Transcutaneous electrical nerve stimulation for acute pain

Johnson, Mark I.; Paley, Carole A; Howe, Tracey; Sluka, Kathleen A.

doi:10.1002/14651858.cd006142.pub2

Cited by 152 publications

(60 citation statements)

References 64 publications

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“…The authors noted that non-randomised studies overestimated the beneficial effects of TENS. A later Cochrane review included only RCTs looking at the benefit of TENS in the management of acute pain generally and concluded that there were inadequate data on which to perform a meta-analysis (Walsh et al, 2009). However, these authors excluded studies where TENS was used in combination with other treatments such as analgesic drugs.…”

Section: Transcutaneous Electrical Nerve Stimulationmentioning

confidence: 99%

Acupuncture for analgesia in the emergency department: a multicentre, randomised, equivalence and non‐inferiority trial

Cohen

Smit

Andrianopoulos³

et al. 2017

Medical Journal of Australia

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Objectives: This study aimed to assess analgesia provided by acupuncture, alone or in combination with pharmacotherapy, to patients presenting to emergency departments with acute low back pain, migraine or ankle sprain. Design: A pragmatic, multicentre, randomised, assessor‐blinded, equivalence and non‐inferiority trial of analgesia, comparing acupuncture alone, acupuncture plus pharmacotherapy, and pharmacotherapy alone for alleviating pain in the emergency department. Setting, participants: Patients presenting to emergency departments in one of four tertiary hospitals in Melbourne with acute low back pain, migraine, or ankle sprain, and with a pain score on a 10‐point verbal numerical rating scale (VNRS) of at least 4. Main outcome measures: The primary outcome measure was pain at one hour (T1). Clinically relevant pain relief was defined as achieving a VNRS score below 4, and statistically relevant pain relief as a reduction in VNRS score of greater than 2 units. Results: 1964 patients were assessed between January 2010 and December 2011; 528 patients with acute low back pain (270 patients), migraine (92) or ankle sprain (166) were randomised to acupuncture alone (177 patients), acupuncture plus pharmacotherapy (178) or pharmacotherapy alone (173). Equivalence and non‐inferiority of treatment groups was found overall and for the low back pain and ankle sprain groups in both intention‐to‐treat and per protocol (PP) analyses, except in the PP equivalence testing of the ankle sprain group. 15.6% of patients had clinically relevant pain relief and 36.9% had statistically relevant pain relief at T1; there were no between‐group differences. Conclusion: The effectiveness of acupuncture in providing acute analgesia for patients with back pain and ankle sprain was comparable with that of pharmacotherapy. Acupuncture is a safe and acceptable form of analgesia, but none of the examined therapies provided optimal acute analgesia. More effective options are needed. Trial registration: Australian New Zealand Clinical Trials Registry, ACTRN12609000989246.

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Section: Transcutaneous Electrical Nerve Stimulationmentioning

confidence: 99%

Acupuncture for analgesia in the emergency department: a multicentre, randomised, equivalence and non‐inferiority trial

Cohen

Smit

Andrianopoulos³

et al. 2017

Medical Journal of Australia

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“…A meta-analysis with subgroup analysis demonstrated a significantly better outcome for TENS when applied using adequate (Optimal) stimulation techniques when compared to non-adequate stimulation techniques. [17] A number of applications required for TENS were lesser (2.1) than the diclofenac injections (3). This shows that the effectiveness of the TENS therapy, therefore, less no.…”

Section: Discussionmentioning

confidence: 99%

Comparative Evaluation of Transcutaneous Electrical Nerve Stimulation (Tens) v/S Non-Steroidal Anti-Inflammatory Drugs (Nsaids) for Postoperative Pain Management in Open Cholecystectomy

Ranga¹,

Yadav²,

Garg³

et al. 2016

jemds

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BACKGROUNDPain is not only an unpleasant sensation but also increases morbidity of any operation like atelectasis, ileus, requirement of intensive care and increase in hospital stay. By neuro-modulation based on the gate control theory, we can achieve the similar results as with pharmaceutics without their side effects. Aim of this study was to compare the Non-Steroidal Anti-Inflammatory Drug (NSAID) with Transcutaneous Nerve Stimulation (TENS) in terms of postoperative pain and duration of pain relief by using a visual analogue scale.

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“…TENS is one of the simplest electrotherapy modalities, being a valuable physical resource to relieve pain induced both by acute and chronic injuries 32 . This is an alternative, noninvasive, nontoxic method with the major advantage of not having side-effects 33 . Oliveira et al 34 have evaluated high and low frequency TENS effect in women with moderate to severe primary dysmenorrhea.…”

Section: Participantsmentioning

confidence: 99%

Physiotherapy in primary dysmenorrhea: literature review

Gerzson¹,

Padilha

Braz

et al. 2014

Revista Dor

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BACKGROUND AND OBJECTIVES:Dysmenorrhea is a word derived from the Greek language and means difficult menstrual cycle. It may be classified as primary, leading to poorer quality of life indices of several women. This study aimed at investigating, by means of literature review, the efficacy and accuracy of existing therapies for primary dysmenorrhea, specifically in Physiotherapy. CONTENTS: Narrative literature review by querying electronic databases Medline, Scielo, Lilacs, Cochrane library, PEDro and Pubmed), where articles were selected and analyzed from August 2013 to February 2014. For data collection, materials from 2005 to current literature were included using the following keywords: "dysmenorrhea", "physiotherapy" and their Portuguese equivalent "dismenorreia" and "fisioterapia", combining them with the operators AND and OR. CONCLUSION: Studies were found describing the use of thermotherapy, cryotherapy, transcutaneous electric nerve stimulation and connective tissue massage, Pilates and acupuncture with improvement of such women's symptoms. However, it is clear the need for studies regarding physiotherapeutic maneuvers with further methodological rigor. Keywords: Dysmenorrhea, Physiotherapy, Woman's health. RESUMO JUSTIFICATIVA E OBJETIVOS:

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Transcutaneous electrical nerve stimulation for acute pain

Cited by 152 publications

References 64 publications

Acupuncture for analgesia in the emergency department: a multicentre, randomised, equivalence and non‐inferiority trial

Acupuncture for analgesia in the emergency department: a multicentre, randomised, equivalence and non‐inferiority trial

Comparative Evaluation of Transcutaneous Electrical Nerve Stimulation (Tens) v/S Non-Steroidal Anti-Inflammatory Drugs (Nsaids) for Postoperative Pain Management in Open Cholecystectomy

Physiotherapy in primary dysmenorrhea: literature review

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