Transcutaneus Electrical Nerve Stimulation Research Articles

EVALUATING THE EFFECTIVENESS OF A TWO YEAR REHABILITATION OF A PATIENT WITH GUILLAIN-BARRE SYNDROME: A CASE REPORT

Aim: To present a clinical case of multiple multidiscipli­nary rehabilitation courses after a total of three episodes of Guillain-Barre syndrome (GBS). Case report: A 72-year-old female was hospitalized to Lithuanian University of Health Sciences (LUHS) Hos­pital Kaunas Clinics Neurology department, complaining of lower back pain spreading to the lateral surfaces of both legs and a cold, tingling sensation in her feet that has been continuing for two months. Subacute demyelinating polyneuropathy was diagnosed. The patient suffered a total of three episodes of GBS and underwent a course of multidisciplinary rehabilitation after each of them. Despite the worsening condition during every episode of GBS, improvements were observed in the Barthel index, Functional Independence Measure, Lovett scores and dynamometry after each course of rehabilitation. Phy­siotherapy, occupational therapy, massage, transcutaneus electrical nerve stimulation, physical therapy, speech the­rapy, psychologist consultation and social worker consul­tation were applied. After the last course of rehabilitation, our patient was autonomous within the range of a ward, able to eat served food, put clothes on the upper body with minimal help, on the lower body – with moderate help. Moderate help was needed for all other activities. Conclusions: After undergoing multidisciplinary in and outpatient rehabilitation, the condition of our patient im­proved. This case highlights the importance of both early inpatient and continuous long-term rehabilitation for the achievement of the maximum functional recovery.

Physiotherapy Management Condition of Low Back Pain Lumbar Spondylosis Using Transcutaneous Electrical Nerve Stimulation and William Flexion Exercise Modalities at Pku Muhammadiyah Gamping Hospital

Low Back Pain is pain that is felt in the lower back region, can be a local pain, and radicular pain or both. Pain originating from the lower back can refer to other regions or otherwise derived from other areas in the felt in the lower back area, then do a treatment of physiotherapy by using modalities of physiotherapy in the form Transcutaneus Electrical Nerve Stimulation (TENS), Short Wave Diathermy (SWD), and William's Flexion therapy. Objective: To investigate the implementation of physiotherapy in reducing pain, increasing range of motion (LGS), and reduction of muscle spasm in conditions of Low Back Pain. Therapy: modalities used in the case of Low Back Pain are Transcutaneous Electrical Nerve Stimulation (TENS), Short Wave Diathermy (SWD), and William's Flexion Exercise Therapy. Results: The results obtained after the conducted therapy 6 times with modalities SWD, TENS, and Therapeutic Exercise William's Flexion are as follows: pain silent T1 = 0 mm to T6 = 0 mm, tenderness T1 = 60 mm to T6 = 30 mm , pain motion T1 = 20 mm to T6 = 0 mm, LGS Trunk Flexion T1 = 6 cm into T6 = 7 cm, LGS extension Trunk T1 = 2 cm into T6 = 2 cm, muscle spasm Paravertebra T1 = 2 to T6 = 0. Conclusion: SWD, TENS, and William's Flexion Exercise therapy can reduce motion tenderness and pain, improve LGS, and reduce muscle spasm in conditions of Low Back Pain.

Efficacy of therapeutic ultrasound in treatment of adhesive capsulitis: A prospective double blind placebo-controlled randomized trial.

In treatment of adhesive capsulitis, deep heating agents have been shown to have positive effects on pain and function. To evaluate if addition of ultrasound used in treatment of adhesive capsulitis will provide additional benefits. Thirty patients with adhesive capsulitis were included in a prospective, double-blind, randomized controlled trial. Hotpack, TENS (Transcutaneus Electrical Nerve Stimulation), exercise and active ultrasound therapies were applied to the first group (n= 15), whereas sham ultrasound was applied to the second group (n= 15) in addition to hotpack, TENS and exercise. The patients were evaluated using joint range of motion, UCLA shoulder scale and Shoulder Disability Questionnaire scales at baseline and at 6th and 24th weeks post-treatment. When pain and the clinical and functional parameters were compared in both groups, significant improvement was found compared to baseline (p< 0.001). At week 24, no difference was found in terms of pain at rest, but all other parameters were improved compared to week 6. When the groups were compared, no difference was found in any comparison between 6th and 24th week (p> 0.05). Adding ultrasound treatment to a combination of physical therapy modalities did not provide any additional benefits for the treatment of adhesive capsulitis.

PENATALAKSANAAN FISIOTERAPI PADA KONDISI LOW BACK PAIN et CAUSA SPONDYLOSIS LUMBAL DENGAN MODALITAS ULTRASOUND, TRANSCUTANEUS ELECTRICAL NERVE STIMULATION DAN WILLIAM’S FLEXION EXERCISE DI RSUD KRATON PEKALONGAN

Low Back Pain et causa Spondylosis Lumbar is a degenerative process that occurs in the corpus and the intervertebral disc due to a decrease in the density ofthe corpus intervertebra and narrowing of the corpus intervertebral causedthinning of the disc, along with lower back pain due to stress back muscles,tendons, ligaments with symptoms such as Local pain not accompanied bytingling, weakness or neurological disorders. Problems of physiotherapy includepain silent press and motion in the lower back spasm, decreased trunk musclestrength, range of motion limitations trunk, decreased functional activity. In thiscase the selected intervention technologies to overcome the above problems byusing ultrasound modality, transcutaneus electrical nerve stimulation andWilliam's flexi exercise. Design research with descriptive method used in thepreparation of scientific papers is a case study. The taking of scientific papers isdone in RSUD Kraton Pekalongan. Based therapy that has been done obtained the following results: (1)decrease in silent pain becomes T6 T1 = 8 = 2, the tenderness T1 = 2 to T6 = 1,and the motion pain becomes T1 = 4.8 T6 = 1, (2) a decrease in muscle spasm atT1 = spasm, at T6 = spasm but decreases, (3) an increase in muscle strength m.Flexor trunk T1 = 2 to T6 = 3, at m. extensor trunk T1 = 2 to T6 = 3, (4) anincrease in the scope of flexion trunk T1 = 4 to T6 = 6, the extension trunk T1 = 4to T6 = 6, lateral dextra trunk T1 = 3 to T6 = 8, lateral sinistra Trunk T1 = 8 to T6= 9 (5) an increase in functional activity T1 = 18% to T6 = 2%. With the results obtained it can be concluded that the use of the modalitiesof physiotherapy with ultrasound, transcutaneus electrical nerve stimulation andWilliam's flexi physiotherapy exercise can help the problems arising from lowback pain lumbar spondylosis et causa.&#x0D;

PENATALAKSANAAN FISIOTERAPI PADA KONDISI OSTEOARTHRITIS KNEE SINISTRA DISERTAI DIABETES MELLITUS TIPE II DENGAN MODALITAS TENS, EXERCISE THERAPY, DAN MULLIGAN TECHNIQUE

Diabetes Mellitus Type II is a disease of hyperglycemia due to the relative failure of β cells and insulin resistant. One of the complications of Diabetes Mellitus is a chronic musculoskeletal disorders, and the most is osteoarthritis of the knee, which is 53.3%. Osteoarthritis can be defined as a slowly progressive monoarticular disorder of unknown cause clearly. Osteoarthritis can cause physical disability in multiple levels, ie the level of impairment (joint damage, especially that caused complaints joints), the level of disability (the existence of a physical disability that disruption of activity of daily living), and functional limitation (limited ability of functional activity). In order to giving effective and efficient therapy, then conducted a certain phisiotherapy intervention and documentation. Intervention including all of phisiotherapy measurement that is an examination for pain by Visual Analogue Scale (VAS), muscle spasm by palpation, muscle strength by Manual Muscle Testing (MMT), range of motion by goniometer, and the ability of functional activity with Knee Injury Osteoarthritis Outcome Score (KOOS). In this case to contend the problems above may used modality sort of Transcutaneus Electrical Nerve Stimulation (TENS), Exercise Therapy, and Mulligan Technique.

Multitarget surgical neuromodulation: Combined C2 and auditory cortex implantation for tinnitus

Tinnitus, as a phantom sound can express itself as a pure tone and as a noise-like sound. It is notoriously difficult to treat, and in medically, psychologically and audiologically intractable tinnitus patients sometimes intracranial electrodes overlying the auditory cortex are implanted. In this case report, we describe a patient who had a complete resolution of the pure tone component of his tinnitus by an auditory cortex implant, without any beneficial effect on the noise-like aspect of his tinnitus, even after changing the stimulation design to burst stimulation, which is known to treat noise-like tinnitus better than tonic stimulation. After an initial successful treatment of his noise-like component with transcutaneus electrical nerve stimulation, a wire electrode is inserted subcutaneously and connected to his internal pulse generator. With the dual stimulation his pure tone tinnitus remains abolished after 5 years of stimulation and his noise-like tinnitus is improved by 50%, from 8/10 to 4/10. This case report suggests that multi-target stimulation might be better than single target implantation in selected cases.

THU0344 The AGE Influence on Therapeutic Outcome in Patients with Subacute Low Back Pain

BackgroundIt is assumed that subacute low back pain treatment will be longer in older patients due to comorbidityObjectivesto determine the influence of age on therapeutic outcome in patients with subacute...

THU0553 Influence of Obesity on Therapeutic Outcome in Patients with Non-Specific Subacute Low Back Pain

ObjectivesThe aim of the study was to assess the influence of obesity on the effect of treatment in patients with non-specific subacute low back pain.MethodsProspective study included 100 out-patients (40...

Comparasion Of The Therapeutic Effect Between SWD And Tens On Relieving Pain In Mechanical Low Back Pain Petients

Background : Low back pain (LBP) is the second cause of pain after headache and remains one of the most common symptoms for seeing a physician. About 90% of LBP is caused by mechanical factor. There are various physical modalities to relieve pain, such as, Short Wave Diathermy (SWD) and Transcutaneus Electrical Nerve Stimulation (TENS) which are proved to be useful to relieve pain. The aim of the study is to compare SWD and TENS on relieving pain in mechanical LBP patients.&#x0D; Methods : A pre-posttest study in 36 outpatients, with subacute mechanical LBP, ranging from 30–55 years old, were randomly divided into two even groups, the SWD group and TENS group. The subjects received either SWD or TENS on lumbosacral area for 15 minutes, 3 times a week, with the interval of 2–3 days during 2 weeks. Visual Analogue Scale (VAS) was applied for pain assessments to all subjects before and 24 hours after the sixth therapy session.&#x0D; Results : There was a reduction on VAS score in the SWD group from 4.56 ± 0.62 cm to 1.90 ± 0.51 cm (p&lt;0.001). There was a reduction on VAS score in the TENS group from 4.64 ± 0.59 cm to&#x0D; 2.03 ± 0.50 cm (p&lt;0.001). There was no significant difference on VAS score reduction between SWD and TENS group (p = 0.643). Conclusion : TENS therapy relieves pain in subacute mechanical LBP patients as good as SWD Therapy.&#x0D; Keywords : Mechanical low back pain, SWD, TENS.

Classical conditioned response of rectosigmoid motility and regional cerebral activity in humans

The relationship between the central processes of classical conditioning and conditioned responses of the gastrointestinal function is incompletely understood in humans. We tested the hypothesis that the rectosigmoid motility becomes conditioned with anticipatory painful somatosensory stimulus and that characteristic brain areas become activated during anticipation. In nine right-handed healthy male subjects, a loud buzzer (CS, conditional stimulus) was paired with painful transcutaneus electrical nerve stimulation to the right hand (unconditional stimulus). Rectosigmoid muscle tone measured by the barostat as the intrabag volume, phasic contractions of the bowel measured as the number of phasic volume events (PVEs), and regional cerebral blood flow assessed by positron emission tomography (PET), were measured before and after conditioning. Following conditional trials, the bag volume after CS alone did not show significant changes between before and after the stimulus, but the number of PVEs after 2-minute interval of the CS alone was significantly greater than that before the stimulus (P < 0.05). The PET data showed the conditioning elicited significant cerebral activation of the prefrontal, anterior cingulate, parietal and insula cortices (P < or = 0.001, uncorrected). Rectosigmoid motility can be conditioned with increase in phasic contractions in humans.

Comparison of two different techniques of electrotherapy on myofascial pain

This study was designed to compare the effects of Transcutaneus Electrical Nerve Stimulation (TENS) and Electrical Muscle Stimulation (EMS) on myofascial trigger point (MTrP) of the upper trapezius muscle. A total of 40 patients were randomly divided into three groups. All patients had active MTrP in one side of the upper trapezius muscles. Group I was treated with TENS and trapezius-stretching exercises; Group II was treated with EMS and trapezius-stretching exercises and Group III, the control group, had only trapezius-stretching exercises. Subjective pain intensity with VAS, range of motion (ROM), and pain threshold (PT) were assessed before, immediately after two week treatment and 3 months after treatment. Group I had a statistically significant reduction in VAS (<FORMULA>P<0.01</FORMULA>), increase in PT and ROM (<FORMULA>p<0.05</FORMULA>) at end of the treatment when compared with the control group. Only VAS was significantly improved (<FORMULA>p<0.05</FORMULA>) in the Group II patients. At the end of the third month, both groups showed highly significant improvement (<FORMULA>p<0.01</FORMULA>) in VAS and PT (but not ROM). There was no statistical difference in none of parameters between EMS and TENS groups in any time (<FORMULA>p>0.05</FORMULA>). In conclusion, TENS seem to be more effective immediately after treatment but in long term evaluation there is no significant superiority of two electrotherapy techniques on each other.