Efficacy of Percutaneous Electrical Nerve Stimulation for the Treatment of Chronic Low Back Pain in Older Adults

Weiner, Debra K.; Rudy, Thomas E.; Glick, Ronald M.; Boston, J.R.; Lieber, S.J.; Morrow, Lisa A.; Taylor, Stephen

doi:10.1034/j.1600-0579.2003.00202.x

Cited by 67 publications

(40 citation statements)

References 66 publications

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“…147 It has been used as an outcome measure in clinical trials of diverse treatments, including rehabilitation, 2,148 physical exercise, 82 percutaneous electrical nerve stimulation, 152 pharmacological treatments, 67,116 radiofrequency lesioning, 53,150 and psychological treatments. 137 To date, no studies have used anchor-based methods to examine criteria from clinically important changes on the MPI Interference Scale.…”

Section: Multidimensional Pain Inventory Interference Scalementioning

confidence: 99%

Interpreting the Clinical Importance of Treatment Outcomes in Chronic Pain Clinical Trials: IMMPACT Recommendations

Dworkin

Turk

Wyrwich

et al. 2008

The Journal of Pain

2,667

2,156

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Section: Multidimensional Pain Inventory Interference Scalementioning

confidence: 99%

Interpreting the Clinical Importance of Treatment Outcomes in Chronic Pain Clinical Trials: IMMPACT Recommendations

Dworkin

Turk

Wyrwich

et al. 2008

The Journal of Pain

2,667

2,156

View full text Add to dashboard Cite

“…Physical therapies such as heat, cold, ultrasound, electrical nerve stimulation, and massage therapy have been described for treatment of chronic back pain [8,10] with substantial pain relief and improved range of motion (ROM). Electrical nerve stimulation includes transcutaneous electrical nerve stimulation [15,19], interferential therapy [13,14], or percutaneous electrical nerve stimulation [22]. The efficacy of all these treatments remains controversial as few studies had an acceptable methodologic design [10,22], even if some studies indicated substantial reduction in pain intensity and pain-related disability in patients after percutaneous electrical stimulation compared with a sham group.…”

Section: Introductionmentioning

confidence: 99%

Capacitively Coupled Electric Field for Pain Relief in Patients with Vertebral Fractures and Chronic Pain

Rossini¹,

Viapiana²,

Gatti³

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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“…Subjects randomized to PENS plus physical therapy intervention had significantly greater reductions in pain intensity measures at the end of the 6 weeks (P<.001). These pain reduction effects were maintained at 3-month follow-up [67].…”

Section: Transcutaneous Electrical Nerve Stimulationmentioning

confidence: 58%

Management of Chronic Musculoskeletal Pain in the Elderly: Dilemmas and Remedies

Edeer¹,

Tuna²

2012

Pain in Perspective

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Pain in Perspective 94percent of community dwelling adults aged 60 years or above have been found to experience pain and this number increases to 45-80% in the nursing home population with analgesics being used in 40% to 50% of residents [1,[13][14][15][16][17][18][19]. Brown et al report higher percentage and state that more than 90% of the elderly living in the community experienced pain within the past month [6]. Given the prevalence of chronic pain, its impact on health, and its costs, which approach $100 billion annually, chronic pain represents a major public health issue [20].While the existence of acute pain remains approximately the same across the adult life span, there is an age-related increase in the prevalence of chronic pain at least until the seventh decade of life [13,15]. Approximately 57% of older adults report experiencing pain for 1 or more years compared with less than 45% of younger people. Furthermore, long-term care data indicate that over 40% of patients, who were known to have pain at an initial assessment, had worsening or severe pain at the time of the second assessment 2-6 months later [21]. Chronic musculoskeletal painChronic musculoskeletal pain (CMP) is the most common, non-malignant disabling condition that affects at least one in four older people [22,23]. The most musculoskeletal pain in the joints of the upper and lower extremities, especially hips, knees, and hands, is associated with the degenerative changes of osteoarthritis. Older adults may also develop tendonitis and bursitis, as well as inflammatory joint and muscle disease [24]. The most common painful musculoskeletal conditions among older adults are osteoarthritis, low back pain, fibromyalgia, chronic shoulder pain, knee pain, myofascial pain syndrome and previous fracture sites [7,23,25].It is reported that the most common causes of pain identified in nursing home patients included arthritis and previous fractures. Arthritis alone affects well over 20 million Americans with an increase to 40 million expected by 2020. Twenty-nine percent of Medicare patients in nursing homes with a fracture in the prior 6 months suffer with daily pain [13]. Also surgical procedures are more frequently performed on older people. In the Medicare population in the United States for example, rates of total joint replacement surgery for patients with severe hip or knee osteoarthritis are more than doubled between 1988 and 1997. Over the same time period, rates of spine surgery in Medicare patients increased by 57% [23]. Chronic low back pain (CLBP) is one of the most common, poorly understood, and potentially disabling chronic pain condition s i n o l d e r a d u l t s [ 2 6 ] . M a n y o l d e r a d u l t s r e m a i n q u i t e functional despite CLBP, and because age-related co-morbidities often exist independently of pain, the unique impact of CLBP is unknown [27]. The Framingham Study (1992-1993 reported 63% of women pain in one or more regions, compared to 52% of men. Widespread CMP was more prevalent among women than men (15 versu...

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Efficacy of Percutaneous Electrical Nerve Stimulation for the Treatment of Chronic Low Back Pain in Older Adults

Cited by 67 publications

References 66 publications

Interpreting the Clinical Importance of Treatment Outcomes in Chronic Pain Clinical Trials: IMMPACT Recommendations

Interpreting the Clinical Importance of Treatment Outcomes in Chronic Pain Clinical Trials: IMMPACT Recommendations

Capacitively Coupled Electric Field for Pain Relief in Patients with Vertebral Fractures and Chronic Pain

Management of Chronic Musculoskeletal Pain in the Elderly: Dilemmas and Remedies

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