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MA531_EN
EN 14
UTC2
Using higher frequencies (50 – 200 Hz) and time of impulses between 50 and 10 msec the analgesic effects appear
quickly to the stimulated metamer, but they don’t last for a long time after the end of treatment. In this case we advise the
intensity that produce swarming paraesthesia without provoking motor reactions.
Using lower frequencies (2 – 30 Hz) and times of impulses between 200 and 500 msec the analgesic effects appear after
about 30 minutes of treatment, but they don’t last for a long time after the end of treatment. This type of treatment can
produce muscular fasciculation that can be annoying for the patient.
With the use of low and higher frequencies it is necessary to increase periodically the intensity’s level for the appearance
of accommodation proceedings.
Generally we advise to apply in sequence the two frequencies to overwork the antalgic effect (ex. 15 minutes at 100Hz
frequency, followed by 15 minutes at 10Hz). It can be chosen stimulations of two or more points and different positions of
electrodes, singly or in association, the most common are:
▪ local stimulation: the electrodes are in the painful zone or close to it; Very efficacious is the setting of the nega-
tive electrode in those points defined trigger point (painful points locatable with the palpation as a very small
zones where the skin is more hardened for a located contraction and with the pain that can last for some min-
utes and spread to the near zones and in others).These zones are defined target areas and they are the points
where we have to put the positive electrode;
▪ Stimulation at metameric level: the electrodes are fixed along the principal nervous trunks that are in metameric
correspondence with the pain. Position distally the negative electrode and the positive one proximally. In this
technique we advise to put at least one electrode at segmentary paravertebral level.
The time of a single sitting of TENS and of the whole therapy can vary from about 30 minutes a day for cycles of 10 – 15
sittings (if the antalgic effect is good and last after the end of treatment) until continuous treatments of one or more days
for patients with chronic pain that have a good result to the antalgic therapy but short in time.
There is the possibility of spasms so it is better not to use the stimulation on the front surface of the neck as the lateral
surface of the neck.
Galvanic
The galvanic or continuous current, thanks to the hyper polarization that creates itself to the positive pole, produces an
antalgic effect.
For this aim the positive pole has to be fixed where we have to search for the reduction of pain.
The galvanic current is obviously a one-way current, that produces electrolytic effects so it has to be used with care be-
cause with low intensity’s level supplied on electrodes with reduced surfaces can produce heavy burns on the skin. To
avoid this we don’t have to exceed the level 0,1 – 0,5 mA for cm
2
of used surface electrodes.
Diadynamic
Diadynamic current is a kind of low frequency antalgic electrotherapy.
MF: Diadynamic monophasic current with frequency 50Hz. Prevalently stimulating action.
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