Effect of premodulated interferential current versus diadynamic current on the management of lateral elbow tendinopathy

Abdelatief, Emad Eldin Mohamed; Almaboud, Bassam Ahmed Nabil Abd

doi:10.2478/bhk-2023-0003

Abstract

Study aim: To compare the effect of premodulated interferential current (PREMOD IFC) and diadynamic current (DD) with exercise training on the management of lateral elbow tendinopathy (LET).

Material and methods: One hundred and four patients with unilateral LET from both genders (55 females and 49 males) were randomly allocated into two groups. Group A received PREMOD IFC in addition to the exercises, and group B received DD with the same exercises. The outcomes were maximum grip strength assessed by the hand dynamometer, the pinch strength assessed by the pinch gauge dynamometer, and pain and functional disability of the forearm assessed by a patient-rated tennis elbow evaluation (PRTEE) questionnaire. All participants received electrical stimulation, consisting of three sessions per week for six weeks.

Results: The mean PRTEE score, and grip strength were significantly improved after six weeks in favour of group A, while there was no significant difference between the two groups in pinch strength. (p < 0.05).

Conclusion: The results revealed that the combination of PREMOD IFC with exercises could improve pain, functional disability, and grip strength compared to DD with exercises in LET patients without a significant difference between the two groups in pinch strength.

References

1. Adedoyin R.A., Olaogun M.O.B., Fagbeja O.F. (2002) Effects of interferential current stimulation in management of osteoarthritis knee pain. Physiotherapy, 88: 493-499
Search in Google Scholar Back to article
2. Albornoz-Cabello M., Maya-Martín J., Domínguez-Maldonado G., Espejo-Antúnez L., Heredia-Rizo A.M. (2017) Effect of interferential current therapy on pain perception and disability level in subjects with chronic low back pain: a randomized controlled trial. Clin. Rehabil., 31(2): 242-249. DOI: 10.1177/0269215516639653.
Open DOI Search in Google Scholar Back to article
3. Beatti A., Rayner A., Chipchase L., Souvlis T. (2011) Penetration and spread of interferential current in cutaneous, subcutaneous and muscle tissues. Physiotherapy, 97(4): 319-326. DOI: 10.1016/j.physio.2011.01.008.
Open DOI Search in Google Scholar Back to article
4. Bechtol C.O. (1954) Grip test; the use of a dynamometer with adjustable handle spacings. J. Bone. Joint. Surg. Am., 36-A (4): 820-824; passim.
Search in Google Scholar Back to article
5. Beyer S.E., Sanghvi M.M., Aung N., Hosking A., Cooper J.A., Paiva J.M., Lee A.M., Fung K., Lukaschuk E., Carapella V., Mittleman M.A., Brage S., Piechnik S.K., Neubauer S., Petersen S.E. (2018) Prospective association between handgrip strength and cardiac structure and function in UK adults. PloS one, 13(3): e0193124.
Search in Google Scholar Back to article
6. Bhabra G., Wang A., Ebert J.R., Edwards P., Zheng M., Zheng M.H. (2016) Lateral Elbow Tendinopathy: Development of a Pathophysiology-Based Treatment Algorithm. Orthop. J. Sports Med., 4(11): 2325967116670635. DOI: 10.1177/2325967116670635.
Open DOI Search in Google Scholar Back to article
7. Bisset L., Beller E., Jull G., Brooks P., Darnell R., Vicenzino B. (2006) Mobilisation with movement and exercise, corticosteroid injection, or wait and see for tennis elbow: randomised trial. BMJ, 333(7575): 939. DOI: 10.1136/bmj.38961.584653.AE. Epub 2006 Sep 29.
Open DOI Search in Google Scholar Back to article
8. Bisset L.M., Vicenzino B. (2015) Physiotherapy management of lateral epicondylalgia. J. Physiother., 61: 174-181. DOI: 10.1016/j.jphys.2015.07.015.
Open DOI Search in Google Scholar Back to article
9. Camargo B.F., Santos M.M., Liebano R.E. (2012) Efeito hipoalgésico das correntes diadinâmicas de Bernard em indivíduos saudáveis. Rev. dor., 13 (4): 327-331. DOI: 10.1590/S1806-00132012000400004.
Open DOI Search in Google Scholar Back to article
10. Can F., Tandoğan R., Yilmaz I., Dolunay E., Erden Z. (2003) Rehabilitation of patellofemoral pain syndrome: TENS versus diadynamic current therapy for pain relief. The Pain Clinic, 15: 61-68. DOI: 10.1163/156856903321196519.
Open DOI Search in Google Scholar Back to article
11. Cheing G.L., So E.M., Chao C.Y. (2008) Effectiveness of electroacupuncture and interferential eloctrotherapy in the management of frozen shoulder. J. Rehabil. Med., 40(3): 166-170. DOI: 10.2340/16501977-0142.
Open DOI Search in Google Scholar Back to article
12. Cheing G.L., Tsui A.Y., Lo S.K., Hui-Chan C.W. (2003) Optimal stimulation duration of tens in the management of osteoarthritic knee pain. J. Rehabil. Med., 35(2): 62-68. DOI: 10.1080/16501970306116.
Open DOI Search in Google Scholar Back to article
13. Choi C., Kwon S., Park W., Lee H.D., Kim J. (2010) Real-time pinch force estimation by surface electromyography using an artificial neural network. Med. Eng. Phys., 32(5): 429-436. DOI: 10.1016/j.medengphy.2010.04.004.
Open DOI Search in Google Scholar Back to article
14. Coombes B.K., Bisset L., Brooks P., Khan A., Vicenzino B. (2013) Effect of corticosteroid injection, physiotherapy, or both on clinical outcomes in patients with unilateral lateral epicondylalgia: a randomized controlled trial. JAMA., 309(5): 461-469. DOI: 10.1001/jama.2013.129.
Open DOI Search in Google Scholar Back to article
15. Coombes B.K., Bisset L., Vicenzino B. (2009) A new integrative model of lateral epicondylalgia. Br. J. Sports Med., 43(4): 252-258. DOI: 10.1136/bjsm.2008.052738.
Open DOI Search in Google Scholar Back to article
16. Coombes B.K., Bisset L., Vicenzino B. (2015) Management of Lateral Elbow Tendinopathy: One Size Does Not Fit All. J. Orthop. Sports. Phys. Ther., 45: 938-949. DOI: 10.2519/jospt.2015.5841.
Open DOI Search in Google Scholar Back to article
17. Cullinane F.L., Boocock M.G., Trevelyan F.C. (2014) Is eccentric exercise an effective treatment for lateral epicondylitis? A systematic review. Clin. Rehabil., 28(1): 3-19. DOI: 10.1177/0269215513491974.
Open DOI Search in Google Scholar Back to article
18. de Carvalho A.R., Fungueto E.M., Canzi I.M., Barbieiro C., de Moraes V., Bertolini G.R.F., Aragao F.A. (2005) Bernard’s diadynamic currents and iontophoresis in low back pain treatment. Fisioterapia. Em. Movimento., Oct-Dec; 18(4): 11-19.
Search in Google Scholar Back to article
19. Defrin R., Ariel E., Peretz C. (2005) Segmental noxious versus innocuous electrical stimulation for chronic pain relief and the effect of fading sensation during treatment. Pain, 115(1-2): 152-160. DOI: 10.1016/j.pain.2005.02.018.
Open DOI Search in Google Scholar Back to article
20. Demidaś A., Zarzycki M. (2019) Touch and Pain Sensations in Diadynamic Current (DD) and Transcutaneous Electrical Nerve Stimulation (TENS): A Randomized Study. Biomed. Res. Int., Jul 17. DOI:10.1155/2019/9073073.
Open DOI Search in Google Scholar Back to article
21. Dimitrios S. (2016) Lateral elbow tendinopathy: Evidence of physiotherapy management. World J. Orthop., 7(8): 463-466. DOI: 10.5312/wjo.v7.i8.463.
Open DOI Search in Google Scholar Back to article
22. Doğar Y., Doğar A., Kabasakal S.A. (2019) Differences of Treatment Effectiveness between Diadynamic Currents and Interferantial Currents in Patients with Lumbar Disc Herniation. International Journal of Sports Science, 9(3): 54-60. DOI:10.5923/j.sports.20190903.02
Open DOI Search in Google Scholar Back to article
23. Dounavi M.D., Chesterton L.S., Sim J. (2012) Effects of interferential therapy parameter combinations upon experimentally induced pain in pain-free participants: a randomized controlled trial. Phys Ther., 92(7): 911-923. DOI: 10.2522/ptj.20110104.
Open DOI Search in Google Scholar Back to article
24. Ebadi S., Ansari N.N., Ahadi T., Fallah E., Forogh B. (2018) No immediate analgesic effect of diadynamic current in patients with nonspecific low back pain in comparison to TENS. J. Bodyw. Mov. Ther., 22(3): 693-699. DOI: 10.1016/j.jbmt.2017.11.003.
Open DOI Search in Google Scholar Back to article
25. Eftekharsadat B., Babaei-Ghazani A., Habibzadeh A., Kolahi B. (2015) Efficacy of action potential simulation and interferential therapy in the rehabilitation of patients with knee osteoarthritis. Ther. Adv. Musculoskelet. Dis., 7(3): 67-75. DOI: 10.1177/1759720X15575724.
Open DOI Search in Google Scholar Back to article
26. Eslamian F., Farhoudi M., Jahanjoo F., Sadeghi-Hokmabadi E., Darabi P. (2020) Electrical interferential current stimulation versus electrical acupuncture in management of hemiplegic shoulder pain and disability following ischemic stroke-a randomized clinical trial. Arch. Physi-other., 10: 2. DOI: 10.1186/s40945-019-0071-6.
Open DOI Search in Google Scholar Back to article
27. Facci L.M., Nowotny J.P., Tormem F., Trevisani V.F. (2011) Effects of transcutaneous electrical nerve stimulation (TENS) and interferential currents (IFC) in patients with nonspecific chronic low back pain: Randomized clinical trial. Sao Paulo Med. J., 129(4): 206-216. DOI: 10.1590/s1516-31802011000400003.
Open DOI Search in Google Scholar Back to article
28. Fleckenstein J.L., Watumull D., Bertocci L.A., Parkey R.W., Peshock R.M. (1992) Finger-specific flexor recruitment in humans: depiction by exercise-enhanced MRI. J. Appl. Physiol., 72(5): 1974-1977. DOI: 10.1152/jappl.1992.72.5.1974.
Open DOI Search in Google Scholar Back to article
29. Forogh B.N., Ansari N.N., Ahadi T., Ebadi S. (2016) Analgesic effect of diadynamic current in patients with nonspecific low back pain and transcutaneous electrical nerve stimulation. Global Journal of Health Science, vol. 9, article 195.
Search in Google Scholar Back to article
30. Fritz N.E., McCarthy C.J., Adamo D.E. (2017) Handgrip strength as a means of monitoring progression of cognitive decline–a scoping review. Ageing Research Reviews, 35: 112-123. DOI: 10.1016/j.arr.2017.01.004.
Open DOI Search in Google Scholar Back to article
31. Gomes C.A.F.P., Dibai-Filho A.V., Moreira W.A., Rivas S.Q., Silva E.D.S., Garrido A.C.B. (2018) Effect of adding interferential current in an exercise and manual therapy program for patients with unilateral shoulder impingement syndrome: A randomized clinical trial. J. Manip. Physiol. Ther., 41(3): 218-226. DOI: 10.1016/j.jmpt.2017.09.009.
Open DOI Search in Google Scholar Back to article
32. Gunay U.S., Kaya D.O., Kayali Y., Askin A., Tekindal M.A. (2018) Comparison of different electrotherapy methods and exercise therapy in shoulder impingement syndrome: A prospective randomized controlled trial. Acta. Orthop. Traumatol. Turc., 52(4): 249-255. DOI: 10.1016/j.aott.2018.03.005.
Open DOI Search in Google Scholar Back to article
33. Hou C.R., Tsai L.C., Cheng K.F., Chung K.C., Hong C.Z. (2002) Immediate effects of various physical therapeutic modalities on cervical myofascial pain and trigger-point sensitivity. Arch. Phys. Med. Rehabil., 83(10): 1406-1414. DOI: 10.1053/apmr.2002.34834.
Open DOI Search in Google Scholar Back to article
34. Hubbard M.J., Hildebrand B.A., Battafarano M.M., Battafarano D.F. (2018) Common Soft Tissue Musculoskeletal Pain Disorders. Primary Care, 45(2): 289-303. DOI: 10.1016/j.pop.2018.02.006.
Open DOI Search in Google Scholar Back to article
35. Hurley D.A., McDonough S.M., Dempster M., Moore A.P., Baxter G.D. (2004) A randomized clinical trial of manipulative therapy and interferential therapy for acute low back pain. Spine, 29(20): 2207-2216. DOI: 10.1097/01.brs.0000142234.15437.
Open DOI Search in Google Scholar Back to article
36. Hurley D.A., Minder P.M., McDonough S.M., Walsh D.M., Moore A.P., Baxter D.G. (2001) Interferential therapy electrode placement technique in acute low back pain: a preliminary investigation. Arch. Phys. Med. Rehabil., 82(4): 485-493. DOI: 10.1053/apmr.2001.21934.
Open DOI Search in Google Scholar Back to article
37. Johnson M.I., Tabasam G. (2003) An investigation into the analgesic effects of interferential currents and trans-cutaneous electrical nerve stimulation on experimentally induced ischemic pain in otherwise pain free volunteers. Phys. Ther., 83(3): 208-223.
Search in Google Scholar Back to article
38. Khan K.M., Scott A. (2009) Mechanotherapy: how physical therapists’ prescription of exercise promotes tissue repair. Br. J. Sports. Med., 43(4): 247-252. DOI: 10.1136/bjsm.2008.054239.
Open DOI Search in Google Scholar Back to article
39. Kloth L.C. (1991) Interference current. In: Nelson R.M., Currier D.P., eds.: Clinical electrotherapy. 2nd ed. East Norwalk: Appleton and Lange, p 221-260.
Search in Google Scholar Back to article
40. Lambert H.L., Vanderstraeten G.G., De Cuyper H.J. (1993) Electric current distribution during interferential therapy. Eur. J. Phys. Med. Rehabil., 3: 6-10.
Search in Google Scholar Back to article
41. Lee M., Song C., Jo Y., Ha D. Han D. (2015) The effects of core muscle release technique on lumbar spine deformation and low back pain. J. Phys. Ther. Sci., 27(5): 1519-1522. DOI: 10.1589/jpts.27.1519.
Open DOI Search in Google Scholar Back to article
42. Lee S.J., Kim S.H., Kim H.T., Kim M.J. (2006) The comparison of hand grip and pinch strength between Parkinson’s disease and control group. Korean J. Clin. Geriatr., 7: 433-439. DOI: 10.5854/JIAPTR.2011.2.1.201.
Open DOI Search in Google Scholar Back to article
43. MacKenzie C., Iberall T. (1994) The grasping hand. 1st ed. Amsterdam: Elsevier Science.
Search in Google Scholar Back to article
44. Martin D., Palmer S., Heath C. (2000) Interferential current as an adjunct to exercise and mobilization in the treatment of proximal humerus fracture pain: lack of evidence of an additional effect. Physiotherapy, 86: 147.
Search in Google Scholar Back to article
45. Mathiowetz V., Vizenor L., Melander D. (2000) Comparison of Baseline Instruments to the Jamar Dynamometer and the B&L Engineering Pinch Gauge. The Occupational Therapy Journal of Research, 20(3): 147-162. DOI: 10.1177/153944920002000301.
Open DOI Search in Google Scholar Back to article
46. Melzack R., Wall P.D. (1965) Pain mechanisms: a new theory. Science, 150(3699): 971-979. DOI: 10.1126/science.150.3699.971.
Open DOI Search in Google Scholar Back to article
47. Moon M.S., Ok I.Y., Kim H.J. (1982) The study of pinching type and power. J. Korean Orthop. Assoc., 17: 206-212.
Search in Google Scholar Back to article
48. Nazligul T., Akpinar P., Aktas I., Unlu Ozkan F., Cagliyan Hartevioglu H. (2018) The effect of interferential current therapy on patients with subacromial impingement syndrome: A randomized, double-blind, sham-controlled study. Eur. J. Phys. Rehabil. Med., 54(3): 351-357. DOI: 10.23736/S1973-9087.17.04743-8.
Open DOI Search in Google Scholar Back to article
49. Olaussen M., Holmedal Ø., Mdala I., Brage S., Lind-bæk M. (2015) Corticosteroid or placebo injection combined with deep transverse friction massage, Mills manipulation, stretching and eccentric exercise for acute lateral epicondylitis: a randomised, controlled trial. BMC Musculoskeletal Disorders, 16(1): 122. DOI: 10.1186/s12891-015-0582-6. ISSN 1471-2474.
Open DOI Search in Google Scholar Back to article
50. Orchard J.W., Vicenzino B. (2017) Cortisone injections for tennis elbow should be an “avoid”, rather than a recommended procedure. Med. J. Aust., 207(10): 453. DOI: 10.5694/mja17.00445.
Open DOI Search in Google Scholar Back to article
51. Overend T.J., Wuori-Fearn J.L., Kramer J.F., MacDermid J.C. (1999) Reliability of a patient-rated forearm evaluation questionnaire for patients with lateral epicondylitis. J. Hand. Ther., 12(1): 31-37. DOI: 10.1016/s0894-1130(99)80031-3.
Open DOI Search in Google Scholar Back to article
52. Ozcan J., Ward A.R., Robertson V.J. (2004) A comparison of true and premodulated interferential currents. Arch. Phys. Med. Rehabil., 85(3): 409-415. DOI: 10.1016/s0003-9993(03)00478-7.
Open DOI Search in Google Scholar Back to article
53. Peterson M., Butler S., Eriksson M., Svärdsudd K. (2011) A randomized controlled trial of exercise versus wait-list in chronic tennis elbow (lateral epicondylosis). Ups. J. Med. Sci., 116(4): 269-279. DOI: 10.3109/03009734.2011.600476.
Open DOI Search in Google Scholar Back to article
54. Pienimäki T., Karinen P., Kemilä T., Koivukangas P., Vanharanta H. (1998) Long-term follow-up of conservatively treated chronic tennis elbow patients. A prospective and retrospective analysis. Scand. J. Rehabil. Med., 30(3): 159-166. DOI: 10.1080/003655098444093.
Open DOI Search in Google Scholar Back to article
55. Quirk A.S., Newman R.J., Newman K.J. (1985) An evaluation of interferential therapy, shortwave diathermy and exercise in the treatment of osteoarthrosis of the knee. Physiotherapy, 71: 55-57.
Search in Google Scholar Back to article
56. Ratajczak B., Hawrylak A., Demidaś A., Kuciel-Lewandowska J., Boerner E. (2011) Effectiveness of diadynamic currents and transcutaneous electrical nerve stimulation in disc disease lumbar part of spine. J. Back. Musculoskelet. Rehabil., 24(3): 155-159. DOI: 10.3233/BMR-2011-0289.
Open DOI Search in Google Scholar Back to article
57. Rompe J.D., Overend T.J., MacDermid J.C. (2007) Validation of the Patient-rated Tennis Elbow Evaluation Questionnaire. J. Hand. Ther., 20(1): 3-10; quiz 11. DOI: 10.1197/j.jht.2006.10.003.
Open DOI Search in Google Scholar Back to article
58. Shafshak T.S., el-Sheshai A.M., Soltan H.E. (1991) Personality traits in the mechanisms of interferential therapy for osteoarthritic knee pain. Arch. Phys. Med. Rehabil., 72(8): 579-581.
Search in Google Scholar Back to article
59. Suriya-amarit D., Gaogasigam C., Siriphorn A., Boonyong S. (2014) Effect of interferential current stimulation in management of hemiplegic shoulder pain. Arch. Phys. Med. Rehabil., 95(8): 1441-1446. DOI: 10.1016/j.apmr.2014.04.002.
Open DOI Search in Google Scholar Back to article
60. Treede R.D. (2016) Gain control mechanisms in the nociceptive system. Pain, 157(6): 1199-1204. DOI: 10.1097/j.pain.0000000000000499.
Open DOI Search in Google Scholar Back to article
61. Van A.M., Zwerver J., Diercks R.L. (2014) Cross-cultural adaptation and reliability and validity of the Dutch Patient-Rated Tennis Elbow Evaluation (PRTEE-D). BMC. Musculoskelet Disord., 15: 270. DOI: 10.1186/1471-2474-15-270
Open DOI Search in Google Scholar Back to article
62. Vaquero-Picado A., Barco R., Antuña S.A. (2016) Lateral epicondylitis of the elbow. EFFORT. Open Reviews, 1(11): 391-397. DOI: 10.1302/2058-5241.1.000049.
Open DOI Search in Google Scholar Back to article
63. Venancio R.C., Pelegrini S., Gomes D.Q., Nakano E.Y., Liebano R.E. (2013) Effects of carrier frequency of inter-ferential current on pressure pain threshold and sensory comfort in humans. Arch. Phys. Med. Rehabil., 94(1): 95-102. DOI: 10.1016/j.apmr.2012.08.204.
Open DOI Search in Google Scholar Back to article
64. Werners R., Pynsent P.B., Bulstrode C.J. (1999) Randomized trial comparing interferential therapy with motorized lumbar traction and massage in the management of low back pain in a primary care setting. Spine, 24(15): 1579-1584. DOI: 10.1097/00007632-199908010-00012.
Open DOI Search in Google Scholar Back to article
65. Wolf J.M. (2015) Tennis Elbow: Clinical Management. Springer. p. 1. ISBN 9781489975348.
Search in Google Scholar Back to article
66. Youn J.I., Lee H.S., Lee S. (2016) Determination of effective treatment duration of interferential current therapy using electromyography. J. Phys. Ther. Sci., 28(8): 2400-2403. DOI: 10.1589/jpts.28.2400.
Open DOI Search in Google Scholar Back to article

Effect of premodulated interferential current versus diadynamic current on the management of lateral elbow tendinopathy

Abstract

Paradigm

My account