EFEKTIFITAS PENGGUNAAN TERAPI TRANSCUTANEUS ELECTRICAL NERVE STIMULATION (TENS) PADA PASIEN NYERI PUNGGUNG BAWAH DI RSUD dr. M HAULUSSY AMBON

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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Control of post-thoracotomy pain by transcutaneous electrical nerve stimulation: effect on serum cytokine levels, visual analogue scale, pulmonary function and medication

European Journal of Cardio-Thoracic Surgery ◽

10.1093/ejcts/ezr108 ◽

2011 ◽

Vol 41 (4) ◽

pp. 861-868 ◽

Cited By ~ 40

Author(s):

A. Fiorelli ◽

F. Morgillo ◽

R. Milione ◽

M. C. Pace ◽

M. B. Passavanti ◽

...

Keyword(s):

Visual Analogue Scale ◽

Pulmonary Function ◽

Nerve Stimulation ◽

Transcutaneous Electrical Nerve Stimulation ◽

Analogue Scale ◽

Serum Cytokine ◽

Electrical Nerve Stimulation ◽

Cytokine Levels

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EFEKTIFITAS PENGGUNAAN TERAPI TRANSCUTANEUS ELECTRICAL NERVE STIMULATION (TENS) PADA PASIEN NYERI PUNGGUNG BAWAH DI RSUD dr. M HAULUSSY AMBON

MOLUCCA MEDICA ◽

10.30598/molmed.2018.v11.i1.70 ◽

2018 ◽

pp. 70-78

Author(s):

Ninik Ma’athia Sallatalohy ◽

Maureen J. Paliyama ◽

Farah Ch Noya

Keyword(s):

Visual Analogue Scale ◽

Nerve Stimulation ◽

Analogue Scale ◽

Electrical Nerve Stimulation

Pendahuluan. Nyeri Punggung Bawah (NPB) merupakan suatu permasalahan yang paling sering ditemukan di masyarakat. Etiologinya tergolong kompleks dan dapat disebabkan oleh berbagai hal. Salah satu pilihan penatalaksanaan NPB adalah dengan terapi TENS. Tujuan. Tujuan penelitian ini adalah untuk mengetahui efektifitas terapi TENS pada pasien NPB di RSUD dr. M Haulussy Ambon. Metode. Desain penelitian yang digunakan adalah pretest–posttest design, dengan mengukur skala Visual Analogue Scale (VAS) sebelum dan setelah 5 kali terapi TENS. Jumlah subjek yang memenuhi kriteria sebanyak 71 dengan perbandingan laki-laki dan perempuan adalah 1:2. Hasil. Hasil uji Marginal Homogenity memperlihatkan perbedaan signifikansi sebelum dan setelah 5 kali terapi TENS (p = 0,000). Kesimpulan. TENS efektif dalam meredakan nyeri pada pasien NPB.

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

International Journal of Therapy and Rehabilitation ◽

10.12968/ijtr.2018.0037 ◽

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.

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

Multiple Sclerosis Journal ◽

10.1177/1352458506071509 ◽

2007 ◽

Vol 13 (4) ◽

pp. 527-533 ◽

Cited By ~ 37

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

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Acute migraine therapy with external trigeminal neurostimulation (ACME): A randomized controlled trial

Cephalalgia ◽

10.1177/0333102418811573 ◽

2018 ◽

Vol 39 (1) ◽

pp. 3-14 ◽

Cited By ~ 47

Author(s):

Denise E Chou ◽

Marianna Shnayderman Yugrakh ◽

Dana Winegarner ◽

Vernon Rowe ◽

Deena Kuruvilla ◽

...

Keyword(s):

Visual Analogue Scale ◽

Trigeminal Nerve ◽

Nerve Stimulation ◽

Analogue Scale ◽

Sham Group ◽

Controlled Trial ◽

Group Versus ◽

Primary Outcome Measure ◽

Scale Reduction ◽

Trigeminal Nerve Stimulation

Objective To assess the safety and efficacy of external trigeminal nerve stimulation for acute pain relief during migraine attacks with or without aura via a sham-controlled trial. Methods This was a double-blind, randomized, sham-controlled study conducted across three headache centers in the United States. Adult patients who were experiencing an acute migraine attack with or without aura were recruited on site and randomly assigned 1:1 to receive either verum or sham external trigeminal nerve stimulation treatment (CEFALY Technology) for 1 hour. Pain intensity was scored using a visual analogue scale (0 = no pain to 10 = maximum pain). The primary outcome measure was the mean change in pain intensity at 1 hour compared to baseline. Results A total of 109 participants were screened between February 1, 2016 and March 31, 2017. Of these, 106 patients were randomized and included in the intention-to-treat analysis (verum: n = 52; sham: n = 54). The primary outcome measure was significantly more reduced in the verum group than in the sham group: −3.46 ± 2.32 versus −1.78 ± 1.89 ( p < 0.0001), or −59% versus −30% ( p < 0.0001). With regards to migraine subgroups, there was a significant difference in pain reduction between verum and sham for ‘migraine without aura’ attacks: mean visual analogue scale reduction at 1 hour was −3.3 ± 2.4 for the verum group versus −1.7 ± 1.9 for the sham group ( p = 0.0006). For ‘migraine with aura’ attacks, pain reduction was numerically greater for verum versus sham, but did not reach significance: mean visual analogue scale reduction at 1 hour was −4.3 ± 1.8 for the verum group versus −2.6 ± 1.9 for the sham group ( p = 0.060). No serious adverse events were reported and five minor adverse events occurred in the verum group. Conclusion One-hour treatment with external trigeminal nerve stimulation resulted in significant headache pain relief compared to sham stimulation and was well tolerated, suggesting it may be a safe and effective acute treatment for migraine attacks. Study protocol ClinicalTrials.gov Identifier: NCT02590939.

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