medigraphic.com
Instituto Nacional de Neurología y Neurocirugía

2020, Number 2

<< Back Next >>

Arch Neurocien 2020; 25 (2)

Tens in chronic pain: a systematic review

Barcia-Mejía C, González-González Y, Da Cuña-Carrera I, Alonso-Calvete A

Language: Spanish
References: 34
Page: 67-79
PDF size: 397.14 Kb.


ABSTRACT

Introduction: Chronic pain is a multifactorial problem which includes as physical as psychological and social issues, and it affects the whole life of patients who suffer from it. Nowadays, transcutaneous electrical nerve stimulation (TENS) is used for analgesic, despite there is little evidence concerning its effectiveness. The aim of this study is to determinate the analgesic effects of TENS in chronic pain.
Material and method: A systematic review was carried out during February 2018, in Medline, Web Of Science and Cinhal. The following words in the Medical Subject Headings (MeSH) were used: Transcutáneous Electric Nerve Stimulation and Chronic Pain. After the exclusion and inclusion criteria, 14 studies were used to this review. There is a wide variety on the design of the studies, the pathology analyzed and the interventions.
Conclusions: TENS seems to be an effective analgesic measure in chronic pain. However, other studies also demonstrate the need of further investigation in TENS as a help in other therapies.


REFERENCES

  1. Pedrajas JM, Molino ÁM. Bases neuromédicas del dolor. Clínica y Salud. 2008; 19(3):277-293. http://scielo.isciii.es/ pdf/clinsa/v19n3/v19n3a02.pdf

  2. Breivik H, Collett B, Ventafridda V, Cohen R, Gallacher D. Survey of chronic pain in Europe: Prevalence, impact on daily life, and treatment. Eur J Pain. 2006; 10(4):287-287. doi: 10.1016/j.ejpain.2005.06.009

  3. Díaz FP. Tipos de dolor y escala terapéutica de la O.M.S. Dolor iatrogénico. Oncología (Barc.). 2005; 28(3):33-37.

  4. Carmona L, Ballina J, Gabriel R, Laffon A. The burden of musculoskeletal diseases in the general population of Spain: results from a national survey. Ann Rheum Dis. 2001; 60(11):1040-5. doi: 10.1136/ard.60.11.1040

  5. Amer-Cuenca JJ, Goicoechea C, Lisón JF. ¿Qué respuesta fisiológica desencadena la aplicación de la técnica de estimulación nerviosa eléctrica transcutánea? Rev Soc Esp Dolor. 2010; 17(7):333-42. DOI: 10.1016/j.resed.2010.09.001

  6. Vallinga MS, Spoelstra SK, Hemel ILM, van de Wiel HBM, Weijmar Schultz WCM. Transcutaneous Electrical Nerve Stimulation as an Additional Treatment for Women Suffering from Therapy?. Resistant provoked vestibulodynia: A feasibility study. J Sex Med. 2015;12(1):228-37. DOI: 10.1111/jsm.12740

  7. Cascaes F, Valdivia BA, da Rosa R, Barbosa PJ, da Silva R. Escalas y listas de evaluación de la calidad de estudios científicos. Rev Cuba Inf Salud. 2013; 24(3):295-312.

  8. Palmer S, Domaille M, Cramp F, Walsh N, Pollock J, Kirwan J, et al. Transcutaneous Electrical Nerve Stimulation as an Adjunct to Education and Exercise for Knee Osteoarthritis: A Randomized Controlled Trial: TENS, Education, and Exercise for Knee OA. Arthritis Care Res. 2014; 66(3):387-94. DOI: 10.1002/acr.22147

  9. Hawamdeh M, Al Malty AAM, Tariah HA, Omar MH, Shtayyat WR. Comparison between the Effectiveness of using Transcutaneous Electrical Nerve Stimulation (TENS) with Back Strengthening Exercises and the use of Back Strengthening Exercises only on Patients with Chronic Low Back Pain: a Pilot Crossover Double Blind Study. Indian J Physiother Occup Ther - Int J. 2015;9(2):210. Doi: 10.5958/0973-5674.2015.00082.9

  10. Özkul, Çağlaa, Kılınç, Muhammedb, et al. Effects of visual illusion and transcutaneous electrical nerve stimulation on neuropathic pain in patients with spinal cord injury: A randomised controlled cross-over trial. J Back Musculoskelet Rehabil. 2015; 28(4):709-19. DOI: 10.3233/BMR-140573

  11. Gozani S. Fixed-site high-frequency transcutaneous electrical nerve stimulation for treatment of chronic low back and lower extremity pain. J Pain Res. 2016; 9:469-79. doi: 10.2147/JPR.S111035

  12. Ferrándiz MEA, Nijs J, Gidron Y, Roussel N, Vanderstraeten R, Dyck DV, et al. Auto-Targeted Neurostimulation Is Not Superior to Placebo in Chronic Low Back Pain: A Fourfold Blind Randomized Clinical Trial. Pain Physician. 2016;19(5):707-19.

  13. Elserty N, Kattabei O, Elhafez H. Effect of Fixed Versus Adjusted Transcutaneous Electrical Nerve Stimulation Amplitude on Chronic Mechanical Low Back Pain. J Altern Complement Med. 2016;22(7):557-62.

  14. De Giorgi I, Castroflorio T, Sartoris B, Deregibus A. The use of conventional transcutaneous electrical nerve stimulation in chronic facial myalgia patients. Clin Oral Investig. 2017;21(1):275-80. DOI: 10.1007/s00784-016-1787-2

  15. Sayilir S, Yildizgoren MT. The medium-term effects of diadynamic currents in chronic low back pain; TENS versus diadynamic currents: A randomised, follow-up study. Complement Ther Clin Pract. 2017; 29: 16-9. DOI: 10.1016/j. ctcp.2017.07.002

  16. Tousignant-Laflamme Y, et al. A randomized trial to determine the duration of analgesia following a 15- and a 30-minute application of acupuncture-like TENS on patients with chronic low back pain. Physiother Theory Pract. 2017;33(5):361-9. doi: 10.1080/09593985.2017.1302540

  17. Sayilir S. The short-term effects of TENS plus therapeutic ultrasound combinations in chronic neck pain. Complement Ther Clin Pract. 2018; 31:278-81. doi: 10.1016/j.ctcp.2018.03.010

  18. Chen F-C, Jin Z-L, Wang D-F. A retrospective study of transcutaneous electrical nerve stimulation for chronic pain following ankylosing spondylitis. Medicine (Baltimore). 2018; 97(27). doi: 10.1097/MD.0000000000011265

  19. Nguyen J-P, Raoul S, Desal H, Bourcier R, Kuhn E, Dixneuf V, et al. Treatment of refractory headache secondary to intracranial endovascular procedure by transcutaneous electrical nerve stimulation of the occipital nerve. Neurophysiol Clin. 2018;48(5):309-12. DOI: 10.1016/j.neucli.2018.05.041

  20. Tantawy S, Kamel D, Abdelbasset W. Does transcutaneous electrical nerve stimulation reduce pain and improve quality of life in patients with idiopathic chronic orchialgia? A randomized controlled trial. J Pain Res. 2017; 11:77- 82. doi: 10.2147/JPR.S154815

  21. López P. Población muestra y muestreo.Punto Cero. 2004;9(8):69-74.

  22. Corey S, Riley JL, Fillingim JB, Bishop MD, George SZ. Age Group Comparisons of TENS Response among Individuals with Chronic Axial Low Back Pain. J. Pain Off J Am Pain Soc. 2015; 16:1268–1279. doi: 10.1016/j.jpain.2015.08.009

  23. Capurro ND, Gabrielli NL, Letelier SLM. Importancia de la intención de tratar y el seguimiento en la validez interna de un estudio clínico randomizado. Rev Médica Chile. 2004; 132(12):1557-60. http://dx.doi.org/10.4067/ S0034-98872004001200016

  24. Lazcano-Ponce E, et al. Ensayos clínicos aleatorizados: variantes, métodos de aleatorización, análisis, consideraciones éticas y regulación. Salud Públ. Méx. 2004; 46(6):559-84. https://www.scielo.br/pdf/spm/v46n6/22570.pdf

  25. Martínez M. Validez y confiabilidad en la metodología cualitativa. Paradígma. 2006; 27(2):07-33.

  26. Amer-Cuenca JJ. Programación y aplicación de la estimulación nerviosa eléctrica transcutánea (TENS): guía de práctica clínica basada en la evidencia. Fisioterapia. 2010; 32(6):271-8. DOI: 10.1016/j.ft.2010.09.001

  27. Claydon LS, Chesterton LS, Barlas P, Sim J. Effects of simultaneous dual-site TENS stimulation on experimental pain. Eur J Pain Lond Engl. 2008; 12(6):696-704. doi: 10.1016/j.ejpain.2007.10.014

  28. Sandberg ML, Sandberg MK, Dahl J. Blood flow changes in the trapezius muscle and overlying skin following transcutaneous electrical nerve stimulation. Phys Ther. 2007; 87(8):1047-55. DOI: 10.2522/ptj.20060178

  29. Barlas P, Ting SL, Chesterton LS, Jones PW, Sim J. 2006;122(1-2):81-9. Effects of intensity of electroacupuncture upon experimental pain in healthy human volunteers: a randomized, double-blind, placebo-controlled study. Pain. 2006; 122:81–9. DOI: 10.1016/j.pain.2006.01.012

  30. Law PP, Cheing GL. Optimal stimulation frequency of transcutaneous electrical nerve stimulation on people with knee osteoarthritis. J Rehabil Med. 2004; 36:220–5. doi: 10.1080/16501970410029834

  31. Abarca O, Chacón A, Espinosa F, Vera-Villarroel P. Placebo y Psicología Clínica: Aspectos Conceptuales, Teóricos e Implicancias. Terapia Psicológica. 2005;23(1).

  32. Starkweather AR, Coyne P, Lyon DE, Elswick RK, An K, Sturgill J. Decreased Low Back Pain Intensity and Differential Gene Expression Following Calmare®: Results From a Double-Blinded Randomized Sham-Controlled Study. Res Nurs Health. 2015; 38(1):29-38. doi: 10.1002/nur.21632

  33. Walsh DM, Foster NE, Baxter GD, Allen JM. Transcutaneous electrical nerve stimulation. relevance of stimulation parameters to neurophysiological and hypoalgesic effects. Am J Phys Med Rehabil. 1995; 74:199–206.

  34. Sluka KA, Walsh D. Transcutaneous electrical nerve stimulation: Basic science mechanisms and clinical effectiveness. J Pain. 2003; 4:109–21. doi: 10.1054/jpai.2003.434.




2020     |     www.medigraphic.com