Effect of Fixed Versus Adjusted Transcutaneous Electrical Nerve Stimulation Amplitude on Chronic Mechanical Low Back Pain

Elserty, Noha; Kattabei, Omaima; Elhafez, Haytham M.

doi:10.1089/acm.2015.0063

Cited by 12 publications

(36 citation statements)

References 15 publications

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“…En la revisión sistemática que se presenta, la gran variedad de estudios obtenidos y la heterogeneidad en los parámetros de las corrientes empleadas se muestra como una dificultad añadida a la hora de resumir los resultados y su posterior discusión. Por una parte, un gran porcentaje de los trabajos incluidos emplean únicamente corrientes en el tratamiento 6,[10][11][12][13][14]16,19,20 , sin embargo, hay otros estudios que emplean otras modalidades terapéuticas como el ejercicio terapéutico 8 . Las muestras de pequeño tamaño disminuyen la probabilidad de conseguir resultados significativos, ya que como menciona López 21 en su estudio, a mayor tamaño muestral más representativa será la población, y por lo tanto los resultados y conclusiones obtenidas en los estudios tendrán mayor peso.…”

Section: Discussionunclassified

Estimulación nerviosa transcutánea en el manejo del dolor crónico: Una revisión sistemática

et al. 2020

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Introducción: El dolor crónico es un problema multifactorial que incluye componentes tanto físicos como psicológicos y sociales y conlleva una gran afectación de todos los ámbitos de la vida de quien lo sufre. Una de las técnicas analgésicas más empleadas actualmente es la Electroestimulación Nerviosa Transcutánea (TENS), a pesar de que existe una gran controversia acerca de su efectividad. El objetivo de este trabajo fue analizar diferentes estudios sobre los efectos analgésicos del TENS en dolores crónicos.Material y método: Para la realización de este trabajo, se llevó a cabo una revisión bibliográfica durante el mes de febrero de 2018 de publicaciones registradas en las bases de datos Medline, Web of Science y Cinahl. Para la ecuación de búsqueda se utilizaron los siguientes descriptores del Medical Subject Headings (MeSH): Transcutaneous Electric Nerve Stimulation y Chronic pain. Tras aplicar los criterios de inclusión y exclusión, se han obtenido un total de 14 artículos válidos. Existe mucha variedad en cuanto al diseño de cada estudio, tanto en la intervención como en las escalas de valoración utilizadas y en las patologías estudiadas. Esto debería tenerse en cuenta para futuras investigaciones, que permitan realizar estudios cuyos resultados sean determinantes y comparables entre sí. Conclusión: Muchos de los estudios analizados avalan la eficacia del TENS como medida analgésica, incluso a mediano y largo plazo. No obstante, otros demuestran que el TENS como terapia coadyuvante no siempre aporta beneficios adicionales significativos, y no siempre resulta más efectivo que otras técnicas.

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Section: Discussionunclassified

Estimulación nerviosa transcutánea en el manejo del dolor crónico: Una revisión sistemática

et al. 2020

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“…[34] However, a previous study demonstrated no significant difference in the primary outcome (a composite criterion associating pain, spinal mobility, and functional score) between patients using TENS with a fixed amplitude and those who used an adjusted amplitude. [35]…”

Section: Discussionmentioning

confidence: 99%

Randomized study of the impact of a therapeutic education program on patients suffering from chronic low-back pain who are treated with transcutaneous electrical nerve stimulation

et al. 2018

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“…Both modalities were focused on pain points, and each had a duration of 30 minutes. 27 , 28 , 29 , 30 Details of the interventions are presented in Supplement 1 .…”

Section: Methodsmentioning

confidence: 99%

Efficacy of Therapeutic Aquatic Exercise vs Physical Therapy Modalities for Patients With Chronic Low Back Pain

Peng

Wang

et al. 2022

JAMA Netw Open

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IMPORTANCE Therapeutic aquatic exercise is frequently offered to patients with chronic low back pain, but its long-term benefits are unclear.OBJECTIVE To assess the long-term effects of therapeutic aquatic exercise on people with chronic low back pain. DESIGN, SETTING, AND PARTICIPANTSThis 3-month, single-blind randomized clinical trial with a 12-month follow-up period was performed from September 10, 2018, to March 12, 2019, and the trial follow-up was completed March 17, 2020. A total of 113 people with chronic low back pain were included in the experiment. INTERVENTIONS Participants were randomized to either the therapeutic aquatic exercise or the physical therapy modalities group. The therapeutic aquatic exercise group received aquatic exercise, whereas the physical therapy modalities group received transcutaneous electrical nerve stimulation and infrared ray thermal therapy. Both interventions were performed for 60 minutes twice a week for 3 months. MAIN OUTCOMES AND MEASURESThe primary outcome was disability level, which was measured using the Roland-Morris Disability Questionnaire; scores range from 0 to 24, with higher scores indicating more severe disability. Secondary outcomes included pain intensity, quality of life, sleep quality, recommendation of intervention, and minimal clinically important difference. Intention-totreat and per-protocol analyses were performed. RESULTSOf the 113 participants, 59 were women (52.2%) (mean [SD] age, 31.0 [11.5] years).Participants were randomly allocated into the therapeutic aquatic exercise group (n = 56) or the physical therapy modalities group (n = 57), and 98 patients (86.7%) completed the 12-month follow-up. Compared with the physical therapy modalities group, the therapeutic aquatic exercise group showed greater alleviation of disability, with adjusted mean group differences of −1.77 (95% CI, −3.02 to −0.51; P = .006) after the 3-month intervention, −2.42 (95% CI, −4.13 to −0.70; P = .006) at the 6-month follow-up, and −3.61 (95% CI, −5.63 to −1.58; P = .001) at the 12-month follow-up (P < .001 for overall group × time interaction). At the 12-month follow-up point, improvements were significantly greater in the therapeutic aquatic exercise group vs the physical therapy modalities group in the number of participants who met the minimal clinically important difference in pain (at least a 2-point improvement on the numeric rating scale) (most severe pain, 30 [53.57%] vs 12 [21.05%]; average pain, 14 [25%] vs 11 [19.30%]; and current pain, 22 [39.29%] vs 10 [17.54%]) and disability (at least a 5-point improvement on the Roland-Morris Disability Questionnaire) (26 (continued) Key Points Question Is therapeutic aquatic exercise as effective as physical therapy modalities in the management of adults with chronic low back pain? Findings In this randomized clinical trial of 113 individuals with chronic low back pain, therapeutic aquatic exercise had a greater influence on pain, function, quality of life, sleep quality, and mental state than physical therapy modalities a...

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Effect of Fixed Versus Adjusted Transcutaneous Electrical Nerve Stimulation Amplitude on Chronic Mechanical Low Back Pain

Abstract: Adjusting pulse amplitude of transcutaneous electrical nerve stimulation does not produce a difference in the effect of transcutaneous electrical nerve stimulation used to treat chronic low back pain.

Cited by 12 publications

References 15 publications

Estimulación nerviosa transcutánea en el manejo del dolor crónico: Una revisión sistemática

Estimulación nerviosa transcutánea en el manejo del dolor crónico: Una revisión sistemática

Randomized study of the impact of a therapeutic education program on patients suffering from chronic low-back pain who are treated with transcutaneous electrical nerve stimulation

Efficacy of Therapeutic Aquatic Exercise vs Physical Therapy Modalities for Patients With Chronic Low Back Pain

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