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TENS effects on salivary stress markers: A pilot study
E Ortu1, D Pietropaoli2, G Mazzei2
1Dental Unit, Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy eleonora.ortu@graduate.univaq.it.
International Journal of Immunopathology and Pharmacology
|March 28, 2015
Summary
Ultra-low frequency transcutaneous electrical nerve stimulation (ULF-TENS) may influence stress levels, as indicated by changes in salivary alpha-amylase (sAA). This pilot study suggests sAA is a useful non-invasive marker for autonomic nervous system activity.
Area of Science:
- Neuroscience
- Physiology
Background:
- Transcutaneous electrical nerve stimulation (TENS) is recognized for pain relief via endorphin release.
- Emerging evidence links TENS to autonomic nervous system (ANS) modulation, observable through heart rate variability and other ANS markers.
- This pilot study investigates salivary alpha-amylase (sAA) as a stress biomarker in response to ultra-low frequency TENS (ULF-TENS).
Discussion:
- ULF-TENS may modulate stress responses, potentially through the activation of μ opioid receptors.
- Salivary alpha-amylase (sAA) levels exhibited statistically significant differences between men and women, independent of TENS intervention.
- The findings suggest a potential role for ULF-TENS in influencing sAA levels, a marker associated with sympathetic nervous system activity.
Key Insights:
- Salivary alpha-amylase (sAA) shows promise as a non-invasive biomarker for assessing autonomic nervous system (ANS) function.
- ULF-TENS intervention may impact stress markers, warranting further investigation into its physiological effects.
- Sex-based differences in sAA levels were observed, highlighting the need to consider gender in stress response research.
Outlook:
- Further research is needed to elucidate the precise mechanisms by which ULF-TENS influences sAA and the ANS.
- Exploring ULF-TENS for stress management and ANS regulation in clinical populations could be a future direction.
- Investigating the correlation between sAA changes and other established ANS markers under ULF-TENS stimulation will strengthen findings.

