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The Effect of Electrical Stimulation...

Gonzalez, Joseph.

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The Effect of Electrical Stimulation Cueing During Exercise on Patients with Chronic Hip Pain: A Single Case Design Pilot Study.

Record Type:	Electronic resources : Monograph/item
Title/Author:	The Effect of Electrical Stimulation Cueing During Exercise on Patients with Chronic Hip Pain: A Single Case Design Pilot Study./
Author:	Gonzalez, Joseph.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2023,
Description:	63 p.
Notes:	Source: Dissertations Abstracts International, Volume: 84-09, Section: A.
Contained By:	Dissertations Abstracts International84-09A.
Subject:	Physical therapy. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30313734
ISBN:	9798377629245

The Effect of Electrical Stimulation Cueing During Exercise on Patients with Chronic Hip Pain: A Single Case Design Pilot Study.
Gonzalez, Joseph.

The Effect of Electrical Stimulation Cueing During Exercise on Patients with Chronic Hip Pain: A Single Case Design Pilot Study. - Ann Arbor : ProQuest Dissertations & Theses, 2023 - 63 p.

Source: Dissertations Abstracts International, Volume: 84-09, Section: A.

Thesis (D.P.T.)--California State University, Fresno, 2023.

Background: Mechanical chronic hip pain is a debilitating condition, and there is no identified long-term, effective, non-invasive treatment. The Gluteus Medius (GM) is linked to chronic hip pain conditions. This study identifies chronic hip pain arising from a GM hypo-functioning muscle as Gluteus Medius Related Mechanical Chronic Hip Pain (GMMCHP). Although Neuromuscular Electrical Stimulation (NMES) is often used in the physical therapy field, its effectiveness in treating chronic pain conditions has not been examined thoroughly, despite available research indicating its ability to help with neuroplasticity and CNS adaptation that is a part of treating chronic pain conditions. Objective: The purpose of this study was to conduct a series of single case designs with young to middle-aged adults with GMMCHP, utilizing therapeutic exercises with high recruitment of the GM coupled with NMES cueing. Methods: A single-case A1-B-A2 design with three subjects was conducted. Dependent variables included Copenhagen Hip and Groin Outcome Scores (HAGOS), the Numeric Pain Rating Scale (NPRS), Hip abduction strength, and a hip abduction endurance test. Subjects performed exercises two times a week for three weeks with NMES cueing to the GM. The two-standard deviation band method (2SDBM) was utilized to analyze the effectiveness of the intervention. Results: Although improvements were seen in all measures, only the strength measure met the criteria in all three subjects at a statistically significant mark. Strength gains were maintained for more than three months after the completion of the intervention. Conclusions: Patients with chronic hip pain tend to exhibit decreased hip abduction strength, possibly due to decreased neural drive, which leads to decreased force output and proprioception. The results of this study support using NMES to increase GM recruitment. All patients had positive outcomes, although not all variables were statistically significant. Further research is needed in this area, but NMES used for motor learning, because of its effect on neuroplasticity, may be a strong treatment option as part of a multimodal approach in patients with chronic hip pain related to GM hypo functioning and a decreased neural drive.

ISBN: 9798377629245Subjects--Topical Terms:

588713
Physical therapy.
Subjects--Index Terms:

Chronic hip pain

The Effect of Electrical Stimulation Cueing During Exercise on Patients with Chronic Hip Pain: A Single Case Design Pilot Study.
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245 1 0 $a The Effect of Electrical Stimulation Cueing During Exercise on Patients with Chronic Hip Pain: A Single Case Design Pilot Study.
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500 $a Source: Dissertations Abstracts International, Volume: 84-09, Section: A.
500 $a Advisor: Hickey, Cheryl;Walker, Deborah.
502 $a Thesis (D.P.T.)--California State University, Fresno, 2023.
520 $a Background: Mechanical chronic hip pain is a debilitating condition, and there is no identified long-term, effective, non-invasive treatment. The Gluteus Medius (GM) is linked to chronic hip pain conditions. This study identifies chronic hip pain arising from a GM hypo-functioning muscle as Gluteus Medius Related Mechanical Chronic Hip Pain (GMMCHP). Although Neuromuscular Electrical Stimulation (NMES) is often used in the physical therapy field, its effectiveness in treating chronic pain conditions has not been examined thoroughly, despite available research indicating its ability to help with neuroplasticity and CNS adaptation that is a part of treating chronic pain conditions. Objective: The purpose of this study was to conduct a series of single case designs with young to middle-aged adults with GMMCHP, utilizing therapeutic exercises with high recruitment of the GM coupled with NMES cueing. Methods: A single-case A1-B-A2 design with three subjects was conducted. Dependent variables included Copenhagen Hip and Groin Outcome Scores (HAGOS), the Numeric Pain Rating Scale (NPRS), Hip abduction strength, and a hip abduction endurance test. Subjects performed exercises two times a week for three weeks with NMES cueing to the GM. The two-standard deviation band method (2SDBM) was utilized to analyze the effectiveness of the intervention. Results: Although improvements were seen in all measures, only the strength measure met the criteria in all three subjects at a statistically significant mark. Strength gains were maintained for more than three months after the completion of the intervention. Conclusions: Patients with chronic hip pain tend to exhibit decreased hip abduction strength, possibly due to decreased neural drive, which leads to decreased force output and proprioception. The results of this study support using NMES to increase GM recruitment. All patients had positive outcomes, although not all variables were statistically significant. Further research is needed in this area, but NMES used for motor learning, because of its effect on neuroplasticity, may be a strong treatment option as part of a multimodal approach in patients with chronic hip pain related to GM hypo functioning and a decreased neural drive.
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653 $a Copenhagen Hip and Groin Outcome Scores
653 $a Numeric Pain Rating Scale
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710 2 $a California State University, Fresno. $b Physical Therapy. $3 3286130
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793 $a English
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