Comparison of Transcutaneous Electrical nerve Stimulation (TENS) and Functional Electrical Stimulation (FES) for Spasticity in Spinal cord injury - A pilot Randomized Cross-over Trial

Sivaramakrishnan, Anjali and Solomon, John M and Manikandan, Natarajan (2017) Comparison of Transcutaneous Electrical nerve Stimulation (TENS) and Functional Electrical Stimulation (FES) for Spasticity in Spinal cord injury - A pilot Randomized Cross-over Trial. The Journal of Spinal Cord Medicine.

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Abstract

OBJECTIVE:Spasticity following spinal cord injury (SCI) can impair function and affect quality of life. This study compared the effects of transcutaneous electrical nerve stimulation (TENS) and functional electrical stimulation (FES) on lower limb spasticity in patients with SCI. DESIGN:Double blind randomized crossover design.SETTING:Neuro-rehabilitation unit, Manipal University, India. PARTICIPANTS: Ten participants (age: 39 ± 13.6 years, C1-T11, 1-26 months post SCI) with lower limb spasticity were enrolled in this study. INTERVENTIONS:Participants were administered electrical stimulation with TENS and FES (duration - 30 minutes) in a cross over manner separated by 24 hours.OUTCOME MEASURES:Spasticity was measured using modified Ashworth scale (MAS) [for hip abductors, knee extensors and ankle plantar flexors] and spinal cord assessment tool for spastic reflexes (SCATS). Assessments were performed at baseline, immediately, 1 hour, 4 hours, and 24 hours post intervention.RESULTS:A between group analysis did not show statistically significant differences between FES and TENS (P > 0.05). In the within group analyses, TENS and FES significantly reduced spasticity up to 4 hours in hip adductors and knee extensors (P < 0.01). SCATS values showed significant reductions at 1 hour (P = 0.01) following TENS and 4 hours following FES (P = 0.01).CONCLUSION:A single session of electrical stimulation with FES and TENS appears to have similar anti-spasticity effects that last for 4 hours. The findings of this preliminary study suggest that both TENS and FES have the potential to be used as therapeutic adjuncts to relieve spasticity in the clinic. In addition, FES may have better effects on patients presenting with spastic reflexes

Item Type: Article
Uncontrolled Keywords: Transcutaneous electrical nerve stimulation; Functional electrical stimulation; Spasticity; Spinal cord injury; Spastic reflexes
Subjects: Allied Health > MCOAHS Manipal > Physiotherapy
Depositing User: KMC Library
Date Deposited: 15 Jan 2018 06:25
Last Modified: 15 Jan 2018 06:25
URI: http://eprints.manipal.edu/id/eprint/147809

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