Dose postural control improve following application of transcutaneous electrical nerve stimulation in diabetic peripheral neuropathic patients? A randomized placebo control trial

Saadat, Zahra; Rojhani-Shirazi, Zahra; Abbasi, Leila

doi:10.1016/j.dsx.2017.05.011

Cited by 4 publications

(10 citation statements)

References 21 publications

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“…e suprathreshold experiment allowed us to compare the obtained results with the previous TENS studies. Our results are in agreement with Saadat et al [20], while Dickstein et al [16] and Laufer and Dickstein [19] reported a mild decrease of postural sway as a result of threshold TENS.…”

Section: Discussionsupporting

confidence: 93%

“…To address the intensity question, we have conducted both the sub-(imperceivable stimulation) and suprathreshold (perceivable stimulation) TENS experiments. e three reported studies that used TENS as a stimulation mode [16,19,20], for instance, reported threshold TENS stimulation. Based on the present results, we can conclude that the stimulation intensity did not play any role in the effect of TENS on postural sway.…”

Section: Discussionmentioning

confidence: 99%

“…When the electrodes were applied on the medial and lateral aspects of the knees [19], a significant decrease in mean sway velocity was reported. In another study, Saadat et al [20] found no effect of TENS stimulation, with the same frequency and intensity range, on the knee region in a group of diabetic neuropathy patients.…”

Section: Introductionmentioning

confidence: 91%

“…A low-frequency conventional TENS was also used to attenuate postural sway. e frequency ranged from 100 to 200 Hz [16,19,20] with a threshold as well as suprathreshold stimulation with visible muscle contraction [21]. e parameters of electrical stimulation used in the studies largely differ.…”

Section: Introductionmentioning

confidence: 99%

“…For instance, Breen et al [13] reported the existence of an optimal level of stimulus intensity at which the subjects demonstrated the highest percentage of the improvement of vibratory threshold perception. e previous research with vibratory stimulation as well as electrical stimulation with white noise or stochastic stimuli used subthreshold stimuli intensity [11,12,15,17] while TENS studies [16,19,20] used suprathreshold stimuli intensity.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Sensory Sub- and Suprathreshold TENS Exhibit No Immediate Effect on Postural Steadiness in Older Adults with No Balance Impairments

Rugelj

Vidovič

Vauhnik

2020

BioMed Research International

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Transcutaneous electrical nerve stimulation (TENS) has been reported to attenuate postural sway; however, the results are inconclusive, with some indicating the effect and others not. The study aimed to evaluate the effect of sensory sub- and suprathreshold low-frequency TENS applied through the plantar surface and posterior aspect of shanks on postural sway. In a group of healthy community-dwelling older adults, TENS was delivered with two different current intensities: (1) subsensory which is below conscious perception and (2) suprasensory threshold which is within the range of conscious perception. Frequencies of the TENS stimulation were sweeping from 5 to 180 Hz and were delivered through the plantar surface and posterior shanks of both legs. Postural sway was measured with a force platform in eyes-open and eyes-closed conditions. To evaluate potential fast adaptability to TENS stimuli, the results were evaluated in two time intervals: 30 seconds and 60 seconds. The results indicated that TENS with the chosen frequencies and electrode placement did not affect postural sway in both the sub- and suprathreshold intensities of TENS, in eyes-open and eyes-closed conditions, and in 30-second and 60-second time intervals. In conclusion, given that in this study sub- and suprathreshold TENS applied via the plantar surface of the feet did not attenuate postural sway, it would be easy to conclude that this type of electrical stimuli is ineffective and no further research is required. We must caution against this, given the specificity of the electrode placements. We recommend that future research be performed consisting of individuals with balance impairments and with different positions of electrodes.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Sensory Sub- and Suprathreshold TENS Exhibit No Immediate Effect on Postural Steadiness in Older Adults with No Balance Impairments

Rugelj

Vidovič

Vauhnik

2020

BioMed Research International

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Sensory electrical stimulation and postural balance: a comprehensive review

Paillard

2021

Eur J Appl Physiol

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A Systematic Review and Meta-analysis on Efficacy of Exercise on Posture and Balance in Patients Suffering from Diabetic Neuropathy

Thukral

Kaur

Malik

2021

CDR

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Background: Peripheral neuropathy is a major and chronic complication of diabetes mellitus affecting more than 50% of patients suffering from diabetes. There is involvement of both large and small diameter nerve fibres leading to altered somatosensory and motor sensations, thereby causing impaired balance and postural instability. Objective: To assess the effects of exercises on posture and balance in patients suffering from diabetes mellitus. Method: Mean changes in Timed Up and Go test(TUGT), Berg Balance Scale and Postural Sway with eyes open and eyes closed on Balance System were primary outcome measures. RevMan 5.3 software was used for the meta-analyses. Eighteen randomized controlled trials met the selection criteria and were included in the study. All the studies ranked high on PEDro Rating scale. Risk of bias was assessed by Cochrane collaboration tool of risk of bias. Included studies had low risk of bias. Sixteen RCT’s were included for the meta-analysis. Result: Results of meta-analysis showed that there was statistically significant improvement in TUGT with p≤ 0.05 and substantial heterogeneity (I 2 = 84%, p < 0.00001) in experimental group as compared to control group. There was statistically significant difference in Berg Balance Scale scores and heterogeneity of I 2 = 62%, p < 0.00001 and significant changes in postural stability (eyes open heterogeneity of I 2 = 100%, p =0.01 and eyes closed, heteogeneity I 2 = 0%, p =0.01). Sensitivity analysis causes change in heterogeneity. Conclusion: It can be concluded that various exercises like balance training, core stability, Tai-Chi, proprioceptive training etc. have a significant effect in improving balance and posture in diabetic neuropathy.

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Dose postural control improve following application of transcutaneous electrical nerve stimulation in diabetic peripheral neuropathic patients? A randomized placebo control trial

Cited by 4 publications

References 21 publications

Sensory Sub- and Suprathreshold TENS Exhibit No Immediate Effect on Postural Steadiness in Older Adults with No Balance Impairments

Sensory Sub- and Suprathreshold TENS Exhibit No Immediate Effect on Postural Steadiness in Older Adults with No Balance Impairments

Sensory electrical stimulation and postural balance: a comprehensive review

A Systematic Review and Meta-analysis on Efficacy of Exercise on Posture and Balance in Patients Suffering from Diabetic Neuropathy

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