Background: Chronic nonspecific low back pain (CNLBP) is a common musculoskeletal condition among middle-aged adults, often causing physical limitations and reduced quality of life. Transcutaneous electrical nerve stimulation (TENS) is a widely used non-pharmacological method for pain relief and muscle modulation. Objectives: To compare the effects of two high-frequency, high-intensity TENS protocols on pain, muscle tone, and stiffness in individuals with CNLBP. Design: Single-blinded, randomized controlled trial. Methods: Twenty-eight individuals with CNLBP were randomly assigned to an experimental group (EG) or control group (CG). Both received 60 Hz, highintensity TENS twice weekly for four weeks. Pain equivalent current (PEC), visual analogue scale (VAS), pain degree (PD), muscle tone (Hz), and stiffness (N/m) were measured pre- and post-intervention by a blinded assessor. Results: The EG showed significant improvements in all outcomes (P<.05), while the CG showed significant change only in VAS scores. Between-group analysis showed greater reductions in pain and muscle-related variables in the EG. Conclusion: The EG protocol, with individualized intensity adjustments and targeted stimulation sites, was more effective than the CG protocol in improving pain, muscle tone, and stiffness in adults with CNLBP.

INTRODUCTION
SUBJECTS AND METHODS
    Subjects
    Outcome Measures
    Interventions
    Experimental Procedures
    Data and Statistical Analysis
    Pain threshold and intensity
    Muscle tone & muscle stiffness
DISCUSSION
CONCLUSION
REFERENCES

• Kyungtae Yoo(Department of Physical Therapy, Namseoul University, Cheonan, Republic of Korea) Corresponding author
• Donggeun Seon(Department of Physical Therapy, Daehanminguk Clinic, Seoul, Republic of Korea)