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A transcutaneous electrical nerve stimulation (TENS or TNS) is a device that produces mild electric current to stimulate the nerves for therapeutic purposes.TENS, by definition, covers the complete range of transcutaneously applied currents used for nerve excitation, but the term is often used with a more restrictive intent, namely, to describe the kind of pulses produced by portable ...
A typical electrode gel consists of a mixture of water, a thickener such as polyvinyl alcohol or carboxymethyl cellulose, and an electrolyte to increase conductivity. [1] [2] Some electrode gels have been shown to pose a potential fire risk when high-energy pulses are used, as for example when defibrillators are used. [3]
The electrodes are generally pads that adhere to the skin. The impulses mimic the action potential that comes from the central nervous system , causing the muscles to contract. The use of EMS has been cited by sports scientists [ 2 ] as a complementary technique for sports training, and published research is available on the results obtained. [ 3 ]
The same target structures can also be activated by transcutaneous electrodes placed over the lower thoracic spine and abdomen. [20] Transcutaneous spinal cord stimulation is completely non-invasive and, as it uses TENS electrodes and stimulators, can be applied at low cost.
Such devices apply extremely small microamp [uA] electrical currents (less than 1 milliampere [mA]) to the tissues using electrodes placed on the skin. One microampere [uA] is 1 millionth of an ampere and the uses of MENS are distinct from those of "TENS" which runs at one milliamp [mA] or one thousandth of an amp.
The careful placement of the electrodes is crucial to successful tDCS technique. The electrode pads come in various sizes with benefits to each size. A smaller sized electrode achieves a more focused stimulation of a site while a larger electrode ensures that the entirety of the region of interest is being stimulated. [31]
Electrotherapy is the use of electrical energy as a medical treatment. [1] In medicine, the term electrotherapy can apply to a variety of treatments, including the use of electrical devices such as deep brain stimulators for neurological disease. [2]
A patient sits comfortably with the treatment leg elevated. A fine needle electrode is inserted into the lower, inner aspect of the leg, slightly cephalad/rostral to the medial malleolus. As the goal is to send stimulation through the tibial nerve, it is important to have the needle electrode near (but not on) the tibial nerve.
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