The impact of transcutaneous electrical nerve stimulation on COVID-19 patients, especially those admitted to the intensive care unit
Keywords:COVID-19, TENS, Physiotherapy, ICU admitted, Electrical stimulation
Physiotherapy and early mobilization are necessary to treat COVID-19 patients. Physiotherapy is effective in strengthening of respiratory muscles, reduction of inflammation, and enhanced immune function in COVID-19 patients. Physiotherapy can relieve various symptoms of COVID-19. TENS (Transcutaneous Electrical Nerve Stimulation) is a kind of physiotherapy that uses electric current to activate nerves for therapeutic reasons. It passes electrical currents across the intact surface of the skin to activate underlying nerves. There are many studies that shown that TENS can alleviate dyspnea and lung function and improve FEV1 in patients with COPD and asthma, which is a more common complication in COVID-19 patients. TENS is effective in the treatment of muscle weakness and able to preserve protein synthesis in muscle in admitted patients, especially those admitted to ICU. Because of those reasons mentioned in the article, we recommend to investigate TENS effects on COVID-19 patients.
Feng F, Tuchman S, Denninger JW, Fricchione GL, Yeung A. Qigong for the Prevention, Treatment, and Rehabilitation of COVID-19 Infection in Older Adults. Am J Geriatr Psychiatry. 2020;28(8):812-9.
Ngai SP, Jones AY, Hui-Chan CW, Ko FW, Hui DS. Effect of Acu-TENS on post-exercise expiratory lung volume in subjects with asthma-A randomized controlled trial. Respir Physiol Neurobiol. 2009;167(3):348-53.
Ngai SP, Jones AY, Hui-Chan CW, Ko FW, Hui DS. Effect of 4 weeks of Acu-TENS on functional capacity and beta-endorphin level in subjects with chronic obstructive pulmonary disease: a randomized controlled trial. Respir Physiol Neurobiol. 2010;173(1):29-36.
Akar O, Günay E, Ulasli SS, Ulasli AM, Kacar E, Sariaydin M, et al. Efficacy of neuromuscular electrical stimulation in patients with COPD followed in intensive care unit. Clin Respir J. 2017;11(6):743-50.
Alipour R, Hashemi SH, Mikaeili F. Serum iron level in patients with COVID-19: a case report study. Int J Res Med Sci. 2020;8:2658-62.
Connolly B, O'Neill B, Salisbury L, Blackwood B. Enhanced Recovery After Critical Illness Programme Group. Physical rehabilitation interventions for adult patients during critical illness: an overview of systematic reviews. Thorax. 2016;71(10):881-90.
Dall' Acqua AM, Sachetti A, Santos LJ, Lemos FA, Bianchi T, Naue WS, et al. Use of neuromuscular electrical stimulation to preserve the thickness of abdominal and chest muscles of critically ill patients: A randomized clinical trial. J Rehabil Med. 2017;49(1):40-8.
Lopez Lopez L, Granados Santiago M, Donaire Galindo M, Torres Sanchez I, Ortiz Rubio A, Valenza MC. Efficacy of combined electrostimulation in patients with acute exacerbation of COPD: randomised clinical trial. Med Clin (Barc). 2018;151(8):323-8.
Kaymaz D, Ergün P, Demirci E, Demir N. Comparison of the effects of neuromuscular electrical stimulation and endurance training in patients with severe chronic obstructive pulmonary disease. Tuberk Toraks. 2015;63(1):1-7.