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Journal of Hand Surgery (British and European Volume)
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Articles

Transcutaneous Electrical Nerve Stimulation for Neuropathic Pain

G. L. Y. CHEING
M. L. M. LUK

From the Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong and the Queen Elizabeth Hospital, Hong Kong

Correspondence: Dr Gladys Cheing, Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong. Tel.: +852 2766 6738; fax: +852 2330 8656. E-mail: rsgladys{at}polyu.edu.hk

This study examined the clinical effectiveness of high-frequency transcutaneous electrical nerve stimulation for reducing hypersensitivity of the hand. Nineteen patients suffering from hand hypersensitivity were randomly assigned into either a treatment or a placebo group. A visual analogue scale and the Downey Hand Centre Hand Sensitivity Test were used to measure the tactile tolerance of the hand. Grip strength was assessed by a grip dynamometer. Daily applications of electrical stimulation were provided for 2 weeks. Significantly lower pain scores were found in the treatment group than in the placebo group by Day 7 and Day 11. The ranking of ten dowel textures of the Downey Hand Centre Hand Sensitivity Test in the treatment group was significantly higher than in the placebo group by Day 7 and Day 11. However, no significant intergroup difference was found in grip strength.

Key Words: transcutaneous electrical nerve stimulation • neuropathic pain • hand

Journal of Hand Surgery (British and European Volume), Vol. 30, No. 1, 50-55 (2005)
DOI: 10.1016/J.JHSB.2004.08.007
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