The Effect of Transcutaneous Electrical Nerve Stimulation on Spasticity in Multiple Sclerosis Patients: A Pilot Study

2003 ◽  
Vol 17 (2) ◽  
pp. 79-82 ◽  
Author(s):  
Kadriye Armutlu ◽  
Aydin Meriç ◽  
Nuray Kirdi ◽  
Edibe Yakut ◽  
Rana Karabudak
Keyword(s):  
Multiple Sclerosis ◽  
Nerve Stimulation ◽  
Transcutaneous Electrical Nerve Stimulation ◽  
Muscle Relaxation ◽  
Myoelectric Activity ◽  
Electrical Nerve Stimulation ◽  
Modified Ashworth Scale ◽  
Before And After ◽  
Multiple Sclerosis Patients ◽  
Ashworth Scale

The aim of this study was to examine the effects of transcutaneous electrical nerve stimulation on spasticity in patients with multiple sclerosis. The study was carried out in the Hacettepe University School of Physical Therapy and Rehabilitation. The subjects in the study were 10 clinically definite, primary and secondary progressive type multiple sclerosis outpatients with mild to moderate spasticity in the plantar flexor muscles of the ankle. Stimuli of frequency 100 Hz and pulse width 0.3 msec were used 20 minutes per day for 4 weeks. Patients were assessed by electromyography, Modified Ashworth Scale, and Ambulation Index. Electromyography was performed before and after the daily treatment of spastic muscles with transcutaneous electrical nerve stimulation in order to assess the effect on muscle relaxation. The Modified Ashworth Scale and Ambulation Index were used before and after 4 weeks' treatment. After 4 weeks of treatment, there were statistically significant reductions in spasticity of both extremities as assessed by myoelectric activity and the Modified Ashworth Scale (P < 0.05). Ambulation Index level was not improved significantly)P > 0.05).

scholarly journals Transcutaneous electrical nerve stimulation therapy in reduction of orofacial pain

2014 ◽  
Vol 142 (3-4) ◽  
pp. 150-154 ◽  
Author(s):  
Igor Djordjevic ◽  
Vojkan Lazic ◽  
Ana Todorovic ◽  
Aleksandra Cairovic ◽  
Valentina Veselinovic ◽  
...  
Keyword(s):  
Nerve Stimulation ◽  
Transcutaneous Electrical Nerve Stimulation ◽  
Myofascial Pain ◽  
Muscle Relaxation ◽  
Pain Reduction ◽  
Masticatory Muscles ◽  
Electrical Nerve Stimulation ◽  
Muscular Dysfunction ◽  
Before And After ◽  
Symptoms And Signs

Introduction. Patients with craniomandibular disorders suffer from hypertonic, fatigued and painful masticatory muscles. This condition can lead to limitation of mandibular jaw movements. All of these symptoms and signs are included in myofascial pain dysfunction syndrome. Transcutaneous electrical nerve stimulation (TENS) has been used for treatment of these patients. Objective. The aim of this study was to assess the effect of TENS therapy on chronic pain reduction in patients with the muscular dysfunction symptom. Methods. In order to evaluate the effect of TENS therapy before and after the treatment, Craniomandibular Index (Helkimo) was used. Pain intensity was measured by VAS. Patients had TENS treatment over two-week period. BURST TENS modality was used. Current intensity was individually adjusted. Results. Two patients did not respond to TENS therapy. Complete pain reduction was recorded in 8 patients, while pain reduction was not significantly different after TENS therapy in 10 patients. Conclusion. TENS therapy was confirmed as therapeutic procedure in orofacial muscle relaxation and pain reduction.

Comparison of the effect of baclofen and transcutaneous electrical nerve stimulation for the treatment of spasticity in multiple sclerosis

2013 ◽  
Vol 35 (6) ◽  
pp. 636-641 ◽  
Author(s):  
Vahid Shaygannejad ◽  
Mohsen Janghorbani ◽  
Atefeh Vaezi ◽  
Sepehr Haghighi ◽  
Khodayar Golabchi ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Nerve Stimulation ◽  
Transcutaneous Electrical Nerve Stimulation ◽  
Electrical Nerve Stimulation

scholarly journals The effect of transcutaneous electrical nerve stimulation (TENS) and cryotherapy in the relief of pain during labor

2020 ◽  
pp. 1-6 ◽  
Author(s):  
Mariana Meurer Regis ◽  
Gesilani Júlia da Silva Honório ◽  
Keyla Mara dos Santos ◽  
Soraia Cristina Tonon da Luz ◽  
Clarissa Medeiros da Luz ◽  
...  
Keyword(s):  
Nerve Stimulation ◽  
Transcutaneous Electrical Nerve Stimulation ◽  
Labor Pain ◽  
Electrical Nerve Stimulation ◽  
Significant Difference ◽  
Before And After ◽  
Reduction Of Pain ◽  
Quasi Experimental ◽  
First Time ◽  
Unpleasant Experience

Background: The delivery pain is an unpleasant experience which may generate some insecurity for the woman. Thus, some methods of analgesia need to be studied in order to generate greater comfort for the woman during labor. Objective: to evaluate the effect of transcutaneous electrical nerve stimulation (TENS) and cryotherapy (CRYO) on labor pain. Method/Design: quasi experimental study, randomized sample in two groups: TENS and CRYO. Pregnant women were selected in the Carmela Dutra Maternity (Florianópolis (SC), Brazil) according to inclusion criteria: women which are pregnant for the first time, age (18-40 years) and initial cervical dilatation of 4-5cm. The Visual Analogue Scale (VAS) was used to evaluate pain before and after each intervention. Results: 24 parturient women were studied (TENS = 11, CRYO = 13). In the TENS group, there was a significant result in pain relief after the first application (p = 0.002). VAS was reduced from 8 to 5.5, but not significant. In the CRYO group there was reduction of pain during the first application (p = 0.008), and in the second there was an increase in pain (p = 0.008). There was a significant difference between the techniques in the evaluation performed before the second application, with a lower value attributed to the CRYO group (p = 0.034). Conclusions: CRYO and TENS were effective in relieving pain during the first phase of the initial phase of labor. However, during the treatment, in the parturient women studied, there was maintenance of pain response by the CRYO group and decrease in the TENS group without reduction significant.

Increased Plasma β-Endorphin Concentrations after Acupuncture: Comparison of Electroacupuncture, Traditional Chinese Acupuncture, Tens and Placebo Tens

1994 ◽  
Vol 12 (1) ◽  
pp. 21-23 ◽  
Author(s):  
Sefkat Abenyakar ◽  
Feyza Boneval
Keyword(s):  
Nerve Stimulation ◽  
Transcutaneous Electrical Nerve Stimulation ◽  
Significant Rise ◽  
Electrical Nerve Stimulation ◽  
Chinese Acupuncture ◽  
Before And After

Seventeen patients with pain from various causes were treated by Electroacupuncture (n=5), Traditional Chinese Acupuncture (n=4), Transcutaneous Electrical Nerve Stimulation (n=4) or Placebo TENS (n=4). Each treatment lasted 25 minutes. Plasma β-endorphin concentrations were measured before and after the session. Electroacupuncture and Traditional acupuncture treatments were both associated with a significant rise in plasma β-endorphin levels.

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

2007 ◽  
Vol 13 (4) ◽  
pp. 527-533 ◽  
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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