不同程度的经皮电神经.pdf

REVIEW ARTICLE Dose-specific Effects of Transcutaneous Electrical Nerve Stimulation (TENS) on Experimental Pain A Systematic Review Leica S. Claydon, BSc (Hons), PhD,* Linda S. Chesterton, PhD, BSc (Hons), BA,w Panos Barlas, PhD, BSc (Hons),w and Julius Sim, BA, MSc, MSc, PhD, CStatw many painful conditions (eg, osteoarthritis, rheumatoid Objective: To determine the hypoalgesic effects of transcutaneous arthritis, and neck pain).2 Commonly described TENS electrical nerve stimulation (TENS) parameter combinations on modes are based on parameter (setting) combinations experimental models in healthy humans. thought to activate different nerve fibers. Strong and Methods: Searches were performed using the electronic databases comfortable TENS (usually without muscle contraction) Ovid MEDLINE, CINAHL, AMED, and Web of Science (from and high frequencies [10 to 200 pulses per second (pps)] inception to December 2009). Manual searches of journals and with electrodes applied over the painful area, termed reference lists of retrieved trials were also performed. Randomized “conventional TENS,” may activate Ab fibers. Stimulation controlled trials (RCTs) were included in the review if they of this type has been shown to modulate pain at a spinal/ compared the hypoalgesic effect of TENS relative with placebo and segmental level3,4 in accordance with the gate control control, using an experimental pain model in healthy human theory.5 Strong and uncomfortable TENS (