Effects of transcutaneous electrical nerve stimulation on myofascial pain and trigger point sensitivity

Graff‐Radford, Steven B.; Reeves, John L.; Baker, Robert L.; Chiu, Daryl T. J.

doi:10.1016/0304-3959(89)90146-2

Cited by 120 publications

(35 citation statements)

References 17 publications

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“…Numerous therapeutic approaches have been used with varying success rates to treat MPS.These include injection of local anesthetics or saline [17], dry needling [14], systemic pharmacological therapy (steroidal and non-steroidal anti-inflammatory drugs,antidepressants, benzodiazepine) [14] and physiotherapy rehabilitative treatments (massage therapy, ultrasounds, biofeedback, transcutaneous electrical nerve stimulation) [9, 13,14,18,24]. Among physical therapies, transcutaneous electrical nerve stimulation (TENS) is one of the most frequently employed treatments [4, 13,14,19,37].…”

mentioning

confidence: 99%

Repetitive magnetic stimulation A novel therapeutic approach for myofascial pain syndrome

Smania¹,

Corato

Fiaschi

et al. 2005

J Neurol

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The aim of this study was to evaluate the short, medium and long-term effects of peripheral repetitive magnetic stimulation (rMS) on myofascial pain compared with transcutaneous electrical nerve stimulation (TENS).Fifty-three subjects with myofascial trigger points (TPs) at the level of the superior trapezius muscle were allocated randomly to three groups. The first group (n=17) was treated with rMS, the second (n=18) with TENS and the third (n=18) received a placebo treatment. Each treatment consisted of ten daily 20-minute sessions. Patients were evaluated before and immediately following treatment, and at one and three months after the end of treatment. Outcome measures were: the "neck pain and disability visual analogue scale" (NPDVAS), an algometric evaluation of pain, an evaluation of the TP characteristics, and the range of cervical bending and rotation contralateral to the affected trapezius muscle. At the end of treatment, the rMS group showed a significant improvement in the NPDVAS, algometry, TP characteristics, and cervical contralateral rotation. This improvement also persisted at one and three months post-therapy. After treatment, the TENS group showed significant improvement in the same outcome measures except for algometry. At the one month follow-up visit, this improvement had returned to non significant levels in all outcome measures with the exception of NPDVAS. No significant effect of TENS was seen at the three-month follow-up visit. The placebo group showed no significant improvement in any measure. Our results strongly suggest that at medium and longer term intervals peripheral rMS may be more effective than TENS for the treatment of myofascial pain.

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mentioning

confidence: 99%

Repetitive magnetic stimulation A novel therapeutic approach for myofascial pain syndrome

Smania¹,

Corato

Fiaschi

et al. 2005

J Neurol

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“…Several TP treatment methods have been studied for effectiveness. These methods include injection or dry needling, 16 -18 spray and stretch, 19 transcutaneous electrical nerve stimulation (TENS), 11,20,21 and post-isometric relaxation. 22 Injection and spray and stretch are reported as the most common forms of therapy for TPs.…”

mentioning

confidence: 99%

Effectiveness of a Home Program of Ischemic Pressure Followed by Sustained Stretch for Treatment of Myofascial Trigger Points

Hanten¹,

Olson²,

Butts³

et al. 2000

Physical Therapy

225

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Background and Purpose. Myofascial trigger points (TPs) are found among patients who have neck and upper back pain. The purpose of this study was to determine the effectiveness of a home program of ischemic pressure followed by sustained stretching for the treatment of myofascial TPs. Subjects. Forty adults (17 male, 23 female), aged 23 to 58 years (Xϭ30.6, SDϭ9.3), with one or more TPs in the neck or upper back participated in this study. Methods. Subjects were randomly divided into 2 groups receiving a 5-day home program of either ischemic pressure followed by general sustained stretching of the neck and upper back musculature or a control treatment of active range of motion. Measurements were obtained before the subjects received the home program instruction and on the third day after they discontinued treatment. Trigger point sensitivity was measured with a pressure algometer as pressure pain threshold (PPT). Average pain intensity for a 24-hour period was scored on a visual analog scale (VAS). Subjects also reported the percentage of time in pain over a 24-hour period. A multivariate analysis of covariance, with the pretests as the covariates, was performed and followed by 3 analyses of covariance, 1 for each variable. Results. Differences were found between the treatment and control groups for VAS scores and PPT. No difference was found between the groups for percentage of time in pain. Conclusion and Discussion. A home program, consisting of ischemic pressure and sustained stretching, was shown to be effective in reducing TP sensitivity and pain intensity in individuals with neck and upper back pain. The results of this study indicate that clinicians can treat myofascial TPs through monitoring of a home program of ischemic pressure and stretching. [Hanten WP, Olson SL, Butts NL, Nowicki AL. Effectiveness of a home program of ischemic pressure followed by sustained stretch for treatment of myofascial trigger points. Phys Ther. 2000;80:997-1003.]

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“…However, TENS effects are apparently limited to the post-treatment period. 12,[48][49][50] The clinical applications of Botulinum toxinincluding successful treatment of various myoinflammatory conditions-have also been increasingly reported during the past 20 years. 29,30 The therapeutic action of Botulinum toxin begins within 3-10 days after injection and the effects last for *6 weeks to 6 months.…”

Section: Mitidieri Et Almentioning

confidence: 99%

Effect of Acupuncture on Chronic Pelvic Pain Secondary to Abdominal Myofascial Syndrome Not Responsive to Local Anesthetic Block: A Pilot Study

Mitidieri

Gurian

Silva

et al. 2017

Medical Acupuncture

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Objective: Strong evidence shows that 85% of women with chronic pelvic pain (CPP) have musculoskeletal disorders, such as abdominal myofascial pain syndrome (AMPS). The aim of this research was to assess the efficacy of local acupuncture treatment for women with CPP secondary to AMPS unresponsive to treatment with trigger-point injection. Materials and Methods: This pilot study involved 17 women with moderate-to-severe AMPS-related CPP. Acupuncture treatments were given at abdominal-wall trigger points once per week for 10 consecutive weeks. Pain relief was assessed with a visual analogue scale (VAS), the McGill questionnaire, and pressure dynamometer. Quality of life and psychosocial function (risk for anxiety and depression) were evaluated using the Short-Form-36 questionnaire and the Hospital Anxiety and Depression scale. Assessments were performed at baseline and after 1, 3, and 6 months of treatment. Results: Both the VAS and McGill pain questionnaire showed significantly decreased pain intensity (VAS, P < 0.001; and McGill, P 0.049), and the effects were sustained even at 6 months after treatment. Conclusions: Acupuncture treatment was effective for the women who participated in this study, and the current authors believe that these preliminary results suffice to recommend performing randomized controlled trials.

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Effects of transcutaneous electrical nerve stimulation on myofascial pain and trigger point sensitivity

Cited by 120 publications

References 17 publications

Repetitive magnetic stimulation A novel therapeutic approach for myofascial pain syndrome

Repetitive magnetic stimulation A novel therapeutic approach for myofascial pain syndrome

Effectiveness of a Home Program of Ischemic Pressure Followed by Sustained Stretch for Treatment of Myofascial Trigger Points

Effect of Acupuncture on Chronic Pelvic Pain Secondary to Abdominal Myofascial Syndrome Not Responsive to Local Anesthetic Block: A Pilot Study

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