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Recommended Parameter Settings for Electrical Stimulation for Pain Control (TENS)
Parameter Pulse Pulse Amplitude Modulation Treatment Possible
settings/goal frequency duration (frequency, time mechanism
of treatment (beat duration, or of action
frequency for Amplitude)
interferential
)
Conventional 100-150 pps 50-80μs To produce Use if May be Gating at the
(high rate) tingling available worn for 24 spinal cord
hours, as
needed for
pain control
Acupuncture- 2-10 pps 200-300μs To visible None 20-30 min Endorphin
like (low contraction release
rate)
Burst mode Generally Generally To visible Is generally 20-30 min Endorphin
preset in unit preset and contraction not possible release
at 10 bursts may have in burst
max of 100- mode
300μs
Recommended Parameter Setting for Electrical Stimulation for Tissue Healing
Parameter Waveform Polarity Pulse Pulse Amplitude Treatment
settings/goal frequency duration time
of treatment
Tissue HVPC Negative 60-125 pps Usually To produce 45-60 min
healing: preset for comfortable
inflammatory HVPC at tingling
phase/infecte 40-100μs
d
Tissue HVPC Positive 60-125 pps Usually To produce 45-60 min
healing: preset for comfortable
proliferation HVPC at tingling
phase/clean 40-100μs
Contraindications for the Use of Electrical Precautions for the Use of Electrical
Currents Currents
Demand cardiac pacemaker or unstable arrhythmias Cardiac disease
Placement of electrodes over carotid Patients with impaired mentation/sensation
Areas where venous or arterial thrombosis or Malignant tumors or areas of skin irritation or open
thrombophlebitis is present wounds
Pregnancy-over or around the abdomen or low back Iontophoresis after other physical agents
Ask the Patient Ask the Patient
*Do you have a cardiac pacemaker? *Do you have a known history of cardiac disease?
*Do you have a history of heart problems or have *Have you had a previous myocardial infarction?
you been treated for heart problems? *Have you ever had rheumatic fever as a child or an
*What type of heart problems? adult?
*How recently has your doctor checked you heart? *Are you aware of having any cardiac problems at
this time?
Assess
1. Check for surgical incisions in the thoracic area, both anteriorly and posteriorly.
2. Check the patient’s resting pulse and respiratory rate before initiating treatment and check for changes
in these values during and after applying electrical stimulation.