Effects of transcutaneous electrical nerve stimulation on quadriceps function in individuals with experimental knee pain

Scandinavian Journal of Medicine & Science in Sports
S Jun SonJ T Hopkins

Abstract

Knee joint pain (KJP) is a cardinal symptom in knee pathologies, and quadriceps inhibition is commonly observed among KJP patients. Previously, KJP independently reduced quadriceps strength and activation. However, it remains unknown how disinhibitory transcutaneous electrical nerve stimulation (TENS) will affect inhibited quadriceps motor function. This study aimed at examining changes in quadriceps maximum voluntary contraction (MVC) and central activation ratio (CAR) before and after sensory TENS following experimental knee pain. Thirty healthy participants were assigned to either the TENS or placebo groups. All participants underwent three separate data collection sessions consisting of two saline infusions and one no infusion control in a crossover design. TENS or placebo treatment was administered to each group for 20 min. Quadriceps MVC and CAR were measured at baseline, infusion, treatment, and post-treatment. Perceived knee pain intensity was measured on a 100-mm visual analogue scale. Post-hoc analysis revealed that hypertonic saline infusion significantly reduced the quadriceps MVC and CAR compared with control sessions (P < 0.05). Sensory TENS, however, significantly restored inhibited quadriceps motor function comp...Continue Reading

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Citations

Apr 30, 2020·Journal of Athletic Training·Steven M DaviLindsey K Lepley
Apr 7, 2017·Iranian Journal of Nursing and Midwifery Research·Maryam RezaeyanAshraf Direkvand-Moghadam
Sep 9, 2018·British Journal of Sports Medicine·Bertrand Sonnery-CottetWilliam G Blakeney
Mar 6, 2018·Pain Practice : the Official Journal of World Institute of Pain·Katie A ButeraGeoffrey C Dover

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