Effect of Transcutaneous Electrical Nerve Stimulation for the Management of Burn Pruritus: A Pilot Study

Hettrick, Heather; O'Brien, Kimberly A.; Laznick, H.; Sánchez, Juan A.; Gorga, Delia; Nagler, Willibald; Yurt, Roger W.

doi:10.1097/01.bcr.0000124745.22170.86

Cited by 49 publications

(18 citation statements)

References 15 publications

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“…Reports suggest that 60% 210 to 87% 199 of patients report either persistent (15%) or intermittent (44%) pruritus. 16,199,210 Although oral pharmacologic agents are probably the most common method as described above, topical pharmacologic 103 and nonpharmacologic agents, 118,164 massage, 49,50,70 and transcutaneous electrical nerve stimulation 74 have also been studied to manage pruritus. However, these studies lack the evidence to make treatment recommendations.…”

Section: Pruritusmentioning

confidence: 99%

Burn Injury Pain: The Continuing Challenge

Summer

Puntillo

Miaskowski

et al. 2007

The Journal of Pain

254

179

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Section: Pruritusmentioning

confidence: 99%

Burn Injury Pain: The Continuing Challenge

Summer

Puntillo

Miaskowski

et al. 2007

The Journal of Pain

254

179

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“…The results revealed a statistically significant change in the pre-and posttreatment VAS trends for pruritus over the 3-week treatment period (P = .0086). 65 The main mechanism proposed to explain the beneficial effect of TENS apart from the "gate theory" relates to the inhibitory action of endogenous opioids on descending excitatory CNS pathways. [66][67][68] …”

Section: Transcutaneous Electrical Nerve Stimulationmentioning

confidence: 99%

Neuropathic Mechanisms in the Pathophysiology of Burns Pruritus

Goutos

2013

Journal of Burn Care & Research

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Pruritus in burn wounds is a common symptom affecting patient rehabilitation. Over the last decades, there has been a resurgence of interest into more effective strategies to combat this distressing problem; nevertheless, no reports exist in the literature to propose pathophysiological mechanisms responsible for the generation and persistence of pruritic symptoms in the late phases of burns rehabilitation. Neuronal pathways mediating pruritic and painful stimuli share striking similarities, which allows the comparative exploration of the less extensively studied pruritic mechanisms using pain models. Furthermore, emerging anatomical, neurophysiological, and pharmacological evidence supports the involvement of neuropathic mechanisms in chronic burns pruritus. This work updates the conceptual framework for the pathophysiology of burns itch by embracing the contribution of the central nervous system in the maintenance of symptoms into a chronic state. The proposed pathophysiological model paves new avenues in burns pruritus research and is likely to have implications in the quest for more effective therapeutic regimens in clinical practice.

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“…Emerging clinical evidence appears to tentatively support gabapentin (20) and pregabalin (21). Non-pharmacological treatment consists of pressure garments, silicone gel treatments, laser therapy (22), massage therapy (23) and transcutaneous electrical nerve stimulation (24). However, a clear consensus on the care of patients with post burn itch is lacking.…”

mentioning

confidence: 98%

Itch in Burn Areas After Skin Transplantation: Patient Characteristics, Influencing Factors and Therapy

Kuipers¹,

Bremer²,

Braem³

et al. 2015

Acta Derm Venerol

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Pruritus is a frequently encountered symptom following burns. Higher intensity of itching has been associated with depth of the wounds and specific body locations but these differences are not well understood. Our aim was to investigate the intensity of post burn pruritus in grafted and non-grafted burns across anatomic areas and to report on itch-inducing factors and applied treatments. The study included 226 patients prospectively followed for 18 months. Results showed that grafted patients and non-grafted patients reported similar overall itch intensity in-hospital. At 3 months post burn, grafted patients had higher overall itch scores, a difference that was found robust across the study period. Grafted wounds were found to produce higher mean itch intensity at 3 months post burn but this difference disappeared at 12 months post burn. Differences in itch prevalence rates were found across anatomic areas, but only in non-grafted burns. The differences in itch intensity on patient level versus wound level suggest that on the longer run, peripheral mechanism do not explain the higher itch scores in grafted patients.

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Effect of Transcutaneous Electrical Nerve Stimulation for the Management of Burn Pruritus: A Pilot Study

Cited by 49 publications

References 15 publications

Burn Injury Pain: The Continuing Challenge

Burn Injury Pain: The Continuing Challenge

Neuropathic Mechanisms in the Pathophysiology of Burns Pruritus

Itch in Burn Areas After Skin Transplantation: Patient Characteristics, Influencing Factors and Therapy

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