The Impact of Transcutaneous Electrical Nerve Stimulation (TENS) on Acute Pain and Other Postoperative Outcomes: A Systematic Review with Meta-Analysis

Viderman, Dmitriy; Nabidollayeva, Fatima; Aubakirova, Mina; Sadir, Nurzhamal; Tapinova, Karina; Tankacheyev, Ramil; Abdildin, Yerkin G.

doi:10.3390/jcm13020427

Cited by 5 publications

(2 citation statements)

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“…The Gate Control Theory of pain posits that TENS has the potential to impede the propagation of pain signals to the central nervous system. 19 Moreover, the observed prolonged pain alleviation in our individuals may be attributed to the elevation of endogenous endorphin levels resulting from electrical stimulation. 20 , 21 , 22 , 23 , 24…”

Section: Discussionmentioning

confidence: 69%

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The role of TENS therapy in reducing the incidence of post‐Caesarean section wound infection

Qin,

Liu,

Liu

2024

International Wound Journal

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The occurrence of wound infection following a Caesarean section procedure poses a substantial clinical obstacle. Transcutaneous Electrical Nerve Stimulation (TENS) has been identified as a promising supplementary treatment option for improving the healing process and decreasing the incidence of infections. This study assessed the efficacy of TENS therapy in the postoperative care of patients who have had Caesarean section. We randomly assigned a total of 108 women who had Caesarean sections to either a TENS group (n = 54) or control (n = 54). The TENS therapy was provided twice daily for a duration of 30 min for the period of 14 days following the surgery. The main measure of interest in this study was the occurrence of wound infection during 30‐day period. Additionally, secondary measures included the rate of wound healing, levels of pain experienced and level of patient satisfaction. In comparison to the control (22.2%, p < 0.05), the TENS group had notably reduced occurrence of wound infection, with the rate of 7.4%. TENS group had superior wound healing results, as measured by REEDA scale, at 7 days (2.1 ± 0.8 vs. 2.5 ± 1.0, p < 0.04), 14 days (1.2 ± 0.5 vs. 1.9 ± 0.7, p < 0.05) and 30 days (0.3 ± 0.5 vs. 0.7 ± 0.6, p < 0.05). Furthermore, TENS group had reduced pain levels on the Visual Analog Scale (VAS) at all evaluation intervals (p < 0.05). TENS group exhibited significantly higher levels of patient satisfaction, as evidenced by 64.8% of participants rating high satisfaction, in contrast to 40.7% in the control group (p < 0.05). The incidence of adverse effects was found to be minor, as indicated by a skin irritation rate of 3.7% and reported discomfort rate of 1.9% at the electrode location. TENS therapy effectively decreased the occurrence of post‐Caesarean wound infections, expedited the healing process and enhanced pain control. This treatment was well‐received by patients and had little negative consequences. The aforementioned results provided evidence in favour of incorporating TENS into post‐Caesarean care regimens, which may have significant consequences for improving patient outcomes and maximizing healthcare resources.

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Section: Discussionmentioning

confidence: 69%

“…The results of our study indicated that TENS therapy has substantial impact on reducing the occurrence of wound infections, expediting wound healing, alleviating pain and enhancing overall patient satisfaction after the Caesarean section. 18 , 19 , 20 , 21 …”

Section: Discussionmentioning

confidence: 99%