PAIN INHIBITION WITH TRANSCUTANEOUS ELECTRICAL STIMULATION IN ELDERLY WITH PARKINSON’S CONDITION
Keywords:
Pain, TENS, Visual Analog Scale, Elderly, Parkinson’s
Abstract
Abstract: Parkinson's is a progressive degenerative disease that causes motor dysfunction. Individuals with Parkinson's also experience non-motor symptoms such as pain. Pain is one of the most frequently reported debilitating symptoms among individuals with Parkinson's. TENS as a non-invasive and non-pharmacological treatment has been used to treat a variety of neuropathic pain. The analgesic effect of TENS has been shown to be achieved through neurobiological mechanisms that affect the peripheral nervous system and central nervous system. This study aims to determine the intensity of pain in individuals with Parkinson's against pain reduction by administering TENS to the superficial radial nerve. The method in this study was Quasi Experimental with a research design in the form of a pretest – posttest group design on the elderly Parkinson's at RSU Aulia, South Jakarta. In this study, the number of samples was 12 people who were divided into 2 groups, namely the control group and the treatment group, each group consisted of 6 people. The measuring instrument used was the VAS which was measured before and after TENS was given to each group. The results of the hypothesis test with the Unpaired T-Test showed a significant reduction in pain in the treatment group (by administering TENS) with p value = 0.00** (p <0.05). The conclusion in this study is that treatment with TENS administration of pain has an analgesic effect on the elderly Parkinson's.
References
DAFTAR PUSTAKA
1. Tysness, O. B., & Storstein, A. (2017). Epidemilogy of Parkinson’s Disease. Journal Neural Transm, 124: 901-905.
2. Galvez, G., Recuero, M., Canuet, L., and Del-Pozo, F. (2018). Short-term effects of binaural beats on eeg power, functional connectivity, cognition, Gait and anxiety in Parkinson’s disease. Int. J. Neural. Syst. 28:1750055.
3. Ly, K., Cloutier, A., and Yang, J. (2016). “Quantitative motor assessment, detection, and suppression of Parkinson’s disease hand tremor: a literature review,” in ASME International Design Engineering Technical Conference/Computer and Information in Engineering Conference (IDETC/CIE) in Charlotte, NC.
4. Carvajal-Castano, H. A., Lemos-Duque, J. D., and Orozco-Arroyave, J. R. (2021). Effective detection of abnormal gait patterns in Parkinson’s disease patients using kinematics, nonlinear, and stability gait features. Hum. Mov. Sci. 81:102891.
5. Zhang, Z., Hong, R., Lin, A., Su, X., Jin, Y., and Gao, Y. (2021). Automated and accurate assessment for postural abnormalities in patients with Parkinson’s disease based on kinect and machine learning. J. Neuroeng. Rehabil. 18:169.
6. Bonnet, A. M., Jutras, M. F., Czernecki, V., Corvol, J. C., & Vidailhet, M. (2012). Nonmotor Symptoms in Parkinson’s Disease in 2012: Relevant Clinical Aspects. Parkinson’s Disease, 2012, 198316.
7. Skogar, Orjan and Lokk, J. (2016). Pain management in patients with Parkinson’ s disease: challenges and solutions. Journal of Multidisciplinary Healthcare, 30(9), 469–479.
8. Nguy V, Barry BK, Moloney N, et al. (2020). The associations between physical activity, sleep, and mood with pain in people with Parkinson’s disease: an observational cross-sectional study. J Parkinsons Dis, 10:1161–1170.
9. Coimbra MR, Almeida-Leite CM, de Faria-fortini I, Christo PP, Scalzo PL. (2021). King’s Parkinson’s Disease Pain Scale (KPPS): cross-cultural adaptation to Brazilian Portuguese and content validity. Clin Neurol Neurosurg, 208:106815.
10. Valkovic P, Minar M, Singliarova H, et al. (2015). Pain in Parkinson’s disease: a cross-sectional study of its prevalence, types, and relationship to depression and quality of life. PLoS One, 10: e0136541.
11. Camacho-Conde JA, Campos-Arillo VM. (2020). The phenomenology of pain in Parkinson’s disease. Korean J Pain, 33:90–96.
12. Rana AQ, Qureshi AR, Rahman L, Jesudasan A, Hafez KK, Rana MA. (2016). Association of restless legs syndrome, pain, and mood disorders in Parkinson’s disease. Int J Neurosci. 126(2):116–120.
13. Qureshi, A. R., Khizar, M., Eraad, J., Paul, D. A., Shamli, Y., Mohamed, O., Mulaffer, T., Qureshi, D., Affan, M., Abdul, D., & Rana, Q. (2021). pharmacological therapies for pain management in Parkinson’ s disease: A systematic review. Acta Neurologica Scandinavica, December, 1–17.
14. Mylius V, Brebbermann J, Dohmann H, Engau I, Oertel WH, Moller JC. (2012). Pain sensitivity and clinical progression in Parkinson's disease. Mov Disord, 26:2220–2225.
15. Gibson W, Wand BM, O'Connell NE. (2017). Transcutaneous electrical nerve stimulation (TENS) for neuropathic pain in adults. Cochrane Database Syst Rev, 9:CD011976.
16. Mokhtari, T., Ren, Q., Li, N., Wang, F., Bi, Y., & Hu, L. (2020). Transcutaneous Electrical Nerve Stimulation in Relieving Neuropathic Pain: Basic Mechanisms and Clinical Applications. Curent Pain and Headache Reports, 24(14), 2–14.
17. Aminisaman, J., Karimpour, H. A., Hemmatpour, B., Mohammadi, S., Darvishi, S., & Kawyannejad, R. (2020). Journal of Acupuncture and Meridian Studies Effect of Transcutaneous Electrical Nerve Stimulation on the Pain Intensity During Insertion of Needle in Patients Undergoing Spinal Anesthesia: A Randomized Controlled Study. Journal of Acupuncture and Meridian Studies, 13(3), 83–86.
18. Johnson, M. I. (2021). Resolving Long-Standing Uncertainty about the Clinical Efficacy of Transcutaneous Electrical Nerve Stimulation (TENS) to Relieve Pain: A Comprehensive Review of Factors Influencing Outcome. 57(378), 1–35.
19. Hao, M., Xu, S., Hu, Z., Xu, F., Niu, C. M., Xiao, Q., & Lan, N. (2017). Inhibition of Parkinsonian tremor with cutaneous afferent evoked by transcutaneous electrical nerve stimulation. Journal of NeuroEngineering and Rehabilitation, 14(75), 1–13.
20. Johnson, M. I., Jones, G., Paley, C. A., & Wittkopf, P. G. (2019). The clinical efficacy of transcutaneous electrical nerve stimulation (TENS) for acute and chronic pain: a protocol for a meta-analysis of randomised controlled trials (RCTs), 9(e029999): 1–8.
21. Kilinc, M., Livanelioglu, A., Yildirim, S. A., & Tan, E. (2014). Effects of Transcutaneous Electrical Nerve Stimulation in Patients with Peripheral and Central Neuropathic Pain. J Rehabil Med, 46(1): 454–460.
22. Johnson, M. I., Paley, C. A., Jones, G., Mulvey, M. R., & Wittkopf, P. G. (2022). Efficacy and safety of transcutaneous electrical nerve stimulation (TENS) for acute and chronic pain in adults: A analysis of systematic review and meta studies. BMJ, 12(e051073): 1–12.
23. Noehren, B., Dailey, D. L., Rakel, B. A., Vance, C. G. T., Zimmerman, M. B., Crofford, L. J., & Sluka, K. A. (2015). Protocols Effect of Transcutaneous Electrical Nerve Stimulation on Pain, Function, and Quality of Life in Fibromyalgia: A Double-Blind Randomized Clinical Trial. Physical Therapy, 95(September):129–140.
24. Peng W. W, Tang ZY, Zhang FR, Li H, Kong YZ, Iannetti G. D., and Hu, L. (2019). Neurobiological mechanisms of TENS-induced analgesia. NeuroImage. 195 (March): 396–408.
25. Hu, L., & Iannetti, G. D. (2019). Neural indicators of perceptual variability of pain across species. PNAS, 116(5):1782–1791.
1. Tysness, O. B., & Storstein, A. (2017). Epidemilogy of Parkinson’s Disease. Journal Neural Transm, 124: 901-905.
2. Galvez, G., Recuero, M., Canuet, L., and Del-Pozo, F. (2018). Short-term effects of binaural beats on eeg power, functional connectivity, cognition, Gait and anxiety in Parkinson’s disease. Int. J. Neural. Syst. 28:1750055.
3. Ly, K., Cloutier, A., and Yang, J. (2016). “Quantitative motor assessment, detection, and suppression of Parkinson’s disease hand tremor: a literature review,” in ASME International Design Engineering Technical Conference/Computer and Information in Engineering Conference (IDETC/CIE) in Charlotte, NC.
4. Carvajal-Castano, H. A., Lemos-Duque, J. D., and Orozco-Arroyave, J. R. (2021). Effective detection of abnormal gait patterns in Parkinson’s disease patients using kinematics, nonlinear, and stability gait features. Hum. Mov. Sci. 81:102891.
5. Zhang, Z., Hong, R., Lin, A., Su, X., Jin, Y., and Gao, Y. (2021). Automated and accurate assessment for postural abnormalities in patients with Parkinson’s disease based on kinect and machine learning. J. Neuroeng. Rehabil. 18:169.
6. Bonnet, A. M., Jutras, M. F., Czernecki, V., Corvol, J. C., & Vidailhet, M. (2012). Nonmotor Symptoms in Parkinson’s Disease in 2012: Relevant Clinical Aspects. Parkinson’s Disease, 2012, 198316.
7. Skogar, Orjan and Lokk, J. (2016). Pain management in patients with Parkinson’ s disease: challenges and solutions. Journal of Multidisciplinary Healthcare, 30(9), 469–479.
8. Nguy V, Barry BK, Moloney N, et al. (2020). The associations between physical activity, sleep, and mood with pain in people with Parkinson’s disease: an observational cross-sectional study. J Parkinsons Dis, 10:1161–1170.
9. Coimbra MR, Almeida-Leite CM, de Faria-fortini I, Christo PP, Scalzo PL. (2021). King’s Parkinson’s Disease Pain Scale (KPPS): cross-cultural adaptation to Brazilian Portuguese and content validity. Clin Neurol Neurosurg, 208:106815.
10. Valkovic P, Minar M, Singliarova H, et al. (2015). Pain in Parkinson’s disease: a cross-sectional study of its prevalence, types, and relationship to depression and quality of life. PLoS One, 10: e0136541.
11. Camacho-Conde JA, Campos-Arillo VM. (2020). The phenomenology of pain in Parkinson’s disease. Korean J Pain, 33:90–96.
12. Rana AQ, Qureshi AR, Rahman L, Jesudasan A, Hafez KK, Rana MA. (2016). Association of restless legs syndrome, pain, and mood disorders in Parkinson’s disease. Int J Neurosci. 126(2):116–120.
13. Qureshi, A. R., Khizar, M., Eraad, J., Paul, D. A., Shamli, Y., Mohamed, O., Mulaffer, T., Qureshi, D., Affan, M., Abdul, D., & Rana, Q. (2021). pharmacological therapies for pain management in Parkinson’ s disease: A systematic review. Acta Neurologica Scandinavica, December, 1–17.
14. Mylius V, Brebbermann J, Dohmann H, Engau I, Oertel WH, Moller JC. (2012). Pain sensitivity and clinical progression in Parkinson's disease. Mov Disord, 26:2220–2225.
15. Gibson W, Wand BM, O'Connell NE. (2017). Transcutaneous electrical nerve stimulation (TENS) for neuropathic pain in adults. Cochrane Database Syst Rev, 9:CD011976.
16. Mokhtari, T., Ren, Q., Li, N., Wang, F., Bi, Y., & Hu, L. (2020). Transcutaneous Electrical Nerve Stimulation in Relieving Neuropathic Pain: Basic Mechanisms and Clinical Applications. Curent Pain and Headache Reports, 24(14), 2–14.
17. Aminisaman, J., Karimpour, H. A., Hemmatpour, B., Mohammadi, S., Darvishi, S., & Kawyannejad, R. (2020). Journal of Acupuncture and Meridian Studies Effect of Transcutaneous Electrical Nerve Stimulation on the Pain Intensity During Insertion of Needle in Patients Undergoing Spinal Anesthesia: A Randomized Controlled Study. Journal of Acupuncture and Meridian Studies, 13(3), 83–86.
18. Johnson, M. I. (2021). Resolving Long-Standing Uncertainty about the Clinical Efficacy of Transcutaneous Electrical Nerve Stimulation (TENS) to Relieve Pain: A Comprehensive Review of Factors Influencing Outcome. 57(378), 1–35.
19. Hao, M., Xu, S., Hu, Z., Xu, F., Niu, C. M., Xiao, Q., & Lan, N. (2017). Inhibition of Parkinsonian tremor with cutaneous afferent evoked by transcutaneous electrical nerve stimulation. Journal of NeuroEngineering and Rehabilitation, 14(75), 1–13.
20. Johnson, M. I., Jones, G., Paley, C. A., & Wittkopf, P. G. (2019). The clinical efficacy of transcutaneous electrical nerve stimulation (TENS) for acute and chronic pain: a protocol for a meta-analysis of randomised controlled trials (RCTs), 9(e029999): 1–8.
21. Kilinc, M., Livanelioglu, A., Yildirim, S. A., & Tan, E. (2014). Effects of Transcutaneous Electrical Nerve Stimulation in Patients with Peripheral and Central Neuropathic Pain. J Rehabil Med, 46(1): 454–460.
22. Johnson, M. I., Paley, C. A., Jones, G., Mulvey, M. R., & Wittkopf, P. G. (2022). Efficacy and safety of transcutaneous electrical nerve stimulation (TENS) for acute and chronic pain in adults: A analysis of systematic review and meta studies. BMJ, 12(e051073): 1–12.
23. Noehren, B., Dailey, D. L., Rakel, B. A., Vance, C. G. T., Zimmerman, M. B., Crofford, L. J., & Sluka, K. A. (2015). Protocols Effect of Transcutaneous Electrical Nerve Stimulation on Pain, Function, and Quality of Life in Fibromyalgia: A Double-Blind Randomized Clinical Trial. Physical Therapy, 95(September):129–140.
24. Peng W. W, Tang ZY, Zhang FR, Li H, Kong YZ, Iannetti G. D., and Hu, L. (2019). Neurobiological mechanisms of TENS-induced analgesia. NeuroImage. 195 (March): 396–408.
25. Hu, L., & Iannetti, G. D. (2019). Neural indicators of perceptual variability of pain across species. PNAS, 116(5):1782–1791.
Published
2023-08-09
How to Cite
Daba, M. (2023). PAIN INHIBITION WITH TRANSCUTANEOUS ELECTRICAL STIMULATION IN ELDERLY WITH PARKINSON’S CONDITION. Jurnal Inovasi Pendidikan Dan Sains, 4(2), 135-139. https://doi.org/10.51673/jips.v4i2.1711
Section
Artikel
