Efficiency of Neuromuscular Electrical Stimulation and Transcutaneous Nerve Stimulation on Hemiplegic Shoulder Pain: A Randomized Controlled Trial

Archives of Physical Medicine and Rehabilitation
Meimei ZhouSong Pei

Abstract

To compare the efficacy of neuromuscular electrical stimulation (NMES) and transcutaneous nerve stimulation (TENS) on hemiplegic shoulder pain (HSP). This is a prospective randomized controlled trial. A rehabilitation hospital. Participants (N=90) were randomized into NMES (n=36), TENS (n=36), or control groups (n=18). NMES (15Hz, pulse width 200μs) was applied to supraspinatus and deltoids (medial and posterior parts), whereas TENS (100Hz, pulse width 100μs) was used on the same areas. The surface electrodes were placed near the motor points of the supraspinatus and medial or posterior bundle of deltoids. The 4-week treatment consisted of 20 sessions, each session composed of 1 hour of stimulation per day. Routine rehabilitation program without any stimulation was administered to the control and the NMES/TENS groups. Numerical rating scale (NRS), active/passive range of motion (AROM/PROM) of shoulder, upper extremity Fugl-Meyer Assessment (FMA), modified Ashworth scale (MAS), Barthel Index (BI), and stroke-specific quality of life scale (SSQOLS) were assessed in a blinded manner at baseline, 2, 4, and 8 weeks after treatment, respectively. The primary endpoint was the improvement from baseline in NRS for HSP at 4 weeks. NRS sc...Continue Reading

Citations

Jan 21, 2021·Seminars in Neurology·Seoyon Yang, Min Cheol Chang
Aug 3, 2021·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·Wenjuan SongFanfu Fang
Nov 11, 2021·Annals of Physical and Rehabilitation Medicine·Alessandro de SireAntonio Ammendolia

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