Homma Kotaro, Osaka Yuki, Okazaki Himito, Furuya Hidetaka, Hoshino Masahiro
Department of Rehabilitation, Sonoda Third Hospital/Tokyo Medical Institute Tokyo Spine Center, Tokyo, JPN.
Department of Orthopaedics, Sonoda Third Hospital/Tokyo Medical Institute Tokyo Spine Center, Tokyo, JPN.
Cureus. 2024 Sep 25;16(9):e70209. doi: 10.7759/cureus.70209. eCollection 2024 Sep.
Degenerative lumbar spondylolisthesis (DLS) is a degenerative condition that causes leg pain, numbness, and gait disturbances. Despite surgical treatment, reducing numbness is more challenging than reducing pain, and there is currently no established effective intervention method. Dysesthesia-matched transcutaneous electrical nerve stimulation (DM-TENS) is a novel technique that adjusts TENS settings to match the sensation of numbness, potentially improving it. We applied DM-TENS to a post-operative DLS patient with chronic lower limb numbness. As a result, the NRS for numbness was 8.00 before the intervention but improved to 6.67 ± 0.47 after HF-TENS and to 1.67 ± 0.47 after DM-TENS (mean ± SD), indicating that DM-TENS was more effective in reducing chronic lower limb numbness. This report highlights the promising potential of DM-TENS as an effective intervention for reducing numbness in DLS patients, who often experience lower limb numbness.
退变性腰椎滑脱症（DLS）是一种退行性疾病，可导致腿部疼痛、麻木和步态障碍。尽管进行了手术治疗，但减轻麻木比减轻疼痛更具挑战性，目前尚无既定的有效干预方法。感觉异常匹配经皮电刺激神经疗法（DM-TENS）是一种新技术，可调整经皮电刺激神经疗法（TENS）设置以匹配麻木感，可能会改善这种情况。我们将DM-TENS应用于一名患有慢性下肢麻木的DLS术后患者。结果，干预前麻木的数字评分量表（NRS）为8.00，但在高频经皮电刺激神经疗法（HF-TENS）后改善至6.67±0.47，在DM-TENS后改善至1.67±0.47（平均值±标准差），表明DM-TENS在减轻慢性下肢麻木方面更有效。本报告强调了DM-TENS作为减轻经常经历下肢麻木的DLS患者麻木的有效干预措施的潜在前景。
