Noninvasive Peripheral Nerve Stimulation

  • Sergio Canavero
  • Vincenzo Bonicalzi
Chapter

Abstract

Transcutaneous electrical nerve stimulation (TENS) is applied at high frequency (80–100 Hz) (also known as conventional TENS) aimed at activation of myelinated cutaneous sensory fibers or low-frequency stimulation (short trains of impulses at 1–4 Hz, known as acupuncture-like TENS) and aimed at activation of small-diameter nonnoxious muscle afferents and Aδ fibers. Stimulation must be directed over the most painful region, with dual-channel stimulators to cover a large body area with pain. A related technique, called Scrambler therapy, delivers self-learning algorithm-generated non-pain information to the painful area via standard silver gel electrodes. Its average charge is similar to TENS, at a frequency of 43–52 Hz. The protocol consists of 5 days of stimulation followed or not by a 2-day break and then another 5 days of stimulation, 45 min daily. It does not produce paresthesias, and analgesia occurs quickly with a sustained relief for days or months [1]. No experience has been published for CP nor for external noninvasive peripheral nerve stimulation (EN-PNS) ([2]; however, see [3], Table).

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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Sergio Canavero
    • 1
  • Vincenzo Bonicalzi
    • 2
  1. 1.HEAVEN/GEMINI International Collaborative GroupTurinItaly
  2. 2.AOUCittà della Salute e della Scienza di Torino, Department of Neurosciences, Rita Levi MontalciniUniversità di TorinoTurinItaly

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