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At least 73 records · Page 4Linked to original sources
PubMed2000

The use of cranial electrotherapy stimulation in the management of chronic pain: A review.

Cranial Electrotherapy Stimulation (CES) has a growing history of applications in rehabilitation medicine in the United States dating back to early 1970. As a recognized non-drug treatment of anxiety, depression and insomnia, CES gained its first major application in the field of addiction treatment and rehabilitation. By the mid 1980s research was showing additional important uses of CES in the treatment of closed head injured patients, and in paraplegic and quadriplegic patients. The most recent research is showing CES to be highly effective in the management of chronic pain patients. It may be elevating the pain threshold due to its stress reducing effects when anxiety and depression are reduced below clinical levels. Modern theorists of a pain neuromatrix in the cerebral cortex may provide an additional basis for understanding CES mechanisms in the control of pain related disorders.

Journal Article↗
PubMedDate not supplied

Treatment of Bell's palsy by mechanical force, manually assisted chiropractic adjusting and high-voltage electrotherapy.

Bell's palsy is a relatively common, painful, unilateral facial paralysis of unknown etiology. While often claimed to be successfully treated by chiropractic methods, no standard treatment approach is generally recognized within the profession, nor has any report of chiropractic treatment of this condition been reported in the literature. This article discusses two cases of Bell's palsy successfully treated by mechanical force, manually assisted chiropractic adjusting technique combined with high-voltage electrotherapy. While these two cases do not necessarily represent any rule for the chiropractic treatment of Bell's palsy by the methods used, or for other chiropractic methods that may be used, they do represent an initial time/treatment "baseline" by which future inter- and intratechnique comparisons may be made for the determination of relative effectiveness.

Adolescent↗
PubMed2004

Ottawa Panel Evidence-Based Clinical Practice Guidelines for Electrotherapy and Thermotherapy Interventions in the Management of Rheumatoid Arthritis in Adults.

BACKGROUND AND PURPOSE: The purpose of this project was to create guidelines for electrotherapy and thermotherapy interventions in the management of adult patients (>18 years of age) with a diagnosis of rheumatoid arthritis according to the criteria of the American Rheumatism Association (1987). METHODS: Using Cochrane Collaboration methods, the Ottawa Methods Group identified and synthesized evidence from comparative controlled trials. The group then formed an expert panel, which developed a set of criteria for grading the strength of the evidence and the recommendation. Patient-important outcomes were determined through consensus, provided that these outcomes were assessed with a validated and reliable scale. RESULTS: The Ottawa Panel developed 8 positive recommendations of clinical benefit. Lack of evidence meant that the panel could not gauge the efficacy of electrical stimulation. DISCUSSION AND CONCLUSION: The Ottawa Panel recommends the use of low-level laser therapy, therapeutic ultrasound, thermotherapy, electrical stimulation, and transcutaneous electrical nerve stimulation for the management of rheumatoid arthritis.

Adult↗
PubMedDate not supplied

[The effect of low-frequency impulse electrotherapy on the function of the neurohumoral systems regulating the arterial pressure in hypertensive patients].

The function of humoral regulatory systems was studied in hypertensive patients. Relevant dysfunctions appeared related to hemodynamic types. In the hyperkinetic hemodynamic type the greatest benefit for pressor and depressor regulation was achieved with square-wave impulse 10 Hz currents under the orbital method, in the hypokinetic--with sinusoidal modulated currents at 100 Hz modulation frequency. 30 Hz sinusoidal modulated currents under orbital method are able to bring about a marked decrease in both pressor and depressor hormones levels in hypokinetic pattern of hemodynamics producing short-term hypotensive effects. Humoral action of low-frequency impulse electrotherapy depends on the current characteristics, frequency and site of exposure.

Blood Pressure↗
PubMed2006

A systematic review of the effectiveness of exercise, manual therapy, electrotherapy, relaxation training, and biofeedback in the management of temporomandibular disorder.

BACKGROUND AND PURPOSE: This systematic review analyzed studies examining the effectiveness of various physical therapy interventions for temporomandibular disorder. METHODS: Studies met 4 criteria: (1) subjects were from 1 of 3 groups identified in the first axis of the Research Diagnostic Criteria for Temporomandibular Disorders, (2) the intervention was within the realm of physical therapist practice, (3) an experimental design was used, and (4) outcome measures assessed one or more primary presenting symptoms. Thirty studies were evaluated using Sackett's rules of evidence and 10 scientific rigor criteria. Four randomly selected articles were classified independently by 2 raters (interrater agreement of 100% for levels of evidence and 73.5% for methodological rigor). RESULTS: The following recommendations arose from the 30 studies: (1) active exercises and manual mobilizations may be effective; (2) postural training may be used in combination with other interventions, as independent effects of postural training are unknown; (3) mid-laser therapy may be more effective than other electrotherapy modalities; (4) programs involving relaxation techniques and biofeedback, electromyography training, and proprioceptive re-education may be more effective than placebo treatment or occlusal splints; and (5) combinations of active exercises, manual therapy, postural correction, and relaxation techniques may be effective. DISCUSSION AND CONCLUSION: These recommendations should be viewed cautiously. Consensus on defining temporomandibular joint disorder, inclusion and exclusion criteria, and use of reliable and valid outcome measures would yield more rigorous research.

Adult↗
PubMed1991

[Auguste De la Rive and electrotherapy].

After a survey of the state of electrotherapy at the beginning of the 19th century, the author studies the pertinent work of Auguste De la Rive (1801-1873), mainly exposed in the three volumes of his Traité d'électricité théorique et pratique (1854-1858). He mentions "direct" and "indirect" therapeutic effects of electricity as well as methods and apparatus applied and concludes by pointing at the reserved attitude towards the medical use of electricity that still prevailed at the close of the century.

Electric Stimulation Therapy↗
PubMed1990

Physiatric therapeutics. 2. Therapeutic heat and cold, electrotherapy, and therapeutic exercise.

This self-directed learning module highlights the general concepts and advances in therapeutic heat and cold, electrotherapy, and therapeutic exercise. This article is part of the chapter on physiatric therapeutics for the Self-Directed Medical Knowledge Program Study Guide for practitioners and trainees in physical medicine and rehabilitation. Special advances include lasers in medicine and the description of the appropriate type of exercise for weight control.

Cold Temperature↗
PubMed1989

Direct current electrotherapy of internal hemorrhoids: an effective, safe, and painless outpatient approach.

Hemorrhoid disease is one of the most frequently occurring, disabling conditions of man. We report the results of 120 patients with symptomatic internal and mixed hemorrhoid disease treated with direct current (d.c.) via a dual-tipped disposable needle probe (negative electrode). Evaluation and treatment utilized an operative anoscope which visualized one-eighth of the anal canal. Five hundred ninety segments revealed hemorrhoid disease (grade 1 = 114, 2 = 222, 3 = 178, 4 = 76). One or more segments (highest grade) were treated per office visit. Symptoms, frequency, and mean number of treatment applications per patient for complete symptom resolution were: bleeding, 85%, 4.0; protrusion, 58%, 3.9; pain, 52%, 3.6; and pruritus, 49%, 3.9. Ablation of hemorrhoid disease grade was directly correlated with milliampere current and time of application. No major complications occurred. All patients were successfully treated and remained symptom-free at a mean duration of follow-up of 23 months. Direct current electrotherapy is an effective, painless, and safe outpatient treatment approach to all grades of internal and mixed hemorrhoid disease.

Adult↗
PubMed1978

[Transcutaneous electrotherapy in the treatment of chronic post-zoster pain].

Transcutaneous electrotherapy has been employed in 112 patients with chronic pains of various origins. The immediate and long term results are not considered, at whole, satisfactory, especially for length and quality of the obtained improvement. Only patients with chronic post-zoosterian neuralgia had good results, or immediate either at long term, especially in intercostal pains. In the contrary in acute cases of this nevralgia, there were not satisfactory improvements.

Electric Stimulation Therapy↗
PubMed1988

[Modification of cardiac pacemakers of the MCP and LCP series by electrodiagnostic and electrotherapy procedures].

47 patients with cardiac pacemakers of the MCP- and LCP-series were examined for influence by disturbances caused by devices of electrodiagnostics and electrotherapy used in the GDR. A general prohibition of such diagnostic and therapeutic methods cannot be maintained. Low frequency current therapy (apart from TENS-currents), hydrogalvanic baths and ultrasonic therapy could be applied without any danger. In the CP-current should be guaranteed a minimum distance of 50 cm, when it fell short of, however, only insignificant disturbances appeared. The same concerns the microwave therapy. Also electrodiagnostics was possible without endangering the pacemaker-patient. TENS-currents caused, depending on distance and frequency, no disturbances or dangerous ones (total inhibition). Short-wave repeatedly led to total inhibition or warming at the cardiac pacemaker and should therefore generally be forbidden.

Arrhythmias, Cardiac↗
PubMed1987

[Physical treatment of herpetic diseases. Report of a pilot study with low-frequency electrotherapy].

Standard methods employed in physiotherapy are seldom applied to florid herpes zoster since they bring little benefit. Initial experience with electrotherapy for herpes is reported. Pulsed galvanic current at a frequency of 30 hertz was applied to the region of the affected segmental nerve. In two centres (Vienna and Maribor) treatment was carried out on 32 patients with herpes zoster (recovery in Vienna after a mean duration of treatment of 6.3 days; in Maribor recovery after 20 days of treatment) and 18 patients with herpes simplex (recovery after 5 or 6.5 days respectively) were treated. Follow up of all patients treated in Vienna showed that only one patient out of the zoster group developed post-herpetic neuralgia. Three patients with herpes simplex had a relapse of the disease, but it was less severe than before treatment. The better results in Vienna were explained by the use of strictly monopolar wave forms and the fact that treatment was applied every day, while in Maribor patients received no treatment over a weekend.

Electric Stimulation Therapy↗
PubMed1984

[Electrotherapy of pain relief using the Tenzcare stimulator. A clinico-experimental study].

Electrotherapy was introduced into the aftercare programme for patients with serial rib fractures in the acute stage, shoulder injuries or fractures of the radius. Electrical stimulation was carried out with the Tenzcare Nr. 6240 apparatus. The results were significantly better in each of the three groups than in the respective control group. Patients after thorax trauma complained less of pain in the acute phase: there was less pulmonary secretion on X-ray and, on average, their blood gas values returned to normal three days earlier. None of them required assisted respiration. Patients with shoulder injuries or fractures of the radius complained less frequently of pain during physio-therapy after removal of their plaster casts. They attained their optimum range of movement on average ten and eight days earlier, respectively than the controls.

Adult↗
PubMed1984

Cranial electrotherapy stimulation treatment of cognitive brain dysfunction in chemical dependence.

Several studies have shown that cranial electrotherapy stimulation (CES) is useful in treating brain dysfunction associated with alcoholism. A double-blind study replicated the latest of these findings in 60 inpatients and extended them by treating individuals with alcoholism and other chemical dependencies. Treatment effects were assessed on three subscales of the WAIS that are clinical indicators of organic brain syndrome. No placebo effect was found. CES appears to be a valuable adjunct to rehabilitation programs for addicted persons and can effect changes in areas not addressed by other treatment modalities.

Adult↗
PubMed1975

Intravesical transurethral electrotherapy in meningomyelocele patients.

The results in 100 patients of intravesical transurethral electrotherapy in the treatment of bladder paresis and micturition defects due to meningomyelocele are reported. Positive results were attained in 71 patients. The method and the physiological development of controlled micturition are discussed.

Adolescent↗
PubMed1994

[Electrotherapy].

Physical therapy offers various modalities of treating back pain, one of them is electrotherapy. Besides the long known, low-frequency currents (galvanization, iontophoresis, impulse galvanization, diadynamic currents, TENS), medium-frequency currents (interference current) are increasingly applied today, as they cause patients to a far lesser degree to experience the often unpleasant "sensation of current". In chronic pain, short and microwave treatment (high frequency), which are to be counted among the thermal therapies, have again and again proved to be beneficial.

Electric Stimulation Therapy↗
PubMed1993

[250 years ago: the origin of electrotherapy exemplified by Halle].

Experiments started in 1743 by a working group at the university of Halle marked the beginning of efforts to incorporate electricity into clinical therapy. Very soon this resulted in knowledge that was also taken up elsewhere, leading to a period of intensive research. The creative suggestions that originated in Halle were authored, among others, by Johann Gottlob Krüger, Christian Gottlieb Kratzenstein and Johann Joachim Lange. Their experimental and clinical findings were accompanied by deliberations on the mechanism of action of electrotherapy on which they reported in detail. Due to adverse circumstances this initially leading position occupied by Halle faded out already shortly after the middle of the century.

Electric Stimulation Therapy↗
PubMedDate not supplied

[The efficacy of electrotherapy with pulsed currents of different frequencies in combined forms of cerebrovascular and vertebrogenic pathology].

Sinusoidal modulated currents, fluctuorisation and interference therapy were compared for efficacy when applied according to segment-oriented technique to cervical and thoracic spine. A total of 150 patients with combined cerebrospinal and vertebrogenic lesions were treated in sanatorium on the Black sea shore (Yalta). These techniques demonstrated both similarity and difference in their effects. Mechanisms of action of the above variants of medium-frequency electrotherapy are considered.

Adult↗