Role of Electrotherapy in Treating Chronic Musculoskeletal Conditions: A Narrative Review of the Last 5 Years
Abstract
Abstract Views: 76
Chronic musculoskeletal conditions encompass a variety of disorders and impairments, some of which include chronic low back pain, carpal tunnel syndrome, arthritis, fibromyalgia, tendonitis, osteoporosis, and so on. Electrotherapy refers to the use of electrical modalities in order to treat such conditions in physiotherapy. This non-pharmacological treatment equipment, such as, transcutaneous electrical stimulation, interferential therapy, shortwave diathermy, and LASER (light amplification by stimulated emission of radiation), may or may not have profound effects on the aforementioned conditions. The purpose of this review article was to investigate and summarize the role of electrotherapy in order to manage chronic disorders and hence, try to quantify its magnitude while updating previous relevant knowledge on this particular topic. The design of the current study was based on a narrative review. A total of 58 studies were consulted. According to the inclusion criteria of the current research, studies published within last five years treating chronic musculoskeletal diseases, using electrotherapy modalities were included. However, any study more than five years’ time period was excluded. The primary hypothesis of this study suggested that the electrotherapy carries significant effect to treat chronic musculoskeletal conditions. According to the secondary hypothesis, there exists no relationship between electrotherapy modalities and chronic musculoskeletal conditions.
Downloads
References
Greising SM, Corona BT, Call JA. Musculoskeletal regeneration, rehabilitation, and plasticity following traumatic injury. Int J Sports Med. 2020;41(8):495–504. https://doi.org/10.1055/a-1128-7128
Perrot S, Cohen M, Barke A, Korwisi B, Rief W, Treede RD. The IASP classification of chronic pain for ICD-11: Chronic secondary musculoskeletal pain. Pain. 2019;160(1):77–82. https://doi.org/10.1097/j.pain.0000000000001389
Silveira AM, Santos LT, Rodrigues AYBM, Brum FdO, Yamada EF, Silva MDd. Can electrotherapy improve the effect of kinesio-functional exercises in the treatment of chronic non-specific low back pain? Fisioterapia. 2021;28(3). https://doi.org/10.1590/1809-2950/20022028032021
Sharpe JA, Martin BI, Magel J, Fritz JM, Vanneman ME, Thackeray A. Effect of patient use of physical therapy after referral for musculoskeletal conditions on future medical utilization: A retrospective cohort analysis. J Manipulative Physiol Ther. 2021;44(8):621–636. https://doi.org/10.1016/j.jmpt.2022.01.001
Costa B, Ferreira I, Trevizol A, Thibaut A, Fregni F. Emerging targets and uses of neuromodulation for pain. Expert Rev Neurother. 2019;19(2):109–118. https://doi.org/10.1080/14737175.2019.1567332
Weissenfels A, Wirtz N, Dörmann U, et al. Comparison of whole-body electromyostimulation versus recognized back-strengthening exercise training on chronic nonspecific low back pain: A randomized controlled study. BioMed Res Int. 2019;2019:e5745409. https://doi.org/10.1155/2019/5745409
Wright A, Sluka KA. Nonpharmacological treatments for musculoskeletal pain. Clin J Pain. 2001;17(1):33–46.
Martins-de-Sousa PH, Almeida MQG, Junior JMdS, et al. Program of therapeutic exercises associated with electrotherapy in patients with chronic neck pain: Protocol for a randomized controlled trial. J Bodyw Mov Ther. 2020;24(1):25–30. https://doi.org/10.1016/j.jbmt.2019.04.008
Hussein HM, Alshammari RS, Al-Barak SS, Alshammari ND, Alajlan SN, Althomali OW. A systematic review and meta-analysis investigating the pain-relieving effect of interferential current on musculoskeletal pain. Am J Phys Med Rehabil. 2022;101(7):624–633. https://doi.org/10.1097/PHM.0000000000001870
Kim S, Fajardo JCS, Seo E, Gao C, Kim R, Yoon B. Effects of transcranial direct current stimulation on physical and mental health in older adults with chronic musculoskeletal pain: A randomized controlled trial. Eur Geriatr Med. 2022;13:959–966. https://doi.org/10.1007/s41999-022-00626-4
Almeida N, Paladini LH, Dias LV, De Sales RS, De Macedo ACB. Immediate analgesic effect of 4KHZ AMFS interferential current on chronic low back pain. Coluna/Columna. 2022;21(2):1–7. https://doi.org/10.1590/S1808-185120222102253908
Silveira AM, Santos LT, Rodrigues AYBM, Brum FO, Yamada EF, Da Silva MD. Can electrotherapy improve the effect of kinesiofunctional exercises in the treatment of chronic nonspecific low back pain? Fisioter. 2021;28(3):284–290. https://doi.org/10.1590/1809-2950/20022028032021
Paolucci T, Agostini F, Paoloni M, et al. Efficacy of TENS in cervical pain syndromes: An umbrella review of systematic reviews. Appl Sci. 2021;11(8):e3423. https://doi.org/10.3390/app11083423
Nahm JW, Waite K, Recidoro T, et al. Treatment of chronic musculoskeletal pain with electron modulation procedure. Pain Manag. 2021;11(4). https://doi.org/10.2217/pmt-2020-0086
Seo U-H, Kim J-H, Lee B-H. Effects of mulligan mobilization and low-level laser therapy on physical disability, pain, and range of motion in patients with chronic low back pain: A pilot randomized controlled trial. Healthc. 2020;8(3):e237. https://doi.org/10.3390/healthcare8030237
Pastor JAR, Puértolas BC, Pino AC, Preciado AMS, Ardila EMG, Arenas MDA. Effect of osteopathic manipulation of the sacroiliac joint vs electrotherapy on pain and functional disability in patients with low back pain: A pilot study. J Back Musculoskeletal Rehabilit. 2022;35(6):1219–1226. https://doi.org/10.3233/BMR-210120
Song HJ, Seo H-J, Lee Y, Kim SK. Effectiveness of high-intensity laser therapy in the treatment of musculoskeletal disorders: A systematic review and meta-analysis of randomized controlled trials. Medicine. 2018;97(51):e13126. https://doi.org/10.1097%2FMD.0000000000013126
El-Gendy M, Lasheen Y, Rezkalla W. Multimodal approach of electrotherapy versus myofascial release in patients with chronic mechanical neck pain: A randomized controlled trial. Physiother Quart. 2019;27(4):6–12. https://doi.org/10.5114/pq.2019.87735
Weissenfels A, Teschler M, Willert S, et al. Effects of whole-body electromyostimulation on chronic nonspecific low back pain in adults: A randomized controlled study. J Pain Res. 2018;11:1949–1957.
Mutlu EK, Ercin E, Ozdıncler AR, Ones N. A comparison of two manual physical therapy approaches and electrotherapy modalities for patients with knee osteoarthritis: A randomized three arm clinical trial. Physiother Theory Pract. 2018;34(8):600–612. https://doi.org/10.1080/09593985.2018.1423591
Elmelund M, Biering-Sørensen F, Due U, Klarskov N. The effect of pelvic floor muscle training and intravaginal electrical stimulation on urinary incontinence in women with incomplete spinal cord injury: An investigator-blinded parallel randomized clinical trial. Int Urogynecol J. 2018;29:1597–1606. https://doi.org/10.1007/s00192-018-3630-6
Cinar E, Saxena S, Uygur F. Low-level laser therapy in the management of plantar fasciitis: A randomized controlled trial. Lasers Med Sci. 2018;33:949–958. https://doi.org/10.1007/s10103-017-2423-3
Ba S, Zhou P, Yu M. Ultrasound is effective to treat temporomandibular joint disorder. J Pain Res. 2021;14:1667–1673.
Cabello MA, Mármol JMP, Quinta CJB, Peñarrocha GAM, Sánchez AMC, Olivares BC. Effect of adding interferential current stimulation to exercise on outcomes in primary care patients with chronic neck pain: A randomized controlled trial. Clin Rehabil. 2019;33(9):1458–1467. https://doi.org/10.1177/0269215519844554
Chen FC, Jin ZL, Wang DF. A retrospective study of transcutaneous electrical nerve stimulation for chronic pain following ankylosing spondylitis. Medicine. 2018;97(27):e11265. https://doi.org/10.1097%2FMD.0000000000011265
Lee D, Lee G. Effect of afferent electrical stimulation with mirror therapy on motor function, balance, and gait in chronic stroke survivors: A randomized controlled trial. Eur J Phys Rehabil Med. 2019;55(4):442–449. https://doi.org/10.23736/s1973-9087.19.05334-6
Castro-Sánchez AM, Garcia-López H, Fernández-Sánchez M, et al. Benefits of dry needling of myofascial trigger points on autonomic function and photoelectric plethysmography in patients with fibromyalgia syndrome. Acupunct Med. 2020;38(3):140–149. https://doi.org/10.1136/acupmed-2017-011504
Mao JJ, Liou KT, Baser RE, et al. Effectiveness of electroacupuncture or auricular acupuncture vs usual care for chronic musculoskeletal pain among cancer survivors: The PEACE randomized clinical trial. JAMA Oncol. 2021;7(5):720–727. https://doi.org/10.1001/jamaoncol.2021.0310
Yuan P, Ma D, Zhang Y, et al. Efficacy of low-intensity extracorporeal shock wave therapy for the treatment of chronic prostatitis/chronic pelvic pain syndrome: A systematic review and meta-analysis. Neurourol Urodyn. 2019;38(6):1457–1466. https://doi.org/10.1002/nau.24017
Copyright (c) 2022 Riha Zahid, Ifrah Khan, Rahila Anis, Hafiz Junaid Ahmad, Saba Riaz

This work is licensed under a Creative Commons Attribution 4.0 International License.
