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A Review on Transcutaneous Electrical Nerve Stimulation and its Applications

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Abstract

Neuropathic pain is experienced when the human nervous system is malfunctioning and is commonly observed in 1 /10th of the population aged above 30 years. Transcutaneous Electrical Nerve Stimulation (TENS) is a technique in which electrical currents are delivered to a person in pain with the help of electrodes and its controlling circuit. The objective of this manuscript is to understand the theory of TENS, its types, electrode placement of TENS for various applications. We also identify the uses, precautions, and contradictions of TENS as a complete system and its various applications in the field of medicine such as dentistry, dermatology, and orthopedics. The effectiveness of TENS depends on the type of application it is being used in. TENS therapy, however, has a few minor side effects. Dysaesthesia (abnormal sensation), nausea, dizziness, or fainting are just a few examples. There is a split of opinions in the medical field on whether or not to use TENS. In this survey, we have provided a brief summary of the studies done on the topic of TENS and its applications.

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References

  1. Arsenault AB, Bélanger AY, Durand MJ, De Serres SJ, Fortin L, Kemp F. Effects of tens and topical skin anesthesia on soleus h-reflex and the concomitant influence of skin/muscle temperature. Arch Phys Med Rehabil 1993;74(1):48–53.

    CAS  PubMed  Google Scholar 

  2. Chao AS, Chao A, Wang TH, Chang YC, Peng HH, Chang SD, Chao A, Chang CJ, Lai CH, Wong AM. Pain relief by applying transcutaneous electrical nerve stimulation (tens) on acupuncture points during the first stage of labor: a randomized double-blind placebo-controlled trial. Pain 2007;127 (3):214–22.

    Article  Google Scholar 

  3. Chiu TT, Hui-Chan CW, Cheing G. A randomized clinical trial of tens and exercise for patients with chronic neck pain. Clin Rehabil 2005;19(8):850–86.

    Article  Google Scholar 

  4. Davis LA, Carzoli JP, Feka K, Nelson C, Enoka RM. Exercise with tens does not augment gains in balance and strength for dancers. J Electromyogr Kinesiol 2021;56:102,507.

    Article  Google Scholar 

  5. Deyo RA, Walsh NE, Martin DC, Schoenfeld LS, Ramamurthy S. A controlled trial of transcutaneous electrical nerve stimulation (tens) and exercise for chronic low back pain. New England J Med 1990;322(23):1627–16.

    Article  CAS  Google Scholar 

  6. Donvito T. 2020. Transcutaneous electric nerve stimulation (tens) for arthritis pain: does it help?. https://creakyjoints.org/treatment/transcutaneous-electric-nerve-stimulation-for-arthritis/.

  7. Engelberg M, Bauer W. Transcutaneous electrical stimulation for tinnitus. Laryngoscope 1985; 95(10):1167–11.

    Article  CAS  Google Scholar 

  8. eorthopod. 2015. Transcutaneous electrical stimulation (tens) for cervical spine pain. https://eorthopod.com/transcutaneous-electrical-stimulation-tens-for-cervical-spine-pain/.

  9. Francis J, Dingley J. Electroanaesthesia–from torpedo fish to tens. Anaesthesia 2015;70(1): 93–10.

    Article  CAS  Google Scholar 

  10. Garrison DW, Foreman RD. Effects of transcutaneous electrical nerve stimulation (tens) on spontaneous and noxiously evoked dorsal horn cell activity in cats with transected spinal cords. Neurosci Lett 1996; 216(2):125–12.

    Article  CAS  Google Scholar 

  11. Hua M, Ni B, Li W, Ma Q, Gu X, Fu S, Cao X, Guo Y, Liu Y. Statistical distribution of bifurcation of earth’s inner energetic electron belt at tens of kev. Geophys Res Lett 2021; 48(3):e2020GL091,242.

    Article  Google Scholar 

  12. Jacques E. 2020. Using a tens unit for pain management. https://www.verywellhealth.com/what-is-tens-and-how-does-it-work-2564548https://www.verywellhealth.com/what-is-tens-and-how-does-it-work-2564548 .

  13. Johnson MI. Resolving long-standing uncertainty about the clinical efficacy of transcutaneous electrical nerve stimulation (tens) to relieve pain: a comprehensive review of factors influencing outcome. Medicina 2021; 57(4):378.

    Article  Google Scholar 

  14. Johnson MI, Claydon LS, Herbison GP, Jones G, Paley CA. 2017. Transcutaneous electrical nerve stimulation (tens) for fibromyalgia in adults. Cochrane Database of Syst Rev (10).

  15. Kaplan B, Rabinerson D, Lurie S, Bar J, Krieser U, Neri A. Transcutaneous electrical nerve stimulation (tens) for adjuvant pain-relief during labor and delivery. Int J Gynecol Obstet 1998;60 (3):251–25.

    Article  CAS  Google Scholar 

  16. Kasat V, Gupta A, Ladda R, Kathariya M, Saluja H, Farooqui AA. Transcutaneous electric nerve stimulation (tens) in dentistry-a review. J Clin Exp Dent 2014;6(5):e562.

    Article  Google Scholar 

  17. Kellaway P. The part played by electric fish in the early history of bioelectricity and electrotherapy. Bull Hist Med 1946;20(2):112–13.

    CAS  PubMed  Google Scholar 

  18. Khadilkar A, Odebiyi DO, Brosseau L, Wells GA. 2008. Transcutaneous electrical nerve stimulation (tens) versus placebo for chronic low-back pain. Cochrane Database of Syst Rev (4).

  19. Kuhn A, Keller T, Lawrence M, Morari M. A model for transcutaneous current stimulation: simulations and experiments. Med Biol Eng Comput 2009;47(3):279–28.

    Article  Google Scholar 

  20. Léonard G, Cloutier C, Marchand S. Reduced analgesic effect of acupuncture-like tens but not conventional tens in opioid-treated patients. J Pain 2011;12(2):213–22.

    Article  Google Scholar 

  21. Leonard G, Goffaux P, Marchand S. Deciphering the role of endogenous opioids in high-frequency tens using low and high doses of naloxone. Pain 2010;151(1):215–21.

    Article  CAS  Google Scholar 

  22. Levin MF, Hui-Chan CW. Relief of hemiparetic spasticity by tens is associated with improvement in reflex and voluntary motor functions. Electroencephalography Clin Neurophysiol Evoked Potentials Sect 1992; 85(2):131–14.

    Article  CAS  Google Scholar 

  23. Li L, Au WM, Li Y, Wan KM, Wan SH, Wong KS. Design of intelligent garment with transcutaneous electrical nerve stimulation function based on the intarsia knitting technique. Text Res J 2010;80(3):279–28.

    Article  Google Scholar 

  24. Liebano RE, Rakel B, Vance CG, Walsh DM, Sluka KA. An investigation of the development of analgesic tolerance to tens in humans. PAIN®; 2011;152(2):335–34.

    Article  Google Scholar 

  25. Loh J. Transcutaneous electrical nerve stimulation for cancer pain. Essentials of Interventional Cancer Pain Management. Springer; 2019. p. 261–26.

  26. Macedo L, Josué A, Maia P, Câmara A, Brasileiro J. Effect of burst tens and conventional tens combined with cryotherapy on pressure pain threshold: randomised, controlled, clinical trial. Physiotherapy 2015;101(2):155–16.

    Article  CAS  Google Scholar 

  27. Mannheimer C, Carlsson CA, Vedin A, Wilhelmsson C. Transcutaneous electrical nerve stimulation (tens) in angina pectoris. Pain 1986;26(3):291–30.

    Article  Google Scholar 

  28. Michalowski A, Haines A, Shaparin N, Gritsenko K, Kaye AD, Cornett EM, Lerner MZ. 2021. Transcutaneous electrical nerve stimulation as a treatment for neuropathic cough: a tolerability and feasibility study. Neurol Therapy 1–7.

  29. Moran F, Leonard T, Hawthorne S, Hughes CM, McCrum-Gardner E, Johnson MI, Rakel BA, Sluka KA, Walsh DM. Hypoalgesia in response to transcutaneous electrical nerve stimulation (tens) depends on stimulation intensity. J Pain 2011;12(8):929–93.

    Article  Google Scholar 

  30. Osiri M, Welch V, Brosseau L, Shea B, McGowan JL, Tugwell P, Wells GA. 2000. Transcutaneous electrical nerve stimulation for knee osteoarthritis. Cochrane Database of Systematic Reviews (4).

  31. Pantaleão MA, Laurino MF, Gallego NL, Cabral CM, Rakel B, Vance C, Sluka KA, Walsh DM, Liebano RE. Adjusting pulse amplitude during transcutaneous electrical nerve stimulation (tens) application produces greater hypoalgesia. J Pain 2011;12(5):581–59.

    Article  Google Scholar 

  32. Pavlović R, Trkulja-Petković D, Dragutinović S. Electro-muscle stimulation-the application in practice. A Kin Int Sci J Kin 2016;10:49–55.

    Google Scholar 

  33. Rakel B, Frantz R. Effectiveness of transcutaneous electrical nerve stimulation on postoperative pain with movement. J Pain 2003;4(8):455–46.

    Article  Google Scholar 

  34. Reddy P. 2016. Tens therapy fms an everlasting commitment to a healthy smile. https://www.fmsdental.com/tens-therapy/.

  35. Rodrigues JC, Avila MA, Driusso P. Transcutaneous electrical nerve stimulation for women with primary dysmenorrhea: Study protocol for a randomized controlled clinical trial with economic evaluation. PloS one 2021;16(5):e0250,111.

    Article  CAS  Google Scholar 

  36. Shealy CN. Transcutaneous electrical nerve stimulation: the treatment of choice for pain and depression. J Altern Complement Med 2003;9(5):619–62.

    Article  Google Scholar 

  37. Tashani O, Johnson M. Transcutaneous electrical nerve stimulation (tens) a possible aid for pain relief in developing countries? Libyan J Med 2008;4(2):62–65.

    Article  Google Scholar 

  38. Visconti MJ, Haidari W, Feldman SR. Transcutaneous electrical nerve stimulation (tens): a review of applications in dermatology. J Dermatol Treat 2020;31(8):846–9.

    Article  Google Scholar 

  39. Wang WC, George SL, Wilimas JA. Transcutaneous electrical nerve stimulation treatment of sickle cell pain crises. Acta haematologica 1988;80(2):99–10.

    Article  CAS  Google Scholar 

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Acknowledgements

The authors would like to thank K. J. Somaiya College of Engineering for all the facilities and infrastructure provided.

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Contributions

Conceptualization was done by M. Inamdar (MI) and N. Mehendale (NM). All the literature reading and data gathering were performed by MI. Manuscript writing original draft preparation was done by MI. Review and editing were done by NM. Visualization work was carried out by MI and NM.

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Correspondence to Ninad Mehendale.

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Inamdar, M.U., Mehendale, N. A Review on Transcutaneous Electrical Nerve Stimulation and its Applications. SN Compr. Clin. Med. 3, 2548–2557 (2021). https://doi.org/10.1007/s42399-021-01065-1

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