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Transcutaneous Electrical Nerve Stimulation on Acupuncture Points Improves Myofascial Pain, Moods, and Sleep Quality

Chiou, Yar-Fang, MSN, RN1; Yeh, Mei-Ling, PhD, DMS, RN2; Wang, Yu-Jen, PhD, RN3

doi: 10.1097/RNJ.0000000000000198
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Purpose The aim of this study was to evaluate the effects of transcutaneous electrical nerve stimulation at acupuncture points versus trigger points on myofascial pain, moods, and sleep quality.

Design A randomized controlled study recruited 64 patients with spinal cord injury with myofascial pain.

Methods Outcomes of pain, moods, and sleep quality were measured and analyzed by the generalized estimation equation, analysis of covariance, and paired t test. Transcutaneous electrical nerve stimulation was applied for seven consecutive days at Hegu (LI4) and Daling (PC7) acupuncture points or myofascial trigger points.

Finding Significant differences were found in pain intensity from Day 3 forward, after controlling for confounders. Significant within-group differences were found in pain, moods, and sleep quality.

Conclusions Transcutaneous electrical nerve stimulation at acupuncture and trigger points effectively improved pain, moods, and sleep quality in patients with spinal cord injury with myofascial pain. Acupuncture points had superior improvement in pain intensity and slight improvement in sleep quality than did trigger points.

Clinical Relevance Transcutaneous electrical nerve stimulation at acupuncture points could be applied for improving myofascial pain.

1 Department of Nursing, Taipei Veterans General Hospital, Taipei, Taiwan, R.O.C.

2 Graduate Institute of Integration of Traditional Chinese Medicine With Western Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan, R.O.C.

3 Department of Nursing, Chang Gung University of Science and Technology, Taoyuan, Taiwan, R.O.C.

Correspondence: Mei-Ling Yeh, PhD, DMS, RN, Graduate Institute of Integration of Traditional Chinese Medicine With Western Nursing, National Taipei University of Nursing and Health Sciences, No. 365, Min-Te Rd., Taipei 11219, Taiwan, R.O.C. E-mail: meiling@ntunhs.edu.tw; Yu-Jen Wang, PhD, RN, Department of Nursing, Chang Gung University of Science and Technology, No. 261, Wenhwa 1st Rd., Taoyuan 33303, Taiwan, R.O.C. E-mail: yjwang@mail.cgust.edu.tw.

Mei-Ling Yeh and Yu-Jen Wang equally contributed to this work as co-correspondence authors.

Cite this article as: Chiou, Y.-F., Yeh, M.-L., & Wang, Y.-J. (2019). Transcutaneous electrical nerve stimulation on acupuncture points improves myofascialpain, moods, and sleep quality. Rehabilitation Nursing, 00(0), 00–00. doi: 10.1097/rnj.0000000000000198

© 2019 Association of Rehabilitation Nurses.
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