• Title/Summary/Keyword: Transcutaneous Electrical Nerve Stimulation (TENS)

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Comparison of the Effects on Balance Abilities in the Women Elderly with Application TENS versus Balance Training (TENS 적용과 균형운동이 여성노인의 균형능력에 미치는 효과 비교)

  • Lee, Seung Won;Lee, Wan Hee
    • 한국노년학
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    • v.30 no.3
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    • pp.993-1003
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    • 2010
  • his study was to investigate effects of improvement of balance abilities through 8-weeks Transcutaneous Electrical Nerve Stimulation (TENS) and balance training in the women elderly. 42 women elders who were participated in silver college. Randomized study design of two groups was used: TENS group (21 women, 84.53 years old) and balance training group(21 women, 79.93 years old). Each group had a application of TENS, balance training by a researcher three times per week for 8 weeks. Measurements of static postural sway velocity on the floor and foam, timed get up and go test (TUG), functional reach test (FRT), and lateral functional reach test (LFRT) were evaluated at initial presentation (pretest) and after completion of the each intervention program (posttest). The results showed that the TUG was significantly decreased in all groups (p<.05) and the postural sway velocity using force plate in all conditions was significantly decreased in all groups (p<.05). FRT and LFRT were significantly increased in all groups (p<.05). There were significantly differences in TUG and postural sway velocity on the eye closed condition between two groups (p<.05). In conclusion, the application of TENS to older adults whose somatosensory were deteriorated was effective for improvement balance ability.

The Effect of Immediate Pain and Cervical ROM of Cervical Pain Patients on Stretching and Manipulation (경추통 환자에 대한 신장운동과 도수치료가 즉각적인 통증과 ROM에 미치는 효과)

  • Hyong, In-Hyouk;Kim, Hyoung-Su;Lee, Sang-Yeol
    • The Journal of Korean Physical Therapy
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    • v.21 no.4
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    • pp.1-7
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    • 2009
  • Purpose: Cervical pain is caused mainly by a static position, lasting work, bad habits and stress, and is accompanied by pain in the upper trapezius. Traditionally, heat and traction, exercise, mobilization, manipulation have been used to treat cervical pain. This study examined the effect of stretching and manipulation (high-velocity low-amplitude: HVLA) on the pain and ROM in women with chronic cervical and upper shoulder pain. Methods: Fifty-two women diagnosed with chronic cervical and upper shoulder pain were enrolled in this study. Among them, 26 patients (experiment group) were managed by passive stretching and manipulation, and another 26 patients (control group) were treated with physical therapy intervention (hat pack: HP, transcutaneous electrical nerve stimulation: TENS, ultra sound: US). Each group made use of a Visual Analogue Scale (VAS) and the highly reliable (flextion: 0.92, extention: 0.99) cervical range of motion (CROM) to compare the possible changes in pain and ROM in the two groups after treatment. Results: In the experimental group, the pain decreased and the ROM has increased in all directions. In the control group, the pain decreased but the ROM was not changed in all directions. Conclusion: According to the results, passive stretching and manipulation is effective for increasing the ROM and decreasing the level of pain. Moreover, physical therapy intervention (HP, TENS, US) is effective for immediately decreasing the pain but has little effect on the ROM.

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Immediate Effects of Frequency-dependent Electrotherapy on the Gait and Ankle Range of Motion of Chronic Stroke Patients (주파수에 따른 전기치료가 만성 뇌졸중 환자의 보행 및 발목 관절가동범위에 즉각적으로 미치는 영향)

  • Cho, Kyun-Hee;Kim, Tae-Hyun;Park, Shin-Jun
    • Journal of Convergence for Information Technology
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    • v.9 no.10
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    • pp.220-226
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    • 2019
  • Transcutaneous electrical nerve stimulation and interferential current therapy were applied to the plantar flexor of the stroke patients, and the immediately effects on gait and ankle ROM were investigated. TENS group (n=15) and ICT group (n=15) were applied to the paretic side plantar flexor, respectively. After 60 minutes of application, evaluation of the gait and passive ankle dorsiflexion range of motion (ROM) using smartphone. After 60 minutes of application, immediate post evaluation was carried out. Two electrotherapy methods showed a significant increase in gait speed, cadence, and ankle ROM. Two electrotherapy methods were intervention methods that could increase the gait and ankle ROM of stroke patients. More subjects will be needed to pinpoint differences between the two electrotherapy methods.

Case of Adductor Spasmodic Dysphonia Patient Complaining of Voice Tremor and Hoarseness Treated with Combined Korean Medical Therapies (음성 떨림과 애성을 호소하는 내전형 연축성 발성장애 환자에 대한 복합 한의치험 1례)

  • Seong-Wook Lee;So-Min Jung;Han-Gyul Lee;Ki-Ho Cho;Sang-Kwan Moon;Woo-Sang Jung;Seungwon Kwon
    • The Journal of Internal Korean Medicine
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    • v.44 no.2
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    • pp.158-166
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    • 2023
  • Background: Adductor spasmodic dysphonia (ASD) is caused by the involuntary contraction of laryngeal muscles due to dystonia localized to the larynx. In the case of ASD, conventional treatment is mainly performed with a botulinum toxin injection. However, the botulinum toxin injection has a short-lasting effect and requires repeated injections. Alternatives are needed due to concerns over adverse effects, such as general weakness and airway aspiration caused by the botulinum toxin injection. Case report: A 46-year-old female patient with ASD complained of voice tremor and hoarseness. The combined Korean medical treatments-Ukgan-san-gami, Jakyakgamcho-tang, acupuncture, and transcutaneous electrical nerve stimulation (TENS)-were administered on the first day the patient was hospitalized. The Voice Handicap Index (VHI) was evaluated during the treatment. The VHI taken on the second day totaled 92 points. On the ninth day, 81 points were recorded. Total score gradually improved, and on the 16th day, 62 points were recorded. Combined Korean medical treatment lasted 19 days. Conclusion: The present case report suggests that a combined Korean medical treatment approach with Ukgan-san-gami, Jakyakgamcho-tang, acupuncture, and TENS might be effective for symptoms such as voice tremors and hoarseness. Combined Korean medical treatment can be a therapeutic option for patients with ASD.

The Effects of Microcurrent Treatment and Ultrasound Treatment on the Pain Relief and Functional Recovery after Total Knee Replacement (미세전류치료와 초음파치료가 슬관절전치환술 후 통증경감과 기능회복에 미치는 영향)

  • Cho, Woon-Su;Kim, Yong-Nam;Kim, Yong-Seong;Hwang, Tae-Yeon;Jin, Hee-Kyung
    • The Journal of Korean Physical Therapy
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    • v.24 no.2
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    • pp.118-126
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    • 2012
  • Purpose: The purpose of this study was to investigate pain relief and functional recovery after total knee replacement. Methods: The treatment was performed by dividing individuals into a control group ($n_1=5$), ultrasound treatment group ($n_2=5$), and micro-current treatment group ($n_3=5$). The control group applied the hot pack for 15 minutes, Transcutaneous Electrical Nerve Stimulation (TENS) for 15 minutes, and Continuous Passive Movement (CPM) for 40 minutes. The ultrasound therapy group applied the frequency of 1 MHz, intensity of 1.0 $W/cm^2$ for five minutes following the same treatment as the control group. The micro-current therapy group applied the intensity of 25 ${\mu}A$, and pulsation frequency 5 pps for 15 minutes following the same treatment as the control group. After treatment, Visual Analogue Scale (VAS), Korean Western Ontario and McMaster Universities Arthritis Index (K-WOMAC), Berg Balance Scale (BBS), Range of Movement (ROM) and wound length was measured. Results: VAS showed significant effect in the control group and micro-current therapy group during the treatment period. According to the treatment of K-WOMACK, BBS, ROM, and Healing wounds showed main effects between groups. Conclusion: According to the results of this study, data showed improvement of pain relief, wound healing effects, and range of motion recovery. Thus, these selected treatments were effective after total knee replacement. In other words, electrical treatment continues to influence pain relief and functional recovery after total knee replacement.

An overview of acupuncture for cancer related pain (암성통증에 대한 침치료의 고찰)

  • Kim, June-Lae;Yoo, Hwa-Seung;Lee, Nam-Heon;Yoon, Dam-Hee;Cho, Jung-Hyo;Lee, Yeon-Weol;Son, Chang-Gue;Cho, Chong-Kwan
    • Journal of Haehwa Medicine
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    • v.15 no.1
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    • pp.41-45
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    • 2006
  • Aims: This overview summarizes the existing evidence on acupuncture for cancer-related pain. Methods: Literature searches were conducted in 7 databases. All clinical studies of acupuncture, electroacupuncture, ear acupuncture and transcutaneous electrical nerve stimulation (TENS) in cancer patients with the main outcome measure of pain were included. Results: Of the 8 studies included, one high quality randomized clinical trial (RCT) of ear acupuncture showed statistically significant pain relief in comparison with placebo ear acupuncture. All the other studies were either non-blinded (n = 2) or uncontrolled clinical trials (n = 5). Most investigations suffered from methodological flaws such as inadequate study design, poor reporting of results, small sample size and overestimation of the results. Conclusions: The current evidence does not support the use of acupuncture as an adjunctive analgesic method for cancer patients. Only one high quality RCT showed promising results thus warranting further investigation into this under-researched area.

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A Case Study of 20 Patients with Lateral Epicondylitis of the Elbow by Using Hwachim (Burning Acupuncture Therapy) and Sweet Bee Venom Pharmacopuncture

  • Jung, Seho;Lee, Chamgeol;Yeo, Inho;Sung, Heejin;Roh, Jeongdu;Jo, Nayoung;Lee, Eunyong
    • Journal of Pharmacopuncture
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    • v.17 no.4
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    • pp.22-26
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    • 2014
  • Objectives: This study was performed to estimate the effectiveness of burning acupuncture therapy (Hwachim) and sweet bee venom pharmacopuncture (S-BV pharmacopuncture) in treating lateral epicondylitis of elbow. Methods: We selected 33 patients at first, but 13 patients were excluded due to unclear medical records. Finally, a total of 20 patients who had received treatment from January 2012 to December 2013 were included in this study; all 20 patients had undergone Hwachim for the treatment of lateral epicondylitis of elbow, and 19 of the 20 had been treated with S-BV pharmacopuncture (Korea Pharmacopuncture Institute, KPI) and transcutaneous electrical nerve stimulation (TENS) as an ancillary treatment method. The degrees of pain of the 20 patients were evaluated by using the visual analogue scale (VAS) score at their first and final visits. The Wilcoxon signed rank test and the Kruskal-Wallis test were used to compare the VAS scores statistically. Results: The VAS score had decreased significantly from $10.00{\pm}0.00$ to $4.00{\pm}2.47$ (P = 0.000) by the end of the treatment. No significant changes were observed based on the number of treatments (P = 0.246), the age of the patients (P = 0.810), the duration of the illness (P = 0.705), and the location of the lesion (P = 0.076). Conclusion: This study suggests Hwachim and S-BV pharmacopuncture are very effective for treating lateral epicondylitis of the elbow.

Convergence analysis of pain changes on brain wave and autonomic nervous system after intervention for delayed onset muscle soreness (지연성근육통 중재 후 통증의 변화가 뇌파와 자율신경계에 미치는 융합적 분석)

  • Kim, Kyung-Yoon;Bae, Seahyun
    • Journal of the Korea Convergence Society
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    • v.12 no.2
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    • pp.61-66
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    • 2021
  • This study aimed to investigate the effect of changes in pain on the autonomic nervous system and brain waves after inducing delayed-onset muscle soreness(DOMS). Based on voluntary participation, 28 participants with induced-DOMS were randomly divided into control(non-treatment, n=14) and experiment groups(transcutaneous electrical nerve stimulation (TENS) and kinesio taping, n=14). Intervention was performed from first day to fifth days after the onset of DOMS. Measurements were performed using the Visual Analogue Scale(VAS), Heart Rate Variability(HRV), and brain wave before DOMS induction, 24 hours after, fifth day after, and eighth day after. According to the study results, when DOMS occurred, the activity of the sympathetic nervous system was increased or the activity of the parasympathetic nervous system was suppressed, and reduction of pain due to interventions showed the opposite activity. A decreased in alpha was seen during pain, but was not significant. These results will help develop and study pain management and treatment strategies.

Sports Injury and Physiotherapy Services in the 2018 PyeongChang Winter Paralympic Games: Considerations and Potential Recommendations for Future Paralympics

  • Park, Haeun;Chang, Joon Young;Hwang, Jongseok;Lee, Young Hee;You, Joshua (Sung) Hyun
    • Physical Therapy Korea
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    • v.29 no.3
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    • pp.241-248
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    • 2022
  • Background: The PyeongChang 2018 Winter Paralympic Games (WPG) being one of the most successful Paralympic Games (PG) in modern athletic world history, hosted the largest number of elite athletes representing 49 National Paralympic Committees (NPCs). Objects: The present investigation highlighted the demographic and clinical characteristics of injured athletes and non-athletes and the physiotherapy services provided during the PyeongChang 2018 WPG. Methods: Prospective descriptive epidemiology study, in which the study group comprised of 201 participants (51 athletes and 150 non-athletes) who were admitted to and utilized the polyclinic physiotherapy service of 2018 PyeongChang WPG in Physiotherapy Department of Paralympic Village from March 1, 2018 to March 20, 2018. Results: Qualitative frequency analysis of injury type demonstrated highest number of chronic injuries (51%, n = 100) in athletes and non-athletes. Anatomical injury site analysis revealed that the spine and shoulder areas were affected with equal frequency for athletes (54.9%, n = 14), whereas for non-athletes, the frequencies of spine and shoulder area injuries were 36.7% (n = 55) and 26% (n = 39), respectively. The Pyeongchang WPG showed a high rate of athletes visiting the physiotherapy service during the pre-competition period (33.3%, n = 50), which may have led to smaller incidence rate of traumatic injury. The physiotherapy treatment service analysis demonstrated that manual therapy (35.4%, n = 230) was most commonly utilized, followed by transcutaneous electrical nerve stimulation/interference current therapy (TENS/ICT), therapeutic massage and therapeutic exercise. Conclusion: We established the importance of prophylactic and preventive physiotherapy services to reduce the risk of sports injuries during WPG.