Difference between revisions of "Transcutaneous Electric Nerve Stimulation"

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Transcutaneous Electric Nerve Stimulation (view source)

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+Abstract: This chapter delves into the contentious topic of Transcutaneous Electrical Nerve Stimulation (TENS), a method that continues to spark debate within the International Scientific Community. Despite being invalidated by the Research Diagnostic Criteria (RDC) for diagnosing Temporomandibular Disorders (TMD), TENS remains widely discussed and practiced. The RDC ruled that both the freeway space and myocentric trajectory, key elements in TENS-based diagnostics and prosthetic rehabilitation, have a low predictive value (PPV: 0.17). However, this chapter aims to dissect the technical and methodological aspects of the TENS method to understand its potential and limitations.
+Temporomandibular disorders affect the temporomandibular joint (TMJ), a biarticulate joint responsible for complex movements during mastication. Various studies suggest that around 25% of the global population shows signs or symptoms of TMD, with a higher prevalence in women. Numerous therapeutic approaches, including pharmacological interventions and physical therapy such as low-level laser therapy (LLLT) and TENS, are being explored to manage TMD symptoms. TENS has gained recognition for its non-invasive, drug-free approach to pain management, applying low-frequency electrical currents through surface electrodes. It works by stimulating sensory nerves and modulating pain signals, potentially improving muscle relaxation and reducing discomfort in TMD patients.
+While TENS shows promise in some clinical studies, its comparative efficacy against traditional analgesics and other treatment modalities for TMD remains understudied. This chapter also reviews relevant studies that have evaluated the duration of TENS therapy, its effects on jaw muscle relaxation, and its influence on mandibular movement and pain reduction. By examining these findings, the chapter seeks to clarify the role of TENS in clinical practice and highlight areas requiring further investigation.
 ==Introduction==