Modern aspects of Treatment with Transcutaneous Electrical Nerve Stimulation

Vasileva, Dance and Mitkov, Oliver (2024) Modern aspects of Treatment with Transcutaneous Electrical Nerve Stimulation. KNOWLEDGE - International Journal (KIJ), 66 (4). pp. 401-406. ISSN 1857-923X

Text (publication) MODERN ASPECTS OF TREATMENT WITH TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION za repozitorium.pdf - Published Version Download (1MB)

Abstract

With the development of the most modern equipment for different physical modalities in the application of physical medicine and rehabilitation, many new methods and approaches to protocols and complementarity in the execution of the rehabilitation process have been advanced. It contributes to creating a concept of rehabilitation course, with non-invasive modalities from the field of physical medicine. Including kinesitherapy, the goal of achieving full functionality is much more realistic due to the shorter time frame and reduced feeling of pain. The parallel course of use of such modalities and kinesitherapy methods and techniques enables efficiency, economy and a greater sense of comfort for the patients themselves. With the patenting of transcutaneous electrical nerve stimulation (TENS) in 1974, research and development of high-frequency, low-frequency, acupuncture, and conventional transcutaneous electrical nerve stimulation began. The type of modulation depends on the corresponding parameters in terms of amplitude, pulse duration and their frequency. In general, the low frequency of the transcutaneouse electrical nerve stimulation is considered to be 1-20 Hz, and the high frequency is greater than 70 Hz. The current strength is usually 10-20 mA. The pulse duration is 50-400 μs. Low-frequency modulation stimulates primarily motor nerve fibers, and high-frequency acts through afferent nerve endings. The aim of the research is to study the effects of this modality of the physical therapy and the implications over the rehabilitation process. Materials and methods: This research study was carried out in a period of 3 working weeks, or 15 working days, as long as the rehabilitation lasts. The statistical sample consists of three groups. One group is 15 patients who are treated for predominantly arthritic degenerative pathologies in the acute and chronic phase, with localization of upper and lower extremities; and patients who are in the acute and chronic phase of periarthritis, contusions and joint dislocations, also on the upper and lower extremities. The other group is 15 patients with degenerative chronic and acute pathological conditions of the musculoskeletal system of the spine. The third group is 15 patients in whom transcutaneous electrical nerve stimulation is not included in the rehabilitation plan. Results: According to the analysis and processing of the results of the active range of motion (AROM) goniometry of the joint structures of the upper and lower limbs and the spine and the pain scale at the beginning and after the fifteenth day of the rehabilitation procedures, results were obtained that after the statistical processing, show a significant improvement if the transcutaneous electrical nerve stimulation is included.
Conclusion: The non-invasiveness of this physical procedure together with the specific application of its modulations according to the pathological condition allow for a quick and efficient rehabilitation of patients.The reduced feeling of pain allows a greater will to perform the exercises included in the overall rehabilitation, and thus a greater range of movements in the musculoskeletal system.
Key words: TENS, kinesitherapy, non-invasive modalities, range of motion, goniometry

Item Type:	Article
Uncontrolled Keywords:	TENS, kinesitherapy, non-invasive modalities, range of motion, goniometry
Subjects:	Medical and Health Sciences > Basic medicine Medical and Health Sciences > Clinical medicine Medical and Health Sciences > Health sciences Medical and Health Sciences > Other medical sciences
Divisions:	Faculty of Medical Science
Depositing User:	Prof. Dance Vasileva
Date Deposited:	14 Oct 2024 07:44
Last Modified:	14 Oct 2024 07:44
URI:	https://eprints.ugd.edu.mk/id/eprint/34836

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