scholarly journals Combining Transcranial Direct Current Stimulation and Transcutaneous Electrical Nerve Stimulation to Relieve Persistent Pain in a Patient Suffering from Complex Regional Pain Syndrome: A Case Report

2020 ◽  
Vol Volume 13 ◽  
pp. 467-473
Author(s):  
Francis Houde ◽  
Marie-Philippe Harvey ◽  
Pierre-François Tremblay Labrecque ◽  
Francis Lamarche ◽  
Alexandra Lefebvre ◽  
...  
Keyword(s):  
Case Report ◽  
Complex Regional Pain Syndrome ◽  
Direct Current ◽  
Nerve Stimulation ◽  
Transcranial Direct Current Stimulation ◽  
Transcutaneous Electrical Nerve Stimulation ◽  
Pain Syndrome ◽  
Persistent Pain ◽  
Electrical Nerve Stimulation ◽  
Direct Current Stimulation

Cortical vs. afferent stimulation as an adjunct to functional task practice training: a randomized, comparative pilot study in people with cervical spinal cord injury

2014 ◽  
Vol 29 (8) ◽  
pp. 771-782 ◽  
Author(s):  
Joyce Gomes-Osman ◽  
Edelle C Field-Fote
Keyword(s):  
Direct Current ◽  
Nerve Stimulation ◽  
Transcranial Direct Current Stimulation ◽  
Transcutaneous Electrical Nerve Stimulation ◽  
Short Term ◽  
Electrical Nerve Stimulation ◽  
Direct Current Stimulation ◽  
Cohen’S D ◽  
Task Practice ◽  
Functional Task

Objective: To assess single-session effects of three different types of stimuli known to increase cortical excitability when combined with functional task practice. Design: Randomized cross-over trial. Participants: A total of 24 participants with chronic cervical spinal cord injury. Interventions: One 30-minute session of each, applied concurrently with functional task practice: transcranial direct current stimulation, vibration, and transcutaneous electrical nerve stimulation. Measurements: Nine-hole Peg Test, pinch force, visuomotor tracking, and cortical excitability were collected at pretest, posttest and late posttest (30 minutes after). Early effects (posttest minus pretest) and short-term persistence (late posttest minus pretest) were assessed using a general linear mixed model. Magnitude of effect size was assessed using the Cohen’s d. Results: Transcutaneous electrical nerve stimulation was associated with moderate, significant early effects and short-term persistence on Nine-hole Peg Test performance (1.8 ±1.8, p = 0.003, d = 0.59; 2.0 ±2.5, p < 0.001, Cohen’s d = 0.65, respectively). Transcranial direct current stimulation (1.8 ±2.5, p = 0.003, Cohen’s d = 0.52) was also associated with significant short-term persistence of moderate size on Nine-hole Peg Test performance (1.8 ±2.5, p = 0.003, Cohen’s d = 0.52) and visuomotor tracking performance ( p = 0.05, d = 0.51). Early effects on corticomotor excitability were significant for transcutaneous electrical nerve stimulation ( p = 0.003), approached significance for transcranial direct current stimulation ( p = 0.07), and only vibration was associated with significant short-term persistence ( p = 0.006). Conclusions: Meaningful improvements in aspects of hand-related function that persisted at least 30 minutes after intervention were observed with transcutaneous electrical nerve stimulation and transcranial direct current stimulation, when combined with functional task practice.

scholarly journals Transcutaneous Electrical Nerve Stimulation for the Management of Neuropathic Pain: The Effects of Frequency and Electrode Position on Prevention of Allodynia in a Rat Model of Complex Regional Pain Syndrome Type II

2006 ◽  
Vol 86 (5) ◽  
pp. 698-709 ◽  
Author(s):  
David L Somers ◽  
F Richard Clemente
Keyword(s):  
Complex Regional Pain Syndrome ◽  
Nerve Stimulation ◽  
High Frequency ◽  
Transcutaneous Electrical Nerve Stimulation ◽  
Low Frequency ◽  
Pain Syndrome ◽  
Syndrome Type ◽  
Type Ii ◽  
Electrical Nerve Stimulation ◽  
The Right

Abstract Background and Purpose. Complex regional pain syndrome type II (CPSII) is a painful condition that develops following a nerve injury. Although transcutaneous electrical nerve stimulation (TENS) relieves the pain of CPSII, the stimulation parameters that would best prevent the development of the condition are not known. The purpose of this study was to compare the ability of several different stimulation strategies to reduce the development of allodynia. Subjects. Sprague-Dawley rats were used in the study. Methods. A chronic constriction injury (CCI) to the right sciatic nerve was used to induce allodynia. Two groups of CCI rats received high-frequency TENS to the lumbar paravertebral region with electrodes positioned on the skin overlying either the right or left paraspinal musculature. Two additional groups of CCI rats received low-frequency TENS to acupuncture points in the right or left hind limbs. A fifth group of CCI rats received no TENS intervention. Thermal and mechanical pain thresholds were assessed in the right hind paw before and 12 days after the CCI surgery. The TENS was delivered 1 hour per day beginning on the day of surgery. Results. Daily high-frequency TENS reduced the development of mechanical allodynia in CCI rats, and low-frequency TENS reduced the development of thermal allodynia, but only when TENS was delivered on the left side. Discussion and Conclusion. The results indicate that TENS delivered contralateral to a nerve injury best reduces allodynia development. Comprehensive reduction of allodynia development would require a combination of high- and low-frequency TENS intervention.

scholarly journals Time Dependent Effect of the Combination of Transcranial Direct Current Stimulation and Transcutaneous Electrical Nerve Stimulation in Knee Osteoarthritis Patients

2021 ◽  
Vol 23 (04) ◽  
pp. 196-206
Author(s):  
Rekha Chaturvedi ◽  
◽  
Shabnam Joshi ◽  
Keyword(s):  
Quality Of Life ◽  
Knee Osteoarthritis ◽  
Direct Current ◽  
Nerve Stimulation ◽  
Transcranial Direct Current Stimulation ◽  
Transcutaneous Electrical Nerve Stimulation ◽  
Electrical Nerve Stimulation ◽  
Knee Oa

Background: Osteoarthritis is a highly prevalent musculoskeletal condition. A huge variety of treatment interventions are available but have shown success to limited extent. Treatment intervention managing the symptoms both at the periphery and at the central pain processing can be a better approach to the treat this condition. Objective: The present study aimed to see the time effect of the combination of Transcranial direct current stimulation (tDCS) and Transcutaneous electrical nerve stimulation (TENS) in knee OA patients. Study design: Pre- post experimental study design. Methodology: Seventeen patients with chronic knee osteoarthritis as per American College of Rheumatology criteria were recruited in the study. The combination of tDCS and TENS was applied for 5 consecutive days over the most painful knee. The outcome measures were pain (VAS), function (six minute walk test), disability and quality of life (Knee injury and osteoarthritis outcome score) measured at the baseline, one week, two weeks and six weeks after the interventions. Data was analyzed using SPSS (version 21.0) software. Result: The result of the study showed significant improvement in pain, function and quality of life at the short term (week 1) as well as in long term (6 weeks) after the interventions. Conclusion: The combination of tDCS and TENS is a potential intervention in reducing pain and improving function both at short and long term in knee OA patients.

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