scholarly journals Influence of Transcutaneous Electrical Nerve Stimulation on Pain, Range of Motion, and Serum Cortisol Concentration in Females Experiencing Delayed Onset Muscle Soreness

1989 ◽  
Vol 11 (3) ◽  
pp. 100-103 ◽  
Author(s):  
Craig R. Denegar ◽  
David H. Perrin ◽  
Alan D. Rogol ◽  
Richard Rutt
2017 ◽  
Vol 10 (1) ◽  
pp. 73-80
Author(s):  
Kazem Malmir ◽  
Nastaran Ghotbi ◽  
Seyed Mohsen Mir ◽  
Behzad Moradi

Background: Although self-limiting, delayed-onset muscle soreness (DOMS) declines performance of the athletes. The aim of the present study was to compare the effects of repeated use of cryotherapy and transcutaneous electrical nerve stimulation (TENS) on signs and symptoms following hamstring DOMS. Methods: This study used a randomized controlled trial design. Thirty-two participants were randomly allocated into a TENS or cryotherapy group. Ten participants were also considered as a control group. Pain, active knee extension range of motion (AROM), triple-hop distance and thigh girth were assessed before, 24, 48 and 72 hours after inducing DOMS in the dominant hamstrings muscle. Results: Two-factor repeated measures analysis of variance showed a significant main effect of time for pain intensity, AROM and triple hop distance(P<0.05), and main effect of group for pain intensity and AROM(P<0.05), and interaction effects of group×time for pain intensity and AROM(P<0.05). Post hoc statistical tests showed that mean of pain intensity and AROM was changed by cryotherapy group(P<0.017). Conclusion: Presence of pain, decreasing AROM and reducing triple hop distance confirmed the induction of DOMS in the hamstrings. Cryotherapy was more effective than TENS for controlling pain and improving AROM after DOMS. Triple hop distance, as a measure of function, was not able to detect dominance of cryotherapy or TENS for controlling DOMS of the hamstrings in spite of repeated use of these interventions.


2020 ◽  
Vol 30 (05) ◽  
pp. 290-298
Author(s):  
Jerrold Petrofsky ◽  
Michael Laymon ◽  
Haneul Lee

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.


2015 ◽  
Vol 50 (3) ◽  
pp. 289-294 ◽  
Author(s):  
Kelly A. Larkin-Kaiser ◽  
Jeffrey J. Parr ◽  
Paul A. Borsa ◽  
Steven Z. George

Context: Athletic trainers use clinical pain and range of motion (ROM) to gauge recovery after musculoskeletal injury. Limited evidence to date suggests which shoulder ROM measures can predict symptomatic relief and functional recovery after delayed-onset muscle soreness (DOMS). Objective: To determine whether shoulder passive internal rotation, passive external rotation, active abduction, and active flexion and evoked pain with abduction are associated with resting pain experienced after exercise-induced DOMS. Design: Descriptive laboratory study. Setting: Controlled research laboratory. Patients or Other Participants: A total of 110 healthy, right-hand–dominant participants (44 men: age = 25.39 ± 7.00 years, height = 178.93 ± 7.01 cm, weight = 78.59 ± 14.04 kg; 66 women: age = 22.98 ± 6.11 years, height = 164.64 ± 6.94 cm, weight = 61.86 ± 11.67 kg). Intervention(s): Participants completed an exercise-induced DOMS protocol for the external rotators of the dominant shoulder to replicate muscle injury. Main Outcome Measure(s): Current resting pain was assessed daily for 96 hours using the Brief Pain Inventory. We evaluated functional recovery with measures of ROM in abduction, internal rotation, external rotation, and flexion. Evoked pain with active abduction was reported, and the pain rating served as the dependent variable in the regression model. Results: Impairment measures explained resting pain at 48 (R2 = 0.392) and 96 hours (R2 = 0.164). Abduction and internal-rotation ROM and evoked pain with abduction predicted resting pain at 48 hours (P &lt; .001). At 96 hours, evoked pain with abduction of the injured arm (P &lt; .001) was the significant contributor to resting pain. Conclusions: These models suggest that resting pain after experimentally induced DOMS occurs at 48 hours and is associated with specific ranges of motion and evoked pain with abduction.


1997 ◽  
Vol 6 (1) ◽  
pp. 30-37 ◽  
Author(s):  
Randy J. Schmitz ◽  
David E. Martin ◽  
David H. Perrin ◽  
Ali Iranmanesh ◽  
Alan D. Rogol

The purpose of this study was to assess the effect of interferential current (IFC) on perceived pain and serum Cortisol levels in subjects with delayed onset muscle soreness (DOMS). DOMS was induced in 10 subjects through repeated eccentric contractions of the elbow flexors. Forty-eight hours later subjects were evaluated. Starting at t = 0:00, blood samples were withdrawn from a superficial vein every 5 min for 65 min. At t = 0:05, subjects received IFC of 10 bps or IFC of 100 bps. Perceived pain levels were evaluated prior to catheter insertion and at t = 0:35, 0:50, and 0:65. Two mixed-model analyses of variance revealed a significant decrease in perceived pain scores across time for both treatment groups but no significant difference in serum Cortisol for the two groups. It was concluded that IFC of high and low beat frequency is effective in controlling the pain of DOMS but does not elicit a generalized stress response as indexed by increasing serum Cortisol levels.


2021 ◽  
Vol 2 (9) ◽  
pp. 812-814
Author(s):  
Hosseini Seyedeh Sara

In this article, the reasons for the occurrence of Delayed Onset Muscle Soreness (DOMS) and the effect of electrotherapy on it were discussed. Electrotherapy is a non-invasive and easy method to treat DOMS and muscle fatigue. As a result of intense and abnormal exercise, the creatine phosphokinase enzyme in the muscle increases and DOMS occur. DOMS can be treated with electrotherapy techniques such as micro-current electrotherapy. Micro-currents devices reduce the severity of DOMS symptoms by maintaining intracellular calcium homeostasis. Devices such as Transcutaneous Electrical Nerve Stimulation (TENS) and Micro-Current Electrical Therapy (MET) belong to the category of micro-currents. The number of electrotherapy sessions after the occurrence of DOMS and the frequency of electrotherapy devices are two important factors in the treatment of DOMS. TENS conducts electrical current to the body through electrodes that attach to the skin, and helping to reduce pain by releasing endorphins, a natural painkiller, and blocking the passage of pain to the brain. MET uses resonant frequencies to aid in deeper and longer treatment, increase the body’s production of natural catalysts in the healing process, and is more useful in chronic pain than TENS. Research has shown that electrotherapy has been shown to improve DOMS symptoms.


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