Is interferential current effective in the management of pain, range of motion, and edema following total knee arthroplasty surgery? A randomized double-blind controlled trial

Kadı, Mehmet Resul; Hepgüler, Simin; Atamaz, Funda; Dede, Emine; Aydoğdu, Semih; Aktuğlu, Kemal; Özkayın, Nadir; Öztürk, Cihat

doi:10.1177/0269215519829856

Cited by 8 publications

(5 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Interferential current is used for various purposes, such as improvement in intestinal transit [13], dysphagia [14], increase in vascular flow [15] and muscle strengthening [16], but its main use is to produce analgesia [17]. However, there are conflicting results about its use, as presented by Kadi et al [17] who used the interferential in the post-operative period of knee arthroplasty, which showed less use of paracetamol in only one of the evaluations, without advantages for other variables used in relation to pain. Similarly, Nazligul et al [18] did not observe any advantages in applying the interferential on a protocol with exercises, cryotherapy and non-hormonal anti-inflammatory in patients with impact syndrome.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of acute low back pain in women after treatment with interferential current

Serafim¹,

Rabel²,

Neves³

et al. 2019

J Pre Clin Clin Res.

View full text Add to dashboard Cite

Introduction and objectives. Low back pain has become one of the major public health problems worldwide. Treatment is by the use of analgesics and non-steroidal anti-inflammatory drugs, but it must be taken into account that these have side-effects. Therefore, non-pharmacological therapies may be beneficial in patients at greater risk of developing chronic pain and disability, aiming to decrease pain. The objective of this study was to assess the effect of the Interferential current in women with acute low back pain. Materials and method. The study included female patients, aged 18-35 years, who had acute low back pain. The Visual Analogue Scale (VAS) of Pain and the Oswestry Disability Index (ODI) were used for evaluation. The patients received Interferential current in the bipolar form, the parameters were base current of 2 kHz, AMF 50 Hz, which was performed for 20 minutes daily, for 3 non-consecutive days in the week, for 4 weeks, totaling 12 therapies. Results. For evaluation of pain intensity, no difference was observed in the control group with a small effect size, but the treated group had a large effect size. For the ODI, comparison within the group showed no difference for the control group, but there was a decrease in the values for the treated group. Conclusion. It was found that the Interferential current was effective in the reduction of acute low back pain and functional improvement.

show abstract

Section: Discussionmentioning

confidence: 99%

Evaluation of acute low back pain in women after treatment with interferential current

Serafim¹,

Rabel²,

Neves³

et al. 2019

J Pre Clin Clin Res.

View full text Add to dashboard Cite

show abstract

“…No positive IFC therapy results have been found for shoulder disorders [36,37]. Nevertheless, IFC therapy has shown analgesic effects for neck pain [38,39], low back pain [21,22,[40][41][42], knee osteoarthritis [26,27,[43][44][45] or postoperative knee pain [4,46]. Most of these studies have used the following parameters: carrier frequency of 4 kHz, AMF between 30-180 Hz, for 20-40 min with a strong but comfortable intensity.…”

Section: Randomized Clinical Trialsmentioning

confidence: 99%

Analgesic Effects of Interferential Current Therapy: A Narrative Review

Rampazo

Liebano

2022

Medicina

View full text Add to dashboard Cite

Background and Objectives: Transcutaneous electrical stimulation of low- and medium-frequency currents is commonly used in pain management. Interferential current (IFC) therapy, a medium frequency alternating current therapy that reportedly reduces skin impedance, can reach deeper tissues. IFC therapy can provide several different treatment possibilities by adjusting its parameters (carrier frequency, amplitudemodulated frequency, sweep frequency, sweep mode or swing pattern, type of application (bipolar or quadripolar), time of application and intensity). The objective of this review article is to discuss the literature findings on the analgesic efficacy of IFC therapy. Conclusions: According to the literature, IFC therapy shows significant analgesic effects in patients with neck pain, low back pain, knee osteoarthritis and post-operative knee pain. Most of the IFC parameters seem not to influence its analgesic effects. We encourage further studies to investigate the mechanism of action of IFC therapy.

show abstract

“…Of these, 21 were randomized controlled trials (RCTs), [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31] and 1 was a systematic review 32 (Supplemental Digital Content 2, Appendix 2, http://links.lww.com/AA/D848). The rest were RCTs describing nonpharmacologic interventions, 33,34 prospective nonrandomized designs, 35,36 or cohort studies. [37][38][39][40][41][42][43][44][45] Notably, 2 trials described uncommon perioperative medications.…”

Section: Literature Searchmentioning

confidence: 99%

“…[37][38][39][40][41][42][43][44][45] Notably, 2 trials described uncommon perioperative medications. 31,44 While all included studies had a mean age over 65 years, 29 studies included subjects <65 years old, [13][14][15][16][17][18][19][20][21][22][24][25][26][27][29][30][31][32][33][34][35][36][38][39][40][42][43][44][45] 3 studies included only geriatric patients, 28,37,41 and 1 publication did not clearly describe the age range for subjects. 23 As there is a paucity of data regarding analgesic management in elderly patients, we will summarize the identified literature by medication type, supplement findings when able with nongeriatric publications, and present both concerns and benefits these medications may offer.…”

Section: Literature Searchmentioning

confidence: 99%

“…Moist heat, ice therapy, electroacupuncture, relaxation, behavioral instruction, and psychological support strategies may have utility for analgesia, 34,[148][149][150] while inferential current muscle stimulation may not reduce acute pain. 33 Exercise can reduce both pain and fall risk, 151 while patient education can decrease opioid consumption. 36,152 Furthermore, while sleep disturbances can be associated with delirium, poor or inadequate sleep can also exacerbate pain.…”

Section: Recommendationsmentioning

confidence: 99%

See 1 more Smart Citation

Nonopioid Analgesics for the Perioperative Geriatric Patient: A Narrative Review

Wilson

Bridges

et al. 2022

Anesthesia &Amp; Analgesia

View full text Add to dashboard Cite

Management of acute perioperative pain in the geriatric patient can be challenging as the physiologic and pharmacokinetic changes associated with aging may predispose older patients to opioid-related side effects. Furthermore, elderly adults are more susceptible to postoperative delirium and postoperative cognitive dysfunction, which may be exacerbated by both poorly controlled postoperative pain and commonly used pain medications. This narrative review summarizes the literature published in the past 10 years for several nonopioid analgesics commonly prescribed to the geriatric patient in the perioperative period. Nonopioid analgesics are broken down as follows: medications prescribed throughout the perioperative period (acetaminophen and nonsteroidal antiinflammatory drugs), medications limited to the acute perioperative setting (N-methyl-D-aspartate receptor antagonists, dexmedetomidine, dexamethasone, and local anesthetics), and medications to be used with caution in the geriatric patient population (gabapentinoids and muscle relaxants). Our search identified 1757 citations, but only 33 specifically focused on geriatric analgesia. Of these, only 21 were randomized clinical trials‚ and 1 was a systematic review. While guidance in tailoring pain regimens that focus on the use of nonopioid medications in the geriatric patient is lacking, we summarize the current literature and highlight that some nonopioid medications may extend benefits to the geriatric patient beyond analgesia. (Anesth Analg 2022;135:290-306) GLOSSARY AChEI = acetylcholinesterase inhibitor; AGS = American Geriatric Society; ALT = alanine aminotransferase; ANS = autonomic nervous system; AV = atrioventricular; CBF = cerebral blood flow; CINAHL = Cumulative Index to Nursing and Allied Health Literature; C max = maximum plasma concentration; CNS = central nervous system; COX = cyclooxygenase; CVA = cerebrovascular accident; ED = effective dose; ER = extended release; FDA = US Food and Drug Administration; GABA = gamma-aminobutyric acid; GFR = glomerular filtration rate; GI = gastrointestinal; ICU = intensive care unit; IM = intramuscular; IR = immediate release; IV = intravenous; LOS = length of stay; MA = meta-analysis; MAOIs = monoamine oxidase inhibitors; MeSH = Medical Subject Heading; MI = myocardial ischemia; NAPQI = N-acetyl-p-benzoquinone imine; NMDA = N-methyl-d-aspartate; NO = nitric oxide; NSAIDs = nonsteroidal anti-inflammatory drugs; PGE2 = prostaglandin E2; POCD = postoperative cognitive dysfunction; POD = postoperative day; PONV = postoperative nausea and vomiting; PPI = proton pump inhibitor; PRISMA = Preferred Reporting Items for Systematic Reviews and Meta-Analyses; RBF = renal blood flow; RCT = randomized controlled trial; SA = sinoatrial; SAH = subarachnoid hemorrhage; SE = side effects; T 1/2 = half-life; TKA = total knee arthroplasty; V d = volume of distribution Chronic Pain Medicine E NArrAtiVe reView Article

show abstract

Is interferential current effective in the management of pain, range of motion, and edema following total knee arthroplasty surgery? A randomized double-blind controlled trial

Cited by 8 publications

References 23 publications

Evaluation of acute low back pain in women after treatment with interferential current

Evaluation of acute low back pain in women after treatment with interferential current

Analgesic Effects of Interferential Current Therapy: A Narrative Review

Nonopioid Analgesics for the Perioperative Geriatric Patient: A Narrative Review

Contact Info

Product

Resources

About