经皮电刺激神经疗法对创伤后不完全性脊髓损伤患者神经性疼痛的治疗效果
Effectiveness of transcutaneous electrical nerve stimulation in management of neuropathic pain in patients with post traumatic incomplete spinal cord injuries.
作者信息
Zeb Amir, Arsh Aatik, Bahadur Sher, Ilyas Syed Muhammad
机构信息
Amir Zeb, PPDPT, MSPT. Senior Physical Therapist, Paraplegic Center, Peshawar, Pakistan.
Aatik Arsh, DPT, MSPT. Physical Therapist, Paraplegic Center, Peshawar, Pakistan.
出版信息
Pak J Med Sci. 2018 Sep-Oct;34(5):1177-1180. doi: 10.12669/pjms.345.15659.
Abstract
OBJECTIVE
To determine the effectiveness of Transcutaneous Electrical Nerve Stimulation (TENS) in management of neuropathic pain in post-traumatic incomplete spinal cord injury patients.
METHODS
A quasi-experimental study was conducted at from January 2017 to June 2017 at Paraplegic Center Hayatabad, Peshawar. Total 60 incomplete spinal cord injured patients with diagnosis of neuropathic pain were subjected to high frequency TENS of 80 HZ. One session was of 45 minutes while there were two sessions per day. TENS was applied for four days in a week and all patients were followed for eight week duration. Pain intensity was measured by using VAS (Visual analogue scale).
RESULTS
Mean pain intensity on VAS at baseline was 6.45 which was decreased to 4.77 post intervention at day-1 while it was decreased to 3.48 at day-4 of week one. After application of TENS for 8 weeks, mean pain intensity was decreased to 2.80 ± 1.74. During the consecutive sessions of the TENS application, the pain intensity decreases in a linear fashion and there were significant difference (p<0.05) between pre and post treatment sessions.
CONCLUSION
TENS is useful and safe adjuvant in spinal cord injury patients for the management of neuropathic pain.
摘要
目的
确定经皮电神经刺激（TENS）在创伤后不完全性脊髓损伤患者神经性疼痛管理中的有效性。
方法
2017年1月至2017年6月在白沙瓦哈亚塔巴德截瘫中心进行了一项准实验研究。共有60例诊断为神经性疼痛的不完全性脊髓损伤患者接受了80赫兹的高频TENS治疗。每次治疗45分钟，每天进行两次。每周进行四天TENS治疗，所有患者随访八周。使用视觉模拟量表（VAS）测量疼痛强度。
结果
基线时VAS上的平均疼痛强度为6.45，干预后第1天降至4.77，而在第一周的第4天降至3.48。应用TENS 8周后，平均疼痛强度降至2.80±1.74。在连续进行TENS治疗期间，疼痛强度呈线性下降，治疗前后各疗程之间存在显著差异（p<0.05）。
结论
TENS在脊髓损伤患者神经性疼痛管理中是一种有用且安全的辅助治疗方法。
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