The effect of high tone external muscle stimulation on polyneuropathy: a systematic review and meta-analysis
2024, V. 10, No 2
Abstract views: 122 / PDF downloads: 46
Keywords:
electrical stimulation, high tone power therapy, peripheral neuropathy, neuropathic pain, neuro-modulationAbstract
Background and study aim. High-tone therapy, also known as High-Frequency External Muscle Stimulation (HTEMS), is a more recent and unique form of electrotherapy treatment. Unlike traditional electrotherapy methods, which use a single frequency, high-tone therapy modulates both frequency and amplitude to deliver more energy to the tissues. The options for treating neuropathy associated with any illness, including diabetes, are limited, especially non-pharmacological therapies. This review aims to investigate the evidence of the effectiveness of high-tone external muscle stimulation (HTEMS) for patients with polyneuropathy.
Material and Methods. Google Scholar, Scopus, web of Science, PubMed, EMBASE, the Cochrane Central Register of Control Trials, CENTRAL, and Physiotherapy Evidence Database, Pedro, databases from inception to February 2022. We restricted the search to articles published in English only. Randomized controlled trials, RCTs, of HTEMS for peripheral neuropathy were included. Two independent reviewers screened the articles for eligibility, extracted the data, and assessed the risk of bias in eligible studies. Meta-analysis was performed using the random-effects model. The remaining results were presented using descriptive methods. The risk of bias was assessed using the PEDro scale.
Results. Six articles fulfilled the eligibility criteria with 487 participants. Most trials have focused on investigating the effectiveness of HTEMS in treating diabetic polyneuropathy and entrapment neuropathies. Overall, HTEMS provided a slight, but not clinically significant, reduction in pain and Katz index scores compared with mean control difference with p is more then 0.05.
Conclusions. HTEMS has been proven to be more efficient in most aspects, such as reduction in pain intensity and Katz index scores in patients with polyneuropathy compared to other treatment options. The included trials presented methodological issues and high heterogeneity, preventing the establishment of any firm recommendations to support or refute the use of HTEMS as a strategy for managing neuropathic pain.
Downloads
References
Ogrodzka-Ciechanowicz K, Głąb G, Ślusarski J, Gądek A. Quadriceps muscle strength recovery with the use of high tone power therapy after anterior cruciate ligament reconstruction: A randomized controlled trial. BMC Musculoskeletal Disorders, 2021; 22(1):975. DOI:10.21203/rs.3.rs-87392/v1
Namvar H, Olyaie Gh, Bagheri H, Naiemi E, Hoseinifar M, Sargolzehi M. Effect of High-Tone External Muscle Stimulation (High-Tone Therapy) in Neuro-Musculoskeletal Disorders: A Narrative Review. Journal of Modern Rehabilitation, 2022; 16(3):208-213. https://doi.org/10.18502/jmr.v16i3.10143
Reichstein L, Labrenz S, Ziegler D, Martin S. Effective Treatment Of Symptomatic Diabetic Polyneuropathy By High-Frequency External Muscle Stimulation. Diabetologia, 2005;48(5):824–28.
Davies M, Brophy S, Williams R, Taylor AC. The Prevalence, Severity, And Impact Of Painful Diabetic Peripheral Neuropathy In Type 2 Diabetes. Diabetes Care, 2006;29(7):1518–22.
Moez RABA, Hady AAAA, Attia FAK, El Nahas NG. High Tone External Muscle Stimulation versus Aerobic Exercise on Endothelial Dysfunction and Walking Parameters in Peripheral Arterial Disease. Int J Thin Film Sci Technol., 2022;11(Special issue):9–14.
Balducci S, Iacobellis G, Parisi L, Di Biase N, Calandriello E, Leonetti F, Fallucca F. Exercise Training Can Modify The Natural History Of Diabetic Peripheral Neuropathy. J Diabetes Complications, 2006;20(4):216–223.
Hrishi AP, Sethuraman M. Cerebrospinal Fluid (Csf) Analysis And Interpretation In Neurocritical Care For Acute Neurological Conditions. Indian J Crit Care Med. 2019;23(2):S115–S119.
Stein C, Fritsch CG, Robinson C, Sbruzzi G, Plentz R. Effects Of Electrical Stimulation In Spastic Muscles After Stroke: Systematic Review And Meta-Analysis Of Randomized Controlled Trials. Stroke, 2015;46(8):2197–2205.
Gibson W, Wand BM, O'Connell N. Transcutaneous Electrical Nerve Stimulation (Tens) For Neuropathic Pain In Adults. Cochrane Database Syst Rev, 2017;9(9): Cd011976.
Page MJ, Mckenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD et al. The Prisma 2020 Statement: An Updated Guideline For Reporting Systematic Reviews. Syst Rev. 2021;10(1):89.
Petersen EA, Stauss TG, Scowcroft JA, Brooks ES, White JL, Sills SM et al. Effect Of High-Frequency (10-Khz) Spinal Cord Stimulation In Patients With Painful Diabetic Neuropathy: A Randomized Clinical Trial. Jama Neurol, 2021;78(6):687–698.
El-Regal W, Obaya H, Taha E, Hawaas K. Effect Of High Tone Power Therapy On Neurological Symptoms And Function Outcome In Patients With Diabetic Neuropathy. Egypt J Appl Sci. 2021;36(1).
Kempf K, Röhling M, Darwish E, Martin S, Jander S, Herdmann J, Stehr-Zirngibl S. Effect Of High Tone Power Therapy On Carpal Tunnel Syndrome Patients: (Randomized Controlled Trial). Turkish J Physiother Rehabil, 2021;32:3.
Shady N, Hussien M, Abdel G, Walid E, Enasm AA, Abdelhakiem N. Effect Of High Tone Power Therapy On Carpal Tunnel Syndrome Patients: (Randomized Controlled Trial). Turkish J Physiother Rehabil, 2021;32(3).
Ahmed MA, Nawal AS, Amira ME, Khalid TY. Effect Of High Tone Power Therapy On Neurophysiological Measures And Function Outcome In Patients With Diabetic Neuropathy. Eur J Mol Clin Med, 2020;7(9):269–75.
Gigo‑Benato D, Russo T, Geuna S, Domingues N, Salvini TP. Electrical Stimulation Impairs Early Functional Recovery And Accen‑ Tuates Skeletal Muscle Atrophy After Sciatic Nerve Crush Injury In Rats. Muscle Nerve, 2010;41(5):685–93.
Sinis N, Horn F, Genchev B, Skouras E, Merkel D, Angelova SK et al. Electrical Stimulation Of Paralyzed Vibrissal Muscles Reduces Endplate Reinnervation And Does Not Promote Motor Recovery After Facial Nerve Repair In Rats. Ann Anat, 2009;191(4):356–70.
Kurz A, Volk GF, Arnold D, Schneider-Stickler B, Mayr W and Guntinas-Lichius O (2022) Selective Electrical Surface Stimulation to Support Functional Recovery in the Early Phase After Unilateral Acute Facial Nerve or Vocal Fold Paralysis. Front. Neurol., 13:869900. doi: 10.3389/fneur.2022.869900
Karamian BA, Siegel N, Nourie B, Serruya MD, Heary RF, Harrop JS et al. The role of electrical stimulation for rehabilitation and regeneration after spinal cord injury. J Orthop Traumatol, 23, 2 (2022). https://doi.org/10.1186/s10195-021-00623-6
Saragiotto BT, Maher CG, Yamato TP, Costa LO, Menezes Costa LC, Ostelo RW et al. Motor Control Exercise For Chronic Non-Specific Low-Back Pain. Cochrane Database Syst Rev, 2016;1.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Rami Mohamed Dawah, Fatma Seddik, Mariam Omran Grase (Author)
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors published in this journal agree to the following conditions:
a. Authors reserve the copyright to the work and transfer to the journal the right of first publication along with the work, while licensing it under the terms of the Creative Commons Attribution License, which allows others to distribute this work with the obligatory indication of authorship of this work and a link to the original publication in this journal.
b. The authors reserve the right to conclude separate, additional contractual agreements for the non-exclusive distribution of the version of the work published by this journal (for example, post it in a university repository or publish it in a book), with reference to the original publication in this journal.
c. Authors are allowed to post their work on the Internet (for example, in a university repository or on their personal website) before and during the process of reviewing it by this journal, as this can lead to a productive discussion, as well as to more links to this published article. work (See The Effect of Open Access).