9. Indications and contraindications
page 75 / 96 Issue date 18.05.2021, rev. 1.0
9. Indications and contraindications
Indications
9.1.1 TENS and SP-TENS current
biological impact: pain relief, improvement of blood circulation, stimulation of muscles, stimulation of nerve
fibers with varying effect depending on frequency range, pulse width and modulation type:
• t
imp
50÷100 µs, f 50÷150 Hz – inhibition of pain conduction through a gate control mechanism
• t
imp
100÷300 µs, f 1÷10 Hz – stimulation of endorphins synthesis, stimulation in electroacupuncture
• t
imp
200÷300 µs, f 5÷50 Hz – stimulation of neuromotoric units
• BURST – strong analgesic effect
• SP-TENS – for spastic paralysis of the nervous muscle system
therapeutic application:
• discopathy
• degenerative joint diseases
• arthralgias and pain syndromes of rheumatoid arthritis and spondylitis
• neuralgias and compression syndromes
• periarthritic inflammation
• zoster
• post-surgical pain
• other pain syndromes (except for tumor related pain, details are presented in 9.2)
• partial damage of afferent nerve fibers (facilitation of impulse transmission)
• atrophy of immobilization
• acceleration of bone consolidation
• wound healing
9.1.2 Interferential and AMF currents
biological impact: interferential and AMF currents affect mainly tissues located deeper inside human body
showing different biological impact based on the range of basic frequency and intensity:
• f 5÷50 Hz – stimulation of muscles, intensity above motor threshold
• f 40÷90 Hz – improvement of local circulation, acceleration of resorption
• f 50÷150 Hz – relief of pain and relaxation of muscles
• f 90÷150 Hz – relief of pain
• f 100÷150 Hz – normalization of vegetative system functions, intensity above sensory threshold
therapeutic application:
• pains in ankylosing spondylitis
• discopathy
• degenerative joint diseases
• pains in rheumatoid arthritis and spondylitis
• neuralgias and compression syndromes
• periarthritic inflammation
• vascular syndromes
• post-traumatic conditions after movement apparatus injuries
• syndromes with increased muscular tone
• vegetative disorders
• oedemas, subcutaneous and intramuscular extravasations