Article

The purpose of this systematic review was to summarize the effect of
transcutaneous electrical nerve stimulation (TENS) for management of limb
spasticity. Randomized controlled trials were searched using electronic databases
through July 2015. Fourteen randomized controlled trials were included, involving
544 participants.Intervention protocols fit within three categories: 1) TENS vs.
no TENS or placebo TENS (n = 7), 2) TENS vs. another TENS protocol or another
intervention for spasticity management (n = 7), and 3) TENS as an adjunct to
another intervention for spasticity management (n = 4). There was level 1 and 2
evidence for TENS improving spasticity-related outcome measures within the
International Classification of Functioning, Disability, and Health domains of
body structure and function (e.g., Modified Ashworth Scale) as well as activity
(e.g., gait). Better responses in outcome measures in the International
Classification of Functioning, Disability, and Health activity domain were seen
when TENS was used in combination with active therapy (e.g., exercise and
task-related training) vs. as a single therapeutic modality.

Langue : ANGLAIS