Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

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Comparative Study: Analgesic effect of Al-TENS in Variation of Treatment Time on Experimentally Induced Ischaemic Pain in Healthy Young Adult


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1 Singhania University, Rajasthan, India
     

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Objective: To evaluate the effectiveness of acupuncture like-TENS in variation of time on experimentally induced ischaemic pain.

Methods: 80 healthy subjects (40 female and 40 male) of age group between 18 to 28 years were randomly allocated to four groups A, B, C and placebo group D. After experimentally inducing ischaemic pain by sub maximal effort tourniquet technique (SMETT), followed by hand grip exercises, AL-TENS applied for 10 min in group A, 16 min in group B, 20 min in group C and 20 min placebo in group D. Baseline data obtained after induction of ischaemic pain. Measurements of pain intensity were obtained via the visual analogue scale (VAS). Result: The one-way analysis of variance (ANOVA) and post hoc ANOVA performed between groups comparison of the variables showed significant decrease in pain intensity score on VAS at 10 min and 16 min with placebo group but revealed no significant differences between groups at 18th and 20th minutes. Thus indicating application of AL-TENS for 10 minutes or 16 minutes is sufficient to produce hypoalgesic effect.

Conclusion: Results of this study have indicated that low-frequency TENS (AL-TENS) has a greater hypoalgesic effect compared to placebo TENS on an experimental pain model which closely resemble to acute clinical pain. This study has also demonstrated that 10 minutes and 16 minutes are sufficient for application of acupuncture like TENS in producing its hypoalgesic effect.

Keywords

Acupuncture like Trans-cunteniuous Electrical Nerve Stimulator (AL-TENS) Submaximal Effort Tourniquet Technique (SMETT). Visual Analogue Scale (VAS)
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  • K.A Sluka, H Rees: The neuronal response to pain. Physiotherapy theory and practice. 13 (1997), 3-22.

  • Deirdre M.Walsh, Cathy Liggett, David Baxter and Jim M.Allen: A double blind investigation of the hypoalgesic effects of transcutaneous electrical nerve stimulation upon experimentally induced ischaemic pain. Pain 61(1995) 39-45.

  • Pertovaara A, Nurmikko T, Pontinen PJ.Two separate components of pain produced by the sub maximal effort tourniquet test. Pain 1984, 20: 53-58.

  • Johnson MI, Ashton CH, and Bousfield D.R.Thompson JW: Analgesic effects of different frequencies of transmutations electrical nerve stimulation on cold induced pain in normal subjects. Pain 1998, 39,231-6.

  • Walsh DM, Liggettc, Baxter D’Alene JM.A double blind investigation of the hypoalgesic effects of transcutaneous electrical nerve stimulation upon experimentally induced ischaemic pain. Pain 1995, 61:39-45.

  • Smith GM. Lowenstein E, Hubbard JH, Beecher HK: Experimental pain produced by the sub maximal effort tourniquet technique, further evidence of validity. J pharmacol Exp Ther 1968, 163:468-4.

  • Melzack R.Wall PD. Pain mechanism: A new theory. Science 1965, 150:971-9. 8. Roch.P.A.Gijsbers.K, Belch.J.J.F and Forbes C.D, Modification of induced ischaemic pain by transcutaneous electrical nerve stimulation. Pain 20 (1984)45-52.

  • Ashton.H., Ebenezer.I., Golding, J.F. and Thompson, J.W,Effects of acupuncture and transcutaneous electrical nerve stimulation on cold induced pain in normal subjects. J. Psychosom. Res., 28:(1984),301-308.

  • Walsh, D.M., Baxter, G.D., Allen, J.M., Bell, A.J., Mokhtar, B., An assessment of the analgesic effects of H-wave therapy upon experimentally induced ischaemic pain.I.J.Med.Sci.,161(1992)472.

  • Chen I, Tang J.White PF, Sloninsky.A, Wender RH.Naruse R.Kariger R. The effect of location of transcutaneous electrical nerve stimulation on post operative opiod analgesic requirement: acupoint versus nonacupoint stimulation.Anesth analg.1998; 87; 1129-1135.

  • Le Bars, D.Dickenson AH.Besson JM: Diffuse noxious inhibitory controls (DNIC).I. Effects on dorsal horn convergent neurons in the rat. Pain, 6(1979)283-304.

  • Walsh DM.Baxter, G.D; Allen, J.M: The effect of transcutaneous electrical nerve stimulation (TENS) upon conduction latencies in the human superficial radial nerve in vivo.J.Physiol; 467(1993)95.

  • Eriksson,M.and Sjolund.B;Acupuncture like electro analgesia in T.N.S resistant chronic pain.In.Y.Zotterman(Ed), sensory function of the skin,Pergmon Press,oxford,1976,P.P.575-581.


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  • Comparative Study: Analgesic effect of Al-TENS in Variation of Treatment Time on Experimentally Induced Ischaemic Pain in Healthy Young Adult

Abstract Views: 390  |  PDF Views: 0

Authors

Shahnaz Hasan
Singhania University, Rajasthan, India

Abstract


Objective: To evaluate the effectiveness of acupuncture like-TENS in variation of time on experimentally induced ischaemic pain.

Methods: 80 healthy subjects (40 female and 40 male) of age group between 18 to 28 years were randomly allocated to four groups A, B, C and placebo group D. After experimentally inducing ischaemic pain by sub maximal effort tourniquet technique (SMETT), followed by hand grip exercises, AL-TENS applied for 10 min in group A, 16 min in group B, 20 min in group C and 20 min placebo in group D. Baseline data obtained after induction of ischaemic pain. Measurements of pain intensity were obtained via the visual analogue scale (VAS). Result: The one-way analysis of variance (ANOVA) and post hoc ANOVA performed between groups comparison of the variables showed significant decrease in pain intensity score on VAS at 10 min and 16 min with placebo group but revealed no significant differences between groups at 18th and 20th minutes. Thus indicating application of AL-TENS for 10 minutes or 16 minutes is sufficient to produce hypoalgesic effect.

Conclusion: Results of this study have indicated that low-frequency TENS (AL-TENS) has a greater hypoalgesic effect compared to placebo TENS on an experimental pain model which closely resemble to acute clinical pain. This study has also demonstrated that 10 minutes and 16 minutes are sufficient for application of acupuncture like TENS in producing its hypoalgesic effect.

Keywords


Acupuncture like Trans-cunteniuous Electrical Nerve Stimulator (AL-TENS) Submaximal Effort Tourniquet Technique (SMETT). Visual Analogue Scale (VAS)

References