Influence of choice of electrical stimulation site on peripheral neurophysiological and hypoalgesic effects.

OBJECTIVE: To investigate whether the choice of electrode placement site in transcutaneous electrical nerve stimulation (TENS) over acupuncture points vs peripheral nerve points influences the peripheral neurophysiological effects as reflected in negative peak latency in the superficial radial nerve...

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Publicado en:Journal of Rehabilitation Medicine (Medical Journals Sweden AB) Vol. 41; no. 6; pp. 412 - 418
Autores principales: Cheing GL, Chan WW
Formato: clinical trial research Journal Article
Publicado: Medical Journals Sweden AB 2009 May
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2009 May
      vid: 41
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      pub: Medical Journals Sweden AB
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        10.2340/16501977-0350
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        atl: Influence of choice of electrical stimulation site on peripheral neurophysiological and hypoalgesic effects.
      aug:
        au:
          Cheing GL
          Chan WW
        affil: Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong. gladys.cheing@inet.polyu.edu.hk
      sug:
        subj:
          Pain Therapy
          Transcutaneous Electric Nerve Stimulation Methods
          Acupuncture Points
          Adolescence
          Adult
          Clinical Trials
          Female
          Male
          Middle Age
          Neural Conduction Physiology
          Outcome Assessment
          Pain Threshold Physiology
          Pain Physiopathology
          Peripheral Nerves Physiology
          Radial Nerve Physiology
          Human
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: OBJECTIVE: To investigate whether the choice of electrode placement site in transcutaneous electrical nerve stimulation (TENS) over acupuncture points vs peripheral nerve points influences the peripheral neurophysiological effects as reflected in negative peak latency in the superficial radial nerve, and on sensory changes in terms of peripheral mechanical pain threshold and mechanical pain tolerance in humans. DESIGN: Randomized controlled trial. SUBJECTS: Forty-five healthy subjects by convenience sampling. METHODS: Subjects were randomly assigned to receive: (i) TENS with electrode placement on acupuncture points; (ii) TENS on non-acupuncture points along the same peripheral nerve; or (iii) no stimulation as the control. In the TENS groups, electrical stimulation was delivered at a frequency of 4 Hz and pulse duration of 200 mus for 30 min. RESULTS: Significant increases in negative peak latency and mechanical pain threshold over time (p = 0.015, 0.002) were found within the 2 active TENS groups. However, there was no significant difference between the 3 groups in all outcome measures at any of the measurement points (all p = 0.05). CONCLUSION: TENS over acupuncture points offers no additional hypoalgesic effects vs TENS over peripheral nerve points in a specific anatomical region.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        Journal Article
      ougenre: Article
    language: English
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