MyoBravo TENS/EMS/FES Device 2-4 channels

The MyoBravo is a modern, dual-channel (A/B) electrical stimulator developed by MTR+ with the collaboration of doctors, patients, and athletes. Each channel has 2 outputs, allowing simultaneous use of 4 electrode pairs (8 electrodes). It is also suitable for connecting an incontinence probe. The MyoBravo is a combined device that provides effective muscle stimulation for both therapeutic and sports activities, as well as for pain relief (TENS) and urinary/fecal incontinence treatment.

Main Application Areas and Therapeutic Effects

Muscle Stimulation Treatments

One of the main functions of the MyoBravo is electrical stimulation of muscles. The device can trigger muscle contractions using current impulses of various frequencies, which bring numerous beneficial effects. Muscle stimulation improves blood circulation, delays muscle fatigue, strengthens atrophied muscles, and supports muscle building. The device is especially suitable for musculoskeletal rehabilitation as well as enhancing performance and recovery for athletes.

Pain Relief (TENS) Treatments

Transcutaneous Electrical Nerve Stimulation (TENS) is a scientifically proven method for pain relief. The current impulses generated by the MyoBravo act on nerve fibers through electrodes and skin. Pain relief is achieved by two mechanisms: first, it blocks pain signal transmission based on the gate control theory, and second, it stimulates endorphin production, which acts as a natural painkiller.

Incontinence Treatments

The third main application area of the MyoBravo is the treatment of urinary and fecal incontinence. Electrical stimulation strengthens pelvic floor muscles, improves bladder sphincter function, and soothes overactive bladder function. The device can be used with special vaginal or rectal probes for incontinence treatment. The therapy is simple, non-burdensome, and can effectively address various types of incontinence problems.

Operation Principle and Mechanism of the MyoBravo

Physiological Basis of Electrical Muscle Stimulation

Muscle function is regulated by nerve impulses under natural conditions. The MyoBravo mimics these nerve signals with the electrical impulses it generates. The frequency and other parameters of the impulses can be adjusted according to the specific therapeutic goal. Electrical stimulation causes muscle fibers to contract, resulting in several physiological changes: improved blood circulation, enhanced metabolism, increased muscle strength.

Physiological Background of TENS Treatment

During TENS pain relief treatment, current impulses inhibit pain signal transmission to the brain (gate control theory). Additionally, TENS stimulates beta-endorphin production, which has morphine-like but side-effect-free natural painkilling effects. The effect of TENS therapy appears at the start of treatment and generally persists after stimulation.

Basics of Electrical Treatment for Incontinence

Electrical treatment for incontinence triggers contraction of pelvic floor muscles. Regular treatment strengthens these muscles, improves sphincter function, and restores normal bladder function. Patients learn to regain control over pelvic floor muscles. Therapy effectiveness can be measured with a (sold separately) biofeedback device.

Detailed Application Areas of the MyoBravo

Treatment of Musculoskeletal Problems

The device is excellently applicable in various musculoskeletal complaints. It helps prevent or delay muscle spasms, strengthens atrophied muscles, and improves mobility. It can be effective in treating joint wear, lower back pain, neck and back pain. Through muscle stimulation, blood circulation improves and pain and swelling decrease.

Sports and Performance Enhancement

The MyoBravo is specifically suitable for supporting athlete preparation and recovery. The device includes numerous programs to increase muscle strength and endurance. It focuses on regeneration through relaxation, detoxification, and active recovery. The three freely configurable programs allow personalized training plans.

Selectable sport programs include

• Warm-up
• Capillarization
• Endurance
• Resistance
• Maximum strength output
• Explosiveness
• Muscle mass concentration
• Regeneration

Chronic Pain Relief

TENS treatment is a scientifically validated method for alleviating various chronic pains. The MyoBravo can be used for arthrosis, spinal issues, circulatory disorders, nerve pain, muscle pain, phantom pain, and other painful conditions. TENS treatment reduces pain naturally and without side effects.

Treatment of Incontinence Types

The device is suitable for treating stress incontinence, urge incontinence, and mixed incontinence. Stress incontinence is caused by pelvic floor muscle weakness leading to urinary retention problems. Urge incontinence is related to overactive bladder function. The MyoBravo contains appropriate programs for both types and their combinations.

Incontinence treatment can be performed with self-adhesive electrodes or separately available intravaginal or anal probes. Intravaginal treatment offers more effective therapy.

Probe range

All electrodes combine plastic and metal. Electrode surfaces are smoke gold plated (extremely thin gold layer), making them suitable also for patients with metal allergies.

Incontinence therapy covers stress, urge, and fecal incontinence treatment. Mixed incontinence can be treated with individualized programs or sequential use of stress and urge incontinence programs.

Probe name	Image	Recommended use	Compatibility
PeriSphera O		For vaginal use. General incontinence treatment. For single-channel devices.	evoStim UG / E / P, Biolito, BioBravo, Myolito, MyoBravo, SineBravo, DuoBravo
PeriProbe Anal		For anal use. For fecal incontinence and male urinary dribbling. For single-channel devices.	evoStim UG / E / P, Biolito, BioBravo, Myolito, MyoBravo, SineBravo, DuoBravo

Use and Handling of the MyoBravo

Device Setup

Using the MyoBravo is simple. It operates with 4 AA batteries. After inserting the batteries, connect the electrode cables and apply the electrodes or probe to the treatment area. After switching on, select the appropriate therapy program.

Program Settings and Use

The MyoBravo has 31 pre-programmed and 3 freely configurable programs. You can change programs with the PRG button. Intensity is adjustable separately on both channels with +/- buttons. For safety, the device automatically reduces intensity to 8 mA when switching phases.

Electrode Placement

Proper electrode placement is critical for treatment effectiveness. For muscle stimulation, place one electrode preferably on the motor point of the muscle. For TENS treatment, generally surround the painful area with electrodes. Maintain less than 20 cm distance between electrodes.

Therapy Memory and Data Recording

The device includes therapy memory that records treatment data, enabling therapists to monitor treatments by frequency, intensity, etc. The memory stores data for 60 treatment days.

Contraindications of Electrotherapy Treatments

Electrotherapy treatments (TENS, EMS, MENS, FES, ETS, CES, microcurrent, iontophoresis, denervated, selective stimulus current, Kotz, interferential, etc.) are safe and free from side effects.

There are very few conditions listed as contraindications. Based on current data, ANY electrotherapy treatment is FORBIDDEN for patients with pacemakers or implanted defibrillators.

Other conditions are not exclusion criteria but require weighing benefits and risks (by the attending physician).

If uncertain about applicability, read Dr. Zsolt Zátrok's article on the "Health Through Life" blog. Click here.

It is often believed that electrotherapy devices are not suitable for patients with metal implants, prostheses, bone plates, screws. This is an outdated assumption. Read Dr. Zsolt Zátrok's article about implants and electrical treatment. Click here