Efficacy and Safety of Transcutaneous Electrical Nerve Stimulation (TENS) for Acute and Chronic Pain: A Systematic Review and Meta-Analysis (Meta-TENS)

Johnson, Mark I.; Paley, Carole A; Jones, Gareth; Mulvey, Matthew R; Wittkopf, Priscilla G.

doi:10.2139/ssrn.3756796

SSRN Journal

2020

DOI: 10.2139/ssrn.3756796

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Efficacy and Safety of Transcutaneous Electrical Nerve Stimulation (TENS) for Acute and Chronic Pain: A Systematic Review and Meta-Analysis (Meta-TENS)

Mark I. Johnson

Carole A Paley

Gareth Jones

et al.

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Cited by 2 publications

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Comparison of transcutaneous electrical stimulation and suprascapular nerve blockage for the treatment of hemiplegic shoulder pain

Ersoy¹,

Paker²,

Kesiktaş³

et al. 2023

BMR

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BACKGROUND: Hemiplegic shoulder pain (HSP) is a common morbidity of stroke. Different treatment modalities can be used for optimizing the results and limiting the possible side effects. This research compares the effects of two therapies used to reduce the pain and improve the quality of life of the patients with HSP. OBJECTIVE: This study aimed to compare the effects of transcutaneous electrical nerve stimulation (TENS) and suprascapular nerve blockage (SSNB) in patients with HSP. METHODS: In this clinical research, 24 patients with HSP who participated in a conventional rehabilitation program were randomized into TENS or SSNB treatment groups. A 100 mm visual analogue scale was used to assess the severity of pain. Passive range of motion (ROM) of the shoulder was measured. The Modified Ashworth Scale (MAS) was used to evaluate spasticity of the upper extremities, and the Modified Barthel Scale was used to assess activities of daily living (ADL). Quality of life was measured using the Stroke-specific Quality of Life (SS-QoL) questionnaire. RESULTS: The pain scores of the SSNB group decreased more significantly (p< 0.05) than in the TENS group. SS-QoL scores at the 3rd week in both groups were significantly higher than before treatment (p< 0.05). MAS scores and Barthel scores after treatment did not differ significantly between the groups. CONCLUSION: TENS and SSNB were beneficial in relieving pain and increasing passive shoulder ROM and ADL in all patients. The alleviating of pain was faster in patients who underwent SSNB.

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Comparison of transcutaneous electrical stimulation and suprascapular nerve blockage for the treatment of hemiplegic shoulder pain

Ersoy¹,

Paker²,

Kesiktaş³

et al. 2023

BMR

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Effectiveness of Träbert current in a physiotherapy program for the management of musculoskeletal pain: a systematic review and meta-analysis

de la Barra Ortiz,

Carvajal Muñoz,

Arancibia Lagos

et al. 2024

Physiother Quart.

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IntroductionTräbert current (TC) is a physical therapy resource described for the management of musculoskeletal pain (MSP). It combines the effects of galvanism and sensory stimulation, offering various analgesic applications, although it seems that the studies that support its effectiveness are limited. The aim of this study was to evaluate the effectiveness of TC in a physical therapy plan for the management of MSP.MethodsElectronic databases reviewed included Medline (via PubMed), Web of Science, Scopus, CINAHL, Science Direct, and PEDro (last updated January 12, 2024). Randomised clinical trials (RCTs) comparing TC with other physical therapy interventions were included. Seven studies met the inclusion criteria and were analysed qualitatively, while five contributed to the meta-analysis. The clinical conditions treated included knee osteoarthritis, low back pain (LBP), and epicondylalgia. The risk of bias and internal validity was evaluated using the Rob2 tool (Cochrane) and the PEDro scale.ResultsRCTs were rated as having favourable internal validity (PEDro), despite a lack of concealed allocation and blinding, resulting in an unclear risk of bias on D2 and D5 (Rob2). The studies reported a decrease in pain and disability for the experimental groups (p < 0.05), although the meta-analysis revealed a non-significant pooled effect for the standardised mean difference (SMD = 0.2–0.5, p > 0.05) in favour of the controls and with heterogeneity between the studies (I2 = 50–75%).ConclusionsTC seems to be effective for the management of MSP, although it is necessary to improve the quality of the clinical trials to conduct a conclusive quantitative analysis. Key words: systematic review, transcutaneous electrical nerve stimulation, electrical stimulation therapy, Träbert current, musculoskeletal pain, musculoskeletal diseases

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Efficacy and Safety of Transcutaneous Electrical Nerve Stimulation (TENS) for Acute and Chronic Pain: A Systematic Review and Meta-Analysis (Meta-TENS)

Cited by 2 publications

References 473 publications

Comparison of transcutaneous electrical stimulation and suprascapular nerve blockage for the treatment of hemiplegic shoulder pain

Comparison of transcutaneous electrical stimulation and suprascapular nerve blockage for the treatment of hemiplegic shoulder pain

Effectiveness of Träbert current in a physiotherapy program for the management of musculoskeletal pain: a systematic review and meta-analysis

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