Publication:
Addition of tDCS and TENS to an education and exercise program in subjects with knee osteoarthritis: a study protocol

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Journal of Back and Musculoskeletal Rehabilitation 36 (Q3-2023) 299–307.pdf(591.05 KB)
Date
2023-03-01
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Authors
Gacto Sánchez, Mariano Luis ; Lozano Meca, José Antonio ; Lozano Guadalajara, Juan Vicente ; Baño Alcaraz, Aitor ; Lillo Navarro, Camen ; Montilla Herrador, Joaquina
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Facultades de la UMU::Facultad de Medicina
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Publisher
SAGE Publications
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Fisioterapia
DOI
1053-8127
https://doi.org/10.3233/BMR-220015
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Description
Abstract
BACKGROUND: Knee osteoarthritis often leads to chronic pain that frequently becomes disabling.Osteoarthritis has been linked to maladaptive plasticity in the brain, which can contribute to chronic pain. Therapies including neuromodulation and peripheral electrical stimulation are used to counteract the maladaptive plasticity of the brain. OBJECTIVE: To determine the efficacy of the addition of tDCS and TENS to an education and exercise program in reducing pain. METHODS: Over a 2-week study period, 60 participants will complete an exercise and educational intervention. Eligible participants accepting to participate will be subsequently randomized into one of the three treatment groups: 1) Active Transcranial Direct Current Stimulation (tDCS) and active Transcutaneous Electrical Nerve Stimulation (TENS); 2) Active tDCS and sham TENS; 3) Sham tDCS and sham TENS. RESULTS: The primary outcome will be subjective pain intensity. Secondary outcomes: quality of life, physical function, central sensitization, and pain adjuvants (uncertainty, catastrophizing kinesiophobia, adverse events). CONCLUSION: This clinical trial will provide data on the effect that the addition of tDCS and/or TENS to an education and exercise program may have to counteract maladaptive plastic changes and improve the benefits of exercises, and whether the combination of both neuromodulator techniques may have a higher magnitude of effect.
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Pain management , Exercise therapy , Physical therapy modalities
Citation
Journal of Back and Musculoskeletal Rehabilitation, 2023, Vol. 36 (2)), pp. 299–307
URI
https://hdl.handle.net/10201/251441
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