The choice between an output where the pulse rate is unchanging (constant) and where the pulse rate fluctuates (modulated) is made on both the desired results and one’s personal preference.

Modulated pulse rate

A modulated pulse rate displays less ‘accommodation’ than a constant pulse rate. That means the body has less of a tendency to perceive that the stimulation is diminished after several minutes of use.

A modulated pulse rate gives excellent pain relief when combining a low pulse rate frequency with a high pulse rate. In this way quick pain relief is offered through a gating effect, as well as long lasting pain relief after the stimulus is removed through an endorphin release.

Many people describe to soothing sensation of a low to high modulated pulse rate as being massage-like.

Constant

A constant pulse rate is often best chosen if a specific pulse rate is required – such as when inducing sleep or relaxation.

A constant pulse rate is also the ideal setting for muscle strengthening and toning when combined with a high pulse rate.

TENS pulse output options