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Electrotherapy for neck pain Electrotherapy for neck pain

Electrotherapy for neck pain - PowerPoint Presentation

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Electrotherapy for neck pain - PPT Presentation

Kroeling et al 2013 This document is licensed under a Creative Commons Attribution NonCommercialNoDerivatives 40 International License httpcreativecommonsorglicensesbyncnd40 ID: 917036

neck pain evidence electrotherapy pain neck electrotherapy evidence quality effective contents kroeling 2013 effect stimulation relief current rms ems

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Slide1

Electrotherapy for neck pain

Kroeling et al (2013)

This document is licensed under a Creative Commons Attribution NonCommercialNoDerivatives 4.0 International License: http://creativecommons.org/licenses/by-nc-nd/4.0/ That means this document can be used and shared as long as IWH is credited as the source, the contents are not modified, and the contents are used for non-commercial purposes. If you wish to modify and/or use the contents for commercial purposes, please contact ip@iwh.on.ca.

Slide2

Electrotherapy for neck pain

Kroeling et al (2013)

Overview of the studyObjectives To assess the short, intermediate, and long-term effects of electrotherapy on pain, function, disability, patient satisfaction, global perceived effect and quality of life in adults with neck pain with and without radiculopathy or cervicogenic headache.Methods Evidence current up to 15 August 2012 Participants: Adults (aged 18 or older) who suffer from acute, sub-acute, or

chronic neck pain

Interventions: Electrotherapy

Outcomes:

Primary: Pain

relief

, disability, function including work-related outcomes

Secondary: Patient satisfaction, global perceived effect

,

and quality of life

Slide3

20 trials (12392 participants)

Results & Conclusions

Interventions

Evidence

Quality

of evidence

Pulsed electromagnetic field therapy (PEMF), Repetitive magnetic stimulation(

rMS

),

Transcutaneous

electrical nerve stimulation (TENS)

Varied results compared to sham on pain relief at short-termVery lowMore effective than EMS on pain relief but no more effective than manual therapy or ultrasoundModulated galvanic current, Iontophoresis, Electric muscle stimulation (EMS)No more effective than placebo on pain reliefVery low

Electrotherapy for neck pain Kroeling et al (2013)

Adverse events: Were not reported in any of the included studies

Current evidence for PEMF,

rMS

, and TENS shows that these modalities might be more effective than placebo, but the estimate of effect is uncertain due to low quality evidence