Effects of Burst-Type Transcutaneous Electrical Nerve Stimulation on Cervical Range of Motion and Latent Myofascial Trigger Point Pain Sensitivity

2011 ◽  
Vol 92 (9) ◽  
pp. 1353-1358 ◽  
Author(s):  
Ángel L. Rodríguez-Fernández ◽  
Víctor Garrido-Santofimia ◽  
Javier Güeita-Rodríguez ◽  
César Fernández-de-las-Peñas
Keyword(s):  
Range Of Motion ◽  
Nerve Stimulation ◽  
Transcutaneous Electrical Nerve Stimulation ◽  
Pain Sensitivity ◽  
Trigger Point ◽  
Myofascial Trigger Point ◽  
Electrical Nerve Stimulation ◽  
Cervical Range Of Motion

Low Level Continuous Heat Wraps can Increase the Efficiency of Transcutaneous Electrical Nerve Stimulation for Pain Management

2020 ◽  
Vol 30 (05) ◽  
pp. 290-298
Author(s):  
Jerrold Petrofsky ◽  
Michael Laymon ◽  
Haneul Lee
Keyword(s):  
Blood Flow ◽  
Pain Management ◽  
Range Of Motion ◽  
Skin Blood Flow ◽  
Nerve Stimulation ◽  
Transcutaneous Electrical Nerve Stimulation ◽  
Electrical Nerve Stimulation ◽  
Low Level ◽  
Significant Difference ◽  
Continuous Heat

AbstractBoth transcutaneous electrical nerve stimulation and superficial heat have been used for pain management. While heat has been shown to have a beneficial effect on pain, transcutaneous electrical nerve stimulation remains controversial. The purpose of the present study was to see if heat, when added to transcutaneous electrical nerve stimulation, would provide more consistent relief. A total of 180 subjects participated in this study and were randomly divided into 12 groups. Low level continuous heat was applied while electrical stimulation was applied at 2 intensities, 2 frequencies and with 2 waveforms for 4 h. Outcome measures were subjective pain scale, range of motion of the back and skin blood flow of the back. The control groups had no significant difference in pain, range of motion or skin blood flow comparing the data at the beginning and 4 h after (p> 0.05). There was a small reduction in pain with transcutaneous electrical nerve stimulation alone while all other groups had a significant improvement in range of motion free of pain, reduction in pain, and increase in skin blood flow from the beginning to the end of the 4-hour period. Since transcutaneous electrical nerve stimulation with low level continuous heat showed better outcomes then transcutaneous electrical nerve stimulation alone or low level continuous heat alone, combining the 2 interventions seems to offer better outcomes for pain management for health care professionals.

scholarly journals Therapeutic Effects of Manual Therapy, Transcutaneous Electric Nerve Stimulation, and Forearm Brace on Lateral Epicondylitis: A Randomized Controlled Trial

2021 ◽  
Author(s):  
Olaf Reis ◽  
Christoph Berger ◽  
Wolfgang Rachold ◽  
johannes Buchmann
Keyword(s):  
Pain Intensity ◽  
Range Of Motion ◽  
Manual Therapy ◽  
Nerve Stimulation ◽  
Transcutaneous Electrical Nerve Stimulation ◽  
Therapeutic Effects ◽  
Electrical Nerve Stimulation ◽  
Transcutaneous Nerve Stimulation ◽  
Secondary Outcomes ◽  
Epicondylopathia Humeri Radialis

Abstract Background: Epicondylopathia humeri radialis is often diagnosed by general practitioners. Usually, the therapy comprises transcutaneous electrical nerve stimulation and the application of a forearm brace. Manual therapy is prescribed beyond transcutaneous electrical nerve stimulation and forearm brace, and it is performed by specialized physiotherapists. However, data comparing the effectiveness of all methods are scarce. In this study, the therapeutic effects of manual therapy were compared to those of transcutaneous electrical nerve stimulation and forearm brace along with a combination of all three. Methods: Fifty-two patients diagnosed with epicondylopathia humeri radialis by a general practitioner were randomized into three treatment arms: 19 patients received a combination of manual therapy, transcutaneous nerve stimulation, and forearm brace; 18 patients received manual therapy only; and 15 patients wore a forearm brace and received transcutaneous nerve stimulation. The primary outcomes included the range of motion and pain intensity. The secondary outcomes were elbow function and psychological well-being. Primary and secondary outcomes were measured before treatment (0), and 4- and 8-weeks post-treatment using the Patient Rated Tennis Elbow Evaluation Questionnaire and the Short Form Health Survey Questionnaire. Results: The range of motion and pain intensity did not differ between the intervention groups.Conclusions: Manual therapy alone is as effective as combination therapy with transcutaneous nerve stimulation and the use of a forearm brace for epicondylopathia humeri radialis. Hence, there is evidence supporting the inclusion of manual therapy in the guidelines for treating patients with epicondylopathia humeri radialis. Trial registration: German Clinical Trial Register: DRKS, trial registration number: 00021137, date of registration: 24/03/2020 (retrospectively registered)

Relative therapeutic efficacy of ketoprofen iontophoresis and transcutaneous electrical nerve stimulation in the management of osteoarthritic knee pains: a pilot study

2013 ◽  
Vol 16 (1) ◽  
Author(s):  
Olabanji O Jogunola
Keyword(s):  
Pilot Study ◽  
Range Of Motion ◽  
Nerve Stimulation ◽  
Transcutaneous Electrical Nerve Stimulation ◽  
Quadriceps Strength ◽  
Pharmacological Therapy ◽  
Joint Disease ◽  
Electrical Nerve Stimulation ◽  
Osteoarthritic Knee ◽  
Significant Difference

Background: Osteoarthritis (OA), also known as degenerative joint disease, has no curative treatment. However, pharmacological therapies such as acetaminophen, non-steroidal anti-inflammatory drugs (NSAIDs), and more recently etodolac (iodine) are commonly used in its treatment. Non-pharmacological therapy, predominantly physiotherapy, is also employed in the treatment of OA. Objective: This research was aimed at determining the relative therapeutic effectiveness of ketoprofen iontophoresis and transcutaneous electrical nerve stimulation in the management of osteoarthritic knee pain.Methods: Twenty subjects with diagnosis of OA of the knee joint were randomly selected into the ketoprofen iontophoresis group and the transcutaneous electrical nerve stimulation group. Both groups received quadriceps strength training in addition to their group therapy. Each subject, who had 3 sessions per week over a four-week period, had a total of 12 treatment sessions. Each treatment session lasted 45 minutes.Results: There was a statistically significant decrease in pain intensity and increase in range of motion in both groups but no significant difference in change in both outcome measures between the groups.Conclusion: Management of OA of the knee using either ketoprofen iontophoresis or transcutaneous electrical nerve stimulation in addition to quadriceps strengthening exercises in this pilot study was shown to be effective in pain reduction and to increase range of motion. Neither of the interventions was superior. Future studies using a larger sample size are needed to confirm our findings.

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