Full-thickness Burn Formation After the Use of Electrical Stimulation for Rehabilitation of Unicompartmental Knee Arthroplasty

Ford, Kerry S.; Shrader, M. Wade; Smith, Jay; McLean, Timothy J.; Dahm, Diane L.

doi:10.1016/j.arth.2004.10.018

Cited by 23 publications

(7 citation statements)

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“…Although transcutaneous electrical nerve stimulation (TENS; applied via surface electrodes) is used as a minimally invasive treatment option by patients, it may cause discomfort due to activation of cutaneous nerve endings or skin irritation at the stimulation intensities required to activate the deep pain‐relieving nerve fibers, leading to low rates of patient compliance or ineffective treatment at comfortable intensities . Interestingly, although some payer coverage policies require that a patient have a positive response to TENS prior to undergoing peripheral nerve stimulation (PNS), TENS has not been found to be a reliable predictor of PNS efficacy .…”

Section: Introductionmentioning

confidence: 99%

Percutaneous Peripheral Nerve Stimulation for Chronic Low Back Pain: Prospective Case Series With 1 Year of Sustained Relief Following Short‐Term Implant

et al. 2019

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Introduction Percutaneous peripheral nerve stimulation (PNS) provides an opportunity to relieve chronic low back pain and reduce opioid analgesic consumption as an alternative to radiofrequency ablation and permanently implanted neurostimulation systems. Traditionally, the use of neurostimulation earlier in the treatment continuum has been limited by its associated risk, invasiveness, and cost. Methods Percutaneous PNS leads (SPRINT MicroLead) were placed bilaterally to target the medial branches of the dorsal rami nerves under image guidance. The percutaneous leads were connected to miniature wearable stimulators (SPRINT PNS System) for the 1‐month therapy period, after which the leads were removed. Pain and disability were assessed long‐term up to 12 months after lead removal. Results Substantial, clinically significant reductions in average pain intensity (≥50% reduction as measured by the Brief Pain Inventory Short Form) were experienced by a majority of subjects (67%) at end of treatment compared to baseline (average 80% reduction among responders; P < 0.05, analysis of variance; n = 9). Twelve months after the end of PNS treatment, a majority of subjects who completed the long‐term follow‐up visits experienced sustained, clinically significant reductions in pain and/or disability (67%, n = 6; average 63% reduction in pain intensity and 32‐point reduction in disability among responders). No serious or unanticipated adverse events were reported. Conclusions This study challenges the long‐held notion that a positive trial of PNS should be followed by a permanent implant in responders. Percutaneous PNS may serve as an effective neurostimulation therapy for patients with chronic low back pain and should be considered earlier in the treatment continuum as a motor‐sparing means of avoiding opioids, denervation, and permanently implanted neurostimulation systems.

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Section: Introductionmentioning

confidence: 99%

Percutaneous Peripheral Nerve Stimulation for Chronic Low Back Pain: Prospective Case Series With 1 Year of Sustained Relief Following Short‐Term Implant

et al. 2019

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“…Insgesamt sechs Studien besch ä ftigen sich mit den Auswirkungen von K ä ltetherapie (6 -24 Stunden t ä glich, teilweise zus ä tzlich Kompression) auf das mit einer TEP versorgte Kniegelenk [37 -42] . Die Kontrollgruppen erhielten Kompressionsverb ä nde [40 -42] , Schmerzmedikation [38,39] [46] , sodass auch an m ö gliche Nebenwirkungen gedacht werden sollte.…”

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Systematische Literaturanalyse zu Therapien in der Rehabilitation nach Hüft- und Kniegelenks-Total-Endoprothesen: Methoden, Ergebnisse und Herausforderungen

Müller¹,

Mittag²,

Gulich³

et al. 2009

Rehabilitation

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Evidence-based medicine is a central issue in medical practice. This also applies to rehabilitation services. The German Statutory Pension Insurance meets this need in its guideline programme. Amongst others a guideline for rehabilitation following hip or knee arthroplasty is currently being developed. In this context a hierarchic, systematic literature analysis was conducted summarising the current state of evidence with reference to the effects and the treatment requirements (frequency and duration) of different rehabilitative therapies following total hip or knee replacement. In the first step, a search for evidence-based guidelines, systematic reviews and health technology assessments was conducted. Secondly, search strategies for primary literature in the following databases were designed: Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, and PsychINFO (01/1997-09/2007). Additionally, a handsearch of several German journals not listed in the databases was conducted. Randomized trials were preferred, however, non-randomized trials were included if the intervention and control groups were comparable with regard to the baseline parameters. Results can be classified into three categories: (1) therapies for which evidence for (positive) effects was found, (2) therapies for which evidence was found, however, their transferability onto rehabilitation in Germany should be discussed (e. g., studies on immediate post-surgery interventions), and (3) therapies for which no methodologically appropriate trials could be found. The literature reviewed does not allow for final conclusions as to frequency and duration of different therapeutic interventions within the rehabilitation time frame in Germany (usually the first three weeks post discharge from hospital). Overall, there is a need for further research.

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“…Two patients in the present study experienced mild skin burns but they continued to participate in the study after relocation of the electrodes. A full-thickness skin burn reported as a result of electrical stimulation after unilateral knee arthroplasty in a previous study 33 ) .…”

Section: Discussionmentioning

confidence: 89%

The effect of neuromuscular electrical stimulation on functional status and quality of life after knee arthroplasty: a randomized controlled study

Demircioğlu

Paker²,

Erbil³

et al. 2015

J Phys Ther Sci

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[Purpose] The aim of this study was to investigate the effect of the addition of NMES to the post-TKA rehabilitation protocol on the functional status and quality of life of the patients. [Subjects and Methods] Patients were randomized into an exercise (control) and electrical stimulation (NMES) group. A home exercise program was prescribed for the control group. For the neuromuscular stimulation group 30 minute electrical stimulation applied to the vastus medialis muscle 5 days a week for 4 to 6 weeks. VAS, the timed up and go test, WOMAC and SF-36 scores were evaluated preoperatively and postoperatively at the first month and the third month of the follow-up period. [Results] Both the NMES group had 30 patients each, with 2 and 1 male patients respectively. The comparisons of WOMAC results at month 1 revealed that pain, stiffness, and total scores of the NMES group was significantly better than those of control group at the first and third months. Significantly better physical function and SF-36 subscales, except mental health, were found for the NMES group at the first month of follow-up. [Conclusion] The inclusion of the neuromuscular electrical stimulation program after knee arthroplasty was more effective at providing rapid improvements in knee pain, walking distance and quality of life.

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Full-thickness Burn Formation After the Use of Electrical Stimulation for Rehabilitation of Unicompartmental Knee Arthroplasty

Cited by 23 publications

References 1 publication

Percutaneous Peripheral Nerve Stimulation for Chronic Low Back Pain: Prospective Case Series With 1 Year of Sustained Relief Following Short‐Term Implant

Percutaneous Peripheral Nerve Stimulation for Chronic Low Back Pain: Prospective Case Series With 1 Year of Sustained Relief Following Short‐Term Implant

Systematische Literaturanalyse zu Therapien in der Rehabilitation nach Hüft- und Kniegelenks-Total-Endoprothesen: Methoden, Ergebnisse und Herausforderungen

The effect of neuromuscular electrical stimulation on functional status and quality of life after knee arthroplasty: a randomized controlled study

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