An experimental study comparing the effects of combined transcutaneous acupoint electrical stimulation and electromagnetic millimeter waves for spinal pain in Hong Kong

Yip, Y. B.; Tse, Hing-min Sonny; Wu, Ka

doi:10.1016/j.ctcp.2006.08.002

Cited by 21 publications

(11 citation statements)

References 30 publications

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“…19,20) It is termed to describe the application of transcutaneous electrical stimulation on acupuncture points, independent of any particular stimulating parameters. 20,22) However, despite of the development of various TENS-like devices, conventional TENS is still regarded as the most frequently used modality to apply the electrical current in clinical practice. 4) Despite of the application of TENS with different profiles, the basic mechanism of action for TENS is based on a electrophysiology principle that electrical stimuli can depolarize …”

Section: Classification Of Tensmentioning

confidence: 99%

Basic Understanding of Transcutaneous Electrical Nerve Stimulation

Jung¹,

Byun²,

Choi³

2016

Journal of Oral Medicine and Pain

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Transcutaneous electrical nerve stimulation (TENS) is one of the representative physiotherapical modalities used for the treatment of various musculoskeletal disorders by the application of electrical stimuli. In dental practice, it has long been used in the treatment of acute and chronic orofacial pain conditions including temporomandibular disorders. TENS is the delivery of therapeutic electrical stimuli with a variety of electrical intensity, frequency and duration to stimulate peripheral nerve through surface electrodes with various form and placement. While controversy still remains over the clinical effectiveness and application of TENS, basic understanding of its electrical properties and the expected biological reactions is important to increase the therapeutic effect and decrease the risk of possible side effects. This review, therefore, focuses on basic understanding of TENS including its underlying mechanisms and stimulation parameters.

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Section: Classification Of Tensmentioning

confidence: 99%

Basic Understanding of Transcutaneous Electrical Nerve Stimulation

Jung¹,

Byun²,

Choi³

2016

Journal of Oral Medicine and Pain

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“…Yip et al 10 investigated the effectiveness of eight sessions of combined treatment of electromagnetic millimetre waves (EMW) and 50-60 Hz TENS to 14 acupuncture points on spinal pain of either the neck or lower back. A number of acupuncture points were used, both close to the pain site and distant points including acupuncture point LI4.…”

Section: Clinical Studiesmentioning

confidence: 99%

“…It should be noted that a number of alternative terms have been identified in the literature, referring to the application of TENS to acupuncture points, including transcutaneous electrical acupoint stimulation (TEAS) 9 and transcutaneous acupoint electrical stimulation (TAES). 10 Neither study specified whether these terms referred to particular stimulation parameters.…”

Section: Introductionmentioning

confidence: 99%

The application of transcutaneous electrical nerve stimulation to acupuncture points (Acu-TENS) for pain relief: a discussion of efficacy and potential mechanisms

Brown¹,

Holmes²,

Jones³

2009

Physical Therapy Reviews

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Aims: This paper discusses the evidence for the analgesic efficacy of Acu-TENS, the application of transcutaneous electrical nerve stimulation to acupuncture points, and its possible mechanisms of action. Method: A brief review of recent clinical studies of Acu-TENS in isolation, in combination with other treatment and in comparison with electro-acupuncture, and laboratory studies using pain models is followed by a wider discussion of the evidence. This discussion is structured around questions relating to whether the site of TENS application influences analgesic response; the influence of parameters of Acu-TENS; whether Acu-TENS and acupuncture induce analgesia via similar mechanisms; and possible placebo effects. Results: While Acu-TENS does appear to induce analgesia, evidence for the use of particular TENS parameters and specific stimulation points is limited. The analgesic effects of Acu-TENS appear to be modulated at multiple levels within the central nervous system including recognised physiological, neuropharmacological and placebo mechanisms. Conclusion: Much future research is needed but it should be coordinated through collaboration between researchers and practitioners if the essential evidence base is to be systematically built. In addition to establishing the most effective Acu-TENS parameters and points of application, influences including psychological and cultural factors and beliefs, which may be pivotal to response, merit investigation.

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“…[22][23][24][25][26][27] Other studies do perform a test of interaction effects but report only its P value, not information (such as a regression coefficient) that would allow determination of an interaction effect size. 28,29 This approach makes it difficult to determine whether an important and statistically significant effect modifier has actually been identified.…”

Section: Interpretation Of Subgroup Effects In Published Trialsmentioning

confidence: 99%

Interpretation of Subgroup Effects in Published Trials

2013

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With the rapidly expanding number of studies reporting on treatment subgroups come new challenges in analyzing and interpreting this sometimes complex area of the literature. This article discusses 3 important issues regarding the analysis and interpretation of existing trials or systematic reviews that report on treatment effect modifiers (subgroups) for specific physical therapy interventions. The key messages are: (1) point estimates of treatment modifier effect size (interaction effect) and their confidence intervals can be calculated using group-level data when individual patient-level data are not available; (2) interaction effects do not define the total effect size of the intervention in the subgroup but rather how much more effective it is in the subgroup than in those not in the subgroup; (3) recommendations regarding the use of an intervention in a subgroup need to consider the size and direction of the main effect and the interaction effect; and (4) rather than simply judging whether a treatment modifier effect is clinically important based only on the interaction effect size, a better criterion is to determine whether the combined effect of the interaction effect and main effect makes the difference between an overall effect that is clinically important and one that is not clinically important.

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An experimental study comparing the effects of combined transcutaneous acupoint electrical stimulation and electromagnetic millimeter waves for spinal pain in Hong Kong

Cited by 21 publications

References 30 publications

Basic Understanding of Transcutaneous Electrical Nerve Stimulation

Basic Understanding of Transcutaneous Electrical Nerve Stimulation

The application of transcutaneous electrical nerve stimulation to acupuncture points (Acu-TENS) for pain relief: a discussion of efficacy and potential mechanisms

Interpretation of Subgroup Effects in Published Trials

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