[논문]Effects of Intramuscular Electrical Stimulation Using Inversely Placed Electrodes on Myofascial Pain Syndrome in the Shoulder - A Case Series

Shanmugam, Sukumar; Mathias, Lawrence; Thakur, Ajay; Kumar, Dhanesh

doi:10.3344/kjp.2016.29.2.136

Effects of Intramuscular Electrical Stimulation Using Inversely Placed Electrodes on Myofascial Pain Syndrome in the Shoulder - A Case Series 원문보기

The Korean journal of pain, v.29 no.2, 2016년, pp.136 - 140

Shanmugam, Sukumar (Department of Neuro-Physiotherapy, Nitte Institute of Physiotherapy) , Mathias, Lawrence (Department of Orthopaedics, K. S. Hegde Medical Academy) , Thakur, Ajay (Department of Orthopaedic-Physiotherapy, Nitte Institute of Physiotherapy) , Kumar, Dhanesh (Department of Orthopaedic-Physiotherapy, Nitte Institute of Physiotherapy)

Abstract ▼ AI-Helper

Myofascial pain syndrome (MPS) is one of the common musculoskeletal conditions of the shoulder which may develop sensory-motor and autonomic dysfunctions at the various level of the neuromuscular system. The pain and dysfunction caused by MPS were primarily treated with physical therapy and pharmacological agents in order to achieve painfree movements. However, in recent years intramuscular electrical stimulation (IMES) with conventional electrode placement was used by researchers to maximise therapeutic values. But, in this study an inverse electrode placement was used to deliver electrical impulses intramuscularly to achieve neuro-modulation at the various level of the nervous system. Nine patients with MPS were treated with intramuscular electrode stimulation using inversely placed electrodes for a period of three weeks. All nine subjects recovered from their shoulder pain and disability within the few weeks of intervention. So, this inverse electrode placement may be more appropriate for chronic pain management.

주제어

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문제 정의

This study was conducted to evaluate the effects of IMES using inversely placed electrodes on chronic MPS in the shoulder. In contemporary practice, the active electrode (cathode) is placed on the peripheral target region and the reference electrode (anode) placed over the spinal level [6,9,10].

제안 방법

Based on the outcomes in these nine patients we conclude that inverse electrode placement can be an appropriate method for IMES in cases of chronic pain management. The evidence from this study may be helpful in formulating a larger sample randomised control trial to compare the inverse electrode placement with other electrode placement methods. If researchers intend to evaluate the additional benefits of IMES, further study can be conducted for comparing the dry needle technique with and without IMES.

대상 데이터

Based on this reason the electrode placement method was changed to the reverse order to achieve bidirectional flow of electrical impulses from the spinal neurons to the central neurons and peripheral musculatures. Thus, to evaluate this inverse electrode placement scientifically we selected nine patients with MPS of the shoulder due to various non-traumatic shoulder pathologies.

성능/효과

Among the nine patients, 3 cases received IMES for three weeks and the remaining six patients have received it for two weeks. All patients were instructed to perform active free shoulder exercises once optimal muscle relaxation was achieved especially after one week of IMES.

후속연구

The evidence from this study may be helpful in formulating a larger sample randomised control trial to compare the inverse electrode placement with other electrode placement methods. If researchers intend to evaluate the additional benefits of IMES, further study can be conducted for comparing the dry needle technique with and without IMES.
The authors of another study on thoracic spine dysfunction have placed both active and reference electrodes over the spinal level to deliver the electrical impulses intramuscularly [15]. So, further research is required to compare the effects of IMES with inversely placed electrodes with conventional placement methods.

참고문헌 (15)

1 Simons DG Travell JG Simons LS Myofascial pain and dysfunction: the trigger point manual Baltimore, MD Williams & Wilkins 1999
2 Bron C Dommerholt J Stegenga B Wensing M Oostendorp RA High prevalence of shoulder girdle muscles with myofascial trigger points in patients with shoulder pain BMC Musculoskelet Disord 2011 12 139 21711512

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3 Gerwin RD Classification, epidemiology, and natural history of myofascial pain syndrome Curr Pain Headache Rep 2001 5 412 420 11560806

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4 Fernández-de-las-Peñas C Dommerholt J Myofascial trigger points: peripheral or central phenomenon? Curr Rheumatol Rep 2014 16 395 24264721

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5 Dommerholt J del Moral OM Grobli C Trigger point dry needling J Man Manip Ther 2006 14 E70 E87
6 Chu J Schwartz I Etoims twitch relief method in chronic refractory myofascial pain (CRMP) Electromyogr Clin Neurophysiol 2008 48 311 320 18837197

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7 Gondin J Cozzone PJ Bendahan D Is high-frequency neuromuscular electrical stimulation a suitable tool for muscle performance improvement in both healthy humans and athletes? Eur J Appl Physiol 2011 111 2473 2487 21909714

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8 Szecsi J Fornusek C Krause P Straube A Low-frequency rectangular pulse is superior to middle frequency alternating current stimulation in cycling of people with spinal cord injury Arch Phys Med Rehabil 2007 88 338 345 17321827

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9 Lee SH Chen CC Lee CS Lin TC Chan RC Effects of needle electrical intramuscular stimulation on shoulder and cervical myofascial pain syndrome and microcirculation J Chin Med Assoc 2008 71 200 206 18436503

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10 Rainey CE The use of trigger point dry needling and intramuscular electrical stimulation for a subject with chronic low back pain: a case report Int J Sports Phys Ther 2013 8 145 161 23593553

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11 Lucas KR Polus BI Rich PA Latent myofascial trigger points: their effects on muscle activation and movement efficiency J Bodywork Movement Ther 2004 8 160 166
12 Shah JP Danoff JV Desai MJ Parikh S Nakamura LY Phillips TM Biochemicals associated with pain and inflammation are elevated in sites near to and remote from active myofascial trigger points Arch Phys Med Rehabil 2008 89 16 23 18164325

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13 Ga H Choi JH Park CH Yoon HJ Dry needling of trigger points with and without paraspinal needling in myofascial pain syndromes in elderly patients J Altern Complement Med 2007 13 617 624 17718644

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14 Shanmugam S Shetty K Mathias L Dry needling effects on non-specific cervical radiculopathic pain and dysfunction: a case report Int J Ther Rehabil Res 2015 4 21 25
15 Rock JM Rainey CE Treatment of nonspecific thoracic spine pain with trigger point dry needling and intramuscular electrical stimulation: a case series Int J Sports Phys Ther 2014 9 699 711 25328832

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연합인증

Effects of Intramuscular Electrical Stimulation Using Inversely Placed Electrodes on Myofascial Pain Syndrome in the Shoulder - A Case Series 원문보기

Abstract ▼ AI-Helper

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문제 정의

제안 방법

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후속연구

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연합인증

Effects of Intramuscular Electrical Stimulation Using Inversely Placed Electrodes on Myofascial Pain Syndrome in the Shoulder - A Case Series 원문보기

Abstract ▼ AI-Helper

주제어

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문제 정의

제안 방법

대상 데이터

성능/효과

후속연구

참고문헌 (15)

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원문 보기

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