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Writer, Hutoxi
- Effect of Auricular Transcutaneous Electrical Nerve Stimulation on Experimental Pain Threshold
Authors
1 Department of Physiotherapy, Navi Mumbai, IN
2 Physiotherapy School & Centre, T.N.M.C., B.Y.L. Nair Hospital, Mumbai Central, Mumbai, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 3, No 3 (2009), Pagination: 95-100Abstract
BackgroundPhysical therapists often administer pain-relieving treatment to patients, suffering from pain of various etiologies and Transcutaneous Electrical Nerve Stimulation (TENS) is one of the widely used non-invasive treatments for pain used by us.
Acupuncture points on the auricle of the ear&the peripheral acupuncture sites are sometimes used for treatment with Acupuncture-type TENS.
This study is an attempt to combine to ancient (Auriculotherapy)&modern (Physiotherapy-using acupuncture like TENS) method to produce an analgesic effect.
Aim&objectives
1) to examine the effect of high intensity low frequency Transcutaneous Electrical Nerve Stimulation at auricular acupuncture points on experimental pain threshold measured at wrist and
2) to determine the changes in effect over time.
Materials and methods
30 healthy females were assigned randomly to one of the three treatment groups. Group I (n=10) received TENS to appropriate auricular points for wrist analgesia. Group II (n=10) received TENS to inappropriate (placebo) auricular points&Group III (n=10) received no TENS. We measured the pain threshold at the wrist after an electrical stimulus during one pretreatment and four post treatment time periods
Results
Group I was the only group that had statistically significant increase (p<0.05) in pain threshold with a latent period of 10 minutes. This increase remained significant for all post treatment measurements for this group. Conclusion
Thus we conclude that high intensity, low frequency TENS applied to appropriate auricular points can increase pain thresholds.
Keywords
Electro Acupuncture, Auricular Transcutaneous Electrical Nerve Stimulation, Wrist Analgesia
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- A Study to Assess the Effect of Task Specific Training with Trunk Restraint on Arm Recovery in Stroke Patients
Authors
1 T.N. Medical college and B.Y.L.Nair Hospital, Mumbai, IN
2 PT, MPTh T.N. Medical College and B.Y.L.Nair Hospital, Mumbai, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 6, No 4 (2012), Pagination: 206-210Abstract
Background : The study was carried out to assess the effect of task specific training with trunk restraint and without trunk restraint on arm recovery in stroke patients. Subjects: 30 stroke patients were included in the study.
Method: Thirty individuals participated after signing ethics-committee approved consent forms. Subjects were randomly divided in two groups - either a physical trunk restraint (TR) or a control group (C).
Along with neurological evaluation of the patients, the performance of the upper limb was characterized using a battery of standardized clinical tests.
They included the Fugl-Meyer test and the TEMPA test, which are two primary clinical outcomes characterizing the effectiveness of the training programme.
In the experimental group,(TR) the trunk was secured to the chair back with a stabilising belt, minimising shoulder girdle movements and preventing trunk flexion/rotation. In control group,(C)the trunk was not restrained. Task-specific training which included manipulation and dexterity tasks, simple active exercises to elicit muscle activity, bimanual practice, brief stretching were given to both the groups.
Results: Significant improvements were found in total score of Fugl-Meyr Scale and TEMPA and ROM of elbow extension in experimental group (TR) as compared to the control group.
Conclusion: Trunk restraint may be effective in uncovering latent movement patterns to maximize arm recovery in hemiparetic patients. Restriction of compensatory trunk movements may encourage recovery of premorbid movement patterns leading to better functional outcomes.
Keywords
Task-specific Training, Trunk Restraint, Degrees of Freedom (DOFs)References
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