Transcutaneous Electrical Nerve Stimulation for Management of Limb Spasticity: A Systematic Review

American Journal of Physical Medicine & Rehabilitation
P B Mills, Farhana Dossa

Abstract

The purpose of this systematic review was to summarize the effect of transcutaneous electrical nerve stimulation (TENS) for management of limb spasticity. Randomized controlled trials were searched using electronic databases through July 2015. Fourteen randomized controlled trials were included, involving 544 participants. Intervention protocols fit within three categories: 1) TENS vs. no TENS or placebo TENS (n = 7), 2) TENS vs. another TENS protocol or another intervention for spasticity management (n = 7), and 3) TENS as an adjunct to another intervention for spasticity management (n = 4). There was level 1 and 2 evidence for TENS improving spasticity-related outcome measures within the International Classification of Functioning, Disability, and Health domains of body structure and function (e.g., Modified Ashworth Scale) as well as activity (e.g., gait). Better responses in outcome measures in the International Classification of Functioning, Disability, and Health activity domain were seen when TENS was used in combination with active therapy (e.g., exercise and task-related training) vs. as a single therapeutic modality.

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Citations

Mar 7, 2017·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Antonino NaroRocco Salvatore Calabrò
Feb 9, 2017·American Journal of Physical Medicine & Rehabilitation·Mohammad EtoomCalogero Foti
Feb 24, 2018·Topics in Stroke Rehabilitation·Jonas SchröderWim Saeys
Jun 29, 2018·European Journal of Physical and Rehabilitation Medicine·Christina-Anastasia RapidiUNKNOWN Professional Practice Committee of the UEMS-PRM Section
May 26, 2018·American Journal of Physical Medicine & Rehabilitation·Mohammad EtoomCalogero Foti
Jun 25, 2020·PM & R : the Journal of Injury, Function, and Rehabilitation·Alvin H IpPatricia B Mills
Nov 16, 2019·Nature Reviews. Neurology·Thomas H Hutson, Simone Di Giovanni
Jul 28, 2020·Frontiers in Neurology·Lynsey D Duffell, Nicholas de Neufvillle Donaldson
Aug 12, 2020·Journal of Neuroengineering and Rehabilitation·Susanne PalmcrantzJörgen Borg
Nov 2, 2021·Frontiers in Neurology·Gaia Valentina PennatiSusanne Palmcrantz

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