Purpose
To evaluate the additional effect of high frequency (HF) or low frequency (LF) transcutaneous electrical nerve stimulation (TENS) in a specific therapeutic exercise program for the treatment of patients with chronic neck pain.
Methods
A randomized controlled trial. Sixty participants of both sexes and with chronic neck pain were randomized into three groups: therapeutic exercise group + placebo TENS (n = 20), therapeutic exercise group + HF TENS (n = 20) and therapeutic exercise group + low TENS frequency (n = 20). The following assessment instruments were used: Numerical Pain Rating Scale, Neck Disability Index, Pain‐Related Catastrophizing Thoughts Scale and Tampa Scale for Kinesiophobia. Participants were evaluated before the interventions, after eight treatment sessions and 1 month after the end of treatment. Primary outcome was disability measured after the eight treatment sessions. Secondary outcomes were pain intensity, catastrophizing, and kinesiophobia after eight treatment sessions and pain intensity 4 weeks after the end of the treatment sessions.
Results
The three groups were similar at baseline for personal and clinical characteristics. Regarding the main study analyses, there were no significant (p > 0.05) or clinical (d < 0.80) differences between the groups for the main variable (disability), nor for the secondary variables (pain intensity, catastrophizing and kinesiophobia).
Conclusion
HF or LF TENS, compared to placebo TENS, does not provide additional clinical benefits to an exercise program for patients with chronic neck pain.
Intensive Care Units are units that provide intensive care to patients who need continuous observation, critically ill or hemodynamically unstable. Workers' mental health has been the target of stressors in this pandemic due to psychological overload, fatigue, exposure to large-scale deaths and significant losses, frustrations related to the quality of care, threats, aggression and increased risk of infection. Generalized Anxiety Disorder is characterized by excessive anxiety and worry about a variety of activities or events. In parallel, Depressive Disorder is characterized by severe or persistent sadness to the point of interfering with functioning and, often, decreasing interest or pleasure in the bearer's daily activities. This study is an integrative literature review (RIL) that is based on scientific findings with the objective of identifying and understanding problems, situations and vulnerabilities related to the population. The studies were published in the years 2020, 2021 and 2022, being the equivalent of 22.22% in the year 2020, 55.55% in the year 2021 and about 22.22% in the year 2022. Were respectively from Norway, Turkey, Brazil, Spain, United States of America, France, China and Italy, with France being the country with the highest prevalence in the study, presenting about 22.22% of the total percentage and the other countries containing only 11, 11%. Therefore, the contents of the research found referred to the factors associated with anxiety and depression in professionals in intensive care units: an integrative review.
Systemic arterial hypertension is considered a Chronic Non-Communicable Disease, being one of the main conditions of care in Primary Care and is widely associated with increased cardiovascular risk, making its prevention and treatment extremely important. Therefore, an integrative literature review was carried out, based on journals published in the PUBMED databases and the Virtual Health Library (BVS). The data search was performed using controlled descriptors and the Boolean operators "AND" and "OR". After the collection and selection of articles in the databases, 12 articles were eligible for the construction of the review. The research shows that the causes of low adherence to the treatment of hypertension are varied, although there are few people who adhere to the treatment, among them the following stand out: low knowledge about SAH; religious beliefs; the superstitions; the low income; low schooling; lack of knowledge about the treatment; adaptability to the new routine; and the inability to create a custom.
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