Journal of rehabilitation medicine : official journal of the UEMS European Board of Physical and Rehabilitation Medicine
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Randomized Controlled Trial Comparative Study Clinical Trial
Optimal stimulation duration of tens in the management of osteoarthritic knee pain.
This study examined the optimal stimulation duration of transcutaneous electrical nerve stimulation (TENS) for relieving osteoarthritic knee pain and the duration (as measured by half-life) of post-stimulation analgesia. ⋯ 40 minutes is the optimal treatment duration of TENS, in terms of both the magnitude (VAS scores) of pain reduction and the duration of post-stimulation analgesia for knee osetoarthritis.
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Randomized Controlled Trial Comparative Study Clinical Trial
Analgesic effects of transcutaneous electrical nerve stimulation and interferential currents on heat pain in healthy subjects.
This study examined whether transcutaneous electrical nerve stimulation or interferential current was more effective in reducing experimentally induced heat pain. Forty-eight young healthy subjects were randomly divided into the following groups: (i) transcutaneous electrical nerve stimulation; (ii) interferential current; and (iii) no stimulation. A multi-function electrical stimulator was used to generate the transcutaneous electrical nerve stimulation or interferential current. ⋯ The thresholds of the transcutaneous electrical nerve stimulation and interferential current groups were significantly higher than that of the control group 30 minutes into the stimulation (p = 0.017). Both transcutaneous electrical nerve stimulation and interferential current increased the heat pain threshold to a similar extent during stimulation. However, the post-stimulation effect of interferential current lasted longer than that of transcutaneous electrical nerve stimulation.
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Sixty-three patients operated on for an acute aneurysmal subarachnoid haemorrhage were evaluated comprehensively over 5 years. The level of social outcome was assessed by a Swedish eight-point version of the Glasgow Outcome Scale (S-GOS) at 0, 3, 6, 12, 24 and 60 months after discharge from a neurosurgical department. ⋯ This study showed that the pattern of recovery was homogeneous, except for the first 3 months, where a considerably heterogeneous pattern of change was seen. A significant improvement in social outcome in common for the group was seen during the first 6 months and the recovery for the group did not continue beyond 1 year after discharge.
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Clinical Trial Controlled Clinical Trial
Effects of a multiprofessional rehabilitation programme for patients with fibromyalgia syndrome.
The present study sought to evaluate the efficacy of a 12-week multidisciplinary rehabilitation programme mainly emphasizing physiotherapy, for patients with either fibromyalgia syndrome or chronic, widespread pain. Forty-three non-randomized female patients with fibromyalgia syndrome or chronic, widespread pain were assigned to the programme or served as waiting-list controls. The outcome was assessed with the Body Awareness Scale-Health, the Multidimensional Pain Inventory, the Quality of Life Scale, the Visual Analogue Scale and a pain drawing. ⋯ At the 3-month and 1-year follow-ups the improvements were partly sustained. The control group showed deterioration after 3 and 6 months in three of the main scales of the Body Awareness Scale-Health. This clinical trial of a rehabilitation programme, proved beneficial for improving quality of movement and reducing the experience of vegetative disturbances.