The effect of electrical stimulation on impairment of the painful post-stroke shoulder.
The effect of electrical stimulation on impairment of the painful post-stroke shoulder.
复制标题
电刺激对中风后肩部疼痛损伤的影响。
DOI：
10.1080/10749357.2019.1633796
复制
发表时间：
2019
影响因子：
2.2
通讯作者：
Wilson,RichardD
中科院分区：
文献类型：
--
作者：
Whitehair,VictoriaC;Chae,John;Hisel,Terri;Wilson,RichardD
背景：经皮神经电刺激(TENS)和经皮神经肌肉电刺激(T-NMES)是治疗慢性偏瘫肩痛的常用方法。目的：比较经皮神经电刺激(TENS)、经皮神经肌肉电刺激(t-NMES)和不刺激对偏瘫肩痛患者肩关节无痛被动活动度的急性影响。方法：前瞻性队列研究10例偏瘫肩痛患者随机接受T-NMES、T-NMES和1种非刺激实验条件下的急性止痛效果。在刺激过程中测量受试者肩关节的无痛被动外旋和外展活动范围。结果：受试者在外旋和外展的无痛活动范围内没有显著差异。受试者的差异解释了无痛运动范围的大部分差异。结论：这项先导性研究首次测量了电刺激过程中的无痛被动运动范围。我们的研究结果表明，TENS和t-NMES在止痛方面缺乏急性效果。
Background: Transcutaneous electrical nerve stimulation (TENS) and transcutaneous neuromuscular electrical stimulation (t-NMES) are commonly used therapies in the treatment of chronic hemiplegic shoulder pain. These treatments are often utilized during physical or occupational therapy sessions, yet research into the acute analgesic effects of TENS and t-NMES on hemiplegic shoulder pain and use during therapy is limited.Objective: To compare the acute effects of transcutaneous electrical nerve stimulation (TENS), transcutaneous neuromuscular electrical stimulation (t-NMES), and no stimulation on pain-free passive range of motion of the shoulder in subjects with hemiplegic shoulder pain.Methods: Prospective cohort study of 10 subjects randomly treated with t-NMES, TENS, and one non-stimulation experimental condition. Pain-free passive external rotation and abduction range of motion of the affected shoulder were measured during stimulation.Results: There was not a significant within-subject difference in pain-free range of motion for external rotation or abduction. Subject to subject differences explained the majority of the variability in pain-free range of motion.Conclusion: This pilot study is the first to measure pain-free passive range of motion during electrical stimulation. Our findings demonstrate the lack of an acute effect of TENS and t-NMES on pain reduction.