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Pain Management 2018
Internal Medicine 2018 International Journal of Anesthesiology & Pain Medicine
ISSN: 2471-982X Page 35
March 26-28, 2018
Vienna, Austria
JOINT EVENT
7 t h E d i t i o n o f I n t e r n a t i o n a l C o n f e r e n c e o n
Internal Medicine and Patient Care
&
6 t h E d i t i o n o f I n t e r n a t i o n a l C o n f e r e n c e o n
Pain Management
Volume 4
Background: The sternum which plays a major role in chest
movements undergoes incisional trauma following median
sternotomy. The incisional pain causes inhibition thereby
reducing the pulmonary function. Transcutaneous Electrical
Nerve Stimulation (TENS) is an effective low frequency current
which reduces pain in various conditions.
Objectives: The objective of this work is to evaluate the
effectiveness of TENS in reducing incisional pain and improving
pulmonary function.
Methodology: This experimental prospective study was
carried out in an institutional setup involving 35 patients who
underwent cardiac surgeries through median sternotomy.
The patients were randomized into control and experimental
group. The groups were comparable with respect to age, sex,
intensity of pain before treatment. Patients performed PFT
(Pulmonary Function Test) preoperatively, on fourth Post-
operative day(POD) and sixth Post-operative day and their pain
score was calculated through Visual analogue scale(VAS). The
control group received the routine post-operative physiotherapy
management and the experimental group along with routine
treatment received TENS for six sessions.
Results: We found a significant difference In FEV1 (Forced
expiratory volume) between control and experimental group.
The experimental group showed significant changes in FEV1
from 4th POD (46.67±10.46) with application of TENS to 6th
POD (61.78±15.45) when compared to control group of 4th POD
(48.82±13.64) to 6th POD (53.94±12.13). There was significant
reduction of VAS in experimental group when compared
to control group. This reduction could be the reason for
improvement in pulmonary function in these patients.
Conclusions: TENS is the most effective management in
reducing pain thereby it improves the pulmonary function in
patients who underwent median Sternotomy.
Biography
Natarajan Venkatesh is currently working as Professor in Faculty of Phys-
iotherapy, in Sri Ramachandra University, Chennai, India. He has been in
Clinical and Teaching Physiotherapy for the past 25 years. He is PhD Schol-
ar. He is working on influence of yoga on autonomic nervous system. He
received Honor Awards for: Distinguish Service Award by the Indian Asso-
ciation of Physiotherapists on 23.01.2005; Best Teacher Award (Chosen by
Vice Chancellor, The Tamil Nadu Dr. MGRMedical University on 05.09.2011);
Fellowship Award – 51st by The Indian Association of Physiotherapists 2013
(FIAP).
Efficacy of transcutaneous electrical nerve stimulation in
reducing sternal pain and improving pulmonary function in
postoperative sternotomy patients
Natarajan Venkatesh
Sri Ramachandra University, India
Natarajan Venkatesh, Int J Anesth Pain Med 2018, Volume 4
DOI: 10.21767/2471-982X-C1-002