Blood Flow Changes in the Masseter Muscle and Overlying Skin Following Various Functional Waves of Transcutaneous Electrical Nerve Stimulation

경피신경자극치료기(TENS)의 기능별 주파수에 따른 교근과 피개상피의 혈류변화에 관한 연구

  • Cho, Sung-Guk (Department of Oral Medicine, School of Dentistry, Kyung Hee University) ;
  • Auh, Q-Schick (Department of Oral Medicine, School of Dentistry, Kyung Hee University) ;
  • Chun, Yang-Hyun (Department of Oral Medicine, School of Dentistry, Kyung Hee University) ;
  • Hong, Jung-Pyo (Department of Oral Medicine, School of Dentistry, Kyung Hee University)
  • 조성국 (경희대학교 치의학전문대학원 구강내과학교실) ;
  • 어규식 (경희대학교 치의학전문대학원 구강내과학교실) ;
  • 전양현 (경희대학교 치의학전문대학원 구강내과학교실) ;
  • 홍정표 (경희대학교 치의학전문대학원 구강내과학교실)
  • Published : 2009.03.30

Abstract

The following results were obtained, after experimenting on change of masseter muscle and bloodstream epithelium with Transcutaneous Electrical Nerve Stimulator(TENS), among 16 male adults. 1. According to applying TENS, it was observed that bloodstream in muscle increases at 1.5, 3.0 Hz. 2. According to applying TENS, it was observed that concentration of moving blood cells in muscle increase at 1.5, 3.0, 6.0 Hz. 3. According to applying TENS, it was observed that velocity of bloodstream in muscle increases only at 1.5 Hz 4. Through experiment, applying TENS at level of 6.0 and 10.0 Hz, all bloodstream, concentration of moving blood cells, and velocity of bloodstream increasing rates were lower in muscle compared to of them in overlying epithelium; and especially increasing bloodstream and its velocity were most frequent at 6.0 Hz, and bloodstream of 10.0 Hz. From the results above when a physical therapy of TENS is carried out the frequency of 1.5, 3.0 H is effective, and as the frequency increases it is disadvantageous to the muscle.

경희대학교 치의학전문대학원 학생 16명을 대상으로 경피신경자극치료기(TENS)의 기능별 주파수에 따른 교근과 피개상 피의 혈류변화에 관하여 관찰한 결과 다음과 같은 결과를 얻었다. 1. TENS를 적용한 실험에서 근육에서의 혈류가 증가된 것은 1.5, 3.0 Hz에서 관찰되었다. 2. TENS를 적용한 실험에서 근육에서의 이동혈류의 농도가 증가된 것은 1.5, 3.0, 6.0 Hz에서 관찰되었다. 3. TENS를 적용한 실험에서 근육에서의 혈류 속도가 증가된 것은 1.5 Hz에서만 관찰되었다. 4. 6.0Hz와 10.0Hz의 TENS를 적용한 실험에서 혈류, 이동혈류의 농도, 혈구 속도의 증가율이 모두 상피에 비하여 근육에서 낮게 나타났으며, 특히 6.0Hz의 혈류와 혈구 속도, 10.0 Hz의 혈류에서 가장 빈번하였다. 이상의 실험결과로 TENS를 적용한 물리치료를 시행할 경우에는 1.5, 3.0 Hz의 주파수가 효율적이며, 주파수의 강도가 높아질수록 근육에 미치는 영향은 바람직하지 않을 것으로 생각된다.

Keywords

References

  1. 정성창, 김영구, 고명연 등. 구강안면동통과 측두하악장애. 개정판, 2006, 서울, 신흥인터내셔날, pp. 12-22
  2. Linde C, Isacsson G, Jonsson BG. Outcome of 6-week treatment with transcutaneous electric nerve stimulation compared with splint on symptomatic temporomandibular joint disk displacement without reduction. Acta Odontol Scand 1995;53(2):92-8 https://doi.org/10.3109/00016359509005953
  3. 정성창, 김영구, 고명연 등. 구강안면동통과 측두하악장애. 개정판, 2006, 서울, 신흥인터내셔날, pp. 244-259
  4. Melzack R, Wall PD. Acupuncture and transcutaneous electrical nerve stimulation. Postgrad Med J 1984;60(710):893-6 https://doi.org/10.1136/pgmj.60.710.893
  5. Burton C. Transcutaneous electrical nerve stimulation to relieve pain. Postgrad Med 1976;59(6):105-8
  6. Sherry E, Kitchener P, Smart R. A prospective randomized controlled study of VAX-D and TENS for the treatment of chronic low back pain. Neurol Res 2001;23(7):780-4 https://doi.org/10.1179/016164101101199180
  7. Minassian K, Persy I, Rattay F, Dimitrijevic MR, Hofer C, Kern H. Posterior root-muscle reflexes elicited by transcutaneous stimulation of the human lumbosacral cord. Muscle Nerve 2007;35(3):327-36 https://doi.org/10.1002/mus.20700
  8. Sherry JE, Oehrlein KM, Hegge KS, Morgan BJ. Effect of burst-mode transcutaneous electrical nerve stimulation on peripheral vascular resistance. Phys Ther 2001;81(6):1183-91
  9. Cosmo P, Svensson H, Bornmyr S, Wikström SO. Effects of transcutaneous nerve stimulation on the microcirculation in chronic leg ulcers. Scand J Plast Reconstr Surg Hand Surg 2000;34(1):61-4 https://doi.org/10.1080/02844310050160187
  10. Olyaei GR, Talebian S, Hadian MR, Bagheri H, Momadjed F. The effect of transcutaneous electrical nerve stimulation on sympathetic skin response. Electromyogr Clin Neurophysiol 2004;44(1):23-8 https://doi.org/10.1016/0013-4694(78)90102-5
  11. Cramp AF, Gilsenan C, Lowe AS, Walsh DM. The effect of high- and low-frequency transcutaneous electrical nerve stimulation upon cutaneous blood flow and skin temperature in healthy subjects. Clin Physiol 2000;20(2):150-7 https://doi.org/10.1046/j.1365-2281.2000.00240.x
  12. Chen CC, Johnson MI, McDonough S, Cramp F. The effect of transcutaneous electrical nerve stimulation on local and distal cutaneous blood flow following a prolonged heat stimulus in healthy subjects. Clin Physiol Funct Imaging 2007 ;27(3):154-61 https://doi.org/10.1111/j.1475-097X.2007.00731.x
  13. Dickstein R, Kafri M. Effects of antecedent TENS on EMG activity of the finger flexor muscles and on grip force. Somatosens Mot Res 2008;25(2):139-46 https://doi.org/10.1080/08990220802131416
  14. Sandberg ML, Sandberg MK, Dahl J. Blood flow changes in the trapezius muscle and overlying skin following transcutaneous electrical nerve stimulation. Phys Ther 2007;87(8):1047-55 https://doi.org/10.2522/ptj.20060178
  15. Cramp FL, McCullough GR, Lowe AS, Walsh DM. Transcutaneous electric nerve stimulation: the effect of intensity on local and distal cutaneous blood flow and skin temperature in healthy subjects. Arch Phys Med Rehabil 2002;83(1):5-9 https://doi.org/10.1053/apmr.2002.27478
  16. Rodrigues D, Siriani AO, Berzin F. Effect of conventional TENS on pain and electromyographic activity of masticatory muscles in TMD patients. Braz Oral Res 2004;18(4):290-5 https://doi.org/10.1590/S1806-83242004000400003
  17. Taguchi T, Taguchi R. Effect of varying frequency and duration of electroacupuncture stimulation on carrageenan-induced hyperalgesia. Acupunct Med 2007;25(3):80-6 https://doi.org/10.1136/aim.25.3.80
  18. Cramp AF, Noble JG, Lowe AS, Walsh DM. Transcutaneous electrical nerve stimulation (TENS):the effect of electrode placement upon cutaneous blood flow and skin temperature. Acupunct Electrother Res 2001;26(1-2):25-37 https://doi.org/10.3727/036012901816356036
  19. 대한레이저학회. 최신레이저치의학. 2008, 지성출판사, pp. 276-283
  20. Roe C, Damsgård E, Knardahl S. Reliability of bloodflux measurements from the upper trapezius muscle during muscle contractions. Eur J Appl Physiol 2008;102(5):497-503 https://doi.org/10.1007/s00421-007-0610-9
  21. Larsson SE, Cai H, Zhang Q, Larsson R, Oberg PA. Measurement by laser-Doppler flowmetry of microcirculation in lower leg muscle at different blood fluxes in relation to electromyographically determined contraction and accumulated fatigue. Eur J Appl Physiol Occup Physiol 1995;70(4):288-93 https://doi.org/10.1007/BF00865024
  22. Jensen BR, Sjogaard G, Bornmyr S, Arborelius M, Jorgensen K. Intramuscular laser-Doppler flowmetry in the supraspinatus muscle during isometric contractions. Eur J Appl Physiol Occup Physiol 1995;71(4):373-8 https://doi.org/10.1007/BF00240420
  23. Larsson SE, Cai H, Oberg PA. Continuous percutaneous measurement by laser-Doppler flowmetry of skeletal muscle microcirculation at varying levels of contraction force determined electromyographically. Eur J Appl Physiol Occup Physiol 1993;66(6):477-82 https://doi.org/10.1007/BF00634295
  24. Maltz JS, Budinger T. Method for the measurement of the sensitivity of vascular beds to ischemia. Conf Proc IEEE Eng Med Biol Soc 2004;5:3723-6