Comparison between TENS and EMS currents:
|Abbreviation for TENS:
Transcutaneous Electrical Nerve Stimulation.
|Abbreviation for EMS:
Electrical Muscle Stimulation.
|Functioning of TENS:
Melzack and Wall’s gate control theory and increased production of endorphins in the CNS.
|Functioning of EMS:
muscle contraction – maintenance of contraction – relaxation of muscle tension.
|Type of impulses used in TENS therapy:
symmetrical and asymmetrical bipolar rectangular pulses.
|Type of impulses used in EMS therapy:
unipolar rectangular pulses.
|Duration of treatment with TENS:
Approximately 30 minutes.
|Duration of treatment with EMS:
Approximately 15 minutes.
|Purpose of the treatment with TENS:
chronic analgesic therapy and stimulation of skeletal muscles.
|Purpose of the treatment with EMS:
· prevent or inhibit muscle spasms,
· re-education of lost muscle function,
· maintain or increase the range of motion in the joints,
· protection against atrophy,
· increase local blood circulation,
· postoperative thrombosis prevention by stimulating the lower leg muscles,
· in sports training: during warm-up, in exercises of strength, speed, resistance and press.
|Indications for TENS:
· disk disease,
· degenerative joint disease,
· joint pain and pain syndromes during rheumatoid arthritis and ankylosing spondylitis,
· neuralgia and compression syndromes,
· periarticular inflammation,
· postoperative pain,
· other pain syndromes besides the cancerous origin,
· partial injury to afferent nerve fibers,
· muscle atrophy due to immobilization and partial denervation.
|Indications for EMS:
Muscular injuries of various types
|Contraindications for TENS and EMS:
· patients with implanted electronic devices (such as pacemakers) or other implants (e.g. endoprosthesis, metal plates) should be consulted by a doctor before the treatment,
· local acute inflammation in the area to be treated,
· tendency to bleed,
· changes in the skin at the points where the electrodes are applied,
· cases in which the skin cannot be wet.