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they are placed close to the nerve that
controls the pelvic floor muscles. This
current then passes into the nerve
fibres controlling that part of the muscle
stimulating it to contract. So, electrical
stimulation (EMS) artificially activates a
muscle for you enabling you to develop
your
own
muscle
contractions exercise the muscles and,
as with any kind of exercise if
performed regularly, build strength and
tone.
In urge incontinence, pelvic floor
exercisers work in a slightly different
way. The electrical stimulation is
designed to soothe your bladder
muscles rather than exercise your
pelvic floor. Perfect PFE uses a
gentler, low frequency setting which
promotes release of endorphins and
reduces involuntary contractions of the
bladder (detrusor) muscle.
Different frequencies have different
effects; low frequencies (1-10 Hz)
coupled with long impulse times, for
example, have a purifying and relaxing
effect through individual contractions,
whereby the circulation in the treated
muscle is simultaneously improved and
removal of metabolic end products is
supported (lymphatic drainage).
In contrast, by means of a rapid
succession of contractions (fibrillation),
medium frequencies (20-50 Hz) can put
a high level of strain on the muscle, thus
promoting the muscular structure.
Each preset programme has a specific
frequency and pulse width that will offer
the best results for the type of
incontinence treated.
control.
These
10

7. HOW 'TENS' WORKS

T.E.N.S. stands for Transcutaneous
Electrical Nerve Stimulation. T.E.N.S.
stimulates your body's own natural
defences against pain, namely the
release of endorphins. TENS is totally
safe and has been used successfully by
thousands of pain sufferers.
TENS sends a gentle stimulation
through the skin which works in
TWO ways:
Pain Gate
It stimulates the
sensory
nerves,
which carry touch
and temperature
signals.
These
nerves go to the
same connections
in the spine as the
nerves carrying pain. A strong sensory
signal will block the pain signal
travelling up the spine to the brain. This
is known as closing the "Pain Gate" and
takes effect quite quickly after the unit
is switched on. When the gate is open,
pain messages get through to the brain
and we feel pain. When the gate is
closed, these pain messages are
blocked and we do not feel pain.
Evidence suggests that TENS produce
pain relief in a similar way to 'rubbing
the pain better'. The pain gate can be
closed
by
mechanoreceptors through 'rubbing the
skin'.
Scientifically, the pain gate works by
release of chemical in the synapse at
spinal level that inhibits transmission of
pain signal.
activation
of

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