Effects of transcutaneous electrical nerve stimulation

Background: Transcutaneous electrical nerve stimulation (TENS) is a noninvasive modality which may be used to reduce acute postoperative pain. Intense perioperative pain within the first few days after hip fracture surgery is common and is related to negative consequences such as restricted and dela...

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Bibliographic Details
Published in:Clinical interventions in aging 2019-10, p.1841
Main Authors: Elboim-Gabyzon, Michal, Najjar, Sahar Andrawus, Shtarker, Haim
Format: Article
Language:English
Subjects:
Analysis
Elderly
Elderly patients
Fractures (Injuries)
Future predictions
Hip fractures
Internal fixation
Pain management
Physical therapy
Postoperative pain
Surgery
Walking
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Summary:Background: Transcutaneous electrical nerve stimulation (TENS) is a noninvasive modality which may be used to reduce acute postoperative pain. Intense perioperative pain within the first few days after hip fracture surgery is common and is related to negative consequences such as restricted and delayed ambulation. Objective: The objective of the present study was to examine the effect of incorporating TENS treatment on pain intensity, and mobility, with standard rehabilitation care during the acute post-operative phase following Gamma-nail surgical fixation of extracapsular hip fractures. Materials and methods: Forty-one patients were randomly assigned to a supplement of 30 mins of active TENS or sham TENS. The standard rehabilitation care included five daily 30 mins physical therapy treatments beginning 24 hrs after surgery. Outcome measures were: pain intensity at rest, at night and during ambulation (assessed with the Numeric Rating Scale; Functional Ambulation Classification instrument; time to complete five sit-to-stand tests; and two-minute walk test). Data were analyzed with Wilcoxon score rank tests. Significance was set at p
ISSN:1178-1998