Transcutaneous electrical stimulation in neck pain: A systematic review and meta‐analysis

Rampazo, Érika Patrícia; Martignago, Cintia Cristina Santi; Noronha, Marcos de; Liebano, Richard Eloin

doi:10.1002/ejp.1845

Cited by 13 publications

(8 citation statements)

References 65 publications

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“…However, evidence suggests that repeated PENS therapy is more effective than repeated TENS therapy in relieving chronic low back pain [15]. Moreover, TENS has been proven to be an effective treatment option for multiple other conditions, such as neck pain, knee osteoarthritis, abdominal/pelvic pain, and temporomandibular disorders [16][17][18][19].…”

Section: Discussionmentioning

confidence: 99%

Unraveling the Potential of Electroanalgesia: A Literature Review of Current Therapeutics

Reddy,

Singhal,

Gaikwad

et al. 2024

Cureus

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Neuropathic pain (NP), arising from dysfunction in the neurological system, poses a significant challenge in pain management due to its intricate origin and unpredictable response to conventional treatments. Electroanalgesia, a collection of techniques such as transcutaneous electric nerve stimulation (TENS), peripheral electrical nerve stimulation (PENS), spinal cord stimulation (SCS), deep brain stimulation (DBS), and electroacupuncture (EA), presents a potential alternative or complementary approach. This review brings together evidence from 56 studies to evaluate the effectiveness and safety of electroanalgesia in chronic NP. It discusses the mechanisms underlying NP, the indications for electroanalgesia, and the techniques utilized, emphasizing the diverse applications and potential benefits. However, despite its potential uses, electroanalgesia has its limitations, including variable effectiveness and potential adverse effects. Furthermore, the review recognizes the limitations of the methodology and the need for further research to refine treatment protocols and enhance the understanding of electroanalgesia's role in comprehensive pain management strategies.

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Section: Discussionmentioning

confidence: 99%

Unraveling the Potential of Electroanalgesia: A Literature Review of Current Therapeutics

Reddy,

Singhal,

Gaikwad

et al. 2024

Cureus

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“…A recent systematic review indicates that TENS combined with other interventions may be useful for pain and disability outcomes in people with neck pain. However, due to the very low quality of the evidence provided, the authors report that more studies on this topic are needed (Rampazo et al, 2021). Similarly, a Cochrane review conducted by Martimbianco et al (2019) found evidence of very low certainty about a difference between TENS compared to placebo for neck pain reduction.…”

Section: Discussionmentioning

confidence: 99%

“…Another resource for the treatment of neck pain is transcutaneous electrical nerve stimulation (TENS). According to Rampazo et al (2021), TENS combined with other interventions seems to be effective in reducing pain and disability from neck pain, but more studies are needed on the topic, including comparing different types of TENS frequencies. Besides, although this is an electrotherapeutic modality frequently used (Kroeling et al, 2013), a recent systematic review recommended conducting new clinical trials in this context, considering the blinding of participants and allocation of randomized groups (Martimbianco et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Additional effect of transcutaneous electrical nerve stimulation in a therapeutic exercise program for sedentary with chronic neck pain: A double‐blind randomized controlled trial

Martins-de-Sousa

Gomes

Pontes‐Silva

et al. 2022

Physiotherapy Res Intl

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Purpose To evaluate the additional effect of high frequency (HF) or low frequency (LF) transcutaneous electrical nerve stimulation (TENS) in a specific therapeutic exercise program for the treatment of patients with chronic neck pain. Methods A randomized controlled trial. Sixty participants of both sexes and with chronic neck pain were randomized into three groups: therapeutic exercise group + placebo TENS (n = 20), therapeutic exercise group + HF TENS (n = 20) and therapeutic exercise group + low TENS frequency (n = 20). The following assessment instruments were used: Numerical Pain Rating Scale, Neck Disability Index, Pain‐Related Catastrophizing Thoughts Scale and Tampa Scale for Kinesiophobia. Participants were evaluated before the interventions, after eight treatment sessions and 1 month after the end of treatment. Primary outcome was disability measured after the eight treatment sessions. Secondary outcomes were pain intensity, catastrophizing, and kinesiophobia after eight treatment sessions and pain intensity 4 weeks after the end of the treatment sessions. Results The three groups were similar at baseline for personal and clinical characteristics. Regarding the main study analyses, there were no significant (p > 0.05) or clinical (d < 0.80) differences between the groups for the main variable (disability), nor for the secondary variables (pain intensity, catastrophizing and kinesiophobia). Conclusion HF or LF TENS, compared to placebo TENS, does not provide additional clinical benefits to an exercise program for patients with chronic neck pain.

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“…3 with full details provided in supplementary materials 1. Confidence in the results were rated as critically low [19,20], low [21][22][23][24][25][26][27][28][29][30][31][32], moderate [12,[33][34][35][36][37][38][39], and high [40][41][42][43][44][45][46][47][48][49][50][51][52][53][54]. The methodological weaknesses in the critically low and low rated studies are considered critical domains by AMSTAR2.…”

Section: Risk Of Biasmentioning

confidence: 99%

Patient-reported outcome measures in physical therapy practice for neck pain: an overview of reviews

Ramirez,

Shepherd,

Melnick

et al. 2023

J Patient Rep Outcomes

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Background Understanding which patient-reported outcome measures are being collected and utilized in clinical practice and research for patients with neck pain will help to inform recommendations for a core set of measures that provide value to patients and clinicians during diagnosis, clinical decision-making, goal setting and evaluation of responsiveness to treatment. Therefore, the aim of this study was to conduct a review of systematic reviews using a qualitative synthesis on the use of patient-reported outcome measures (PROMs) for patients presenting with neck pain to physical therapy. Methods An electronic search of systematic reviews and guideline publications was performed using MEDLINE (OVID), Embase (Elsevier), CINAHL Complete (EBSCOhost), and Web of Science (Clarivate) databases to identify reviews that evaluated physical therapy interventions or interventions commonly performed by a physical therapist for individuals with neck pain and included at least one patient-reported outcome measure. The frequency and variability in which the outcome measures were reported among the studies in the review and the constructs for which they measured were evaluated. The evaluation of a core set of outcome measures was assessed. Risk of bias and quality assessment was performed using A Measurement Tool to Assess systematic Reviews 2. Results Of the initial 7,003 articles, a total of 37 studies were included in the final review. Thirty-one PROMs were represented within the 37 reviews with eleven patient-reported outcome measures in three or more reviews. The eleven PROMs assessed the constructs of disability, pain intensity, psychosocial factors and quality of life. The greatest variability was found amongst individual measures assessing psychosocial factors. Assessment of psychosocial factors was the least represented construct in the included studies. Overall, the most frequently utilized patient reported outcome measures were the Neck Disability Index, Visual Analog Scale, and Numeric Pain Rating Scale. The most frequently used measures evaluating the constructs of disability, pain intensity, quality of life and psychosocial functioning included the Neck Disability Index, Visual Analog Scale, Short-Form-36 health survey and Fear Avoidance Belief Questionnaire respectively. Overall risk of bias and quality assessment confidence levels ranged from critically low (2 studies), low (12 studies), moderate (8 studies), and high (15 studies). Conclusion This study identified a core set of patient-reported outcome measures that represented the constructs of disability, pain intensity and quality of life. This review recommends the collection and use of the Neck Disability Index and the Numeric Pain Rating Scale or Visual Analog Scale. Recommendation for a QoL measure needs to be considered in the context of available resources and administrative burden. Further research is needed to confidently recommend a QoL and psychosocial measure for patients presenting with neck pain. Other measures that were not included in this review but should be further evaluated for patients with neck pain are the Patient Reported Outcomes Measurement Information System (PROMIS) Physical function, PROMIS Pain Interference and the Optimal Screening for Prediction of Referral and Outcome Yellow Flag (OSPRO-YF) tool.

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Transcutaneous electrical stimulation in neck pain: A systematic review and meta‐analysis

Cited by 13 publications

References 65 publications

Unraveling the Potential of Electroanalgesia: A Literature Review of Current Therapeutics

Unraveling the Potential of Electroanalgesia: A Literature Review of Current Therapeutics

Additional effect of transcutaneous electrical nerve stimulation in a therapeutic exercise program for sedentary with chronic neck pain: A double‐blind randomized controlled trial

Patient-reported outcome measures in physical therapy practice for neck pain: an overview of reviews

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