The effects of transcutaneous electrical nerve stimulation on strength, proprioception, balance and mobility in people with stroke: a randomized controlled cross-over trial

Tyson, Sarah; Sadeghi-Demneh, Ebrahim; Nester, Christopher

doi:10.1177/0269215513478227

Cited by 55 publications

(42 citation statements)

References 28 publications

(42 reference statements)

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“…In this study, high frequency current, 70-130Hz biphasic symmetrical stimulus, was used. The reason for the frequency modulation was to prevent the adaptation of sensory system (Tyson et al, 2013). The improved balance in this study is believed to be a result of the decreased spasticity and improved arrangement by the high frequent TENS.…”

Section: ⅳ Discussionmentioning

confidence: 73%

“…This frequency modulation was for the prevention of adaptation of sensory system. The stimulus intensity was increased until subjects felt tingling or buzzing feeling in foot and ankle without any muscle contraction or radiation in proximal body segments (Tyson et al, 2013). Furthermore, the intensity was controlled three times in every 15 minute in order to prevent the adaptation.…”

Section: Designmentioning

confidence: 99%

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The Effects of TENS Applied to Affected Lower Extremities on Balance in Stroke Patients

Lee¹,

Jang²

2014

Journal of the Korean Society of Physical Medicine

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| Abstract | PURPOSE:This study was to investigate the effectiveness of TENS on balance in stroke patients by analyzing some components such as foot pressure, limit of stability and velocity sway after providing somatosensroy input using TENS. METHODS:Twenty five subjects participated and were randomly divided into two groups, TENS group (n=13) and control group (n=12) by the computer program. Interventions were given to subjects 5 days a week for four weeks. TENS group were treated with TENS for 60 minutes in addition to the conventional therapy which included 30-minute exercise and rehabilitation ergometer training for 15 minutes. Control group performed only conventional therapy. TENS was applied on the skin of soleus, tibialis anterior, tensor fascia latae and vastus medialis in affected side. Foot pressure, limit of stability and velocity sway for balance test were measured using Biorescue.

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Section: ⅳ Discussionmentioning

confidence: 73%

Section: Designmentioning

confidence: 99%

The Effects of TENS Applied to Affected Lower Extremities on Balance in Stroke Patients

Lee¹,

Jang²

2014

Journal of the Korean Society of Physical Medicine

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“…They found a significant increase in cortical motor representation of all muscles in the TENS group from pre-test to post-test, and suggested the potential of sensory training by application of TENS in neurorehabilitation (Meesen et al 2011). A recent study by Tyson et al (2013) reported that application of TENS had positive effects on strength, proprioception, balance, and mobility in stroke survivors by providing supplementary sensory stimulation. In a randomized controlled study, Tekeoğlu et al (1998) reported on the effectiveness of TENS on the level of activities of daily living (ADL) of stroke patients after an eight-week intervention period, and suggested that TENS can be an effective additional method in regaining motor functions and improving ADL in hemiplegic patients.…”

Section: Discussionmentioning

confidence: 93%

“…Therefore, it appears that electrical somatosensory stimulation is sufficient for modulation of reorganization of the motor cortex during performance of the required motor task, which may be beneficial to improvement of motor function in stroke rehabilitation (Golaszewski et al 1999;Ridding et al 2000;Ng and Hui-Chan 2007). There are a variety of electrical stimulators; however, unlike functional electrical stimulator, neuromuscular electrical stimulation, or interferential current therapy, transcutaneous electrical nerve stimulation (TENS) is relatively easy to apply and control, readily available, risk free, and inexpensive, particularly if the stimulation is applied at a pleasant sensory level (Laufer and Elboim-Gabyzon 2011;Tyson et al 2013). Based on previous studies, we hypothesized that additional benefit could be attained if task-related training was used with TENS in upper arm rehabilitation.…”

Section: Introductionmentioning

confidence: 99%

Task-Related Training Combined with Transcutaneous Electrical Nerve Stimulation Promotes Upper Limb Functions in Patients with Chronic Stroke

Kim

Cho

2013

Tohoku J. Exp. Med.

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Severe upper limb paresis is a major contributor to disability after stroke. This study investigated the efficacy of task-related training (TRT) with transcutaneous electrical nerve stimulation (TENS) on recovery of upper limb motor function in chronic-stroke survivors. Thirty patients with chronic stroke were randomly allocated two groups: the TRT+TENS group (n = 15) and the TRT+placebo (TRT+PLBO) group (n = 15). Patients in the TRT+TENS group received TENS stimulation (two to three times the sensory threshold), while subjects in the TRT+PLBO group received TENS without real electrical stimulation. TENS was applied to muscle belly of triceps and wrist extensors, while placebo (PLBO) stimulation was administrated without real electrical stimulation. Both interventions were given for 30 minutes per day, 5 days per week, for a period of 4 weeks. The primary outcomes were assessed with Fugl-Meyer assessment scores (FMA), Manual function test (MFT), Box and block test (BBT), and Modified Ashworth scale (MAS), each of which was performed one day before and one day after intervention. Both groups showed significant improvements in FMA, MFT, and BBT after intervention. When compared with the TRT+PLBO group, the TRT+TENS group showed significantly greater improvements in FMA (p = 0.034), MFT (p = 0.037), and BBT (p = 0.042). In MAS score, significant improvement was observed only in the TRT+TENS group (p = 0.011). Our findings indicate that TRT with TENS can reduce motor impairment and improve motor activity in stroke survivors with chronic upper limb paresis, highlighting the benefits of somatosensory stimulation from TENS.

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“…Transcutaneous electrical nerve stimulation (TENS) is used as an adjunct treatment to enhance paretic lower‐limb muscle strength,1, 2, 3 walking speed,3, 4, 5, 6 balance performance,2, 3, 7 and functional mobility1, 5, 7, 8 in subjects with acute,1 subacute,6, 7 and chronic2, 4, 5 stroke. The therapeutic effects of TENS may be mediated via peripheral9, 10, 11 and central mechanisms 12, 13.…”

Section: Introductionmentioning

confidence: 99%

Bilateral Transcutaneous Electrical Nerve Stimulation Improves Lower‐Limb Motor Function in Subjects With Chronic Stroke: A Randomized Controlled Trial

Kwong

Chung

et al. 2018

JAHA

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BackgroundTranscutaneous electrical nerve stimulation (TENS) has been used to augment the efficacy of task‐oriented training (TOT) after stroke. Bilateral intervention approaches have also been shown to be effective in augmenting motor function after stroke. The purpose of this study was to compare the efficacy of bilateral TENS combined with TOT versus unilateral TENS combined with TOT in improving lower‐limb motor function in subjects with chronic stroke.Methods and ResultsEighty subjects were randomly assigned to bilateral TENS+TOT or to unilateral TENS+TOT and underwent 20 sessions of training over a 10‐week period. The outcome measures included the maximal strength of the lower‐limb muscles and the results of the Lower Extremity Motor Coordination Test, Berg Balance Scale, Step Test, and Timed Up and Go test. Each participant was assessed at baseline, after 10 and 20 sessions of training and 3 months after the cessation of training. The subjects in the bilateral TENS+TOT group showed greater improvement in paretic ankle dorsiflexion strength (β=1.32; P=0.032) and in the completion time for the Timed Up and Go test (β=−1.54; P=0.004) than those in the unilateral TENS+TOT group. However, there were no significant between‐group differences for other outcome measures.ConclusionsThe application of bilateral TENS over the common peroneal nerve combined with TOT was superior to the application of unilateral TENS combined with TOT in improving paretic ankle dorsiflexion strength after 10 sessions of training and in improving the completion time for the Timed Up and Go test after 20 sessions of training.Clinical Trial Registration URL: http://www.clinicaltrials.gov. Unique identifier: NCT02152813.

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The effects of transcutaneous electrical nerve stimulation on strength, proprioception, balance and mobility in people with stroke: a randomized controlled cross-over trial

Cited by 55 publications

References 28 publications

The Effects of TENS Applied to Affected Lower Extremities on Balance in Stroke Patients

The Effects of TENS Applied to Affected Lower Extremities on Balance in Stroke Patients

Task-Related Training Combined with Transcutaneous Electrical Nerve Stimulation Promotes Upper Limb Functions in Patients with Chronic Stroke

Bilateral Transcutaneous Electrical Nerve Stimulation Improves Lower‐Limb Motor Function in Subjects With Chronic Stroke: A Randomized Controlled Trial

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