Modalities

Question 1

Conventional (High Rate) TENS

Answer 1

• Most Common Mode
• Relief is fast but duration is short
• Amplitude: comfortable
• Pulse Rate: 50-80 pps
• Pulse Duration: 50-100 usec
• Duration: 20-60 minutes

Question 2

Acupunture-Like (Strong, low Rate) TENS

Answer 2

• Chronic Pain
• Stimulation Provoke Endongenous Opiates
• Duration of reliefL 20-40 minutes
• Amplitude: strong but comfortable
• Pulse Rate: 1-5 pps
• Pulse Duration: 150-300 usec
• Duration: 30-40 minutes

Question 3

Brief Intense TENS

Answer 3

• Provide rapid-onset/short-term pain relief during painful procedures
  
  • Wound Debridement, Deep Friction Massage, Joint Mobilization, or Passive Stretching
• Amplitude: comfortable
• Pulse Rate: 80-150 pps
• Pulse Duration: 50-250 usec
• Duration: 15 minutes

Question 4

Burst-Mode (Pulse Trains) TENS

Answer 4

• Combines high/low rate TENS
  
  • Endogenous Opiates
  • More Tolerable
• Duration of Relief: Hours
• Amplitude: comfortable
• Pulse Rate: 50-100 pps w/ bursts of 1-4 pps
• Pulse Duration: 50-200 usec
• Duration: 20-30 minutes

Question 5

Hyperstimulation (Point Stimulation) TENS

Answer 5

• TPDN
• Pain Relief Similar to Acupuncture-Like TENS
• Amplitude: strong but comfortable
• Pulse Rate: 1-5 pps
• Pulse Duration: 150-300 usec
• Duration: 15-30 seconds