-Nonius

Vacotron 460
The Vacotron 460 is a valuable addition to the Endomed 482 or Sonopuls 492 (new models)
Leaflet Manual

Electrotherapy Indications and Contra-Indications

Pain Management

Pain Management is the use of electrical stimulation for pain relief.

Indications Pain Management

  • Symptomatic relief of chronic, intractable pain. Management of pain associated with posttraumatic or postoperative conditions.

Contra-indications Pain Management

  • This device should not be used for symptomatic pain relief unless etiology is established or unless a pain syndrome has been diagnosed.
  • This device should not be used on patients with demand-type cardiac pacemakers.
  • This device should not be used over cancerous lesions.
  • Electrode placements that apply current to the carotid sinus region (anterior neck) must be avoided.
  • Electrode placements that apply current transcerebrally (through the head) must be avoided.
  • Electrode placements that apply current transthoracically (the introduction of electrical current into the heart may cause cardiac arrhythmias) must be avoided.

Warnings Pain Management

  • Benefits of TENS currents have not been established for pain of central origin.
  • This device is to be used as a symptomatic treatment for pain and has no curative value. Patients should be cautioned and their activities regulated if pain that would otherwise serve as a protective mechanism is suppressed.
  • The long-term effects of chronic electrical stimulation are unknown.
  • Safety has not been established for the use of therapeutic electrical stimulation during pregnancy.
  • Stimulation should not be applied over swollen, infected, or inflamed areas of skin eruptions e.g.,phlebitis, thrombophlebitis, varicose veins, etc.
  • See also chapter 3, Precautionary Instructions, for general Warnings and Precautions.

Muscle Stimulation

Muscle Stimulation is the use of electrical stimulation to treat muscle dysfunction.

Indications Muscle Stimulation

  • Relaxation of muscle spasms
  • Prevention or retardation of disuse atrophy
  • Increasing local blood circulation
  • Muscle re-education
  • Immediate post-surgical stimulation of calf muscles to prevent venous thrombosis
  • Maintaining or increasing range of motion
  • Dysphagia

 Contra-indications Muscle Stimulation

  • This device should not be used on patients with demand-type cardiac pacemakers
  • This device should not be used over cancerous lesions
  • Electrode placements that apply current to the sinus carotid region (anterior neck) must be avoided (1)
  • Electrode placements that apply current transcerebrally (through the head) must be avoided.
  • Electrode placements that apply current transthoracically (the introduction of electrical current into the heart may cause cardiac arrhythmias) must be avoided.

 Note (1)

However the application area for the treatment of Dysphagia is distant enough from the sinus carotis area, when the therapist follows the guidelines as described in the therapybook "Dysphagia (by H.C.A. Bogaardt SLP, PhD)"

Warnings Muscle Stimulation

  • The long-term effects of chronic electrical stimulation are unknown.
  • Safety has not been established for the use of therapeutic electrical stimulation during pregnancy.
  • Stimulation should not be applied over swollen, infected, or inflamed areas of skin eruptions e.g., phlebitis, thrombophlebitis, varicose veins, etc.

 

Instruction for Use Please consult the Instructions for Use for more information on indications and contra-indications and for warnings and recommendations.

These indications and contra-indications originated from the 4-Series Operating Instructions EN 1498751-41.

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