Pain relief in labour by transcutaneous electrical nerve stimulation (TENS)

Spank, Juliane; Cambier, Dirk; Paepe, H.M.C. De; Danneels, Lieven; Witvrouw, Erik; Beerens, L.

doi:10.1007/s004040000099

Cited by 56 publications

(50 citation statements)

References 20 publications

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“…A total of nine studies from different countries were included. Two of them were randomized controlled trials 4,14 , four were quasirandomized controlled trials [15][16][17][18] and three studies 3,5,19 did not report the method of randomization.…”

Section: Resultsmentioning

confidence: 99%

Estimulação elétrica transcutânea no alívio da dor do trabalho de parto: revisão sistemática e meta-análise

Mello

Nóbrega²,

Lemos

2011

Rev. bras. fisioter.

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Background: Transcutaneous electrical stimulation (TENS) is a non-pharmacological pain relief method. It is an auxiliary method and not intended to replace other techniques. Objectives: To perform a systematic review assessing the effectiveness of TENS compared to no TENS treatment or placebo with the following outcomes: pain relief (primary outcome), analgesic requirements, duration of labor, the mother's satisfaction, type of delivery and fetal repercussions (secondary outcomes). Methods: The Pubmed, LILACS and Scielo databases were searched for randomized controlled trials and quasi-randomized trials published between 1966 and 2008 using the keywords 'TENS', 'Labor', 'Labor pain' and 'obstetric labor'. The selection of eligible items and assessment of methodological quality were performed independently by two researchers. Random effects meta-analysis was performed for studies that were sufficiently homogeneous. Results: Nine studies involving a total of 1076 pregnant women were included. There was no statistically significant difference between groups in pain relief during labor (pooled RR = 1.09, 95% CI = 0.72 to 1.65) or the need of additional analgesia (pooled RR = 0.89, 95% CI = 0.74 to 1.08). There was no evidence that TENS interfered in any of the outcomes except the mothers' desire to use TENS in future deliveries. Conclusions: The use of TENS had no impact on mother or child and no influence on labor.According to the results of this review, there is no evidence that TENS reduces the use of additional analgesia.Keywords: Transcutaneous Electrical Nerve stimulation; labor pain; obstetric analgesia; labor, obstetric. ResumoContextualização: A estimulação elétrica transcutânea (EET) é um método não farmacológico utilizado no alívio da dor do trabalho de parto. Sua aplicação representa um método adjuvante que não se propõe a substituir outras técnicas. Objetivos: Desenvolver uma revisão sistemática para avaliar a eficácia da EET comparada à ausência de EET ou placebo, segundo os desfechos: alívio da dor do trabalho de parto (desfecho primário), uso de analgesia complementar, duração do trabalho de parto, satisfação da parturiente, tipo de parto e repercussões fetais (desfechos secundários). Métodos: Realizou-se uma busca sistemática nas bases de dados PubMed, LILACS e SCIELO por ensaios clínicos randomizados e quasi-randomizados, publicados entre 1966 e 2008. As palavras-chave utilizadas foram 'TENS', 'labor', 'labor pain' e 'labor obstetric'. A seleção de artigos elegíveis e a avaliação de sua qualidade metodológica foram feitas independentemente por dois revisores. Meta-análises de efeitos randômicos foram realizadas quando estudos que investigavam um mesmo desfecho eram suficientemente homogêneos. Resultados: Nove estudos, incluindo 1076 gestantes, foram selecionados. Não houve diferença significativa entre os grupos no alívio da dor do parto (pooled RR=1,09; 95%IC=0,72-1,65) ou na necessidade de analgesia complementar (pooled RR=0,89; 95%IC=0,74-1,08). Não se observou evidência da interferência...

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Section: Resultsmentioning

confidence: 99%

Estimulação elétrica transcutânea no alívio da dor do trabalho de parto: revisão sistemática e meta-análise

Mello

Nóbrega²,

Lemos

2011

Rev. bras. fisioter.

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“…van Der Spank et al (23) have also obtained good results using TENS during labor. The aim of the study was to determine the efficacy of TENS in pain relief during labor as well as its influence on the incidence of requests for epidural analgesia.…”

Section: Discussionmentioning

confidence: 92%

The effect of transcutaneous electrical nerve stimulation (TENS) and cryotherapy in the relief of pain during labor

Regis¹,

Honório²,

Santos³

et al. 2020

mtprehabjournal

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Background:The delivery pain is an unpleasant experience which may generate some insecurity for the woman. Thus, some methods of analgesia need to be studied in order to generate greater comfort for the woman during labor. Objective: to evaluate the effect of transcutaneous electrical nerve stimulation (TENS) and cryotherapy (CRYO) on labor pain. Method/Design: quasi experimental study, randomized sample in two groups: TENS and CRYO. Pregnant women were selected in the Carmela Dutra Maternity (Florianópolis (SC), Brazil) according to inclusion criteria: women which are pregnant for the first time, age (18-40 years) and initial cervical dilatation of 4-5cm. The Visual Analogue Scale (VAS) was used to evaluate pain before and after each intervention. Results: 24 parturient women were studied (TENS = 11, CRYO = 13). In the TENS group, there was a significant result in pain relief after the first application (p = 0.002). VAS was reduced from 8 to 5.5, but not significant. In the CRYO group there was reduction of pain during the first application (p = 0.008), and in the second there was an increase in pain (p = 0.008). There was a significant difference between the techniques in the evaluation performed before the second application, with a lower value attributed to the CRYO group (p = 0.034). Conclusions: CRYO and TENS were effective in relieving pain during the first phase of the initial phase of labor. However, during the treatment, in the parturient women studied, there was maintenance of pain response by the CRYO group and decrease in the TENS group without reduction significant.

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“…TENS is generally believed to be a safe non-invasive intervention which may produce significant analgesia in many patients with moderate predictable pain associated with a range of conditions [23,24].…”

Section: Discussionmentioning

confidence: 99%

Rehabilitation with “Software Controlled Short Tension Impulses Therapy” (So.Co.Short) for Lumbar and Cervical Chronic Radiculopathy

Saggini¹,

Carmignano²,

Supplizi³

et al. 2017

J Nov Physiother

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Background: Recent studies have highlighted a new use of electrical stimulation called electroceutical therapy that uses electrical stimulation similar to frequency modulated electromagnetic neural stimulation (FREMS) that influence and modify the functions of the body. A pilot study was designed aimed to evaluate the efficacy of "Software Controlled Short Tension Impulses Therapy" (So.Co.Short) in subjects with lumbar and cervical radiculopathy in chronic phase treated with two different protocol one daily or and the other every other day. Furthermore, the second endpoint is monitor analgesic intake for 2 month after the end of protocol. Materials and Methods:60 patients with chronic cervical radiculopathy were included, aged between 31 and 80 years and 70 subjects with chronic lumbar radiculopathy aged between 28 and 80 years. Patients underwent a session, using a newly-developed biomedical device that allows the application of software-controlled electric impulses of variable tension, frequency and duration "Software Controlled Short Tension Impulses Therapy"-(So co.Short) for 10 sessions with two modalities of application: daily or every other day. At the beginning (T0) and the end (T1) of the treatment all patients performed Visual Analogic Scale (VAS), Neck Disability Index (NDI) or Oswestry Disability Index (ODI). A drug diary was kept by each subject to monitor analgesic intake at T0 (before 2 weeks at beginning of study) and 1 month after the end of protocols. Results:Results confirm effectiveness for pain relief and reduction of analgesic intake. Conclusion:In conclusion, the findings of this study confirm that So.Co.Short is safe and leads to pain relief and improvement of healing in lumbar and cervical chronic radiculopathy. Probably the best application is on every other days, because stimulating the production of growth factors and triggering the relief of pain, must leave enough time for the molecules produced to act on the inflammatory process.

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Pain relief in labour by transcutaneous electrical nerve stimulation (TENS)

Cited by 56 publications

References 20 publications

Estimulação elétrica transcutânea no alívio da dor do trabalho de parto: revisão sistemática e meta-análise

Estimulação elétrica transcutânea no alívio da dor do trabalho de parto: revisão sistemática e meta-análise

The effect of transcutaneous electrical nerve stimulation (TENS) and cryotherapy in the relief of pain during labor

Rehabilitation with “Software Controlled Short Tension Impulses Therapy” (So.Co.Short) for Lumbar and Cervical Chronic Radiculopathy

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