Physical Medicine and Rehabilitation International
Open Access Full Text Article
Transcutaneous Electrical Nerve Stimulation Parameters in Spasticity
Oo WM* Department of Physical Medicine and Rehabilitation, Mandalay University of Medicine, Myanmar *Corresponding author: Win Min Oo, Department of Physical Medicine and Rehabilitation, Mandalay University of Medicine, Mandalay, Myanmar, Tel: 095991053012; Email: firstname.lastname@example.org email@example.com Received: August 23, 2014; Accepted: August 25, 2014; Published: August 26, 2014
frequency was effective in spasticity reduction , there is still a lack of randomized clinical trials regarding with the other parameters of TENS. Across the various studies, the pulse duration was applied in a range from 0.1 to 0.3 milliseconds, resulting in spasticity reduction. It is very intriguing which pulse duration parameter would be optimal for spasticity improvement. The same speculation is applicable to the stimulating intensity, duration of treatment session and total duration of clinical trial. According the published studies, TENS seems to be beneficial in reducing the muscle tone score and clonus score substantially but produces little effects in tendon jerk score [5-10].The underlying mechanism behind this scenario is still mysterious and necessitates further studies. In conclusion, although TENS is effective in decreasing the spasticity as an adjunct to physical therapy and medical treatment [5-7,9], further exploration of optimal stimulation parameters is still required to provide the paramount benefits for the spastic patients. References
1. Lance JW. Symposium synopsis. In: Feldman RG, Young RR, Koella WW, editors. Spasticity: disordered motor control. Chicago: Year Book Medical Publishers. 1980; 485-500. 2. Nielsen JB, Crone C, Hultborn H. The spinal pathophysiology of spasticity-from a basic science point of view. Acta Physiol (Oxf). 2007; 189: 171-180. 3. Malhotra S,...