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Effect of neuromuscular electrical stimulation on muscle function in chronic low back pain patients: systematic review

ABSTRACT

BACKGROUND AND OBJECTIVES:

Neuromuscular electrical stimulation (NMES) is one of the resources that can be used in the treatment of patients with chronic low back pain. It is possible that issues related to the stimulation parameters may affect the results obtained with the use of these currents. Therefore, the aim of this review was to investigate the effects of NMES on aspects of lumbopelvic muscle function in individuals with chronic low back pain.

CONTENTS:

The study is a systematic review that used 10 databases for the search through a comprehensive combination of descriptors that met the research question. The selection criteria based on the PICOT strategy were population - individuals with chronic low back pain (specific and/or non-specific); intervention - NMES; outcomes - paravertebral and/or abdominal muscle changes (muscle power and endurance). The articles were selected by two independent reviewers, who developed the tools for data extraction. Four articles were included in this review. In three of them, there was a significant increase in muscle strength and endurance, as well as muscle cross-sectional area in the group that received NMES compared to the control group.

CONCLUSION:

NMES showed positive effects in optimizing aspects of muscle function in individuals with chronic low back pain. However, the methods employed are very heterogeneous, which made it impossible to perform a quantitative analysis.

Keywords:
Electric stimulation therapy; Low back pain; Skeletal muscle

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