Physical Therapy Rehabilitation Science

  • 제13권3호
  • /
  • Pages.274-284
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  • 2024
  • /
  • 2287-7576(pISSN)
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  • 2287-7584(eISSN)
물리치료재활과학회 (korean Academy of Physical Therapy Rehabilitation Science)
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Effects of Electrotherapy on Pain, Anxiety, Mobility, and Proprioception in Young Adults with Mild Neck Pain: A Randomized Controlled Trial

  • Pablo Mleziva (Department of Physical Therapy, Loma Linda University) ;
  • Eric Glenn Johnson (Department of Physical Therapy, Loma Linda University) ;
  • Everett III Lohman (Department of Physical Therapy, Loma Linda University) ;
  • Madeha Jaber (Department of Physical Therapy, Loma Linda University) ;
  • Lillian Janette Mleziva (Department of Physical Therapy, San Gorgonio Memorial Hospital) ;
  • Noha Salim Daher (School of Allied Health Professions, Loma Linda University)
  • 투고 : 2024.04.10
  • 심사 : 2024.08.06
  • 발행 : 2024.09.30
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초록

Background: Mild pain can affect movement leading to disability, and impaired neck proprioception. Transcutaneous electrical nerve stimulation (TENS) has been recommended as an intervention for chronic and subacute neck pain with mobility deficits. Objective: The purpose was to investigate the effects of transcutaneous electrical nerve stimulation (TENS) for improving cervical spine proprioception and reducing pain, anxiety, and disability in young adults with mild neck pain. Methods: Twenty-two participants were recruited between the ages of 20-40 years old and randomized into control and intervention groups. Participants had chronic mild neck pain and not receiving pain treatment or medication, and did not have electrotherapy contraindications. The intervention group received a 30-minute TENS intervention and were instructed in a 2-week daily home-based TENS intervention. Outcome measures were visual analog scale, neck disability index, state-trait anxiety inventory, active range of motion (AROM) and joint position error (JPE). Results: Participants reported reduction in pain, disability, and anxiety post 30-minute intervention. Increase in right lateral flexion AROM and decrease in mean JPE extension post 30-minute intervention. Post 2-week intervention, reduction in pain, an increase in right lateral flexion AROM, and a reduction in mean JPE extension were also detected. Conclusion: People with chronic mild neck pain had a reduction in pain, anxiety, and disability post 30-minutes TENS treatment. Reduction in anxiety and disability with TENS treatment suggests that TENS may be beneficial in reducing pain, anxiety, and improving neck proprioception in young adults with mild neck pain.

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참고문헌

  1. Dowell D, Ragan KR, Jones CM, Baldwin GT, Chou R. CDC Clinical Practice Guideline for Prescribing Opioids for Pain - United States, 2022. MMWR Recomm Rep 2022;71(No. RR-3):1-95. doi: http://dx.doi.org/10.15585/mmwr.rr7103a1.
  2. Browne CD, Nolan BM, Faithfull DK. Occupational repetition strain injuries. Guidelines for diagnosis and management. Med J Aust. 1984;140(6):329-332. doi:10.5694/j.1326-5377.1984.tb104085.x
  3. Grant R, Forrester C, Hides J. Screen based keyboard operation: the adverse effects on the neural system. Aust J Physiother. 1995;41(2):99-107. doi:10.1016/S0004-9514(14)60423-2
  4. Haavik H, Murphy B. Subclinical neck pain and the effects of cervical manipulation on elbow joint position sense. J Manipulative Physiol Ther. 2011; 34(2):88-97. doi:10.1016/j.jmpt.2010.12.009
  5. Kelley MJ, Shaffer MA, Kuhn JE, et al. Shoulder pain and mobility deficits: adhesive capsulitis. J Orthop Sports Phys Ther. 2013;43(5):A1-A31. doi:10.2519/jospt.2013.0302
  6. Lee H, Nicholson LL, Adams RD, Bae SS. Proprioception and rotation range sensitization associated with subclinical neck pain. Spine (Phila Pa 1976). 2005;30(3):E60-E67. doi:10.1097/01.brs.0000152160.28052.a2
  7. Apfelbaum JL, Chen C, Mehta SS, Gan TJ. Postoperative pain experience: results from a national survey suggest postoperative pain continues to be undermanaged. Anesth Analg. 2003;97(2):534-540. doi:10.1213/01.ANE.0000068822.10113.9E
  8. George SZ, Greenspan AI. Nonpharmacological Management of Pain: Convergence in Priorities Fuels the Drive for More Evidence. Phys Ther. 2018;98(5):287-289. doi:10.1093/ptj/pzy034
  9. Metzger S, Poliakov B, Lautenbacher S. Differential effects of experimentally induced anxiety and fear on pain: the role of anxiety sensitivity [published correction appears in J Pain Res. 2019 Jul 10;12:2113]. J Pain Res. 2019;12:1791-1801. doi:10.2147/JPR.S189011
  10. Rhudy JL, Meagher MW. Fear and anxiety: divergent effects on human pain thresholds. Pain. 2000;84(1):65-75. doi:10.1016/S0304-3959(99)00183-9
  11. Lee H, Nicholson LL, Adams RD. Cervical range of motion associations with subclinical neck pain. Spine (Phila Pa 1976). 2004;29(1):33-40. doi:10.1097/01.BRS.0000103944.10408.BA
  12. Lee H, Nicholson LL, Adams RD, Bae SS. Body chart pain location and side-specific physical impairment in subclinical neck pain. J Manipulative and Physiol Ther. 2005;28(7):479-486. doi: 10.1016/j.jmpt.2005.07.004.
  13. Lee HY, Wang JD, Yao G, Wang SF. Association between cervicocephalic kinesthetic sensibility and frequency of subclinical neck pain. Man Ther. 2008;13(5):419-425. doi:10.1016/j.math.2007.04.001
  14. Lucchetti G, Oliveira AB, Mercante JP, Peres MF. Anxiety and fear-avoidance in musculoskeletal pain. Curr Pain Headache Rep. 2012;16(5):399-406. doi:10.1007/s11916-012-0286-7
  15. Paulus I, Brumagne S. Altered interpretation of neck proprioceptive signals in persons with subclinical recurrent neck pain. J Rehabil Med. 2008;40(6):426-432. doi:10.2340/16501977-0189
  16. Blanpied PR, Gross AR, Elliott JM, et al. Neck Pain: Revision 2017. J Orthop Sports Phys Ther. 2017;47(7):A1-A83. doi:10.2519/jospt.2017.0302
  17. Johnson MI. Resolving Long-Standing Uncertainty about the Clinical Efficacy of Transcutaneous Electrical Nerve Stimulation (TENS) to Relieve Pain: A Comprehensive Review of Factors Influencing Outcome. Medicina (Kaunas). 2021;57(4):378. doi:10.3390/medicina57040378
  18. Boutron I, Altman DG, Moher D, Schulz KF, Ravaud P; CONSORT NPT Group. CONSORT Statement for Randomized Trials of Nonpharmacologic Treatments: A 2017 Update and a CONSORT Extension for Nonpharmacologic Trial Abstracts. Ann Intern Med. 2017;167(1):40-47. doi:10.7326/M17-0046
  19. Alghadir AH, Anwer S, Iqbal A, Iqbal ZA. Test-retest reliability, validity, and minimum detectable change of visual analog, numerical rating, and verbal rating scales for measurement of osteoarthritic knee pain. J Pain Res. 2018;11:851-856. doi:10.2147/JPR.S158847
  20. Delgado DA, Lambert BS, Boutris N, et al. Validation of Digital Visual Analog Scale Pain Scoring With a Traditional Paper-based Visual Analog Scale in Adults. J Am Acad Orthop Surg Glob Res Rev. 2018;2(3):e088. doi:10.5435/JAAOSGlobal-D-17-00088
  21. Boonstra AM, Schiphorst Preuper HR, Balk GA, Stewart RE. Cut-off points for mild, moderate, and severe pain on the visual analogue scale for pain in patients with chronic musculoskeletal pain. Pain. 2014;155(12):2545-2550. doi:10.1016/j.pain.2014.09.014
  22. Young IA, Dunning J, Butts R, Cleland JA, Fernandez-de-Las-Penas C. Psychometric properties of the Numeric Pain Rating Scale and Neck Disability Index in patients with cervicogenic headache. Cephalalgia. 2019;39(1):44-51. doi:10.1177/0333102418772584
  23. Jones C, Sterling M. Clinimetrics: Neck Disability Index. J Physiother. 2021;67(2):144. doi:10.1016/j.jphys.2020.09.001
  24. MacDermid JC, Walton DM, Avery S, et al. Measurement properties of the neck disability index: a systematic review. J Orthop Sports Phys Ther. 2009;39(5):400-417. doi:10.2519/jospt.2009.2930
  25. Vernon H. The Neck Disability Index: state-of-the-art, 1991-2008. J Manipulative Physiol Ther. 2008;31(7):491-502. doi:10.1016/j.jmpt.2008.08.006
  26. Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther. 1991;14(7):409-415.
  27. Julian LJ. Measures of anxiety: State-Trait Anxiety Inventory (STAI), Beck Anxiety Inventory (BAI), and Hospital Anxiety and Depression Scale-Anxiety (HADS-A). Arthritis Care Res (Hoboken). 2011;63 Suppl 11(0 11):S467-S472. doi:10.1002/acr.20561
  28. Metzger R. A reliability and validity study of the State-Trait Anxiety Inventory. Journal of Clinical Psychology 1976;32(2):276-278. doi: 10.1002/1097-4679(197604)32:23.0.CO;2-G
  29. Spielberger C. Manual for the State-Trait Anxiety Inventory. Rev. ed. Palo Alto, CA: Consulting Psychologists Press; 1983.
  30. Guillen-Riquelme A, Buela-Casal G. [Meta-analysis of group comparison and meta-analysis of reliability generalization of the State-Trait Anxiety Inventory Questionnaire (STAI)]. Rev Esp de Salud Publica. 2014;88(1):101-112. doi: 10.4321/s1135-57272014000100007. PMID: 24728394.
  31. NORAXON. Available at: https://www.noraxon.com. Accessed May 31, 2023.
  32. Yoon TL, Kim HN, Min JH. Validity and Reliability of an Inertial Measurement Unit-based 3-Dimensional Angular Measurement of Cervical Range of Motion. J Manipulative Physiol Ther. 2019;42(1):75-81. doi:10.1016/j.jmpt.2018.06.001.
  33. Kristjansson E, Treleaven J. Sensorimotor function and dizziness in neck pain: implications for assessment and management. J Orthop Sports Phys Ther. 2009;39(5):364-377. doi:10.2519/jospt.2009.2834
  34. Quartey J, Ernst M, Bello A, et al. Comparative joint position error in patients with non-specific neck disorders and asymptomatic age-matched individuals. S Afr J Physiother. 2019;75(1):568. doi:10.4102/sajp.v75i1.568
  35. Johnson ME, Irving R. Implications of sensory defensiveness in a college population. The American Occupational Therapy Association's Special Interest Section Quarterly. 2008;31(2): 1-3. https://digitalcommons.sacredheart.edu/cgi/view-content.cgi?referer=&httpsredir=1&article=1024&context=ot_fac 1024&context=ot_fac
  36. Lucado AM, Day JM, Vincent J, et al. Lateral Elbow Pain and Muscle Function Impairments: Lateral Elbow Pain and Muscle Function Impairments. J Orthop Sports Phys Ther: 2022;52(12):CPG1-CPG111. doi:10.2519/jospt.2022.0302