Comparison Between Transcutaneous Electrical Nerve Stimulation and Stabilization Exercises in Fatigue and Transversus Abdominis Activation in Patients With Lumbar Disk Herniation: A Randomized Study
| Autor: | Amélia Pasqual Marques, Mauricio Oliveira Magalhães, Thomaz Nogueira Burke, Josielli Comachio, Fábio Jorge Renovato França, Gabriel Peixoto Leão Almeida, Luiz Armando Vidal Ramos, Bianca Callegari, Ana Paula de Moura Campos Carvalho e Silva |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_treatment Paraspinal Muscles Intervertebral Disc Degeneration Electromyography Biofeedback Transcutaneous electrical nerve stimulation law.invention 03 medical and health sciences ESTIMULAÇÃO ELÉTRICA 0302 clinical medicine Lumbar law medicine Humans Herniated disk Abdominal Muscles 030222 orthopedics Muscle fatigue medicine.diagnostic_test business.industry Lumbosacral Region Middle Aged medicine.disease Low back pain Exercise Therapy Oswestry Disability Index Anesthesia Muscle Fatigue Transcutaneous Electric Nerve Stimulation Female Chiropractics medicine.symptom business Intervertebral Disc Displacement 030217 neurology & neurosurgery |
| Zdroj: | Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual) Universidade de São Paulo (USP) instacron:USP |
| ISSN: | 0161-4754 |
| DOI: | 10.1016/j.jmpt.2017.10.010 |
| Popis: | The purpose of this study was to compare transcutaneous electrical nerve stimulation (TENS) and stabilization exercises in an attempt to prevent fatigue and improve muscle activation in patients with lumbar disk herniation associated with low back pain.This study involved 29 patients (age range 25-58 years) randomized into 2 groups: the segmental stabilization group (n = 15), who received stabilization exercises on the transversus abdominis (TrA) and lumbar multifidus muscles; and the TENS group (n = 14), who received electrotherapy. Groups underwent 16 sessions, for 60 minutes, twice per week, and they were evaluated before and after intervention. Pain was measured using a visual analog scale, functional disability using the Oswestry Disability Index, muscle activation and fatigue with electromyography, and patients' ability to contract the TrA with a pressure biofeedback unit. Analyses within and between groups were performed.The stabilization group improved lumbar multifidus fatigue (median frequency [MF] initial [P = .002], MF final [P.001], MF slope [P = .001], and resistance time [P.001]), ability to contract the TrA (P.001), pain (P.001), and functional disability (P.001). TENS only was effective for pain (P = .012).Although it relieved pain, TENS was not effective as a single treatment to prevent fatigue, increase TrA contraction, and reduce functional disability in herniated disk patients. Stabilization exercises alone improved all measured outcomes. |
| Databáze: | OpenAIRE |
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