Guest guest Posted February 8, 2008 Report Share Posted February 8, 2008 Ref: Journal of Medical Enmgineering & Technology; Vol. 30, #6, Nov/Dec 06, P. 368 - 381 http://www.tandf.co.uk/journals Current flow for electrical stimulation [TENS] is uneven; causes high current density at the electrode connection and up to 1/2 less density at the edges. Shape is not important in selection [round has same troubles as square or rectangular], Skin blood flow alters current movement on the electrode surfaces. Lists 13 common sites / purposes of use, primarily chiropractic; most important is site location vs shape or area. 5 brands tested have varying construction details, notes skin temperature of 10 deg C change can result in a current change of up to x 50 which causes skin conductivity changes [increases]. Direct application of Ohm's law is impossible due to bulk tissue resistivity variations; is only approximate, no guide given for the error to be expected. All were tested at from D.C. up to 50 KHz. Carbonized rubber with salt gel had 82 +/- 19 ohms [total area]; hydrogel [as a group] had over 2 megohms; some with weaved conductors had over 10 megohms. When using A.C., impedance went lower, varied directly with A.C. current, still x 10 higher with hydrogel, still uneven distribution, highest currents at the connection. Use of carbon impregnated electrodes had a higher applied voltage to get the same total current and muscle contraction force. P. 379 has: " ... when stimulation current is low, such as for TENS or microcurrents, these new electrodes may be totally ineffective. " ... " When local heating is applied to skin, the situation is worse. With non-uniform current distribution, changes in local blood flow due to heat shift the current away from the non-heated areas of the skin. " P. 380 - " If electrode impedance is low, then a small change in blood flow has little effect on the movement of current. But if the impedance is high, as in hydrogels, there is a substantial shift in current away from the skin by the blood having a lower resistance than surrounding tissue and increases total current. " " ... blood resistivity is less than 2 ohms / cm^2. " END Conclusions: Either stay away from them or get the instrumentation needed to evaluate the brand, type, size on hand. For beginners - eliminate a trouble source by following directions in the files. Joe. Quote Link to comment Share on other sites More sharing options...
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