Electro-Muscle Stimulation Therapy

Ward, Alexandra M.

doi:10.1016/b978-0-444-53632-7.01014-5

Cited by 4 publications

(1 citation statement)

References 31 publications

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“…Physiotherapy aims to compensate for the dysfunctions while improving the sensory disorders and contributing to the faster healing of the nerve, thus being an essential part of the treatment after peripheral nerve injuries. Such approaches are kinesiotherapy, electrotherapy, therapeutic laser and others [5,6] . This literature review aims to describe research data on the use of electrotherapy in cases of sciatic nerve damage as well as to present the types of electrotherapy treatments applied, their different parameters and their effects on the symptoms of the patients.…”

Section: Introductionmentioning

confidence: 99%

The effect of electrotherapy on traumatic lesions of the sciatic nerve: A review of evidenced-based physiotherapy practice

Goulios¹,

Lytras²,

Iakovidis³

et al. 2021

Int. J. Adv. Res. Med.

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Damage to the sciatic nerve is rare but causes pain that is not easily relieved, thus often necessitating hospitalization. The most common causes of injury are hip surgery, local injections, amputation and hip fracture. This review aims to describe research data on the efficacy of electrotherapy applications in cases of sciatic nerve injury. The Google Scholar and PubMed databases were searched in English with the following keywords: electrotherapy, sciatic injury, physiotherapy, efficacy. Both clinical trials and systematic reviews were included in the review. This review included seven clinical trials and two systematic reviews on the efficacy of various electrotherapy methods. The results of the review showed that electrotherapy can help improve the pain resulting from damage to the sciatic nerve. According to the results of this review, the application of electro acupuncture (EA), Percutaneous Electrical Nerve Stimulation (PENS), Transcutaneous Electrical Nerve Stimulation (TENS) and Medium-Frequency Electrotherapy (MFE) is considered to have a positive effect, although the results of the studies in many cases appear ambiguous. By comparison, EA is considered more efficient. PENS was significantly more effective than TENS in improving physical activity, pain and sleep quality, and postoperative function. New methods, such as the application of Peripheral Nerve Stimulation (PNS) electrodes with the use of ultrasound, need to be better evaluated in the coming years, but they look very promising.

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Section: Introductionmentioning

confidence: 99%

The effect of electrotherapy on traumatic lesions of the sciatic nerve: A review of evidenced-based physiotherapy practice

Goulios¹,

Lytras²,

Iakovidis³

et al. 2021

Int. J. Adv. Res. Med.

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Short vs. long pulses for testing knee extensor neuromuscular properties: does it matter?

et al. 2017

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Muscle contractions and pain sensation accompanying high-frequency electroporation pulses

Cvetkoska

Maček-Lebar

Trdina

et al. 2022

Sci Rep

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To minimize neuromuscular electrical stimulation during electroporation-based treatments, the replacement of long monophasic pulses with bursts of biphasic high-frequency pulses in the range of microseconds was suggested in order to reduce muscle contraction and pain sensation due to pulse application. This treatment modality appeared under the term high-frequency electroporation (HF-EP), which can be potentially used for some clinical applications of electroporation such as electrochemotherapy, gene electrotransfer, and tissue ablation. In cardiac tissue ablation, which utilizes irreversible electroporation, the treatment is being established as Pulsed Field Ablation. While the reduction of muscle contractions was confirmed in multiple in vivo studies, the reduction of pain sensation in humans was not confirmed yet, nor was the relationship between muscle contraction and pain sensation investigated. This is the first study in humans examining pain sensation using biphasic high-frequency electroporation pulses. Twenty-five healthy individuals were subjected to electrical stimulation of the tibialis anterior muscle with biphasic high-frequency pulses in the range of few microseconds and both, symmetric and asymmetric interphase and interpulse delays. Our results confirm that biphasic high-frequency pulses with a pulse width of 1 or 2 µs reduce muscle contraction and pain sensation as opposed to currently used longer monophasic pulses. In addition, interphase and interpulse delays play a significant role in reducing the muscle contraction and/or pain sensation. The study shows that the range of the optimal pulse parameters may be increased depending on the prerequisites of the therapy. However, further evaluation of the biphasic pulse protocols presented herein is necessary to confirm the efficiency of the newly proposed HF-EP.

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Electro-Muscle Stimulation Therapy

Cited by 4 publications

References 31 publications

The effect of electrotherapy on traumatic lesions of the sciatic nerve: A review of evidenced-based physiotherapy practice

The effect of electrotherapy on traumatic lesions of the sciatic nerve: A review of evidenced-based physiotherapy practice

Short vs. long pulses for testing knee extensor neuromuscular properties: does it matter?

Muscle contractions and pain sensation accompanying high-frequency electroporation pulses

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