Journal of Korean Medicine Rehabilitation (한방재활의학과학회지)

The society of Korean Medicine Rehabilitation (한방재활의학과학회)
권호 표지

The Comparative Study on the Frequency of Transcutaneous Electrical Nerve Stimulation for Delayed-Onset Muscle Soreness

지연성 근육통에 대한 경피신경전기자극의 주파수별 효과 비교

  • Park, Hyun-Gun (Dept. of Oriental Rehabilitation Medicine, College of Korean Medicine, Kyung-Hee University) ;
  • Lee, Jong-Soo (Dept. of Oriental Rehabilitation Medicine, College of Korean Medicine, Kyung-Hee University)
  • 박현건 (경희대학교 한의과대학 한방재활의학과교실) ;
  • 이종수 (경희대학교 한의과대학 한방재활의학과교실)
  • Published : 2013.04.30
⟨ Previous Next ⟩

Abstract

Objectives : The aim of this study was to investigate difference of the effects of transcutaneous electrical nerve stimulation(TENS) with different frequencies in participants having delayed onset muscle soreness(DOMS). Methods : We recruited 36 healthy participants, but 3 of them were dropped out. They were randomly divided into 3groups : 3 Hz TENS(n=11), 100 Hz TENS(n=11) and sham TENS(n=11). DOMS of the both triceps surae muscle induced by repetitive concentric, ecentric exercise. The result measurements were pain perception(visual analogue scale, VAS), mechanical pain threshold(MPT) by pressure algometer, electrical contraction and fatigue by surface electromyography. The measurements were on first visit, before and after treatment except first. This study was prospective, randomized, controlled, single-blinded trial. Results : In 100 Hz TENS group, VAS was significantly decreased during whole session compared with 3 Hz and control group, and after each treatment, too. In 3 Hz TENS group, VAS was significantly decreased during whole session compared with control group, and after 2nd, 3rd treatment, too. In 100 Hz TENS group, MPT increased the most among 3 groups during whole session and after 1st treatment, but there were no statistical significances. Conclusions : Both 3 Hz and 100 Hz TENS improved delayed onset muscle soreness, but 100 Hz TENS group is more effective than 3 Hz TENS group.

Keywords

References

  1. 박장성, 김문수. TENS와 He-Ne Laser를 이용한 외이자극이 지연성 근육통에 미치는 영향. 대한임상전기생리학회지. 2006;4(1):85-93.
  2. 허준. 대역동의보감. 경남:동의보감출판사. 2006:764-6, 1021.
  3. 연창호, 정석희. 지연성 근육통의 근복부와 근건이행부 자침효능 비교. 한방재활의학과학회지. 2012;22(2):219-28.
  4. 한태륜, 방문석. 재활의학 3판. 서울:군자출판사. 2008:174-7.
  5. Chen XH, Han JS. All three types of opioid receptors in the spinal cord are important for 2/15 Hz electroacupuncture analgesia. Eur J Pharmacol. 1992;211(2):203-10. https://doi.org/10.1016/0014-2999(92)90530-H
  6. Han JS, Chen XH, Sun SL, Xu XJ, Yuan Y, Yan SC, Hao JX, Terenius L. Effect of low-and high-frequency TENS on Met-enkephalin-Arg-Phe and dynorphin A immunoreactivity in human lumbar CSF. Pain. 1991;47(3):295-8. https://doi.org/10.1016/0304-3959(91)90218-M
  7. Chen CC, Johnson MI. An Investigation Into the Hypoalgesic Effects of High- and Low-Frequency Transcutaneous Electrical Nerve Stimulation(TENS) on Experimentally-Induced Blunt Pressure Pain in Healthy Human Participants. The Journal of Pain. 2010;11(1):53-61.
  8. Chesterton LS, Foster NE, Wright CC, Baxter GD, Barlas P. Effects of TENS frequency, intensity and stimulation site parameter manipulation on pressure pain thresholds in healthy human subjects. Pain. 2003;106(1-2):73-80. https://doi.org/10.1016/S0304-3959(03)00292-6
  9. Chen CC, Tabasam G, Johnson MI. Does the pulse frequency of transcutaneous electrical nerve stimulation(TENS) influence hypoalgesia? A systematic review of studies using experimental pain and healthy human participants. Physiotherapy. 2008;94(1):11-20. https://doi.org/10.1016/j.physio.2006.12.011
  10. 이재학, 윤범철, 전민정, 정경희, 이명화. 저주파 경피신경 자극이 지연성 근육통과 근력에 미치는 효과. 대한스포츠물리치료학회지. 2005;1(1):31-7.
  11. 김근조, 이규리, 정병옥, 방현수. 자연치유와 경피신경전기자극치료, 그리고 냉치료가 지연성근육통이 유발된 위팔두갈래근의 통증과 근력 및 근활성도에 미치는 영향. 한국산학기술학회논문지. 2009;10(12):3902-9.
  12. Tegeder L, Zimmermann J, Meller ST, Geisslinger G. Release of algesic substances in human experimental muscle pain. Inflammation Research. 2002;51(8):393-402. https://doi.org/10.1007/PL00000320
  13. Sluka KA, Judge MA, McColley MM, Reveiz PM, Taylor BM. Low frequency TENS is less effective than high frequency TENS at reducing inflammation-induced hyperalgesia in morphine-tolerant rats. European Journal of Pain. 2000;4(2):185-93. https://doi.org/10.1053/eujp.2000.0172
  14. 김상범, 윤기성, 곽현, 하남진, 이용언. 저주파 및 고주파 침 경피신경자극이 정상 성인의 통증 역치에 미치는 영향. 대한재활의학회지. 1999;23(3):636-42.
  15. 조성국, 어규식, 전양현, 홍정표. 경피신경자극치료기(TENS)의 기능별 주파수에 따른 교근과 피개상피의 혈류변화에 관한 연구. 대한구강내과학회지. 2009;34(1):115-22.
  16. Radhakrishnan R, Sluka KA. Spinal muscarinic receptors are activated during low or high frequency TENS-induced antihyperalgesia in rats. Neuropharmacology. 2003;45(8):1111-9. https://doi.org/10.1016/S0028-3908(03)00280-6
  17. 안영기. 경혈학총서. 서울:성보사. 2002:321-3, 414-5.
  18. 조재흥, 이종수, 김성수. 경근전도 검사의 임상 활용에 관한 연구. 한방재활의학과학회지. 2005;15(4):89-104.
  19. 조재흥, 정석희, 이종수, 김성수. 전침과 경근 저주파의 경직 완화 효과에 대한경근전도 분석. 한방재활의학과학회지. 2006;16(2):131-43.
  20. 김민범, 이종수, 김성수. 중풍 편마비 환자의 견관절 통증에 대한 경근전도 분석. 한방재활의학과학회지. 2006;16(3):103-10.
  21. 김민범, 류지미, 김성수. 한국 남자 성인의 스트레스와 승모근.흉쇄유돌근 경근전도의 상관성 분석. 척추신경추나의학회지. 2007;2(2):141-9.
  22. 남기봉, 정석희, 김성수. 점진적 근육이완법이 건강인의 경근전도와 자율신경계, 스트레스에 미치는 영향. 한방재활의학과학회지. 2008;18(1):125-40.
  23. 정재영, 이준환, 남기봉, 김성수. 만성요통환자의 복부근육의 일상 동작에 대한 경근전도 분석. 한방재활의학과학회지. 2008;18(4):203-15.
  24. 윤대연, 최진서, 정수현, 김순중. 하지길이 차이에 따른 척추기립근의 분석 - 경근전도를 통해. 한방재활의학과학회지. 2011;21(3):13-20.