Deans' stroke musings: Application of Transcutaneous Electrical Nerve Stimulation (TENS) in Stroke Rehabilitation: An Umbrella Review

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Friday, October 4, 2024

Application of Transcutaneous Electrical Nerve Stimulation (TENS) in Stroke Rehabilitation: An Umbrella Review

Previous research didn't show much benefit.

TENS (4 posts to November 2017)

Application of Transcutaneous Electrical Nerve Stimulation (TENS) in Stroke Rehabilitation: An Umbrella Review

Authors

Sahand Eslami
Fateme Tamasbi 1. Research Center for Evidence-based Medicine, Iranian EBM Centre: A JBI Centre of Excellence, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Sanam Mohammadzadeh
Sarvin Sanaie
Salar Ghaderi
Alireza Rahimi-Mamaghani

DOI:

https://doi.org/10.15540/nr.11.3.304

Keywords:

Transcutaneous Electric Nerve Stimulation, Stroke, Rehabilitation, TENS, Systematic Review

Abstract

Background.

Given that stroke is one of the most important causes of long-term disability, it is essential to adopt efficient rehabilitation techniques to maximize functional recovery. Transcutaneous electrical nerve stimulation (TENS) has become a viable treatment option for stroke recovery in recent years.

Method.

A systematic search was conducted in several databases and complemented by manual searches of reference lists. Study selection criteria included systematic reviews, with or without meta-analyses, that assessed the effects of TENS on poststroke rehabilitation. The quality of the studies was assessed using the JBI assessment tool.

Results.

According to 34 systematic reviews, TENS is applied in several settings in poststroke rehabilitation, including motor dysfunction, urinary and fecal dysfunction, spasticity, and pain management, and has shown promising results in these areas. However, the absence of standardized guidelines makes it challenging to determine the optimal TENS parameters for specific poststroke rehabilitation goals.

Conclusion.

The application of TENS in poststroke rehabilitation has shown potential benefits. While these potential benefits are promising, it is important to note that the effectiveness of TENS may vary among individuals, and further research is needed to understand its optimal application and long-term effects.