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IJPR.2018.124

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Type of Article:  Original Research

Volume 6; Issue 3 (May 2018)

Page No.: 2720-2725

DOI: https://dx.doi.org/10.16965/ijpr.2018.124

COMPARISON BETWEEN TENS AND MET FOR REDUCTION IN PAIN AND INCREASE IN RANGE OF HIP INTERNAL ROTATION IN POST- OPERATIVE EXTRA CAPSULAR NECK OF FEMUR FRACTURE PATIENTS

Poonam Aundhekar 1, Apurv Shimpi *2, Ashok Shyam 3, Parag Sancheti 4.

1 B.P.Th, Sancheti Institute College of Physiotherapy, Pune, Maharashtra, India.

*2 M.P.Th, Professor and Head of Department of Community PT, Sancheti Institute College of Physiotherapy, Pune, Maharashtra, India.

3 MS Ortho, Research officer, Sancheti Institute of Orthopaedics and Rehabilitation, Pune,   Maharashtra, India

4 MS Ortho, Chairman, Sancheti Institute of Orthopaedics and Rehabilitation, Pune, Maharashtra, India.

Corresponding author: Dr.Apurv Shimpi, Professor and Head of Department of Community PT, Sancheti Institute College of Physiotherapy, Pune-411005, Maharashtra, India. E-Mail apurvshimpi@sha.edu.in

ABSTRACT

Background: The occurrence of ECNF fractures is increasing in the ageing population. Post-operatively, these patients present with pain and loss of internal rotation range which further complicates the rehabilitation and affects their quality of life. TENS and MET are widely used clinically in pain management and movement enhancement in such cases.

Objective: The objective was to compare between the effectiveness of Transcutaneous Electrical Nerve Stimulation versus Muscle Energy Technique for pain reduction and improvement of hip internal rotation in post-operative ECNF patients.

Design: Single-blinded randomized active controlled parallel group trial.

Setting: In-patient department of an Orthopedics super-specialty hospital in Pune, India

Participants: Patients with ECNF fracture between age group 50-80 operated by proximal femoral nail A or A2 (Anti-rotation).

Methodology: Patients were pre-assessed for pain and range of motion and were randomly divided into TENS and MET groups. Intervention was given for 2 sessions/ day for 2 days in both the groups after which the post assessment was done. Dependent and independent ‘t’ test was used for the range assessment for intra and inter-group analysis while Wilcoxon test and Mann Whitney test was used for the pain analysis respectively with alpha >0.05 at 95%CI.

Main outcome measures: Visual Analogue Scale for Pain, Range of motion measurements by Universal Goniometer.

Results: The TENS group showed reduction in Pain by 3.61 (p=0.00) and increase in IR ROM by 12.88 degrees (p=0.00, 95%CI 10.93-14.84). Similarly, the MET group also showed reduction in Pain by 3.61 (p=0.00) and increase in IR ROM by 15.22 degrees (p=0.00, 95%CI 12.22-18.21). Inter-group analysis showed an insignificant difference for pain (0, p=1.00) and for ROM (2.34 degrees, p=0.140)

Conclusion: Both, TENS and MET, are equally effective in pain reduction and hip internal rotation range enhancement in post operative patients of ECNF fracture.

Key words: Muscle Energy Technique, Internal Rotation, Pain, Transcutaneous Electrical Nerve Stimulation.

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Cite this article: Poonam Aundhekar, Apurv Shimpi, Ashok Shyam, Parag Sancheti. COMPARISON BETWEEN TENS AND MET FOR REDUCTION IN PAIN AND INCREASE IN RANGE OF HIP INTERNAL ROTATION IN POST- OPERATIVE EXTRA CAPSULAR NECK OF FEMUR FRACTURE PATIENTS. Int J Physiother Res 2018;6(3):2720-2725. DOI: 10.16965/ijpr.2018.124
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