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dc.contributor.authorSeenan, Chris
dc.contributor.authorMcSwiggan, Steve
dc.contributor.authorRoche, Patricia A.
dc.contributor.authorTan, Chee-Wee
dc.contributor.authorMercer, Tom
dc.contributor.authorBelch, Jill J. F.
dc.date.accessioned2018-06-29T21:45:40Z
dc.date.available2018-06-29T21:45:40Z
dc.date.issued2016-07-01
dc.identifierER4450
dc.identifier.citationSeenan, C., McSwiggan, S., Roche, P., Tan, C., Mercer, T. & Belch, J. (2016) Transcutaneous Electrical Nerve Stimulation Improves Walking Performance in Patients With Intermittent Claudication, Journal of Cardiovascular Nursing, vol. 31, , pp. 323-330,
dc.identifier.issn0889-4655
dc.identifier.urihttp://doi.org/10.1097/JCN.0000000000000258
dc.identifier.urihttps://eresearch.qmu.ac.uk/handle/20.500.12289/4450
dc.description.abstractThe purpose of this study was to investigate the effects of 2 types of transcutaneous electrical nerve stimulation (TENS) on walking distance and measures of pain in patients with peripheral arterial disease (PAD) and intermittent claudication (IC). In a phase 2a study, 40 participants with PAD and IC completed a graded treadmill test on 2 separate testing occasions. Active TENS was applied to the lower limb on the first occasion; and placebo TENS, on the second. The participants were divided into 2 experimental groups. One group received high-frequency TENS; and the other, low-frequency TENS. Measures taken were initial claudication distance, functional claudication distance, and absolute claudication distance. The McGill Pain Questionnaire (MPQ) vocabulary was completed at the end of the intervention, and the MPQ-Pain Rating Index score was calculated. Four participants were excluded from the final analysis because of noncompletion of the experimental procedure. Median walking distance increased with high-frequency TENS for all measures (P <.05, Wilcoxon signed rank test, all measures). Only absolute claudication distance increased significantly with low-frequency TENS compared with placebo (median, 179-228; W s = 39; z = 2.025; P =.043; r = 0.48). No difference was observed between reported median MPQ-Pain Rating Index scores: 21.5 with placebo TENS and 21.5 with active TENS (P =.41). Transcutaneous electrical nerve stimulation applied to the lower limb of the patients with PAD and IC was associated with increased walking distance on a treadmill but not with any reduction in pain. Transcutaneous electrical nerve stimulation may be a useful adjunctive intervention to help increase walking performance in patients with IC. 2016 Wolters Kluwer Health, Inc.
dc.format.extent323-330
dc.publisherWolters Kluwer Health, Inc.
dc.relation.ispartofJournal of Cardiovascular Nursing
dc.titleTranscutaneous Electrical Nerve Stimulation Improves Walking Performance in Patients With Intermittent Claudication
dc.typearticle
dcterms.accessRightsrestricted
dc.description.facultysch_phy
dc.description.volume31
dc.identifier.doihttp://doi:10.1097/JCN.0000000000000258
dc.description.ispublishedpub
dc.description.eprintid4450
rioxxterms.typearticle
refterms.dateAccepted2015-01-15
qmu.authorMercer, Tom
qmu.authorTan, Chee-Wee
qmu.centreCentre for Health, Activity and Rehabilitation Research
dc.description.statuspub
dc.description.number4


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