ELECTROPHYSICAL AGENTS - Contraindications And Precautions: An Evidence-Based Approach To Clinical Decision Making In Physical Therapy

doi:10.3138/ptc.62.5

Cited by 86 publications

(49 citation statements)

References 261 publications

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“…While the application of surface FES is not an invasive intervention, it may be viewed as more intrusive than other exercise-based interventions. Participation in FES also requires clearance of numerous contraindications and precautions (44) that may result in a higher number of screens fails. Our inclusion criteria also excluded individuals with balance abilities >46 on the BBS and individuals with a neurological level of injury below T12.…”

Section: Discussionmentioning

confidence: 99%

Functional Electrical Stimulation Plus Visual Feedback Balance Training for Standing Balance Performance Among Individuals With Incomplete Spinal Cord Injury: A Case Series

et al. 2020

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Individuals with an incomplete spinal cord injury (iSCI) are highly susceptible to falls during walking or standing. Our objective was to evaluate a therapeutic tool for standing balance that combined functional electrical stimulation, applied bilaterally to the plantarflexors and dorsiflexors, with visual feedback balance training (FES+VFBT). Five adults with iSCI completed 12 FES+VFBT sessions over 4 weeks. During the training sessions, participants completed each of the four balance exercises twice. Visual feedback of the center-of-pressure (COP) location was provided as participants completed the balance exercises and received FES to assist with performance of the exercises. A closed-loop FES system was used in which the COP was continually monitored and the level of electrical current administered was automatically adjusted. Balance abilities were assessed pre-and post-training using clinical balance scales (i.e., Berg Balance Scale, Mini-Balance Evaluation Systems Test, and Activities-specific Balance Confidence Scale) and biomechanical assessments (i.e., postural sway measures and limits of stability test during standing). User acceptability was explored through semi-structured interviews. Improvements were seen for four of the five participants on at least one of the clinical scales following completion of the training intervention. All participants showed greater maximal COP excursion area during the limits of stability test after the training intervention, whereas only one participant demonstrated a reduction in postural sway. Specific components of FES+VFBT, including the ability to safely practice challenging balance exercises, were deemed important by the participants. These results suggest that FES+VFBT has potential as an intervention for standing balance after iSCI.

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Section: Discussionmentioning

confidence: 99%

Functional Electrical Stimulation Plus Visual Feedback Balance Training for Standing Balance Performance Among Individuals With Incomplete Spinal Cord Injury: A Case Series

et al. 2020

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“…For example, no studies were found on the effects of transcutaneous electrical stimulation on ovarian hormones or on users of intrauterine hormone devices. The use of electrical stimulation during pregnancy is still controversial; while the recommendation is to avoid neuromuscular electrical stimulation over the lower back, pelvis and abdomen [53], because it can increase uterine contractility in nonpregnant women [54], other studies have shown positive effects of TENS for low back pain during pregnancy with no harm to fetal formation [55,56]. The use of electrical stimulation during labor and delivery is well established [57][58][59][60], while the form of application (transcutaneous versus vaginal stimulation) remains unclear.…”

Section: Discussionmentioning

confidence: 99%

How to report electrotherapy parameters and procedures for pelvic floor dysfunction

et al. 2018

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Electrical stimulation is widely used for pelvic floor muscle dysfunctions (PFMDs), but studies are not always clear about the parameters used, jeopardizing their reproduction. As such, this study aimed to be a reference for researchers and clinicians when using electrical stimulation for PFMD. This report was designed by experts on electrophysical agents and PFMD who determined all basic parameters that should be described. The terms were selected from the Medical Subject Headings database of controlled vocabulary. An extensive process of systematic searching of databases was performed, after which experts met and discussed on the main findings, and a consensus was achieved. Electrical stimulation parameters were described, including the physiological meaning and clinical relevance of each parameter. Also, a description of patient and electrode positioning was added. A consensus-based guideline on how to report electrical stimulation parameters for PFMD treatment was developed to help both clinicians and researchers.

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“…The PPAS is a valid, reliable, and simple-to-handle tool to assess the subjects’ apprehension to receive electrical stimulation therapy [37]. The exclusion criteria were as follows: Any contraindication to the use of IFT (Table 1) [38,39]; previous cervical spine or shoulder surgery; a history of neurological or mental illnesses; diagnosed central or peripheral nervous system diseases [23]; concomitant fracture in the neck/shoulder; altered sensitivity to tactile stimuli or loss of sensation in the neck/shoulder or upper extremity [6]; concomitant radiological diagnosis of osteoarthritis of the glenohumeral or acromioclavicular joints; fibromyalgia or rheumatoid arthritis [23]; having received injections of corticoids or hyaluronic acid following surgery; symptoms of frozen shoulder [40]; impaired cognition or communication; and being involved in an on-going medico-legal dispute.…”

Section: Methodsmentioning

confidence: 99%

Effects of Adding Interferential Therapy Electro-Massage to Usual Care after Surgery in Subacromial Pain Syndrome: A Randomized Clinical Trial

Casaña

Sanchez-Santos

Melero-Suárez

et al. 2019

JCM

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Subacromial pain syndrome (SAPS) is a prevalent condition that results in loss of function. Surgery is indicated when pain and functional limitations persist after conservative measures, with scarce evidence about the most-appropriate post-operative approach. Interferential therapy (IFT), as a supplement to other interventions, has shown to relieve musculoskeletal pain. The study aim was to investigate the effects of adding IFT electro-massage to usual care after surgery in adults with SAPS. A randomized, single-blinded, controlled trial was carried out. Fifty-six adults with SAPS, who underwent acromioplasty in the previous 12 weeks, were equally distributed into an IFT electro-massage group or a control group. All participants underwent a two-week intervention (three times per week). The control group received usual care (thermotherapy, therapeutic exercise, manual therapy, and ultrasound). For participants in the IFT electro-massage group, a 15-min IFT electro-massage was added to usual care in every session. Shoulder pain intensity was assessed with a 100-mm visual analogue scale. Secondary measures included upper limb functionality (Constant-Murley score), and pain-free passive range of movement. A blinded evaluator collected outcomes at baseline and after the last treatment session. The ANOVA revealed a significant group effect, for those who received IFT electro-massage, for improvements in pain intensity, upper limb function, and shoulder flexion, abduction, internal and external rotation (all, p < 0.01). There were no between-group differences for shoulder extension (p = 0.531) and adduction (p = 0.340). Adding IFT electro-massage to usual care, including manual therapy and exercises, revealed greater positive effects on pain, upper limb function, and mobility in adults with SAPS after acromioplasty.

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ELECTROPHYSICAL AGENTS - Contraindications And Precautions: An Evidence-Based Approach To Clinical Decision Making In Physical Therapy

Cited by 86 publications

References 261 publications

Functional Electrical Stimulation Plus Visual Feedback Balance Training for Standing Balance Performance Among Individuals With Incomplete Spinal Cord Injury: A Case Series

Functional Electrical Stimulation Plus Visual Feedback Balance Training for Standing Balance Performance Among Individuals With Incomplete Spinal Cord Injury: A Case Series

How to report electrotherapy parameters and procedures for pelvic floor dysfunction

Effects of Adding Interferential Therapy Electro-Massage to Usual Care after Surgery in Subacromial Pain Syndrome: A Randomized Clinical Trial

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