Type of Article : Original Research

Year: 2015 | Volume 3 | Issue 2 | Page No. 992-998

Date of Publication: 11-04-2015

DOI: 10.16965/ijpr.2015.121

EFFECTIVENESS OF DIADYNAMIC CURRENT AND MENS IN HEEL PAIN: A RANDOMIZED CLINICAL TRIAL  

Anand B. Heggannavar ^*1, Preeti R. Ramannavar ², Satyam S. Bhodaji ³.  

^*1 Assistant Professor, Dept. of Orthopedic Manual Therapy, KLE University, Institute of Physiotherapy, Belgaum, Karnataka, India.
^2,3 Physiotherapist, Dept. of Physiotherapy, KLE University, Institute of Physiotherapy, Belgaum, Karnataka, India.

Corresponding author: Anand B. Heggannavar, Assistant Professor, Dept. of Orthopedic Manual Therapy, KLE University, Institute of Physiotherapy, Belgaum590010, Karnataka, India.
E-Mail: anandhegs@yahoo.co.in

Abstract:

Relevance: Heel pain is one of the most common conditions leading to functional disabilities seen worldwide. There are different methods to manage heel pain, conservatively, and/or surgically. Physiotherapy treatment, as a part of conservative management, involves reduction of pain and improvement of functional ability by various approaches like exercise therapy, electrotherapy and manual therapy techniques. Various studies have shown that Diadynamic current and MENS along with conventional treatments give significant beneficial effects in pain reliving. Hence the present study was undertaken to compare and see the effect of Diadynamic current and MENS in heel pain.
Participants: 30 subjects (mean age 25.73 ± 6.56) diagnosed with heel pain were recruited from Out-Patient Department of Physiotherapy of KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belagavi.
Method: Subjects were randomly allocated into 2 groups namely Group A (n=15) who received Diadynamic current along with conventional treatment as Therapeutic ultrasound and strengthening and stretching exercises and Group B (n=15) who received MENS with conventional treatment same as in group A for 7 days. The outcome measures were Visual Analog Scale (VAS) for pain, Pain disability index (PDI) and foot disability index (FDI) for functional disability.
Analysis: Within group and between group analyses after intervention was done to assess changes using paired t-test and unpaired t - test.
Result: Mean difference of VAS scores for Group A was 6.9 ± 1.48 and for Group B was 4.3 ± 2.43. Mean difference of PDI scores for Group A was 274 ± 117 and for Group B was 171 ± 99.Mean difference of FDI scores for Group A was 0.36 ± 0.24 and for Group B was 0.15 ± 0.15. Intra group comparison was statistically significant with p= <0.001 for both the groups in terms of VAS, PDI and FDI respectively. Inter group comparison was statistically significant with p= 0.005, 0.031, 0.007 for VAS, PDI and FDI respectively.
Conclusion: Diadynamic current is effective in reducing pain and secondarily improving the functional ability in subjects with heel pain.
KEY WORDS: Diadynamic current, Microcurrent Electrical Neuromuscular Stimulator or MENS, Pain Disability Index and Foot Disability Index.

References

1. MNT, what is heel pain? What causes heel pain?, http://www.medicaln ewstoday.com/articles/181453.php, January 2015
2. Mayo clinic, Symptoms Heel Pain, Definition http://www.mayoclinic.org/symptoms/heel-pain/basics/definition/sym-20050788, By Mayo clinic staff, January 2015
3. LER, the epidemiology of Plantar fasciitis http://lermagazine.com/article/the-epidemiology-of-plantar-fasciitis, by Capt. Danielle L. Scher, MD; Lt. Col. Philip J. Belmont, Jr., MD; and Maj. Brett D. Owens, MD, January 2015
4. The healthsite, 6 possible causes of heel pain  http://www.thehealthsite.com/diseases-conditions/6-possible-causes heelpain/?gclid=CPa7nvLWm8QCFYcljgodejUArg,by Shraddha Rupuvate, January 2015
5. Evidence Based Guide to Therapeutic Physical Agents. Alain-Yvan Belanger.2003. Lippincott Williams Wilkins 
6. Can, F., R. Tandoğan, et al. (2003). "Rehabilitation of patellofemoral pain syndrome: TENS versus Diadynamic current therapy for pain relief." The Pain Clinic 15(1): 61-68
7. Ratajczak B, Hawrylak A, Demidaś A, et al. . Effectiveness of Diadynamic current and TENS in disc disease lumbar part of spine. J Back Musculoskeletal Rehabil 2011; 24(3):155-9.
8.  Carolyn R, McMakin, Microcurrent Therapy: A novel treatment method for chronic low back myofascial pain.  A case Review ,Journal of body work and movement therapies (2004) 8,143-153
9. Gabriel A, Sobota R, Gialich S, Maxwell GP. The use of Targeted Microcurrent Therapy in postoperative pain management. Plast Surg Nurs. 2013 Jan-Mar;33(1):6-8
10. Paulo Renato Junqueira Zuim; Alicio Rosalino Garcia; Karina Helga Leal Turcio; Marcelo Matida Hamata, Evaluation of microcurrent electrical nerve stimulation (MENS) effectiveness on muscle pain in temporomandibular disorders patients, J. Appl. Oral Sci. vol.14 no.1 Bauru Jan./Feb. 2006
11. Price DD, McGrath PA, Rafii A, Buckingham B, The Validation of the Visual Analogue Scale as Ratio Scale Measures for Chronic and Experimental Pain, Pain 1983, 45-56.
12. Chibnall JT Tait RC. The Pain Disability Index: Factor Structure and Normative Data. ArchPhys Med Rehabil. 1994; 75: 1082-1086.
13. Vetrano M, Vulpiani MC, Erroi D, Vadalà A, Ferretti A, Saraceni VM Cross-cultural adaptation and reliability of the Italian version of the Foot Function Index (FFI-I) for patients with plantar fasciitis. J Sports Med Phys Fitness.2014 Oct; 54(5):636-43.
14. Lambert MI, Marcus P, Burgess T, Noakes TD. Electro-membrane microcurrent therapy reduces signs and symptoms of muscle damage Med Sci Sports Exerc. 2002 Apr; 34(4):602-7.
15. Philipson T, Haagensen N, Laumann V, Nies M, Thorup K, Hansen TI.The effect of diadynamic current on chronic soft-tissue pain in the neck and shoulder girdle. Ugeskr Laeger 1983;145:479-81
16. Hronkova H, Navrtil L, Skopek J and Kymplova J, Possibilities of the Analgesic therapy of Ultra sound and Non-Invasive therapy 19.02.2000, www.laserpartner.org. pg: 2.
17. DiGiovanni BF, Nawoczenski DA, Lintal ME, et al. Tissue-specific plantar fascia-stretching exercise enhances outcomes in patients with chronic heel pain. A prospective, randomized study. J Bone Joint Surg Am. Jul 2003; 85-A (7):1270-7.
18. Sweeting D, Parish B, Hooper L, Chester R The effectiveness of manual stretching in the treatment of plantar heel pain: a systematic review. J Foot Ankle Res. 2011 Jun 25; 4:19.

Anand B. Heggannavar, Preeti R. Ramannavar, Satyam S. Bhodaji. EFFECTIVENESS OF DIADYNAMIC CURRENT AND MENS IN HEEL PAIN: A RANDOMIZED CLINICAL TRIAL. Int J Physiother Res 2015;3(2):992-998. DOI: 10.16965/ijpr.2015.121