Descriptive study on the effects of HMP simultaneous with TENS and separate treatments of HMP and TENS for the management of muscular pains among patients of De La Salle University Physical Therapy Satellite and Home-Based Centers

Date of Completion

2000

Document Type

Thesis

Degree Name

Bachelor of Science in Physical Therapy

Keywords

Transcutaneous Electrical Nerve Stimulation, Rehabilitation Centers, Muscular Diseases

Abstract

Hot Moist Pack (HMP) and Transcutaneous Electrical Nerve Stimulation (TENS) are two of the most commonly used physical modalities in treating muscular pain. In the clinical setting today. These are two approaches in which the two modalities are applied. Each of these modalities used in adjunct with the other in treating pain brought about by muscular strain or trauma. Through the course of time, the application of HMP simultaneous with TENS arose. There have been controversies regarding the use of this technique againts the separate use of each. Time management is the most popular reason for the simultaneous approach, but this techniques is believed to trigger greater risk of burn and electrical shock. This controversial issue has indeed caused a lot of confusion to the student interns and even among registered Physical therapist of the Philippines, Thus, with the study the authors aim to establish with of the treatment would greatly reduce the pain experienced by the patient in the earliest possible time with the least adverse effects. Data was obtained through reviewing the patients; records from the five rehabilitation centers namely: DLSUMC-DIMDRU, JPRNMRC, HBSI, ABMH and SDMC. From a total of 45 subjects, results showed that 15 or 33.33% received HMP simultaneous with TENS; 30 patients of 66.60% received separate treatments of HMP and TENS. From the 15 patients who received the simultaneous approach, 26.67% had mild (< 50%) pain, 40% had moderate (> 50%) pain relief, and 33.33% had complete pain relief. On the other hand 6.66% of the 30 patients who received the separate approach had mild pain relief, 23.33% had moderate pain relief, and 70% had complete pain relief. Patients who did not have complete pain relief on either approach were prescribed to have additional treatment sessions. The authors consider that with the use of separate treatments of HMP and TEN there is a significant relief of pain for patients who has muscular pain. The researchers agree that time per treatment session is not comparable with the time for the whole treatment course, so no longer treatment session is better than having to undergo with another set of additional treatment sessions. The researchers encourage a follow-up study on this issue, a prospective one, if possible for a more extensive and thorough re-evaluation which may help to upgrade the practice of relieving pain in muscular disorders.

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