理学療法ジャーナル50巻3号

2016年03月発行

特集 TENS

TENSの理学療法への応用

著者： 庄本康治¹

所属機関： ¹畿央大学健康科学部理学療法学科

ページ範囲：P.245 - P.253

はじめに—TENSとは

　米国理学療法士協会（American Physical Therapy Association：APTA）では，物理療法を電気治療的物理療法（electrotherapeutic modalities），狭義の物理療法（physical agents），力学的物理療法（mechanical modalities）の3分野に分類している^1）．経皮的電気刺激治療（transcutaneous electrical nerve stimulation：TENS）は，一般的電気療法，バイオフィードバック療法，治癒促進のための電気療法，機能的電気刺激（functional electrical stimulation），高電圧パルス療法，神経筋電気刺激（neuromuscular electrical stimulation），イオントフォレーシスなどを含む電気治療的物理療法に含まれている^1）．TENSという用語は皮膚から電気刺激を実施するという意味を示しているだけであり，治療目的を反映していない用語である．したがって，米国国立衛生研究所（National Institute of Health：NIH），APTA，英国国民保険サービス（National Health Service：NHS），カナダ理学療法士協会，国際疼痛学会（International Association for the Study of Pain：IASP）では鎮痛目的の電気治療として定義^2）づけており，本稿でも同様に定義する．

参考文献

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8）Levin MF, et al：Conventional and acupuncture-like transcutaneous electrical nerve stimulation excite similar afferent fibers. Arch Phys Med Rehabil 74：54-60, 1993

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