Effects of Transcutaneous Electrical Nerve Stimulation on Pain, Pain Sensitivity, and Function in People With Knee Osteoarthritis: A Randomized Controlled Trial

Rakel, Barbara A.; Blodgett, Nicole Petsas; DeSantana, Josimari Melo; Amendola, Annunziato; Zimmerman, M. Bridget; Walsh, Deirdre; Sluka, Kathleen A.

doi:10.2522/ptj.20110183

Cited by 142 publications

(150 citation statements)

References 63 publications

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“…Improved walking function was determined with mixed (LF/HF)-TENS but not with sham TENS after abdominal surgery [22]. The duration of Timed "Up & Go" test was found to decrease with sham, LF and HF-TENS [7]. Consistently, we found significantly improvement in walking time in LF and HF-TENS groups.…”

Section: Discussionsupporting

confidence: 76%

“…Lower pain levels only in movement but not rest with all three TENS therapy were also obtained in patients with knee OA. The effects on pain at rest were reported likely to depend on the pain intensity [7]. On the other hand reduced pain intensity only in movement but not in rest with active mixed (LF/HF)-TENS compared to sham TENS after abdominal surgery was also reported [22].…”

Section: Discussionmentioning

confidence: 96%

“…In addition, it reduces drug usages as well as dosages and adverse effects in pain relief [6]. It is beneficial for the management of pain in knee OA [7] and was also recommended by several world societies in managing pain and functional disability linked to knee OA [1,8,9]. TENS devices allow clinicians to alter pulse amplitude (mA), pulse duration (µs), pulse pattern (continuous, burst, modulation) and pulse frequency (pulses per second).…”

mentioning

confidence: 99%

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Which is the Appropriate Frequency of TENS in Managing Knee Osteoarthritis: High or Low Frequency?

İnal¹

2016

Ann Clin Anal Med

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ÖzetAmaç: Diz osteoartritli (OA) hastaların ağrı ve fonksiyonel kayıplarının tedavisinde optimal transkutanöz elektriksel sinir stimülasyon (TENS) frekansını ve ağrı ve fonksiyonel durum üzerine düşük frekanslı (DF) ve yüksek frekanslı (YF) TENS'in etkisini belirlemek. Gereç ve Yöntem: Semptomatik diz OA'li 93 kadın hasta bu çalışmaya alındılar. Hastalar, 20 dk sıcak paket, 5 dakika ultrason ve egzersiz programından oluşan 5 seans/hafta fizik tedavi ile birlikte rasgele, placebo veya DF veya YF'lı TENS gruplarına bölündüler. Başlangıç-ta, tedaviden sonra ve tedaviden 4 hafta sonar, Visüel Analog Skala(VAS)'da hareket ve istirahat sırasındaki ağrı, yürüme, merdiven çıkma ve inme sürele-ri ve Western Ontario and McMaster Üniversiteleri osteoartrit indeksi (WO-MAC) ağrı, tutukluk, fonksiyon ve total skorları değerlendirildi. Bulgular: Üç vizit boyunca her tedavi grubunda hareket ve istirahat sırasındaki VAS anlamlı olarak farklı bulundu (p<0.001). DF ve YF'lı TENS gruplarında en son vizitte, birinci ve ikinci vizitlere göre yürüme süresi anlamlı olarak düşük olarak bulundu (p<0.05). Her tedavi grubu için ilk ve son vizitlere kıyasla, ikinci vizitte WOMAC ağrı, tutukluk, fonksiyon ve total skorlarının düşmüş olduğu bulundu (p<0.05). Tartışma: Diz OA'li hastalarda, frekansa bakılmaksızın, TENS ağrı, fonksiyonel durum ve yürümeyi iyileştirmiştir. Araştırmacılar, diz OA'inde klinik durumu ve ağrıyı değerlendirirken subjektif değerlendirmeler yerine objektif ölçümler tercih etmelidirler.Anahtar Kelimeler TENS; Diz Osteoartriti; Fonksiyonel Durum; Ağrı, Yürüme Abstract Aim: To clarify the optimal Transcutaneous Electrical Nerve Stimulation (TENS) frequency in managing pain and functional deficiency and the efficacy of low frequency (LF) and high frequency (HF) -TENS on pain and functional status in patients with knee osteoarthritis (OA). Material and Method: Ninety-three female patients with symptomatic knee OA were enrolled in this study. All the patients were randomly divided sham or LF or HF-TENS groups with five sessions/week of physical therapy as 20 minutes hot pack, 5 minutes therapeutic ultrasonography, and exercise program. Pain on the Visual Analog Scale (VAS) in rest and motion, durations of walk, climbing up and down stairs and pain, stiffness, function and total scores of Western Ontario and McMaster Universities osteoarthritis index (WOMAC) were assessed at baseline, after therapy and 4 weeks after the therapy. Results: The VAS pain in rest and motion were found to be significantly different for each therapy group within the three visits (p<0.001). Walk duration was found to be significantly decreased in the last visit compared to those in first and second visits of LF and HF-TENS groups (p<0.05). The scores of the WOMAC pain, stiffness, function and total were found to decrease significantly in the second visit of each therapy group compared to those in the first and last visits (p<0.05). Discussion: Regardless of frequency, TENS improves pain, functional status and walking in patients with knee OA. The in...

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Section: Discussionsupporting

confidence: 76%

Section: Discussionmentioning

confidence: 96%

mentioning

confidence: 99%

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Which is the Appropriate Frequency of TENS in Managing Knee Osteoarthritis: High or Low Frequency?

İnal¹

2016

Ann Clin Anal Med

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“…Vance et al (37) observed efficacy of TENS (100 and 4Hz, 100µs and intensity of 10% below the motor threshold, 40-50 minutes) and placebo treatment in pain at rest and during walking, however, only TENS groups increased the pressure pain threshold. The authors concluded that the placebo effect would possibly be reduced with more treatment sessions.…”

Section: Transcutaneous Electrical Nerve Stimulationmentioning

confidence: 99%

“…Only two studies (37,38) analyzed the effectiveness of a single TENS session in knee OA. Vance et al (37) observed efficacy of TENS (100 and 4Hz, 100µs and intensity of 10% below the motor threshold, 40-50 minutes) and placebo treatment in pain at rest and during walking, however, only TENS groups increased the pressure pain threshold.…”

Section: Transcutaneous Electrical Nerve Stimulationmentioning

confidence: 99%

Phisical modalities on the functional performance in knee osteoarthritis: a sytematic review

et al. 2017

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Introduction: Despite recent advances in the treatment of osteoarthritis (OA), few studies have evaluated the longitudinal effect of physical modalities in functional capacity in patients with knee OA. Thereby, since the physical components and pain can affect the functional performance of daily activities, the effect of these treatment's form is still to be established. Objective: Evaluate the effectiveness of therapeutic ultrasound, electrical stimulation and phototherapy in the functional performance, in patients with knee osteoarthritis. Methods: Articles present in the PubMed, Lilacs, SciELO and PEDro's databases were evaluated. The used keywords were "pulsed ultrasound therapy", "ultrasound therapy", "electric stimulation" and "low level laser therapy" in combination with "knee osteoarthritis". Were included in this presented review, randomized clinical studies using ultrasound, electrical and laser stimulation in subjects with knee osteoarthritis. To evaluate the methodological quality of the selected studies, was used the PEDro's scale. The dependent variables of the study were: pain, physical function, joint stiffness, life quality and functional performance.

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Meta‐analysis of transcutaneous electrical nerve stimulation for relief of spinal pain

Resende

Merriwether

Rampazo

et al. 2017

European Journal of Pain

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Effects of Transcutaneous Electrical Nerve Stimulation on Pain, Pain Sensitivity, and Function in People With Knee Osteoarthritis: A Randomized Controlled Trial

Cited by 142 publications

References 63 publications

Which is the Appropriate Frequency of TENS in Managing Knee Osteoarthritis: High or Low Frequency?

Which is the Appropriate Frequency of TENS in Managing Knee Osteoarthritis: High or Low Frequency?

Phisical modalities on the functional performance in knee osteoarthritis: a sytematic review

Meta‐analysis of transcutaneous electrical nerve stimulation for relief of spinal pain

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