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Breathing-controlled Electrical Stimulation BreEStim for Management of Neuropathic Pain and Spasticity
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Transcutaneous electrical nerve stimulation for spasticity: A systematic review.

E Fernández-Tenorio1, D Serrano-Muñoz2, J Avendaño-Coy1

  • 1Grupo de Investigación en Fisioterapia Toledo (GIFTO), E.U. Enfermería y Fisioterapia de Toledo, Universidad de Castilla la Mancha, Toledo, España.

Neurologia
|July 31, 2016
PubMed
Summary

Transcutaneous electrical nerve stimulation (TENS) is a cost-effective, safe treatment for reducing spasticity in neurological conditions. Further research is needed to optimize TENS parameters for maximum effectiveness.

Keywords:
EspasticidadEstimulación eléctrica nerviosa transcutáneaEstimulación eléctrica terapéuticaHipertoníaHypertoniaNeurological diseasePatología neurológicaSpasticitySíndrome de la motoneurona superiorTranscutaneous electrical nerve stimulationUpper motor neuron syndrome

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Biomedical Engineering

Background:

  • Transcutaneous electrical nerve stimulation (TENS) is primarily used for pain management.
  • Emerging evidence suggests TENS may reduce spasticity in neurological conditions.
  • Clinical application of TENS for spasticity remains limited.

Purpose of the Study:

  • To evaluate the efficacy of TENS in treating spasticity and associated symptoms in patients with neurological disorders.
  • To identify optimal TENS stimulation parameters for managing spasticity.

Main Methods:

  • Systematic review of randomized clinical trials from PubMed, PEDro, and Cochrane databases.
  • Inclusion criteria focused on TENS and spasticity studies published before May 12, 2015.
  • Analysis of data from 10 trials involving patients with cerebrovascular accident, multiple sclerosis, and spinal cord lesions.

Main Results:

  • TENS demonstrated potential in reducing spasticity.
  • Studies included diverse patient populations (cerebrovascular accident, multiple sclerosis, spinal cord lesions).
  • Significant variability in TENS parameters and outcome measures across studies was observed.

Conclusions:

  • TENS is recommended as a low-cost, user-friendly treatment for spasticity with no adverse effects.
  • Variability in stimulation parameters hinders objective assessment and optimization of TENS for spasticity.
  • Further research is required to standardize TENS protocols for spasticity management.