Transcutaneous electrical nerve stimulation versus baclofen in spasticity: Clinical and electrophysiologic comparison

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dc.contributor.authorAydin, Gülümser
dc.contributor.authorTomruk, Serap
dc.contributor.authorKeles, Işık
dc.contributor.authorDemir, Sibel O.
dc.contributor.authorOrkun, Sevim
dc.date.accessioned2020-06-25T17:40:28Z
dc.date.available2020-06-25T17:40:28Z
dc.date.issued2005
dc.departmentKırıkkale Üniversitesi
dc.descriptionTomruk Sutbeyaz, Serap/0000-0002-1992-7178
dc.description.abstractObjectives: Clinical and electrophysiologic comparison of the efficacy of transcutaneous electrical nerve stimulation (TENS) and oral baclofen in the treatment of spasticity. Design: Patients with spinal cord injury and spasticity were included in the study. Ten patients were assigned to oral baclofen and 11 to TENS groups. For the comparison of H-reflex variables, 20 healthy individuals were allocated to a control group. TENS was applied to the tibial nerve for 15 days at a frequency of 100 Hz. Clinical (spasm frequency scale, painful spasm scale, lower limb Ashworth score, clonus score, deep tendon reflex score, plantar stimulation response score) and electrophysiologic evaluations (H-reflex response at the highest amplitude, latency of maximum H-reflex, and ratio of H-reflex response at the highest amplitude to M response at maximum amplitude) of the lower limb and functional evaluations (functional disability score and FIM (TM)) were carried out in baclofen and TENS groups before and after treatment. Posttreatment evaluation was made 24 his after the 15th session in the TENS group. In addition, clinical spasticity scores and electrophysiologic variables were measured 15 mins after the first application and 15 mins after the 15th session. Results: Significant improvement was detected in lower limb Ashworth score, spasm frequency scale, deep tendon reflex score, functional disability score, and FIM in the baclofen (P = 0.011, P = 0.014, P = 0.025, P = 0.004, and P = 0.005, respectively) and TENS (P = 0.020, P = 0.014, P = 0.025, P = 0.003, and P = 0.003, respectively) group after treatment. Decrease in H-reflex maximum amplitude was significant in the TENS group (P = 0.026). Most marked improvement was observed in the third evaluation, 15 mins after the 15th session, particularly in lower limb Ashworth score (P = 0.006) and H-reflex maximum amplitude (P = 0.006) in the TENS group. The percentage change in clinical, electrophysiologic, and functional variables caused by baclofen was not different from that caused by repeated applications of TENS in the short- and long-term evaluations (P > 0.05). Conclusion: TENS may be recommended as a supplement to medical treatment in the management of spasticity.en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.doi10.1097/01.phm.0000171173.86312.69
dc.identifier.endpage592en_US
dc.identifier.issn0894-9115
dc.identifier.issn1537-7385
dc.identifier.issue8en_US
dc.identifier.pmid16034227
dc.identifier.scopus2-s2.0-22644440505
dc.identifier.scopusqualityQ1
dc.identifier.startpage584en_US
dc.identifier.urihttps://doi.org/10.1097/01.phm.0000171173.86312.69
dc.identifier.urihttps://hdl.handle.net/20.500.12587/3449
dc.identifier.volume84en_US
dc.identifier.wosWOS:000230858900003
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofAmerican Journal Of Physical Medicine & Rehabilitation
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectspinal cord injuryen_US
dc.subjectspasticityen_US
dc.subjectbaclofenen_US
dc.subjecttranscutaneous electrical nerve stimulationen_US
dc.titleTranscutaneous electrical nerve stimulation versus baclofen in spasticity: Clinical and electrophysiologic comparisonen_US
dc.typeArticle

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