Physical Therapy Rehabilitation Science

korean Academy of Physical Therapy Rehabilitation Science (물리치료재활과학회)
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The effect of single trial transcutaneous electrical nerve stimulation on balance and gait function in elderly people with dementia: a pilot study

  • Jung, Ju Yeon (Department of Physical Therapy, College of Health Science, Gachon University) ;
  • Jung, Jin-Hwa (Department of Occupational Therapy, Semyung University) ;
  • Hahm, Suk-Chan (Department of Rehabilitation Standard and Policy, National Rehabilitation Research Institute, National Rehabilitation Center) ;
  • Jung, Kyoungsim (Department of Occupational Therapy, Semyung University) ;
  • Kim, Sung-Jin (Department of Physical Therapy, College of Health Science and Social Welfare, Sahmyook University) ;
  • Suh, Hye Rim (Department of Physiology, Korea University College of Medicine) ;
  • Cho, Hwi-young (Department of Physical Therapy, College of Health Science, Gachon University)
  • Received : 2017.05.15
  • Accepted : 2017.06.15
  • Published : 2017.06.30
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Abstract

Objective: Elderly people with dementia experience not only cognitive dysfunction but also motor function deficits, such as balance and gait impairments. Recently, transcutaneous electrical nerve stimulation (TENS) has been used to reduce pain as well as to control muscle spasm, spasticity and motor performance in various types of subjects. The purpose of this study determined the effect of a single trial TENS on balance and gait function in elderly people with dementia. Design: A randomized controlled trial. Methods: Twenty-two subjects with dementia were assigned to the TENS group (n=12) and ten subjects were assigned to the control group (n=10) randomly. Subjects were classified into two groups: the TENS group (n=12) and the placebo-TENS group (n=10). The TENS group had electrical stimulation applied on the calf muscle for 15 minutes, while the placebo-TENS group had not received real electrical stimulation. The timed up and go test (TUG) and functional reach test (FRT) were used to measure the balance function, and the 10 meters walk test (MWT) and 6MWT were used to assess gait ability. All tests were performed before and after intervention under a single-blinded condition. Results: After intervention, there were significant improvements in TUG, FRT, 10MWT, and 6MWT results in the TENS group (p<0.05), while the placebo-TENS group did not show significant changes in all outcome measurements. There were also differences in all tests between the two groups at post-measurements (p<0.05). Conclusions: This study demonstrated that a single trial TENS application on the calf may be used to improve balance and gait function in elderly people with dementia.

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References

  1. Lee S, Kang H, Shin G. Head flexion angle while using a smartphone. Ergonomics 2015;58:220-6. https://doi.org/10.1080/00140139.2014.967311
  2. Xie Y, Szeto GP, Dai J, Madeleine P. A comparison of muscle activity in using touchscreen smartphone among young people with and without chronic neck-shoulder pain. Ergonomics 2016; 59:61-72. https://doi.org/10.1080/00140139.2015.1056237
  3. Lauche R, Cramer H, Choi KE, Rampp T, Saha FJ, Dobos GJ, et al. The influence of a series of five dry cupping treatments on pain and mechanical thresholds in patients with chronic non-specific neck pain--a randomised controlled pilot study. BMC Complement Altern Med 2011;11:63. https://doi.org/10.1186/1472-6882-11-63
  4. Christie HJ, Kumar S, Warren SA. Postural aberrations in low back pain. Arch Phys Med Rehabil 1995;76:218-24. https://doi.org/10.1016/S0003-9993(95)80604-0
  5. Gelb DE, Lenke LG, Bridwell KH, Blanke K, McEnery KW. An analysis of sagittal spinal alignment in 100 asymptomatic middle and older aged volunteers. Spine (Phila Pa 1976) 1995;20:1351-8. https://doi.org/10.1097/00007632-199520120-00005
  6. Straker LM, Coleman J, Skoss R, Maslen BA, Burgess-Limerick R, Pollock CM. A comparison of posture and muscle activity during tablet computer, desktop computer and paper use by young children. Ergonomics 2008;51:540-55. https://doi.org/10.1080/00140130701711000
  7. Krauss J, Creighton D, Ely JD, Podlewska-Ely J. The immediate effects of upper thoracic translatoric spinal manipulation on cervical pain and range of motion: a randomized clinical trial. J Man Manip Ther 2008;16:93-9. https://doi.org/10.1179/106698108790818530
  8. Tousignant M, de Bellefeuille L, O'Donoughue S, Grahovac S. Criterion validity of the cervical range of motion (CROM) goniometer for cervical flexion and extension. Spine (Phila Pa 1976) 2000;25:324-30. https://doi.org/10.1097/00007632-200002010-00011
  9. Rainville J, Hartigan C, Martinez E, Limke J, Jouve C, Finno M. Exercise as a treatment for chronic low back pain. Spine J 2004; 4:106-15. https://doi.org/10.1016/S1529-9430(03)00174-8
  10. Chi LM, Lin LM, Chen CL, Wang SF, Lai HL, Peng TC. The effectiveness of cupping therapy on relieving chronic neck and shoulder pain: a randomized controlled trial. Evid Based Complement Alternat Med 2016;2016:7358918.
  11. Clare HA, Adams R, Maher CG. Reliability of McKenzie classification of patients with cervical or lumbar pain. J Manipulative Physiol Ther 2005;28:122-7. https://doi.org/10.1016/j.jmpt.2005.01.003
  12. Quek J, Brauer SG, Treleaven J, Pua YH, Mentiplay B, Clark RA. Validity and intra-rater reliability of an android phone application to measure cervical range-of-motion. J Neuroeng Rehabil 2014;11:65. https://doi.org/10.1186/1743-0003-11-65
  13. de Koning CH, van den Heuvel SP, Staal JB, Smits-Engelsman BC, Hendriks EJ. Clinimetric evaluation of active range of motion measures in patients with non-specific neck pain: a systematic review. Eur Spine J 2008;17:905-21. https://doi.org/10.1007/s00586-008-0656-3
  14. McKenzie R. The cervical and thoracic spine: mechanical diagnosis and therapy. Waikanae, New Zealand: Spinal Publications (N.Z.) Ltd.; 1990.
  15. Grace EG, Sarlani E, Reid B. The use of an oral exercise device in the treatment of muscular TMD. Cranio 2002;20:204-8. https://doi.org/10.1080/08869634.2002.11746212
  16. Duncan PW, Weiner DK, Chandler J, Studenski S. Functional reach: a new clinical measure of balance. J Gerontol 1990;45: M192-7. https://doi.org/10.1093/geronj/45.6.M192
  17. Vikne J, Oedegaard A, Laerum E, Ihlebaek C, Kirkesola G. A randomized study of new sling exercise treatment vs traditional physiotherapy for patients with chronic whiplash-associated disorders with unsettled compensation claims. J Rehabil Med 2007; 39:252-9. https://doi.org/10.2340/16501977-0049
  18. Puentedura EJ, Huijbregts PA, Celeste S, Edwards D, In A, Landers MR, et al. Immediate effects of quantified hamstring stretching: hold-relax proprioceptive neuromuscular facilitation versus static stretching. Phys Ther Sport 2011;12:122-6. https://doi.org/10.1016/j.ptsp.2011.02.006
  19. Loew M, Heichel TO, Lehner B. Intraarticular lesions in primary frozen shoulder after manipulation under general anesthesia. J Shoulder Elbow Surg 2005;14:16-21. https://doi.org/10.1016/j.jse.2004.04.004
  20. Kim SJ. Influences of cryotherapy and intermittent compression on experimental delayed onset muscle soreness [Master thesis]. Daegu: Daegu University; 2001.
  21. Schulte E. Acupuncture: where east meets west. RN 1996;59: 55-7.
  22. Torebjork E. Nociceptor activation and pain. Philos Trans R Soc Lond B Biol Sci 1985;308:227-34. https://doi.org/10.1098/rstb.1985.0023
  23. Michalsen A, Bock S, Ludtke R, Rampp T, Baecker M, Bachmann J, et al. Effects of traditional cupping therapy in patients with carpal tunnel syndrome: a randomized controlled trial. J Pain 2009;10:601-8.
  24. Kaptchuk TJ, Stason WB, Davis RB, Legedza AR, Schnyer RN, Kerr CE, et al. Sham device v inert pill: randomised controlled trial of two placebo treatments. BMJ 2006;332:391-7. https://doi.org/10.1136/bmj.38726.603310.55
  25. Kim EJ, Kim JW, Park BR. Effects of sling exercise program on muscle activity and cervical spine curvature of forward head posture. J Digit Contents Soc 2011;11:213-20.
  26. Sohn JH, Choi HC, Lee SM, Jun AY. Differences in cervical musculoskeletal impairment between episodic and chronic tension-type headache. Cephalalgia 2010;30:1514-23. https://doi.org/10.1177/0333102410375724
  27. Musial F, Spohn D, Rolke R. Naturopathic reflex therapies for the treatment of chronic back and neck pain-part 1: neurobiological foundations. Forsch Komplementmed 2013;20:219-24. https://doi.org/10.1159/000353392

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