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        The Effect of Transcutaneous Electrical Nerve Stimulation of Sympathetic Ganglions and Acupuncture Points on Distal Blood Flow

        Fahimeh Kamali,Hossein Mirkhani,Ahmadreza Nematollahi,Saeed Heidari,Elahesadat Moosavi,Marzieh Mohamadi 사단법인약침학회 2017 Journal of Acupuncture & Meridian Studies Vol.10 No.2

        Transcutaneous electrical nerve stimulation (TENS) is awidely-practiced method to increase blood flow in clinical practice. The best location for stimulation to achieve optimal blood flow has not yet been determined. We compared the effect of TENS application at sympathetic ganglions and acupuncture points on blood flow in the foot of healthy individuals. Seventy-five healthy individuals were randomly assigned to three groups. The first group received cutaneous electrical stimulation at the thoracolumbar sympathetic ganglions. Thesecond group received stimulation at acupuncture points. Thethird group received stimulation in the mid-calf area as a control group. Blood flowwas recorded at time zero as baseline and every 3 minutes after baseline during stimulation, with a laser Doppler flow-meter. Individuals who received sympathetic ganglion stimulation showed significantly greater blood flow than those receiving acupuncture point stimulation or those in the control group (p < 0.001). Data analysis revealed that blood flow at different times during stimulation increased significantly from time zero in each group. Therefore, the application of lowfrequency TENS at the thoracolumbar sympathetic ganglions was more effective in increasing peripheral blood circulation than stimulation at acupuncture points.

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