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01-04-2020 | Original Article

Transcutaneous Electrical Stimulation on the Submental Area: The Relations of Biopsychological Factors with Maximum Amplitude Tolerance and Perceived Discomfort Level

Authors: Ali Barikroo, Karen Hegland, Giselle Carnaby, Donald Bolser, Todd Manini, Michael Crary

Published in: Dysphagia | Issue 2/2020

Abstract

Transcutaneous electrical stimulation (TES) is a frequently used adjunctive modality in dysphagia rehabilitation. Stimulating deeper swallowing muscles requires higher TES amplitude. However, TES amplitude is limited by maximum amplitude tolerance (MAT). Previous studies have reported high interindividual variability regarding MAT and perceived discomfort. This variability might be one of the potential reasons of conflicting outcomes in TES-based swallowing studies. MAT and perceived discomfort are influenced by a variety of biopsychological factors. The influence of these factors related to swallow applications is poorly understood. This study explored the relation of biopsychological factors with MAT and perceived discomfort related to TES in the submental area. A convenience sample of thirty community-dwelling older adults between 60 and 70 years of age provided data for this study. Gender, submental adipose tissue thickness, perceptual pain sensitivity, and pain-coping strategies were evaluated for each subject. Subsequently, MAT and perceived discomfort level were determined using TES on the submental area. Relation of different biopsychological variables with MAT and discomfort level was examined using Pearson and Spearman correlation, and Mann–Whitney U test. Results indicated that neither gender nor adipose thickness was related to MAT and perceived discomfort. Among studied pain-coping strategies, catastrophizing was significantly related to MAT(r = – 0.552, p < .002). Distraction was significantly related to perceived discomfort level (r = − 0.561, p < 0.002). Given the negative impact of pain catastrophizing on MAT and the positive impact of distraction on perceiving discomfort, these coping strategies should be considered as amplitude-limiting and discomfort-moderating factors in TES-based dysphagia rehabilitation.

Adams GR, Harris RT, Woodard D, Dudley GA. Mapping of electrical muscle stimulation using MRI. J Appl Physiol. 1993;74(2):532–7.CrossRef

Alon G, Smith GV. Tolerance and conditioning to neuro-muscular electrical stimulation within and between sessions and gender. J Sport Sci Med. 2005;4(4):395–405.

Broderick BJ, Kennedy C, Breen PP, Kearns SR, Ol G. Patient tolerance of neuromuscular electrical stimulation (NMES) in the presence of orthopaedic implants. Med Eng Phys. 2011;33(1):56–61. https://doi.org/10.1016/j.medengphy.2010.09.003.CrossRefPubMed

Barikroo A, Hegland K, Carnaby G, Bolser D, Manini T, Crary M. The effects of electrical stimulation pulse duration on lingual palatal pressure measures during swallowing in healthy older adults. Dysphagia. 2019. https://doi.org/10.1007/s00455-019-09991-y.CrossRefPubMed

Berretin-Felix G, Sia I, Barikroo A, Carnaby GD, Crary MA. Immediate effects of transcutaneous electrical stimulation on physiological swallowing effort in older versus young adults. Gerodontology. 2016;33(3):348–55. https://doi.org/10.1111/ger.12166.CrossRefPubMed

Barikroo A, Carnaby G, Bolser D, Rozensky R, Crary M. Transcutaneous electrical stimulation on the anterior neck region: the impact of pulse duration and frequency on maximum amplitude tolerance and perceived discomfort. J Oral Rehabil. 2018;45(6):436–41. https://doi.org/10.1111/joor.12625.CrossRefPubMedPubMedCentral

Denegar CR, Saliba E, Saliba SF. Therapeutic modalities for musculoskeletal injuries. 4th ed. Human Kinetics Illinois: Champaign; 2016.

Doucet BM, Lam A, Griffin L. Neuromuscular electrical stimulation for skeletal muscle function. Yale J Biol Med. 2012;85(2):201–15.PubMedPubMedCentral

Piva SR, Goodnite EA, Azuma K, Woollard JD, Goodpaster BH, Wasko MC, Fitzgerald GK. Neuromuscular electrical stimulation and volitional exercise for individuals with rheumatoid arthritis: a multiple-patient case report. Phys Ther. 2007;87(8):1064–77. https://doi.org/10.2522/ptj.20060123.CrossRefPubMed

10.

Piva SR, Lasinski S, Almeida GJ, Fitzgerald GK, Delitto A. Association between psychosocial factors and dose of neuromuscular electrical stimulation in subjects with rheumatoid arthritis. Physiother Pract Res. 2013;34(2):57–66.CrossRef

11.

Chen YW, Chang KH, Chen HC, Liang WM, Wang YH, Lin YN. The effects of surface neuromuscular electrical stimulation on post-stroke dysphagia: a systemic review and meta-analysis. Clin Rehabil. 2015;30(1):24–35. https://doi.org/10.1177/0269215515571681.CrossRefPubMed

12.

Gatchel RJ, Peng YB, Peters ML, Fuchs PN, Turk DC. The biopsychosocial approach to chronic pain: scientific advances and future directions. Psychol Bull. 2007;133(4):581–624. https://doi.org/10.1037/0033-2909.133.4.581.CrossRefPubMed

13.

Racine M, Tousignant-Laflamme Y, Kloda LA, Dion D, Dupuis G, Choiniere M. A systematic literature review of 10 years of research on sex/gender and experimental pain perception—Part 1: are there really differences between women and men? Pain. 2012;153(3):602–18. https://doi.org/10.1016/j.pain.2011.11.025.CrossRefPubMed

14.

Gibson SJ, Farrell M. A review of age differences in the neurophysiology of nociception and the perceptual experience of pain. Clin J Pain. 2004;20(4):227–39.CrossRef

15.

Yunus MB, Arslan S, Aldag JC. Relationship between body mass index and fibromyalgia features. Scand J Rheumatol. 2002;31(1):27–31.CrossRef

16.

Al-Obaidi SM, Nelson RM, Al-Awadhi S, Al-Shuwaie N. The role of anticipation and fear of pain in the persistence of avoidance behavior in patients with chronic low back pain. Spine. 2000;25(9):1126–31.CrossRef

17.

McNeil DW, Au AR, Zvolensky MJ, McKee DR, Klineberg IJ, Ho CC. Fear of pain in orofacial pain patients. Pain. 2001;89(2–3):245–52.CrossRef

18.

Tang J, Gibson SJ. A psychophysical evaluation of the relationship between trait anxiety, pain perception, and induced state anxiety. J Pain. 2005;6(9):612–9. https://doi.org/10.1016/j.jpain.2005.03.009.CrossRefPubMed

19.

Vassend O. Anxiety, pain and discomfort associated with dental treatment. Behav Res Ther. 1993;31(7):659–66.CrossRef

20.

Reuter K, Classen CC, Roscoe JA, Morrow GR, Kirshner JJ, Rosenbluth R, Flynn PJ, Shedlock K, Spiegel D. Association of coping style, pain, age and depression with fatigue in women with primary breast cancer. Psycho-oncology. 2006;15(9):772–9. https://doi.org/10.1002/pon.1012.CrossRefPubMed

21.

Henningsen P, Lowe B. Depression, pain, and somatoform disorders. Curr Opin Psychiatry. 2006;19(1):19–24. https://doi.org/10.1097/01.yco.0000189880.11059.8d.CrossRefPubMed

22.

Auerbach SM, Laskin DM, Frantsve LM, Orr T. Depression, pain, exposure to stressful life events, and long-term outcomes in temporomandibular disorder patients. J Oral Maxillofac Surg. 2001;59(6):628–33. https://doi.org/10.1053/joms.2001.23371(discussion 634).CrossRefPubMed

23.

Rhudy JL, Meagher MW. Fear and anxiety: divergent effects on human pain thresholds. Pain. 2000;84(1):65–75.CrossRef

24.

Janssen SA. Negative affect and sensitization to pain. Scand J Psychol. 2002;43(2):131–7.CrossRef

25.

Meredith PJ, Strong J, Feeney JA. The relationship of adult attachment to emotion, catastrophizing, control, threshold and tolerance, in experimentally-induced pain. Pain. 2006;120(1–2):44–52. https://doi.org/10.1016/j.pain.2005.10.008.CrossRefPubMed

26.

Osman A, Barrios FX, Gutierrez PM, Kopper BA, Merrifield T, Grittmann L. The pain catastrophizing scale: further psychometric evaluation with adult samples. J Behav Med. 2000;23(4):351–65. https://doi.org/10.1023/A:1005548801037.CrossRefPubMed

27.

Meyers MC, Higgs R, LeUnes AD, Bourgeois AE, Laurent CM. Pain-coping traits of nontraditional women athletes: relevance to optimal treatment and rehabilitation. J Athl Train. 2015;50(10):1034–41. https://doi.org/10.4085/1062-6050-50.8.04.CrossRefPubMedPubMedCentral

28.

Roth ML, Tripp DA, Harrison MH, Sullivan M, Carson P. Demographic and psychosocial predictors of acute perioperative pain for total knee arthroplasty. Pain Res Manag. 2007;12(3):185–94.CrossRef

29.

Kawashima K, Motohashi Y, Fujishima I. Prevalence of dysphagia among community-dwelling elderly individuals as estimated using a questionnaire for dysphagia screening. Dysphagia. 2004;19(4):266–71. https://doi.org/10.1007/s00455-004-0013-6.CrossRefPubMed

30.

Barikroo A, Berretin-Felix G, Carnaby G, Crary M. Effect of transcutaneous electrical stimulation amplitude on timing of swallow pressure peaks between healthy young and older adults. Gerodontology. 2017;34(1):24–32. https://doi.org/10.1111/ger.12221.CrossRefPubMed

31.

Ruscheweyh R, Marziniak M, Stumpenhorst F, Reinholz J, Knecht S. Pain sensitivity can be assessed by self-rating: development and validation of the pain sensitivity questionnaire. Pain. 2009;146(1–2):65–74. https://doi.org/10.1016/j.pain.2009.06.020.CrossRefPubMed

32.

Sellers AB, Ruscheweyh R, Kelley BJ, Ness TJ, Vetter TR. Validation of the English language pain sensitivity questionnaire. Reg Anesth Pain Med. 2013;38(6):508–14. https://doi.org/10.1097/AAP.0000000000000007.CrossRefPubMed

33.

Robinson ME, Riley JL 3rd, Myers CD, Sadler IJ, Kvaal SA, Geisser ME, Keefe FJ. The coping strategies questionnaire: a large sample, item level factor analysis. Clin J Pain. 1997;13(1):43–9.CrossRef

34.

Carlsson AM. Assessment of chronic pain. I. Aspects of the reliability and validity of the visual analogue scale. Pain. 1983;16(1):87–101.CrossRef

35.

Sullivan MJL, Bishop SR, Pivik J. The pain catastrophizing scale: development and validation. Psychol Assess. 1995;7(4):524–32. https://doi.org/10.1037//1040-3590.7.4.524.CrossRef

36.

Sullivan MJL, Rouse D, Bishop S, Johnston S. Thought suppression, catastrophizing, and pain. Cogn Ther Res. 1997;21(5):555–68. https://doi.org/10.1023/A:1021809519002.CrossRef

37.

France CR, France JL, al’Absi M, Ring C, McIntyre D. Catastrophizing is related to pain ratings, but not nociceptive flexion reflex threshold. Pain. 2002;99(3):459–63. https://doi.org/10.1016/S0304-3959(02)00235-X.CrossRefPubMedPubMedCentral

38.

Sullivan MJL, Thorn B, Haythornthwaite JA, Keefe F, Martin M, Bradley LA, Lefebvre JC. Theoretical perspectives on the relation between catastrophizing and pain. Clin J Pain. 2001;17(1):52–64. https://doi.org/10.1097/00002508-200103000-00008.CrossRefPubMed

39.

Ruscheweyh R, Kreusch A, Albers C, Sommer J, Marziniak M. The effect of distraction strategies on pain perception and the nociceptive flexor reflex (RIII reflex). Pain. 2011;152(11):2662–71. https://doi.org/10.1016/j.pain.2011.08.016.CrossRefPubMed

40.

Brooks JC, Nurmikko TJ, Bimson WE, Singh KD, Roberts N. fMRI of thermal pain: effects of stimulus laterality and attention. NeuroImage. 2002;15(2):293–301. https://doi.org/10.1006/nimg.2001.0974.CrossRefPubMed

41.

Valet M, Sprenger T, Boecker H, Willoch F, Rummeny E, Conrad B, Erhard P, Tolle TR. Distraction modulates connectivity of the cingulo-frontal cortex and the midbrain during pain–an fMRI analysis. Pain. 2004;109(3):399–408. https://doi.org/10.1016/j.pain.2004.02.033.CrossRefPubMed

42.

Dezutter J, Wachholtz A, Corveleyn J. Prayer and pain: the mediating role of positive re-appraisal. J Behav Med. 2011;34(6):542–9. https://doi.org/10.1007/s10865-011-9348-2.CrossRefPubMedPubMedCentral

Title: Transcutaneous Electrical Stimulation on the Submental Area: The Relations of Biopsychological Factors with Maximum Amplitude Tolerance and Perceived Discomfort Level
Authors: Ali Barikroo
Karen Hegland
Giselle Carnaby
Donald Bolser
Todd Manini
Michael Crary
Publication date: 01-04-2020
Publisher: Springer US
Published in: Dysphagia / Issue 2/2020
Print ISSN: 0179-051X
Electronic ISSN: 1432-0460
DOI: https://doi.org/10.1007/s00455-019-10029-6

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Transcutaneous Electrical Stimulation on the Submental Area: The Relations of Biopsychological Factors with Maximum Amplitude Tolerance and Perceived Discomfort Level

Abstract

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Abstract

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