scholarly journals Effects Of Transcutaneous Electrical Nerve Stimulation (Tens) On Patients With Acute Low Back Pain

2012 ◽  
Vol 7 (2) ◽  
pp. 29-32
Author(s):  
B Ahmed ◽  
S Alam ◽  
I Rashid ◽  
N Rahman ◽  
A Rahman ◽  
...  

Background: Acute low back pain (LBP) affects a significant proportion of the population. Transcutaneous electrical nerve stimulation (TENS) was introduced more than 30 years ago as an adjunct to the pharmacological management of pain. However, despite its widespread use, the usefulness of TENS in LBP is still controversial. Introduction: LBP is a common problem in Bangladesh. Acute LBP is usually defined by a period of complaints of LBP of six weeks or shorter. TENS may improve acute LBP. Objective: To evaluate the effectiveness of TENS on acute LBP and also to ensure the patients wellbeing by shortening recovery time who have acute LBP. Methods: A prospective study was carried out in the Department of Physical Medicine and Rehabilitation, Bangubandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh, from July 2008 to December 2008. The patients were divided into two groups (A and B). Patients of Group A (30 patients) were treated with TENS, Non-steroidal anti-inflammatory drugs (NSAIDs) and activities of daily living (ADLs) instruction. Patients of group B (28 patients) were treated with NSAIDs and ADLs instructions. Results: A total of 58 Patients of acute LBP were included in this study. The mean age of the patients was 38.5 ± 9.01 years. Main causes of pain were muscle strain (39.65%), nonspecific LBP (22.41%), prolapsed lumber intervertebral disc (17.24%), lumbar spondylosis (13.79%) and sciatica (6.91%). After treatment the result was compared and student's 't' test was done to see the level of significance. Method was found significant after treatment (p<0.05). Twenty four (80%) patients were improved in group A and 18 (64.28%) patients in group B. Patient compliances of group A were better than that in group B. Conclusion: Effect of TENS on patients with acute low back pain is beneficial. DOI: http://dx.doi.org/10.3329/jafmc.v7i2.10393 JAFMC 2011; 7(2): 29-32

2020 ◽  
Vol 73 (11-12) ◽  
pp. 369-374
Author(s):  
Mirko Grajic ◽  
Slobodan Pantelinac ◽  
Ksenija Boskovic ◽  
Dejan Nikolic ◽  
Snezana Tomasevic-Todorovic

Introduction. Although transcutaneous electrical nerve stimulation and diadynamic currents are widely used in the treatment of painful conditions, their effectiveness in acute low back pain is still controversial. The aim of this study was to evaluate the therapeutic effects of transcutaneous electrical nerve stimulation and diadynamic current therapy in patients with acute low back pain. The study was designed as a single-blind randomized controlled trial. Material and Methods. A total of 60 patients with acute low back pain, recruited from physiotherapy referrals, were included in the study. Thirty consecutive patients randomized to receive transcutaneous electrical nerve stimulation were in the experimental group, and 30 patients treated with diadynamic current were included in the control group. The primary outcome variable, measured at days 1 and 10 was pain intensity, measured using a visual analogue scale. Secondary outcome measures were lumbosacral spine flexibility (measured by Schober test), lumbar paraspinal muscle tone evaluated by palpation of the affected paraspinal muscles, and hip range of motion during the straight leg raise test in the supine position. Results. All the parameters in each group showed significant improvements after 10 days of physical therapy (p < 0.01). Statistical analysis showed that there were significant differences between the groups in pain relief and sensitivity of paraspinal muscles after the treatment, mostly due to the experimental group (p < 0.01). Conclusion. In conclusion, transcutaneous electrical nerve stimulation and diadynamic current therapy can be used in rehabilitation of patients with acute low back pain, but transcutaneous electrical nerve stimulation seems to have better pain modulation effect than diadynamic current therapy.


1990 ◽  
Vol 322 (23) ◽  
pp. 1627-1634 ◽  
Author(s):  
Richard A. Deyo ◽  
Nicolas E. Walsh ◽  
Donald C. Martin ◽  
Lawrence S. Schoenfeld ◽  
Somayaji Ramamurthy

2005 ◽  
Vol 13 (2) ◽  
pp. 3-9 ◽  
Author(s):  
Peter F. Jarzem ◽  
Edward J. Harvey ◽  
Nicholas Arcaro ◽  
Janusz Kaczorowski

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