Psychophysical scale of perception levels in neuromuscular electrical stimulation (NMES)

Casaña, José; Maya-Martín, Julián; Toledo-Marhuenda, José Vicente; Domínguez-Maldonado, Gabriel; Sánchez-Joya, María del Mar; Castro‐Sánchez, Adelaida María

doi:10.1016/j.eujim.2013.01.004

Cited by 3 publications

(3 citation statements)

References 23 publications

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“…PE produces a localized inflammatory response on the injured tendon, thus initiating the repair mechanisms [57], thanks to the mechanical stimulus, the modification of the pH [58] and the activation of the NLRP3 inflammasome that promotes collagen synthesis [59,60] and matrix remodeling [61]. In addition, PNS causes stimulation of Aβ nerve fibers, which blocks nociceptive information from the Aδ and C fibers [14,62]. This may be linked to the control of pain perception and also to the optimization of muscle function [14,62,63], taking into account the relationship between the suprascapular nerve and rotator cuff tendinopathy [64][65][66].…”

Section: Discussionmentioning

confidence: 99%

“…In addition, PNS causes stimulation of Aβ nerve fibers, which blocks nociceptive information from the Aδ and C fibers [14,62]. This may be linked to the control of pain perception and also to the optimization of muscle function [14,62,63], taking into account the relationship between the suprascapular nerve and rotator cuff tendinopathy [64][65][66].…”

Section: Discussionmentioning

confidence: 99%

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Structural and Functional Changes in Supraspinatus Tendinopathy through Percutaneous Electrolysis, Percutaneous Peripheral Nerve Stimulation and Eccentric Exercise Combined Therapy: A Single-Blinded Randomized Clinical Trial

Góngora-Rodríguez,

Rosety-Rodríguez,

Rodríguez-Almagro

et al. 2024

Biomedicines

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Shoulder tendinopathies produce pain and reduce functionality. The aim of this randomized clinical trial was to analyze the effects of Percutaneous electrolysis (PE), Percutaneous peripheral Nerve Stimulation (PNS) and eccentric exercise (EE) on pain (NPRS), strength, electromyographic activity, ultrasound characteristics of the tendon (echogenicity, thickness and hypervascularization) and functionality (DASH and SPADI) in individuals with supraspinatus tendinopathy. Participants (n = 50) were divided into two groups; they received 4 treatment sessions, 1 per week, of PE and PNS (n = 25) or 10 treatment sessions of TENS and US (n = 25). Both groups performed the EE program consisting of 3 sets of 10 repetitions of each of the 3 exercises, twice a day, during the 4 weeks. Follow-up was carried out at 4, 12 and 24 weeks after the start of the intervention. There are statistically significant differences in the analysis between groups (p < 0.001) in the post-treatment and follow-up measurements favorable to the PE+PNS+EE treatment on pain (NPRS), strength, supraspinatus electromyographic amplitude, ultrasound characteristics of the tendon (echogenicity, thickness and hypervascularization) and DASH and SPADI questionnaires. The combined treatment with PE, PNS and EE is an effective option in the clinical management of tendinopathies, with positive results in the short and long term on the variables studied.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Structural and Functional Changes in Supraspinatus Tendinopathy through Percutaneous Electrolysis, Percutaneous Peripheral Nerve Stimulation and Eccentric Exercise Combined Therapy: A Single-Blinded Randomized Clinical Trial

Góngora-Rodríguez,

Rosety-Rodríguez,

Rodríguez-Almagro

et al. 2024

Biomedicines

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“…The PPAS is a valid, reliable, and simple-to-handle tool to assess the subjects’ apprehension to receive electrical stimulation therapy [37]. The exclusion criteria were as follows: Any contraindication to the use of IFT (Table 1) [38,39]; previous cervical spine or shoulder surgery; a history of neurological or mental illnesses; diagnosed central or peripheral nervous system diseases [23]; concomitant fracture in the neck/shoulder; altered sensitivity to tactile stimuli or loss of sensation in the neck/shoulder or upper extremity [6]; concomitant radiological diagnosis of osteoarthritis of the glenohumeral or acromioclavicular joints; fibromyalgia or rheumatoid arthritis [23]; having received injections of corticoids or hyaluronic acid following surgery; symptoms of frozen shoulder [40]; impaired cognition or communication; and being involved in an on-going medico-legal dispute.…”

Section: Methodsmentioning

confidence: 99%

Effects of Adding Interferential Therapy Electro-Massage to Usual Care after Surgery in Subacromial Pain Syndrome: A Randomized Clinical Trial

Casaña

Sanchez-Santos

Melero-Suárez

et al. 2019

JCM

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Subacromial pain syndrome (SAPS) is a prevalent condition that results in loss of function. Surgery is indicated when pain and functional limitations persist after conservative measures, with scarce evidence about the most-appropriate post-operative approach. Interferential therapy (IFT), as a supplement to other interventions, has shown to relieve musculoskeletal pain. The study aim was to investigate the effects of adding IFT electro-massage to usual care after surgery in adults with SAPS. A randomized, single-blinded, controlled trial was carried out. Fifty-six adults with SAPS, who underwent acromioplasty in the previous 12 weeks, were equally distributed into an IFT electro-massage group or a control group. All participants underwent a two-week intervention (three times per week). The control group received usual care (thermotherapy, therapeutic exercise, manual therapy, and ultrasound). For participants in the IFT electro-massage group, a 15-min IFT electro-massage was added to usual care in every session. Shoulder pain intensity was assessed with a 100-mm visual analogue scale. Secondary measures included upper limb functionality (Constant-Murley score), and pain-free passive range of movement. A blinded evaluator collected outcomes at baseline and after the last treatment session. The ANOVA revealed a significant group effect, for those who received IFT electro-massage, for improvements in pain intensity, upper limb function, and shoulder flexion, abduction, internal and external rotation (all, p < 0.01). There were no between-group differences for shoulder extension (p = 0.531) and adduction (p = 0.340). Adding IFT electro-massage to usual care, including manual therapy and exercises, revealed greater positive effects on pain, upper limb function, and mobility in adults with SAPS after acromioplasty.

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Personal budgets for patient centred care

Robinson

2013

European Journal of Integrative Medicine

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Psychophysical scale of perception levels in neuromuscular electrical stimulation (NMES)

Cited by 3 publications

References 23 publications

Structural and Functional Changes in Supraspinatus Tendinopathy through Percutaneous Electrolysis, Percutaneous Peripheral Nerve Stimulation and Eccentric Exercise Combined Therapy: A Single-Blinded Randomized Clinical Trial

Structural and Functional Changes in Supraspinatus Tendinopathy through Percutaneous Electrolysis, Percutaneous Peripheral Nerve Stimulation and Eccentric Exercise Combined Therapy: A Single-Blinded Randomized Clinical Trial

Effects of Adding Interferential Therapy Electro-Massage to Usual Care after Surgery in Subacromial Pain Syndrome: A Randomized Clinical Trial

Personal budgets for patient centred care

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