Neuromuscular electrical stimulation for pain management in combat-related transtibial amputees during rehabilitation and prosthetic training

Emily Brede, E. Metter, Laura Talbot

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Military members with war-related lower limb amputation experience a range of acute and chronic pain symptoms. The purpose of this study was to evaluate pain during 12 weeks of a military amputee rehabilitation program (MARP) pre- and post-prosthesis. The data for this study were drawn from a randomized clinical trial comparing MARP supplemented with neuromuscular electrostimulation (MARP + NMES, n = 23) to MARP alone (n = 21) for service members with unilateral transtibial amputation. The McGill Pain Questionnaire (MPQ) and phantom limb pain/sensations were assessed at baseline, 3, 6, 9, and 12 weeks. Changes within- and between-groups were analyzed with generalized mixed models. Participants reported mild-to-moderate pain at all visits, and improved significantly on the MPQ and frequency of phantom limb pain/sensations (p <.001 for effect of time). Group by time interactions were not significant, indicating both groups showed similar improvement. Univariate tests showed the NMES + MARP group had lower pain intensity than MARP-only group at weeks 3 and 6. Participants in MARP demonstrated good overall pain control and reported reduced pain and fewer days with phantom limb pain/sensations over 12 weeks. Adding NMES to MARP may be beneficial in early rehabilitation, and NMES could potentially enhance physical therapy participation by decreasing pain.

Original languageEnglish (US)
Article numbere12084
JournalJournal of Applied Biobehavioral Research
Volume22
Issue number4
DOIs
StatePublished - Dec 1 2017

Fingerprint

Amputees
Pain Management
Electric Stimulation
rehabilitation
pain
Rehabilitation
Military
management
Phantom Limb
Pain
Pain Measurement
Amputation
Prostheses and Implants
Group
Acute Pain
Chronic Pain
questionnaire
Lower Extremity
Randomized Controlled Trials

All Science Journal Classification (ASJC) codes

  • Cultural Studies
  • Experimental and Cognitive Psychology
  • Clinical Psychology
  • Social Sciences (miscellaneous)

Cite this

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title = "Neuromuscular electrical stimulation for pain management in combat-related transtibial amputees during rehabilitation and prosthetic training",
abstract = "Military members with war-related lower limb amputation experience a range of acute and chronic pain symptoms. The purpose of this study was to evaluate pain during 12 weeks of a military amputee rehabilitation program (MARP) pre- and post-prosthesis. The data for this study were drawn from a randomized clinical trial comparing MARP supplemented with neuromuscular electrostimulation (MARP + NMES, n = 23) to MARP alone (n = 21) for service members with unilateral transtibial amputation. The McGill Pain Questionnaire (MPQ) and phantom limb pain/sensations were assessed at baseline, 3, 6, 9, and 12 weeks. Changes within- and between-groups were analyzed with generalized mixed models. Participants reported mild-to-moderate pain at all visits, and improved significantly on the MPQ and frequency of phantom limb pain/sensations (p <.001 for effect of time). Group by time interactions were not significant, indicating both groups showed similar improvement. Univariate tests showed the NMES + MARP group had lower pain intensity than MARP-only group at weeks 3 and 6. Participants in MARP demonstrated good overall pain control and reported reduced pain and fewer days with phantom limb pain/sensations over 12 weeks. Adding NMES to MARP may be beneficial in early rehabilitation, and NMES could potentially enhance physical therapy participation by decreasing pain.",
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