Saturday, July 19, 2008

Electro therapy in mechanical neck pain disorder


According to Kroeling P et al’s review of evidence of electrotherapy on mechanical neck disorders
1. Low or high frequency pulsed electromagnetic field (PEMF) compared to placebo, provides immediate post treatment pain relief only for chronic MND, acute whiplash (WAD) (Limited evidence of benefit)
2. Direct and modulated Galvanic current compared to other treatments for pain in acute, subacute, chronic occipital headache (Unclear or conflicting evidence)

3. Iontophoresis compared to other treatments for pain, RTW, and self-assessment of overall outcome in acute, subacute WAD (Unclear or conflicting evidence)

4. TENS compared to placebo for pain in acute WAD, chronic MND (Unclear or conflicting evidence)

5. PEMF compared to placebo for medium or long term effect on pain, patient assessment of improvement, ADL in acute WAD, chronic MND (Unclear or conflicting evidence)
6. Diadynamic current compared to placebo for reduction of trigger point tenderness in chronic MND with radicular findings, cervicogenic headache (Limited evidence of no benefit)
7. Permanent magnets compared to a placebo for pain in chronic MND (Limited evidence of no benefit)
8. Electric muscle stimulation compared to a sham control for pain in chronic MND (Limited evidence of no benefit)

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