Tag: TENS

Effectiveness of posterior tibial and pudendal nerve stimulation on urinary incontinence in diabetic neuropathy patients

Rithika shree. J, Dhanusia. S, Prathap Suganthirababu, Yamini Umasankar, Vignesh Srinivasan, Priyadharshini. K, Vanitha. J

Rithika shree. J et al. – Effectiveness of posterior tibial and pudendal nerve stimulation on urinary incontinence in diabetic neuropathy patients –  Fizjoterapia Polska 2025; 25(3); 188-192

DOI: https://doi.org/10.56984/8ZG7D19VX15

Abstract
Background. Diabetic neuropathy, a frequent complication of diabetes, leads to urinary incontinence, which places a greater burden on caregivers and negatively impacts patients’ quality of life. Apart from the usual sensory and motor issues, people with diabetic neuropathy also deal with non-motor problems, one major one being urinary incontinence. This study focused on evaluating how well posterior tibial nerve stimulation and pudendal nerve stimulation work in managing this issue in such individuals.
Methods. In this experimental study, we divided 40 individuals with diabetic neuropathy and urinary incontinence into two groups. Twenty participants in group A received stimulation of the posterior tibial nerve, while twenty participants in group B received stimulation of the pudendal nerve. Over an eight-week period, both treatments were administered four times a week for 30 minutes per session. We used the ICIQ-UI and pad weight testing to monitor the effectiveness of urinary incontinence treatment.
Results. Both groups received stimulation of the posterior tibial nerve and pudendal nerve through a transcutaneous electrical nerve stimulator. Posterior tibial nerve stimulation showed significantly greater improvement than pudendal nerve stimulation, with a p-value of less than 0.001, as supported by the results of the ICIQ-UI and the pad weight test.
Conclusion. In individuals with diabetic neuropathy, posterior tibial nerve stimulation was found to be more effective than pudendal nerve stimulation in minimizing urinary leakage.
Key words
pad weight test, bladder control, detrusor muscle inactivity, tens, sacral nerves, iciq-ui
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Comparison of transcutaneous tibial nerve stimulation and transcutaneous electrical nerve stimulation on pain and quality of life in primary dysmenorrhea

Yuktha N, Kamalakannan M, Bharathi Ravichandran, Tamilselvan Ravichandran, Srikanth V, Praveen Vasanthan Murugan

 

Yuktha N, Kamalakannan M, Bharathi Ravichandran, Tamilselvan Ravichandran, Srikanth V, Praveen Vasanthan Murugan – Comparison of transcutaneous tibial nerve stimulation and transcutaneous electrical nerve stimulation on pain and quality of life in primary dysmenorrhea –  Fizjoterapia Polska 2025; 25(3); 43-52

DOI: https://doi.org/10.56984/8ZG7D19CE53

Abstract
Background. Dysmenorrhea, characterized by painful menstrual cramps, affects a significant percentage of adolescents, leading to considerable discomfort and disruption in daily activities. It is categorized into primary dysmenorrhea, which is not associated with any underlying gynecological conditions, and secondary dysmenorrhea, which is linked to identifiable pelvic pathologies. Primary dysmenorrhea typically arises due to uterine contractions mediated by prostaglandins and can significantly impact the quality of life (QoL) for affected individuals.
Aim. The aim of this study is to compare the efficacy of transcutaneous tibial nerve stimulation (TTNS) and transcutaneous electrical nerve stimulation (TENS) in reducing pain and enhancing the quality of life in adolescents with primary dysmenorrhea.
Method. This twelve-week study involved 80 participants aged 18 to 25 with primary dysmenorrhea and no pelvic pathologies. The participants were divided into two groups, each receiving either TENS or TTNS. Outcome measures included the Numeric Pain Rating Scale (NPRS) and the Menstrual Distress Questionnaire, evaluating pain and quality of life before and after the intervention.
Result. The study revealed a significant decrease in pain intensity (p < 0.0001) and improved quality of life (p < 0.0001) post-intervention, indicating the effectiveness of TENS and TTNS.
Conclusion. This study provides evidence supporting the effectiveness of TENS and TTNS in managing primary dysmenorrhea symptoms. The observed improvements in pain reduction and quality of life suggest the potential of these interventions as valuable components in the management of primary dysmenorrhea.
Key words
TENS, TTNS, primary dysmenorrhea, pain reduction, quality of life
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Comparative efficacy of mobilization vs. stabilization exercises combined with TENS therapy and pelvic floor muscle training in managing pelvic girdle pain

Nithyadarshini Nadar, Suriya Nedunchezhiyan, Kamalakannan M, Hariharan J, Snigdha Josyula, Priyanga Seemathan, Rajashri R

Nithyadarshini Nadar et al. – Comparative efficacy of mobilization vs. stabilization exercises combined with TENS therapy and pelvic floor muscle training in managing pelvic girdle pain –  Fizjoterapia Polska 2025; 25(1); 238-241

DOI: https://doi.org/10.56984/8ZG007DHXNY

Abstract
Background. Pelvic girdle pain (PGP) is a prevalent and debilitating condition, particularly during and after pregnancy, often requiring tailored therapeutic interventions. Despite various treatment options, the comparative effectiveness of different multimodal approaches remains insufficiently explored. This study evaluates the impact of mobilization exercises combined with transcutaneous electrical nerve stimulation (TENS) therapy and pelvic floor muscle training versus stabilization exercises paired with the same adjunct therapies.
Objective. To compare the effectiveness of these two intervention strategies in reducing pain, improving functional mobility and pelvic stability, and enhancing quality of life in individuals with PGP.
Methods. Eighty patients diagnosed with PGP were randomly assigned to two groups. Group A underwent mobilization exercises, TENS therapy, and pelvic floor muscle training, while Group B engaged in stabilization exercises, TENS therapy, and pelvic floor muscle training. The six-week intervention included daily exercises and five weekly TENS therapy sessions. Outcome measures included pain severity (via Visual Analog Scale), functional mobility (Pelvic Girdle Questionnaire scores), pelvic stability, and patient-reported quality of life.
Results. Group A demonstrated a significant reduction in pain (VAS scores from 4.1 to 2.6, p < 0.001) and improved functional mobility (PGQ scores from 29.3 to 16.2, p < 0.001) compared to Group B. Patient-reported outcomes, including satisfaction, stability, and quality of life, were also significantly better in Group A. While both groups experienced improvements, mobilization exercises combined with TENS therapy and pelvic floor muscle training proved superior in overall effectiveness.
Conclusion. Mobilization exercises combined with TENS therapy and pelvic floor muscle training offer a more effective approach to managing PGP than stabilization exercises with the same adjunct therapies. This combination provides superior pain relief, functional mobility, and overall quality of life improvements, supporting its use in clinical practice.
Key words
pelvic girdle pain, pelvic floor, mobilization, stabilization, TENS therapy, quality of life
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Effect of transcutaneous electrical nerve stimulation applied to acupuncture points on gait and quality of life in stroke patients

Maram A. Mahmoud, Nahed A. Salem, Ebtesam Fahmy, Amina M. Awad, Asmaa A. Salem, Rania M. Tawfik

Azal Raed Aboluhom et al.– Effect of transcutaneous electrical nerve stimulation applied to acupuncture points on gait and quality of life in stroke patients –  Fizjoterapia Polska 2024; 24(5); 462-469

DOI: https://doi.org/10.56984/8ZG020C3UHN

Streszczenie Wprowadzenie. Spastyczność poudarowa jest upośledzeniem powodującym trudności, które negatywnie wpływają na chód i jakość życia (QoL). Wykazano, że nieinwazyjne techniki, takie jak przezskórna elektryczna stymulacja nerwów (TENS), mają właściwości przeciwspastyczne. Cel. Ocena dodatkowego wpływu TENS zastosowanej w punktach akupunkturowych na spastyczność, chód oraz jakość życia u pacjentów z przewlekłym udarem. Metody. Przeprowadzono randomizowane kontrolowane badanie z udziałem trzydziestu pacjentów po udarze obojga płci w wieku 45-60 lat. Zostali oni losowo przydzieleni do grupy badawczej i kontrolnej, po 15 pacjentów w każdej grupie. Pacjenci w grupie kontrolnej uczestniczyli w zaprojektowanym programie fizjoterapii, natomiast uczestnicy grupy badawczej realizowali ten sam program fizjoterapii z dodatkiem TENS w punktach akupunkturowych na chorej kończynie dolnej. Mierzone zmienne obejmowały zmodyfikowaną skalę Ashwortha (MAS) do oceny spastyczności, kwestionariusz jakości życia WHOQOL-BREF do oceny QoL oraz Biodex Gait Trainer do pomiaru czasoprzestrzennych parametrów chodu. Oceny wszystkich zmiennych przeprowadzono przed i po interwencji. Wyniki. Zaobserwowano istotną statystycznie poprawę wszystkich mierzonych zmiennych w obu grupach po leczeniu (p < 0,05), z wyjątkiem wyniku MAS dla grupy kontrolnej, który był nieistotny (p = 0,65). W grupie badawczej odnotowano istotne zmniejszenie wyniku MAS (p = 0,03) oraz istotny wzrost prędkości chodu, długości kroku po stronie chorej i zdrowej, czasu podparcia na jednej kończynie po stronie chorej oraz wyników WHOQOL-BREF w porównaniu z grupą kontrolną po leczeniu (p < 0,05). Wnioski. Przezskórna elektryczna stymulacja nerwów (TENS) zastosowana w punktach akupunkturowych może być skutecznym, bezpiecznym i opłacalnym uzupełnieniem programu fizjoterapii w celu poprawy spastyczności, chodu i jakości życia u pacjentów z przewlekłym udarem.
Słowa kluczowe udar, spastyczność, TENS, punkty akupunkturowe, chód, jakość życia
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Effect of transcutaneous electrical nerve stimulation and Rocabado exercises on temporomandibular joint dysfunction after head and neck surgeries

Rana M. M. Elattar, Haidy N. Ashem, Ashraf E. M. Elsebaie, Zeinab A. Ali, Khadra M. Ali

Rana M. M. Elattar, Haidy N. Ashem, Ashraf E. M. Elsebaie, Zeinab A. Ali, Khadra M. Ali – Effect of transcutaneous electrical nerve stimulation and Rocabado exercises on temporomandibular joint dysfunction after head and neck surgeries –  Fizjoterapia Polska 2024; 24(5); 220-226

DOI: https://doi.org/10.56984/8ZG020CM3WN

Abstract Purpose. To investigate the impact of TENS and Rocabado exercises on TMJ dysfunction after head and neck surgeries. Methods. This study comprised 72 patients (45 males and 27 females) aged 40–60 years who were diagnosed with TMD post-HNCS. The participants were equally divided into three groups: Group A received TENS and Rocabado exercises, Group B followed Rocabado exercises, and Group C received TENS. The three groups received a conventional physiotherapy program. Pre- and post-eight-week intervention, visual analog scale (VAS), maximum mouth opening (MMO), and mandibular function impairment questionnaire (MFIQ) were used for assessment. Results. Both MMO and MFIQ had a non-significant difference between Groups A and B, yet they exhibited a significant disparity in Groups A and B in contrast to Group C (p = 0.001). Additionally, VAS significantly differed in Group A more than in Groups B and C, with no significant difference between Groups B and C (p = 0.001). Conclusion. The combined effect of TENS and Rocabado exercises was comparatively better than TENS or Rocabado exercises alone in managing TMD after HNCS.
Key words TENS, trismus, TMJ, cancer
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Long term effect of physical therapy program in refractory anginal patients: A randomized controlled trial

Mai Abd El Naby Mohamed, Zeinab Mohamed Helmy, Bassant Hamdy Elrefaey, Iman Hassan Abdusalam, Abd Elghany M. Abd Elghany

Mai Abd El Naby Mohamed, Zeinab Mohamed Helmy, Bassant Hamdy Elrefaey, Iman Hassan Abdusalam, Abd Elghany M. Abd Elghany – Long term effect of physical therapy program in refractory anginal patients: A randomized controlled trial. Fizjoterapia Polska 2021; 21(5); 190-194

Abstract
Background. Despite number of effective pharmacological treatments and the success of interventional cardiology, many patients still experience resistive symptoms, or what is called Refractory Angina (RA), that markedly impairs quality of life (QoL). Aim. to investigate the effect of exercise training (ET) program in addition to TENS on endothelial function, QoL and physical work capacity (PWC) in patients with RA. Methods. forty male patients, suffering from chronic RA were randomly assigned into two equal groups. Group (A) received conventional TENS program in addition to ET program for five months, while group (B) subjected to only TENS for five months. Assessment was performed before treatment (pre), after 8 weeks (post I), after treatment (post II), and after more 4 weeks for both groups (post III). Outcome assessment included: endothelial function using flow-mediated dilation (FMD), QoL using The Seattle Angina Questionnaire (SAQ) and PWC using the 6-minute walk test (6MWT). Results. there was a significant improvement of the FMD in group (A) with no significant difference in group (B). Comparing between both groups showed that SAQ scores and 6MWT improved significantly in both groups with greater improvements in group (A) than group (B). Conclusion. The addition of ET program to TENS resulted in more improvement in endothelial function, PWC, and QoL in patients with RA.
Key words:
refractory angina, exercise training, TENS, endothelial function, quality of life
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Comparison of the efficacy of Ketonal iontophoresis and the combination of ultrasound and electrical stimulation as adjunctive treatment for rotator cuff injuries

Anna Polak, Ewa Grymel-Kulesza, Monika Romaniak, Janusz Kubacki, Piotr Król

Anna Polak, Ewa Grymel-Kulesza, Monika Romaniak, Janusz Kubacki, Piotr Król – Comparison of the efficacy of Ketonal iontophoresis and the combination of ultrasound and electrical stimulation as adjunctive treatment for rotator cuff injuries. Fizjoterapia Polska 2010; 10(2); 123-135

Abstract
Background: The study aimed to assess and compare the effectiveness of Ketonal (ketoprofenum) iontophoresis and a combination therapy involving ultrasound and electrical stimulation in the treatment of rotator cuff injuries. Materials and methods: The study involved 30 patients with symptoms of rotator cuff injuries. The patients were randomly assigned to two groups. Patients in Group A received Ketonal iontophoresis. Patients in Group B received a combination therapy involving ultrasound and electrical stimulation to trigger points of the supraspinatus and other shoulder rotator muscles. Treatment efficacy was assessed by analysing changes in shoulder range of motion, supraspinatus strength, and the occurrence and intensity of pain. Results: The treatment produced significant effects in both groups. Treatment effects in Group B were somewhat better than those in Group A, with significant differences in pain resolution and improved range of active abduction. Conclusions: Ketonal iontophoresis and combination treatment are effective methods for treating the sequelae of rotator cuff injuries. The combination treatment applied directly to myofascial trigger points produced somewhat better results than Ketonal iontophoresis.
Key words:
rotator cuff, iontophoresis, ultrasound, TENS, electrical stimulation
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Changes in the subjective sensation of pain in patients with cervical spine dysfunction treated by means of Saunders traction and TENS

Andrzej Myśliwiec, Edward Saulicz

Andrzej Myśliwiec, Edward Saulicz – Changes in the subjective sensation of pain in patients with cervical spine dysfunction treated by means of Saunders traction and TENS. Fizjoterapia Polska 2010; 10(3); 211-221

Abstract
Background. Neck pain is one of the most common causes of reduced overall well-being. The aim of this thesis is to present changes in the sensation of neck pain following a traction and TENS treatment. Materials and methods. The subjects of this study were 45 patients aged 21-66 years suffering from neck pain. They were treated using the Saunders traction device and TENS. The treatment was performed in three experimental groups. Saunders traction was used in the first group, TENS in the second group and the last group received a combination of both these treatments. Results. The patients’ subjective assessment of pain intensity in the Laitinen scale showed a reduction of pain in all groups characterized by a decrease of pain intensity from moderate to mild. The most pronounced therapeutic effect was achieved in the group which received a combination of traction and TENS. Conclusions. The Saunders traction device combined with TENS produced the most marked and lasting decrease in pain arising from the cervical spine. The greatest improvement was observed after the first session. Improved well-being was also noticed at the end of the treatment.
Key words:
cervical spine, traction, TENS
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Evaluation of the importance of previous physiotherapeutic preparation in aspect of using TENS during childbirth among primiparous

Michał Kaczyński, Sławomir Jarząb, Michał Guła, Krzysztof Aleksandrowicz

M. Kaczyński, S. Jarząb, M. Guła, K. Aleksandrowicz – Evaluation of the importance of previous physiotherapeutic preparation in aspect of using TENS during childbirth among primiparous. FP 2014; 14(2); 60-66

Abstract

Introduction. For the purpose of the study has set the definition of what is the efficacy of transcutaneous electrical stimulation of nerves during labor using a portable apparatus without consultation over the use of this therapy by prior training and participation of a physiotherapist.
Materials and methods. The study included 30 primiparous. In the 18 women who start treatment preceded by a description of how the action electrostimulator by a physiotherapist, and 12 patients who have purchased their own devices for electrostimulation.
Results. In 94.43% of the primiparous of the training covered by a physiotherapist, and 50% of patients without consultation, TENS to a lesser or greater extent eliminates the pain of childbirth. In the group of patients after the training has been only one case of pharmacological analgesic administration. However, in the group without consulting the percentage was 25%.
Conclusions. TENS pain therapy is more effective if it is preceded by appropriate training or physiotherapy consultation regarding the use of the TENS machine. Patient after physiotherapy training showed a greater knowledge of the mode of action and use the apparatus to TENS therapy than patients who missed this stage.

Key words:
pain, childbirth, TENS

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