The use of transcutaneous neural stimulation and isokinetic testing in arthroscopic knee surgery

@article{Jensen1985TheUO,
  title={The use of transcutaneous neural stimulation and isokinetic testing in arthroscopic knee surgery},
  author={Jack E. Jensen and Richard R. Conn and Gary Hazelrigg and John E. Hewett},
  journal={The American Journal of Sports Medicine},
  year={1985},
  volume={13},
  pages={27 - 33}
}
A prospective study of the use of transcutaneous neural stimulation (TNS) in 90 arthroscopic knee surgery pa tients was performed to determine: (1) if TNS is as effective as traditional pain medication in treating post operative knee pain; and (2) if patients that had received TNS regain preoperative motion and strength quicker than the control population. The patients were divided into three equal groups. Group I consisted of patients with no TNS unit, Group II had a "placebo" unit, and Group… 

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References

SHOWING 1-10 OF 22 REFERENCES
Transcutaneous neural stimulation use in postoperative knee rehabilitation
TLDR
The use of transcutaneous neural stimulation in postoperative knee patients improved their rehabilitation performance and shortened their hospital stay.
Use of transcutaneous electrical stimulation in the control of postoperative pain.
TLDR
Patients with known malignant disease did not respond as well as those with benign disease although anxiety may have been an important factor here and use of the transcutaneous electrical stimulator would seem particularly worthwhile for patients undergoing elective abdominal operations for benign disease with no history of narcotic usage.
Reduction of postoperative pain and narcotic use by transcutaneous electrical nerve stimulation.
TLDR
Transcutaneous electrical nerve stimulation was evaluated as a postoperative analgesic and demonstrated that TENS could reduce the demand for postoperative narcotics in a group of patients who had not used narcotic analgesics before operation.
Transcutaneous Electrical Neurostimulation in Functional Pain
TLDR
A simplified poststimulation “normal-saline-sterile-water intramuscular injection test” is utilized to confirm the findings from transcutaneous electrical neurostimulation and to verify the functional basis of the present low-back pain.
Electrical Stimulation for Relief of Musculoskeletal Pain.
  • M. Smith
  • Medicine
    The Physician and sportsmedicine
  • 1983
TLDR
Patients who used TNS after arthrotomy meniscectomies and total knee arthroplasties had shorter hospital stays and needed less narcotic pain relief after surgery.
Long-term pain control by direct peripheral-nerve stimulation.
TLDR
It is speculated that the stress of weight-bearing and the anatomical position of the posterior tibial nerve may partially account for this rate of failure in patients stimulated with electrodes for prolonged stimulation of injured peripheral nerves to reduce chronic pain.
Transcutaneous electrical stimulation
TLDR
The use of pethidine was compared in the two groups under standardised conditions of time, operative and anaesthetic techniques and an ideal stimulation effect was often achieved by similar patterns of stimulating parameters.
Establishing a postsurgical TENS program.
TLDR
A number of basic suggestions to guide the clinician interested in establishing a postsurgical TENS program are presented, based on the hospital experience with posts surgical TENS programs.
...
...