Effectiveness of transcutaneous electrical nerve stimulation in management of neuropathic pain in patients with post traumatic incomplete spinal cord injuries

Zeb, Amir; Arsh, Aatik; Bahadur, Sher; Ilyas, Syed Muhammad

doi:10.12669/pjms.345.15659

Cited by 17 publications

(14 citation statements)

References 12 publications

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“…These results also indicate that TENS induces substantial effects in patients with SCI. A total of 33 patients with SCI were enrolled and were randomly assigned to the TENS and control groups ( 222 ). Patients in the TENS groups received 30 min of TENS, while those in the control group were assigned 30 min of sham TENS, once a day for 10 days.…”

Section: Non-pharmacological Therapies For Sci ( Fig 3 mentioning

confidence: 99%

Acute spinal cord injury: Pathophysiology and pharmacological intervention (Review)

et al. 2021

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Spinal cord injury (SCI) is one of the most debilitating of all the traumatic conditions that afflict individuals. For a number of years, extensive studies have been conducted to clarify the molecular mechanisms of SCI. Experimental and clinical studies have indicated that two phases, primary damage and secondary damage, are involved in SCI. The initial mechanical damage is caused by local impairment of the spinal cord. In addition, the fundamental mechanisms are associated with hyperflexion, hyperextension, axial loading and rotation. By contrast, secondary injury mechanisms are led by systemic and cellular factors, which may also be initiated by the primary injury. Although significant advances in supportive care have improved clinical outcomes in recent years, a number of studies continue to explore specific pharmacological therapies to minimize SCI. The present review summarized some important pathophysiologic mechanisms that are involved in SCI and focused on several pharmacological and non-pharmacological therapies, which have either been previously investigated or have a potential in the management of this debilitating injury in the near future.

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Section: Non-pharmacological Therapies For Sci ( Fig 3 mentioning

confidence: 99%

Acute spinal cord injury: Pathophysiology and pharmacological intervention (Review)

et al. 2021

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“…Previous studies have reported that cervical SCI are less common as compared to thoracic and lumbar injuries, 15,16 however exact statistics about cervical tetraplegic SCI patients in Pakistan are not available. Literature search also revealed that there is limited literature available regarding rehabilitation outcomes in SCI patients in Pakistani settings 2,17 while there was no published research study which reported OT outcomes in SCI patients in Pakistan.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of occupational therapy in improving activities of daily living performance in complete cervical tetraplegic patients; A quasi experimental study

et al. 2019

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Objective: To determine the effectiveness of Occupational therapy (OT) in improving activities of daily living performance in complete cervical tetraplegic patients. Methods: A quasi experimental study was conducted at Paraplegic Center Peshawar from May 2018 to March 2019. Seventy two spinal cord injury patients with complete cervical tetraplegia having age 18-60 years were included in the study using non probability convenience sampling technique. A trained Occupational therapist conducted two occupational therapy sessions per day, three times a week on alternative days for a period of six weeks. Self-care portion of Spinal cord injury independence measure (SCIM) was used to collect pre and post data. Data was analyzed using SPSS version 20. Results: Mean age of the participants was 30.21±13.52.Majority of the participants were (n= 61, 84.7%) male while remaining 11 (15.3%) participants were female. Pre self-care total score was 0.39±0.987 and post self-care total score was 7.17±5.536. There was significant differences (P value <0.05) between pre and post scores of feeding, upper & lower body bathing, upper & lower body dressing, grooming and total self-care scores. Conclusion: Occupational therapy significantly improves activities of daily living performance in complete cervical tetraplegic spinal cord injury patients. doi: https://doi.org/10.12669/pjms.36.2.1002 How to cite this:Arsh A, Anwar Z, Zeb A, Ilyas SM. Effectiveness of occupational therapy in improving activities of daily living performance in complete cervical tetraplegic patients; A quasi experimental study. Pak J Med Sci. 2020;36(2):---------. doi: https://doi.org/10.12669/pjms.36.2.1002 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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“…Similar results are also reported by other studies conducted in Pakistan. [14][15][16][17] Burns were common among participants at initial presentation. Electricity related injuries are almost always associated with burns.…”

Section: Discussionmentioning

confidence: 99%

Spinal cord injury due to fall from electricity poles after electrocution

et al. 2019

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Objective: The objective of this study was to report epidemiology, complications and rehabilitation outcomes of patients who sustained spinal cord injury (SCI) due to fall from electricity poles after electrocution. Methods: A prospective observational study was conducted in which patients admitted to Paraplegic Centre Peshawar from July 2016 to July 2018 who sustained SCI due to fall from electricity poles after electrocution were included. Of total 852 patients, 39 (4.58%) sustained SCI due to fall from electricity poles after electrocution. Two patients were excluded and data of 37 patients was analyzed. Results: The mean age of the participants was 35.03±13.47 years. Twenty-two (59.4%) patients had associated burns on different parts of body. Twenty-seven (72.9%) had pressure ulcers, 31 (83.8%) had spasticity, 18 (48.6%) had neuropathic pain and 2 (5.4%) had limb amputations due to injury. Mean Spinal cord injury independence measure score at the time of discharge was 53.4±5.7. Conclusion: SCI due to fall from electricity poles after electrocution is rare however combined effect of injury by electricity along with fall from electricity poles are associated with severe complications. Rehabilitation outcomes in these patients are also minimal. doi: https://doi.org/10.12669/pjms.35.4.241 How to cite this:Zeb A, Arsh A, Bahadur S, Ilyas SM. Spinal cord injury due to fall from electricity poles after electrocution. Pak J Med Sci. 2019;35(4):---------. doi: https://doi.org/10.12669/pjms.35.4.241 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Effectiveness of transcutaneous electrical nerve stimulation in management of neuropathic pain in patients with post traumatic incomplete spinal cord injuries

Cited by 17 publications

References 12 publications

Acute spinal cord injury: Pathophysiology and pharmacological intervention (Review)

Acute spinal cord injury: Pathophysiology and pharmacological intervention (Review)

Effectiveness of occupational therapy in improving activities of daily living performance in complete cervical tetraplegic patients; A quasi experimental study

Spinal cord injury due to fall from electricity poles after electrocution

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