Comparison Between Transcutaneous Electrical Nerve Stimulation and Stabilization Exercises in Fatigue and Transversus Abdominis Activation in Patients With Lumbar Disk Herniation: A Randomized Study

Journal of Manipulative and Physiological Therapeutics
Luiz Armando Vidal RamosAmélia Pasqual Marques

Abstract

The purpose of this study was to compare transcutaneous electrical nerve stimulation (TENS) and stabilization exercises in an attempt to prevent fatigue and improve muscle activation in patients with lumbar disk herniation associated with low back pain. This study involved 29 patients (age range 25-58 years) randomized into 2 groups: the segmental stabilization group (n = 15), who received stabilization exercises on the transversus abdominis (TrA) and lumbar multifidus muscles; and the TENS group (n = 14), who received electrotherapy. Groups underwent 16 sessions, for 60 minutes, twice per week, and they were evaluated before and after intervention. Pain was measured using a visual analog scale, functional disability using the Oswestry Disability Index, muscle activation and fatigue with electromyography, and patients' ability to contract the TrA with a pressure biofeedback unit. Analyses within and between groups were performed. The stabilization group improved lumbar multifidus fatigue (median frequency [MF] initial [P = .002], MF final [P < .001], MF slope [P = .001], and resistance time [P < .001]), ability to contract the TrA (P < .001), pain (P < .001), and functional disability (P < .001). TENS only was effective for pai...Continue Reading

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Citations

Apr 3, 2019·The Journal of Manual & Manipulative Therapy·Chattrachoo Thongprasert, R Kanlayanaphotporn
Jun 25, 2020·Journal of Orthopaedic Surgery and Research·Wei WangZhongqiang Chen
May 13, 2021·Anesthesiology·Radostin PenchevSteven P Cohen
Sep 29, 2021·The Cochrane Database of Systematic Reviews·Jill A HaydenMaurits W van Tulder

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