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Updated: Feb 21, 2026

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Assessment of Neuromuscular Function Using Percutaneous Electrical Nerve Stimulation
Published on: September 13, 2015
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Does transcutaneous nerve stimulation have effect on sympathetic skin response?
E Esra Okuyucu1, Ayşe Dicle Turhanoğlu2, Murat Guntel3
1Mustafa Kemal University, Department of Neurology, Hatay, Turkey.
Summary
Transcutaneous electrical nerve stimulation (TENS) significantly reduced sympathetic nervous system responses compared to a sham treatment. This finding suggests TENS can inhibit sympathetic skin response activity.
Area of Science:
- Physiology
- Neurology
- Medical Devices
Background:
- The sympathetic nervous system (SNS) regulates involuntary bodily functions.
- Sympathetic skin response (SSR) is a non-invasive measure of sympathetic nerve activity.
- Transcutaneous electrical nerve stimulation (TENS) is a therapeutic modality with potential neuromodulatory effects.
Purpose of the Study:
- To investigate the impact of TENS on the sympathetic nervous system.
- To evaluate TENS efficacy using the sympathetic skin response (SSR) test.
Main Methods:
- Fifty-five healthy volunteers participated in the study.
- Participants received either 30 minutes of active TENS (n=25) or sham TENS (n=30).
- SSR tests were conducted before and after stimulation to measure latency and peak-to-peak amplitude.
Main Results:
- A significant reduction in SSR amplitude was observed in the TENS group compared to the sham group for both right (p=0.04) and left hands (p=0.01).
- No significant differences in SSR latency were found between the TENS and sham TENS groups (p>0.05).
Conclusions:
- TENS demonstrates an inhibitory effect on sympathetic nervous system activity as measured by SSR.
- The findings suggest TENS can modulate sympathetic responses, offering potential therapeutic applications.
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