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Original Article

Clinical Pain 2016; 15(1): 29-34

Published online June 30, 2016

Copyright © Korean Association of Pain Medicine.

Therapeutic Effect of Transcutaneous Magnetic Stimulation and Transcutaneous Electrical Stimulation on Carpal Tunnel Syndrome - A Preliminary Study -

수근관 증후군에서 경피적 자기 자극과 경피적 전기 자극 치료 효과 비교 -예비적 연구-

Ji Sun Jung, M.D., Hyun Geun Ha, PT, Msc, Kee Sung Kim, PT, Msc, Soon Yeop Chae, PT, Msc, Jae Yong Jo, M.D. and Sang Jun Kim, M.D., Ph.D.

정지선ㆍ하현근ㆍ김기성ㆍ채순엽ㆍ조재용ㆍ김상준

Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Seoul, Korea

삼성서울병원 재활의학과

Received: November 17, 2015; Accepted: March 9, 2016

Abstract

Objective: To assess the effectiveness of transcutaneous magnetic stimulation (TMS) in the management of carpal tunnel syndrome (CTS) compared with transcutaneous electrical nerve stimulation (TENS) therapy. Method: This was a prospective, open-label, randomized study. Eleven patients (15 wrists) diagnosed with CTS, confirmed by nerve conduction study were enrolled. TMS or TENS were applied to the symptomatic wrist 20 minutes per day, 3 times a week for a total of 4 weeks based on the random allocation. Visual analog scale (VAS) and the Boston carpal tunnel syndrome questionnaire (BCTQ) were evaluated before and 4 weeks after TMS or TENS. Results: VAS changed from 6.9 to 4.6 after TMS, which change was statistically significant (p=0.013), but not after TENS (from 5.9 to 4.1, p=0.150). There was significant difference of VAS change between TMS and TENS (p=0.041). BCTQ changed from 5.9 to 4.0 after TMS and from 6.3 to 4.5 after TENS. The changes of BCTQ after TMS and TENS were statistically significant (p=0.040 and p=0.038) but these changes were not significantly different between TMS and TENS groups (p=0.970). Conclusion: We found that TMS can be used in the treatment of CTS without direct contact of skin. This has superiority over TENS in terms of easy application to irregular surfaces and areas with skin problems. (Clinical Pain 2016;15:29-34)

KeywordsCarpal tunnel syndrome, Magnetic stimulation, Electrical stimulation, Pain

Korean Association of Pain Medicine

Vol.23 No.2
December 2024

eISSN: 2765-5156

Frequency: Semi Annual

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