Electrotherapy device for physiotherapy
The Genesy 3000 is the flagship model among Globus Italia's medical electrotherapy devices. The device is larger than its predecessors and features a more ergonomic design. The Genesy 3000 Pro can be used as an electrotherapy device either with the power adapter or as a portable device with the integrated, rechargeable battery.
The Genesy 3000 is the most comprehensive and versatile EMS device available. Its primary applications are pain management, tissue regeneration, and the treatment of neuromuscular dysfunction. Additionally, the device also offers applications in the areas of anti-aging and aesthetics.
Genesy 3000 - Main areas of application EMS TENS
This professional electrotherapy device was developed to help coaches and physiotherapists enable athletes to return to sport more quickly. This includes treating injuries with appropriate stimulation programs and reducing the likelihood of re-injury.
The 423 stimulation programs (53 Sport - 33 Pain - 29 Fitness - 23 Microcurrent - 16 Beauty - 11 Rehabilitation - 9 Denervated - 9 Interference - 1 Iontophoresis - 3 Incontinence - 236 EMS Combo (EMS - Russian)) were developed by physiotherapists, orthopedists and doctors to use EMS and TENS programs after post-traumatic or acute stages.
Athletes who have undergone reconstructive surgery can also use the Genesy 3000 for rehabilitation. In addition to rehabilitation programs, the Genesy 3000 also covers the entire spectrum of sports applications, including six different current types: EMS, TENS, MENS, Kotz, ionophoresis, denervated muscles, and triangular/trapezoid currents for denervated muscles . This wide selection of different waveforms makes this TENS EMS device extremely versatile.
8 different application types
Functional rehabilitation (EMS and MENS)
Pain therapy (TENS and MENS)
Endorphin therapy (TENS and MENS)
Diagnosis and treatment of denervated muscles
Rehabilitation (Kotz)
Pharmacological applications (ionophoresis)
High-level sports training (EMS)
Fitness Preparation (EMS)
Aesthetic applications (EMS, MENS)
Genesy 3000 stimulation programs
rehabilitation
The rehabilitation programs utilize EMS currents to restore normal muscle function after injuries. Electrical muscle stimulation is an excellent tool for rehabilitation when normal neuromuscular function is impaired.
Program list: Swollen ankles, quadriceps atrophy, hemiplegia upper extremities, hemiplegia lower extremities, rehab after anterior cruciate ligament reconstruction, functional rehabilitation lower extremities, multiple sclerosis ankles, multiple sclerosis spasms, shoulder sublaxation prevention, vastus medialis strengthening after femoropatellar pain syndrome.
Pain treatment
Transcutaneous electrical nerve stimulation (TENS) is an analgesic stimulation technique that uses electrical currents to influence the peripheral nervous system. TENS stimulation uses symmetrical, biphasic pulses in the frequency range of 8–200 Hz.
Program list: High frequency antalgic TENS, hand osteoarthritis, endorphin TENS, postoperative pain, chronic pain, shoulder pain, carpal tunnel syndrome, neck pain, knee osteoarthritis, rotator cuff tendonitis, muscle pain, nerve compression, spinal compression, spinal osteoarthritis, spinal osteoporosis, hip osteoarthritis, ankle osteoarthritis, muscle tension, postoperative pain (after bone fractures and soft tissue injuries), sciatica, chronic lumbago, back pain, acute pain after hernia, bursitis tendonitis, muscle injuries, whiplash, bone fractures, epicondylitis, osteoarthritis.
Iontophoresis
The iontophoresis program delivers pharmacological substances into the tissue using a unidirectional direct electrical current. The ions in the pharmacological substances enter the body through the skin due to the low resistance to the current, allowing the substances to reach the cell membranes.
Microcurrents
Microcurrents (MENS) use currents with an intensity of 10–500 µA (microamperes). MENS therapy typically consists of two distinct phases. The first phase is intended to reduce pain in the patient, and the second phase stimulates protein and ATP synthesis to accelerate tissue healing.
Program list: Epicondylitis, SH periarthritis, muscle restoration, contusion, edema, skin ulcers, sciatica, lumbago, brachial neuralgia, acute pain, joint pain, stiff neck, whiplash, cervical spondylosis, shoulder sprain, carpal tunnel syndrome, knee sprain, knee osteoarthritis, ankle sprain, Achilles tendonitis, patella tendonitis, rotator cuff inflammation, tendonitis.
Denervated muscles
The stimulation of denervated muscles differs from the electrical stimulation of healthy muscles because the activation of the muscle fibers of denervated muscles requires very specific currents.
In the presence of a traumatic lesion of the peripheral nerves, a measurement of chronaxia allows to determine whether the denervation is limited, partial or complete.
Program list: Pulse shape rectangular rectangular current 1-2-3, pulse shape triangular triangular current 1-2-3, pulse shape trapezoidal trapezoidal current 1-2-3
Electrotherapy menu
Program list: The electrotherapy includes a total of 192 different EMS combinations and 44 Russian (KOTZ) variants.
Interference currents
This current variant is called interference because it creates an interference (superposition) area in the tissue at the point where the fields intersect.
Interferential current is an alternating, medium-frequency (2500 Hz - 4000 Hz - 10000 Hz), sinusoidal current that penetrates the body in two circuits, not just one like conventional EMS. Interferential applications are characterized by their ability to penetrate tissue very well and trigger therapeutic effects. Furthermore, this form of current is very low-irritant and can be tolerated even by sensitive patients.
Program List: Knee osteoarthritis, acute lumbago, cervical pain, chronic lumbago, frozen shoulder, postoperative knee pain, vertebral fracture pain, postoperative knee edema, fibromyalgia.
sport
Capillarization, warm-up, pre-competition warm-up, active regeneration, maximum strength, strength endurance, explosive strength, aerobic endurance, reactivity, post-competition recovery, decontraction, hypertrophy.
fitness
Tightening, Bio-Pulse tightening, sculpting, Bio-Pulse sculpting, strengthening, building muscle mass, body sculpting, definition, jogging, anaerobic fitness, aerobic fitness, cramp prevention
beauty
Drainage, lipolysis, firming massage, skin tension improvement, connective tissue massage, post-pregnancy drainage, post-pregnancy lipolysis, post-pregnancy firming.
Diagnostic program for denervated muscles
What sets the Genesy 3000 apart is the special diagnostic program integrated into the device. For private practice physiotherapists and rehabilitation clinics treating patients with denervated muscles, this is a great help in determining optimal treatment parameters.
When using the diagnostic program, the Genesy 3000 proposes a complete protocol that allows you to determine the optimal parameters for electrical stimulation of a denervated muscle. The corresponding parameters can then be conveniently saved directly in the device.
How does the diagnostics work in practice? To calculate the rheobase, the current is manually increased. As soon as the first motor response is seen, the current level can be saved. This value corresponds exactly to the rheobase, i.e., the lowest current with which excitation can be triggered by a long pulse.
What is the rheobase needed for? The rheobase's sole function is to calculate chronaxie. The positioning and size of the electrodes used are crucial for the absolute value of the rheobase.
To make optimal use of the diagnostic program, relatively small electrodes (32 mm to a maximum of 50 mm in diameter) should be used. The muscle's contractile value and its trophic state are determined.
How is chronaxie calculated? The Genesy 3000 automatically selects the starting current. This corresponds to twice the rheobase value. A minimum value is set for the pulse amplitude. The therapist then slowly increases the pulse amplitude. Once the first motor response is visible, the therapist confirms the pulse amplitude by pressing the OK button.
Calculating the slope . After saving the chronaxie value, the Genesy 3000 asks if the slope value of the pulse should be adjusted. This allows the shape of the pulse to be changed from the standard rectangular shape to a trapezoidal or triangular shape. The desired shape can be saved, and then the current strength can be increased until the stimulus is generated.
The programs defined by the diagnostics are stored under the "Programming" menu item of the Genesy 3000. This allows them to be easily accessed and executed.
The results of the diagnosis
Chronaxia less than 1 millisecond: The muscle is normally innervated.
Chronaxia between 1-10 milliseconds: The slight increase in chronaxia indicates a slight denervation, which does not necessarily require special treatment, since there are only a few denervated fibers.
Chronaxia between 10-20 milliseconds: This significant increase indicates that some motor units are inhibited. However, since spontaneous activity is still present, other motor units are still active. This can be considered partial denervation of the muscle.
The appropriate electrotherapy here should consist of selective stimulation of the denervated fibers, without involving the still healthy fibers. This is possible thanks to the use of currents with a progressive gradient, trapezoidal, or triangular currents.
Chronaxia over 20 milliseconds: This high value means that voluntary activity no longer occurs. With a chronaxia between 20 and 40 milliseconds, the muscle is completely denervated. Nerve conduction is completely interrupted.
For the treatment of completely denervated muscles, rectangular currents with a long duration (100 or 300 ms) are recommended.
The Genesy 3000 electrotherapy device is ideal for treating denervated muscles. Its compact size allows for portable use directly with the patient. The diagnostic program allows for customized electrotherapy treatment based on the severity of the problem.
Globus Genesy 3000 User Manual
Additional information:
1. EMS, microcurrent and TENS electrode positions
2. EMS programs for beauty, sports and rehabilitation