The effects of transcutaneous electrical nerve stimulation (TENS) on spasticity in multiple sclerosis

2007 ◽  
Vol 13 (4) ◽  
pp. 527-533 ◽  
Author(s):  
L. Miller ◽  
P. Mattison ◽  
L. Paul ◽  
L. Wood
Keyword(s):  
Multiple Sclerosis ◽  
Nerve Stimulation ◽  
Transcutaneous Electrical Nerve Stimulation ◽  
Pulse Width ◽  
Analogue Scale ◽  
Muscle Spasm ◽  
Crossover Design ◽  
Application Time ◽  
Electrical Nerve Stimulation ◽  
Single Blind

Spasticity is a common and often disabling symptom associated with multiple sclerosis (MS). Transcutaneous electrical nerve stimulation (TENS) has been found effective in reducing spasticity in conditions such as stroke, but there is little evidence to support its use in MS. The aim of this study was to evaluate the effectiveness of TENS on spasticity in MS and, furthermore, to compare two different application times. Thirty-two subjects were randomized into two groups, and a single, blind, crossover design was used to compare two weeks of 60 minutes and 8 hours daily of TENS applications (100 Hz and 0.125 ms pulse width). Outcomes were examined using the Global Spasticity Score (GSS), the Penn Spasm Score (PSS), and a visual analogue scale (VAS) for pain. The results of the study demonstrated that there were no statistically significant differences in the GSS following either 60 minutes or 8 hours daily of TENS (P=0.433 and 0.217, respectively). The 8-hour application time led to a significant reduction in muscle spasm (P=0.038) and pain (P = 0.008). Thus, this study suggests that, whilst TENS does not appear to be effective in reducing spasticity, longer applications may be useful in treating MS patients with pain and muscle spasm. Multiple Sclerosis 2007; 13: 527-533. http://msj.sagepub.com

The Effect of Transcutaneous Electrical Nerve Stimulation on Spasticity in Multiple Sclerosis Patients: A Pilot Study

2003 ◽  
Vol 17 (2) ◽  
pp. 79-82 ◽  
Author(s):  
Kadriye Armutlu ◽  
Aydin Meriç ◽  
Nuray Kirdi ◽  
Edibe Yakut ◽  
Rana Karabudak
Keyword(s):  
Multiple Sclerosis ◽  
Nerve Stimulation ◽  
Transcutaneous Electrical Nerve Stimulation ◽  
Muscle Relaxation ◽  
Myoelectric Activity ◽  
Electrical Nerve Stimulation ◽  
Modified Ashworth Scale ◽  
Before And After ◽  
Multiple Sclerosis Patients ◽  
Ashworth Scale

The aim of this study was to examine the effects of transcutaneous electrical nerve stimulation on spasticity in patients with multiple sclerosis. The study was carried out in the Hacettepe University School of Physical Therapy and Rehabilitation. The subjects in the study were 10 clinically definite, primary and secondary progressive type multiple sclerosis outpatients with mild to moderate spasticity in the plantar flexor muscles of the ankle. Stimuli of frequency 100 Hz and pulse width 0.3 msec were used 20 minutes per day for 4 weeks. Patients were assessed by electromyography, Modified Ashworth Scale, and Ambulation Index. Electromyography was performed before and after the daily treatment of spastic muscles with transcutaneous electrical nerve stimulation in order to assess the effect on muscle relaxation. The Modified Ashworth Scale and Ambulation Index were used before and after 4 weeks' treatment. After 4 weeks of treatment, there were statistically significant reductions in spasticity of both extremities as assessed by myoelectric activity and the Modified Ashworth Scale (P < 0.05). Ambulation Index level was not improved significantly)P > 0.05).

Comparison of the effect of baclofen and transcutaneous electrical nerve stimulation for the treatment of spasticity in multiple sclerosis

2013 ◽  
Vol 35 (6) ◽  
pp. 636-641 ◽  
Author(s):  
Vahid Shaygannejad ◽  
Mohsen Janghorbani ◽  
Atefeh Vaezi ◽  
Sepehr Haghighi ◽  
Khodayar Golabchi ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Nerve Stimulation ◽  
Transcutaneous Electrical Nerve Stimulation ◽  
Electrical Nerve Stimulation

Effects of repetitive transcranial magnetic stimulation versus transcutaneous electrical nerve stimulation to decrease diabetic neuropathic pain

2020 ◽  
Vol 27 (2) ◽  
pp. 1-10
Author(s):  
Gehan Mousa Ahmed ◽  
Eman Ahmed Maher ◽  
Bassam Abd Elmaged Mohamed Refaat Elnassag ◽  
Hayam Mahmoud Sayed ◽  
Sara Ibrahim Kabbash
Keyword(s):  
Transcranial Magnetic Stimulation ◽  
Nerve Stimulation ◽  
Transcutaneous Electrical Nerve Stimulation ◽  
Magnetic Stimulation ◽  
Analogue Scale ◽  
Aerobic Training ◽  
Repetitive Transcranial Magnetic Stimulation ◽  
Electrical Nerve Stimulation ◽  
Group A ◽  
Group B

Background/Aims Repetitive transcranial magnetic stimulation and transcutaneous electrical nerve stimulation have been studied repeatedly to reduce diabetic neuropathic pain. The objective of this study was to compare the effects of aerobic training plus one of the treatment therapies on decreasing pain severity in patients with diabetic peripheral neuropathy. Methods A total of 30 patients with diabetic peripheral neuropathy were randomly assigned into two equal groups: group A and group B. Both groups received aerobic training exercises. Group A received repetitive transcranial magnetic stimulation, and Group B received transcutaneous electrical nerve stimulation for 5 consecutive days in 1 week. Outcome measures included pain severity assessment using the Visual Analogue Scale and the serum β-endorphin levels. Results There was a non-significant difference in pre-treatment (P=0.061) and post-treatment (P=0.652) in the Visual Analogue Scale scores between groups. However, β-endorphin levels were significantly different between groups in post- (P=0.015) rather than pre-treatment (P=0.459) levels. A significant moderate correlation between β-endorphin levels and Visual Analogue Scale scores was found in group A (r=−0.6783) at (P=0.008), while it was not significant in group B (r=0.043) at (P=0.883). Conclusions Adding transcutaneous electrical nerve stimulation or repetitive transcranial magnetic stimulation therapies to aerobic training showed similar effects in reducing pain severity in patients with diabetic peripheral neuropathy.

scholarly journals TERAPI KONVENSIONAL DAN METODE MCKENZIE PADA LANSIA DENGAN KONDISI LOW BACK PAIN KARENA HERNIA NUKLEUS PULPOSUS LUMBAL

2020 ◽  
Vol 4 (2) ◽  
pp. 44-57
Author(s):  
Lucky Anggiat ◽  
Indra Juni Fransisko ◽  
Soeparman SSt.Ft
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Visual Analogue Scale ◽  
Nerve Stimulation ◽  
Oswestry Disability Index ◽  
Transcutaneous Electrical Nerve Stimulation ◽  
Analogue Scale ◽  
Low Back ◽  
Electrical Nerve Stimulation

Pada lansia dapat terjadi gangguan gerak dan nyeri pada beberapa bagian tubuh seperti leher, bahu, leher, punggung bawah, lutut dan kaki dengan prevalensi terbesar adalah nyeri punggung bawah. Beberapa faktor yang dapat mempengaruhi timbulnya nyeri punggung bawah atau Low Back Pain (LBP) pada lansia dapat disebabkan kebiasaan duduk lama, mudah lelah, atau akibat penyakit tertentu seperti jatuh terduduk yang menyebabkan hernia nukleus pulposus (HNP) di daerah tulang lumbal. Fisioterapi berperan penting dalam kondisi tersebut. Penelitian ini adalah penelitian studi kasus pada seorang lansia dengan LBP karena HNP. Pemeriksaan dilakukan adalah pemeriksaan nyeri dengan Visual Analogue Scale (VAS) dan kemampuan fungsional dengan Oswestry Disability Index (ODI). Tindakan fisioterapi yang diberikan pada lansia menggunakan intervensi konvensional seperti Ultrasound (US), Transcutaneous Electrical Nerve Stimulation (TENS) dan latihan metode McKenzie. Dengan tindakan fisioterapi konvensional dan metode McKenize memberikan hasil yang baik pada penurunan nyeri dan peningkatan kemampuan fungsional. Dari penelitian ini dapat disimpulkan pelaksanaan terapi konvensional dan metode McKenzie dapat memberikan pengaruh yang baik pada lansia dengan LBP karena HNP

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