2016
DOI: 10.2522/ptj.20150272
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Problems, Solutions, and Strategies Reported by Users of Transcutaneous Electrical Nerve Stimulation for Chronic Musculoskeletal Pain: Qualitative Exploration Using Patient Interviews

Abstract: The findings indicated that a pragmatic TENS evaluation may need to incorporate a learning phase to allow patients to optimize this complex pattern of TENS usage, and evaluation may need to be sensitive to the outcomes of strategic use. These findings also have implications for clinical practice.

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Cited by 18 publications
(17 citation statements)
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“…This involves learning how to select beneficial electrode positions and electrical characteristics (pulse amplitude, frequency, and pattern) based on their pain at that moment. Thus, users need to learn how to optimise benefits and minimize problems through trial and error and in line with good practice guidelines [ 1 , 242 , 243 ].…”
Section: Discussionmentioning
confidence: 99%
“…This involves learning how to select beneficial electrode positions and electrical characteristics (pulse amplitude, frequency, and pattern) based on their pain at that moment. Thus, users need to learn how to optimise benefits and minimize problems through trial and error and in line with good practice guidelines [ 1 , 242 , 243 ].…”
Section: Discussionmentioning
confidence: 99%
“…The study reports a significant but transient improvement in LBP, but the effect is not evident after the 5th week of treatment. [18] Gladwell et al [9] described the problems with TENS use reported by experienced TENS users as follows: connectivity (pad adhesion, wires), fitting the TENS device (reaching to fit the pads and clothing), availability (portability and accessibility), sensation and settings (sensation of TENS and the controls), and visibility (device or wires visible to other people). A TEP, i.e., pain resource nurse consultations, could enhance any potential benefits of TENS or at least minimize any obstacles to its use.…”
Section: Discussionmentioning
confidence: 99%
“…Thus, a specialized nurse consultation could improve the clinical benefit provided by TENS, as suggested by Gladwell et al who report a short series of nine patients who benefited from training in the use of equipment (electrode placement and TENS settings). [9]…”
Section: Introductionmentioning
confidence: 99%
“…22 In spite of this, there is some controversy in the clinical evidence about its use as the only treatment in chronic LBP. 19 26 27 According to Gladwell et al, 27 training in the use of equipment (electrode placement and TENS adjustments) could improve the clinical benefit provided by TENS.…”
Section: Open Accessmentioning
confidence: 99%