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Transcutaneous Electrical Nerve Stimulation

Abhinav Verma

Abstract


This paper is based on improving the drug free, non- invasive method of pain relieve known as (TENS).Gate control theory (Melzack and Wall, 1985) states that when an electrical current is applied to a painful area, transmission of pain (via small diameter C & A-delta fibers) to the brain is inhibited by the large diameter, fast-conducting A-beta fibers. The Central Nervous System (CNS) can interpret and transmit only one form of sensory stimulus at a time, therefore the brain does not perceive pain. This requires frequencies of above 10pps (pulses per second or Hz) but usually between 80-100pps.Improvising this method a mobile application is used to make TENS a more versatile, low cost and personal method.  A waveform is loaded on to a memory cardand then this waveform is used by the TENS mobile app to provide treatment to the site of pain. The conductive gel is applied to the site of pain and TENS electrodes are placed on top or next to the painful area where the signal is applied.

Therefore the output waveform obtained from Mobile phone based TENS is displayed in a CRO (Cathode Ray Oscilloscope). The waveform output obtained from the entire module remained similar to the wave being generated and played in mobile application. An output power of approximately 5 watts is achieved through the process. Loading the waveform into our TENS module is very less time consuming as compared to the slow loading models available in the market. The waveform files stored can be simply sent via Bluetooth or can be transferred via E-Mail. Another advantage is that there is no limitation in case of number of pre-programs in our module as it consumes very less space in the SD card. LABVIEW based module is used by the users to design the pulse width, frequency, treatment mode and shape of waveform thus breaking the barriers in the TENS available in the market. Therefore, this particular TENS module can achieve the concept of patient specific waveform for pain therapy i.e., for each of the patient waveform of different shape, frequency, pulse width, intensity can be designed and given via different modes of treatment, thus increasing the quality of treatment. Presentation of this paper deals with design of a versatile, low-cost mobile phone based Transcutaneous Electrical Nerve Stimulation device that is capable of treating chronic and acute pain.

Therefore, TENS would act as a means of treatment for above mentioned pain.  Further modifications on this project can be provided by designing a feedback electrode which would prevent chances of shock to the patient and thus minimizing risk of any kind of hazard.


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References


Partners against Pain. http://www.partnersagainst pain.com/understandingpain/types-of-pain.aspx

WebMD, http://www.webmd.com/painmanagement/ guide/pain-types-and-

classifications

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R.S.Khandpur,“Handbookof Biomedical Instrumentation,”2nd ed., TataMcGraw-Hill, 2007.

Everything You Need To Know About TENS Machines, Physioworks,

physioworks.com.au

Transcutaneous Electrical Nerve Stimulation(TENS)https://my.clevelandclinic.org

Transcutaneous Electrical Nerve Stimulation: Mechanisms, Clinical Application and

Evidence Professor Mark Jonson. https://www.ncbi.nlm.nih.gov

Transcutaneous Electrical Nerve Stimulation.http://emedicine.medscape.com


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