Effects of Stretching Exercise and Tens Therapy on Severity of Restless Legs Syndrome in Obese Population

Stretching Exercise and Tens Therapy on Severity of Restless Legs

Authors

  • Waqas Haider KAIMS International institute, Multan
  • Muhammad Amir Pediatric Surgery Children Hospital & ICH Lahore
  • Sara Aabroo Riphah International University, Islamabad. Pakistan
  • Amina Riaz Noor Hospital, Kot Radha Kishen
  • Nageen Ishaq Minhaj University Lahore
  • Muhammad Faizan Hamid Department of Allied Health Sciences University of South Asia Cantt Campus Lahore, Pakistan.
  • Hafiz Rana Muhammad Arslan Department of Allied Health Sciences University of South Asia Cantt Campus Lahore, Pakistan

DOI:

https://doi.org/10.54393/pbmj.v5i3.339

Keywords:

RLS; Restless legs syndrome; IRLSSG; Assess the Severity of Restless Legs Syndrome,

Abstract

Restless legs syndrome (RLS) is a disorder in which you have an uncontrolled need to move your legs, generally in response to an unpleasant feeling. It usually happens in the evening or at night, while you're seated or lying down. Moving briefly alleviates the uncomfortable sensation. Objective: To determine effects of stretching exercises and TENS therapy on severity of restless leg syndrome in obese population. Materials and Methods: In this single-blinded, randomized, controlled study, 30 subjects with RLS aged above 20 years were randomly assigned into two groups, intervention group (TENS +stretching) and control group (stretching). Both groups received these interventions for 8 weeks (5 times a week for 8 weeks). Outcome measures included severity of pain in accordance with IRLSSG-score. Results: Independent t test was applied on baseline group 1(interventional group) is compare with group 2 (control group). The results showed that there was statistically significant difference between two groups with p < 0.05. IRLSSG-score mean in interventional group15.94 ±6.27 was more than control group 7.42±2.78.The mean difference in interventional group 15.94 ±6.27 is more than control group 15.94 ±6.27, which shows greater effectiveness of TENS as compared to stretching in treating restless leg syndrome. Conclusion: The present study was conducted for a period of eight weeks on 30 patients from OPD of multiple hospitals in Multan, Pakistan. TENS and stretching is a suitable and durable approach for RLS treatment and improve pain. TENS and stretching demonstrated more clinical benefits than stretching alone with regard to IRLSSG score parameters Hence, Alternate Hypothesis was accepted

References

Diener HC, Westphal K. [Differential diagnosis and treatment of cramps]. MMW Fortschritte der Medizin.2013;155Suppl3:83-6. 10.1007/s15006-013-2187-z

ManiIa MN. Leg cramps in relation to metabolic syndrome. Georgian medical news. 2009(166):51-4.

Reichel G.[Muscle cramps--differential diagnosis and therapy].MedizinischeMonatsschrift furPharmazeuten.2009;32(3):80-6. doi: 10.1097/BRS.0b013e31818f953c.

Riley JD, Antony SJ. Leg cramps: differential diagnosis and management. American familyphysician.1995;52(6):1794-8. DOI: https://doi.org/10.3122/jabfm.2015.01.140151

Rana AQ, Khan F, Mosabbir A, Ondo W. Differentiating nocturnal leg cramps and restless legs syndrome. Expert review ofneurotherapeutics.2014;14(7):813-8. doi.org/10.1586/14737175.2014.927734

Rana AQ, Khan F, Mosabbir A, Ondo W. Differentiating nocturnal leg cramps and restless legs syndrome. Expert review ofneurotherapeutics.2014;14(7):813-8. doi.org/10.1586/14737175.2014.927734

Allen RP, Walters AS, Montplaisir J, et al. Restless legs syndrome prev alence and impact: REST general population study. Arch Intern Med. 2005; 165: 1286 -1292. doi:10.1001/archinte.165.11.1286

Inoue Y. [Diagnosis and symptom rating scale of restless legs syndrome]. Brain and nerve = Shinkeikenkyu noshinpo.2009;61(5):533-8. DOI: 10.1007/s11325-017-1497-2

Sarayloo F, Dion PA, Rouleau GA. MEIS1 and restless legs syndrome: A comprehensive review. Frontiers inneurology.2019;10:935. doi.org/10.3389/fneur.2019.00935

Aliasgharpour M, Abbasi Z, PedramRazi S, Kazemnezhad A. The Effect of Stretching Exercises on Severity of Restless Legs Syndrome in Patients on Hemodialysis. Asian journal of sportsmedicine.2016;7(2):e31001. doi: 10.5812/asjsm.31001

DelRosso L, Bruni O. Treatment of pediatric restless legs syndrome. Advances in pharmacology (San Diego,Calif).2019;84:237-53.

Miyamoto M, Miyamoto T, Iwanami M, Suzuki K, Hirata K. [Pathophysiology of restless legs syndrome]. Brain and nerve = Shinkeikenkyu noshinpo.2009;61(5):523-32. DOI: 10.1111/j.1365-2796.2009.02159.x

Bahk JW, Kim H, Jung-Choi K, Jung MC, Lee I. Relationship between prolonged standing and severity of varicose veins and nocturnal leg cramps among women and men. Ergonomics.2012;55(2):133-9. doi.org/10.1080/00140139.2011.582957

Dafkin C, McKinon W, Kerr S. Restless legs syndrome: Clinical changes in nervous system excitability at the spinal cord level. Sleep medicinereviews.2019;47:9-17. doi.org/10.1016/j.smrv.2019.05.005

Delacour C, Chambe J, Lefebvre F, Bodot C, Bigerel E, Epifani L, et al. Association between physical activity and Nocturnal Leg Cramps in patients over 60 years old: a case- control study. Scientificreports.2020;10(1):2638. DOI: 10.9734/jpri/2021/v33i46B32932

Bahk JW, Kim H, Jung-Choi K, Jung MC, Lee I. Relationship between prolonged standing and severity of varicose veins and nocturnal leg cramps among women and men. Ergonomics.2012;55(2):133-9. doi.org/10.1080/00140139.2011.582957

Reichel G.[Muscle cramps--differential diagnosis and therapy].MedizinischeMonatsschrift furPharmazeuten.2009;32(3):80-6. oi: 10.1097/BRS.0b013e31818f953c.

Lai SC, Chen RS. [Restless legs syndrome]. ActaneurologicaTaiwanica. 2008;17(1):54-65. DOI10.7759/cureus.9635

Lanza G, Bachmann CG, Ghorayeb I, Wang Y, Ferri R, Paulus W. Central and peripheral nervous system excitability in restless legs syndrome. Sleep medicine. 2017;31:49- 60. doi.org/10.1016/j.sleep.2016.05.010

Hu S, He X, Zhang Y, Hu S, He F, Zhao F, et al. doi.org/10.1016/j.ebiom.2020.102763

Trenkwalder C, Högl B, Winkelmann J. Recent advances in the diagnosis, genetics and treatment of restless legs syndrome. Journal of neurology.2009;256(4):539-53. DOI 10.1007/s00415-009-0134-9

Benes H, von Eye A, Kohnen R. Empirical evaluation of the accuracy of diagnostic criteria for Restless Legs Syndrome. Sleep medicine.2009;10(5):524-30. doi.org/10.1016/j.sleep.2008.06.007

Shahgholian N, Jazi SK, Karimian J, Valiani M. The effects of two methods of reflexology and stretching exercises on the severity of restless leg syndrome among hemodialysis patients. Iranian journal of nursing and midwiferyresearch.2016;21(3):219-24. doi: 10.4103/1735-9066.180381

Harrison EG, Keating JL, Morgan P. Novel Exercises for Restless Legs Syndrome: A Randomized, Controlled Trial. Journal of the American Board of Family Medicine :JABFM. 2018;31(5):783-94. doi.org/10.3122/jabfm.2018.05.180065

Song YY, Hu RJ, Diao YS, Chen L, Jiang XL. Effects of Exercise Training on Restless Legs Syndrome, Depression, Sleep Quality, and Obeseigue Among Hemodialysis Patients: A Systematic Review and Meta-analysis. Journal of pain and symptom management.2018;55(4):1184-95. https://doi.org/10.1016/j.jpainsymman.2017.12.472

Wang L, Liu C, Hou Y, Zhan S, Zhang Z, Wang J, et al. Altered cortical gray matter volume and functional connectivity after transcutaneous spinal cord direct current stimulation in idiopathic restless legs syndrome. Sleepmedicine.2020;74:254-61. doi.org/10.1016/j.sleep.2020.07.026

Hu S, He X, Zhang Y, Hu S, He F, Zhao F, et al. doi.org/10.1016/j.ebiom.2020.102763

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Published

2022-03-31
CITATION
DOI: 10.54393/pbmj.v5i3.339
Published: 2022-03-31

How to Cite

Haider , W. ., Amir, M. ., Aabroo, S. ., Riaz, A. ., Ishaq, N. ., Hamid, M. F. ., & Arslan, H. R. M. . (2022). Effects of Stretching Exercise and Tens Therapy on Severity of Restless Legs Syndrome in Obese Population: Stretching Exercise and Tens Therapy on Severity of Restless Legs. Pakistan BioMedical Journal, 5(3), 120–124. https://doi.org/10.54393/pbmj.v5i3.339

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