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Journal of the Korean Academy of Rehabilitation Medicine 2000;24(1):83-87.
Influence of Transcutaneous Electrical Nerve Stimulation on Cutaneous Silent Period.
Lee, Jongmin , Choi, Jong Chul
Department of Rehabilitation Medicine, Dongguk University College of Medicine.
경피적 전기 신경자극이 Cutaneous Silent Period에 미치는 영향
이종민, 최종철
동국대학교 의과대학 재활의학교실
Abstract

Objective
To investigate the influence of high frequency transcutaneous electrical nerve stimulation (TENS) on cutaneous silent period.


Method
Cutaenous silent period was recorded before and after high frequency TENS application in sixteen healthy adults (11 males, 5 females). Onset latency, duration, and minimum stimulation intensity to evoke cutaneous silent period were compared. In 7 male subjects, temporal changes of cutaneous silent period were observed after TENS application.


Results
Minimum stimulation intensity to evoke cutaneous silent period was significantly increased after high frequency TENS application (p<0.05) and yet, onset latency and duration showed no significant change. The increase in minimum stimulation intensity to evoke cutaneous silent period was maintained for 30 minutes after TENS and returned to the baseline level thereafter.


Conclusions
These results suggest that high frequency TENS increase the depolarization threshold of A-δ fiber and this peripheral effect may be one of the pain control mechanisms of TENS.

Key Words: Cutaneous silent period, Transcutaneous Electrical Nerve Stimulation (TENS), Cutaneous silent period


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