The role of acupuncture and transcutaneous-electrical nerve stimulation for postoperative pain control

Meißner, Winfried

doi:10.1097/aco.0b013e32832fbdf1

Cited by 32 publications

(20 citation statements)

References 28 publications

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“…During labour, the pain system is highly sensitised, which places high demands on the given pain relief. Postoperative pain is in some ways similar to labour pain with a large acute inflammatory component, and the effect of acupuncture on this type of pain has been questioned [18]. This is in contrast to chronic pain conditions, for which acupuncture has been shown to be superior to sham treatments [19].…”

Section: Discussionmentioning

confidence: 99%

Acupuncture with manual and electrical stimulation for labour pain: a longitudinal randomised controlled trial

Vixner

Schytt

Stener-Victorin

et al. 2014

BMC Complement Altern Med

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BackgroundAcupuncture is commonly used to reduce pain during labour despite contradictory results. The aim of this study is to evaluate the effectiveness of acupuncture with manual stimulation and acupuncture with combined manual and electrical stimulation (electro-acupuncture) compared with standard care in reducing labour pain. Our hypothesis was that both acupuncture stimulation techniques were more effective than standard care, and that electro-acupuncture was most effective.MethodsA longitudinal randomised controlled trial. The recruitment of participants took place at the admission to the labour ward between November 2008 and October 2011 at two Swedish hospitals . 303 nulliparous women with normal pregnancies were randomised to: 40 minutes of manual acupuncture (MA), electro-acupuncture (EA), or standard care without acupuncture (SC). Primary outcome: labour pain, assessed by Visual Analogue Scale (VAS). Secondary outcomes: relaxation, use of obstetric pain relief during labour and post-partum assessments of labour pain. The sample size calculation was based on the primary outcome and a difference of 15 mm on VAS was regarded as clinically relevant, this gave 101 in each group, including a total of 303 women.ResultsMean estimated pain scores on VAS (SC: 69.0, MA: 66.4 and EA: 68.5), adjusted for: treatment, age, education, and time from baseline, with no interactions did not differ between the groups (SC vs MA: mean difference 2.6, 95% confidence interval [CI] -1.7-6.9 and SC vs EA: mean difference 0.6 [95% CI] -3.6-4.8). Fewer number of women in the EA group used epidural analgesia (46%) than women in the MA group (61%) and SC group (70%) (EA vs SC: odds ratio [OR] 0.35; [95% CI] 0.19-0.67).ConclusionsAcupuncture does not reduce women’s experience of labour pain, neither with manual stimulation nor with combined manual and electrical stimulation. However, fewer women in the EA group used epidural analgesia thus indicating that the effect of acupuncture with electrical stimulation may be underestimated. These findings were obtained in a context with free access to other forms of pain relief.Trial registrationClinicalTrials.gov: NCT01197950.

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Section: Discussionmentioning

confidence: 99%

Acupuncture with manual and electrical stimulation for labour pain: a longitudinal randomised controlled trial

Vixner

Schytt

Stener-Victorin

et al. 2014

BMC Complement Altern Med

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“…[91][92][93] Given its safety profile, TENS can be considered as an adjunct in patients who do not respond to conventional analgesic techniques or who experience severe side effects.…”

Section: Transcutaneous Electrical Nerve Stimulation (Tens)mentioning

confidence: 99%

Optimizing pain management to facilitate Enhanced Recovery After Surgery pathways

Tan

Law

Gan

2014

Can J Anesth/J Can Anesth

288

206

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“…They send created stimulations by machine to the skin in order to stimulate sensory nerve endings and cause feeling like throbbing or tingling [23]. TENS has been applied successfully to treat some surgeries as oral-facial surgeries, labor pain, and also has been approved by FDA [25,26].…”

Section: Translational Biomedicine Issn 2172-0479mentioning

confidence: 99%

The Effectiveness of Tens (Transcutaneous Electrical Nerve Stimulation) in Reducing Pain during Replacing the Dressing in Hospitalized Patients in Burn Center of Sabzevar

Moghaddam¹,

Bordbar²,

Av³

et al. 2018

Transl Biomed

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Background and aim: A burning pain is considered among the most painful conditions experienced by burn patients, specifically, during changing the wound dressing. By using complementary therapies such as aromatherapy, hypnosis, music therapy, acupressure, TENS is considered as nurses' serious tasks and has special importance in pain controlling of patients. This study was accomplished to consider the effect of electrical nerve stimulation (TENS) through skin during replacing the wound dressing in hospitalized burn patients in burn ward of Sabzevar Vasee hospital.

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The role of acupuncture and transcutaneous-electrical nerve stimulation for postoperative pain control

Cited by 32 publications

References 28 publications

Acupuncture with manual and electrical stimulation for labour pain: a longitudinal randomised controlled trial

Acupuncture with manual and electrical stimulation for labour pain: a longitudinal randomised controlled trial

Optimizing pain management to facilitate Enhanced Recovery After Surgery pathways

The Effectiveness of Tens (Transcutaneous Electrical Nerve Stimulation) in Reducing Pain during Replacing the Dressing in Hospitalized Patients in Burn Center of Sabzevar

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