Effect of TENS and active muscular rehabilitation in chronic neck pain.
Dr Bakhta CHARANEa
Compare two treatment methods: active TENS and muscular rehabilitation in patients with chronic neck pain.
Materials and methods:
Were included in our study 80 patients aged between 18 and 60 years with chronic neck pain, listed at least 4 on Eva.
Were excluded from the study patients who had a cervical radiculopathy, headache and cervical origin of dizziness, patients who have difficulty in answering the questionnaire.
Each patient was assessed by clinical examination measuring pain by Eva with cervical palpation and disability globally validated by Bournemouth at admission and at 1 month and to 3 months of treatment. Our patients were divided into two groups; G1: 43 patients treated with TENS and G2: 37 patients treated with active rehabilitation.
Both groups were considered comparable for age, and sex, our study has shown that for the VAS score. at 1 month; patients treated with TENS improve an average of 3.65 points compared to those treated with active rehabilitation, which is better than 1.73 (p <0.001).
At three months for the same score patients treated with the active rehabilitation improves average of 5.43 points compared to those treated with TENS that point better than 4.51 (p <0.007).
To score Bournemouth we observed one month improvement in the TENS group 21.37 points while in the active therapy group it is only 9.27 points with a(p<0,001).
At three months for the same score, the active rehabilitation group improved average of 31.92 points, while TENS group improved an average of 27.05 points with a (p <0.083).
Our study has shown the effectiveness of TENS in the short term pain and disability, however, in the medium term is the active rehabilitation is most effective on pain but there is no significant difference between the two methods on the overall effect.
Keywords : neck pain, TENS, active rehabilitation