Transcutaneous Electric Nerve Stimulation on ischemic rest pain in inpatients: randomised trial

Abstract

OBJECTIVE:To investigate the efficacy of a short-term application of Transcutaneous Electric Nerve Stimulation to relieve rest pain in patients with chronic limb-threatening ischemia. METHODS:In patients ³18 years old, with chronic limb-threatening ischemia and rest pain ³3 in the Visual Analogue Scale, without diabetic neuropathy were randomly assigned to 1) Transcutaneous Electric Nerve Stimulation (100 Hz, 200 μs) or 2) sham intervention, both during one or two 20 min treatment sessions. The primary outcome was pain intensity, assessed by the visual analogue scale (0-10 cm) and described by the McGill Pain Questionnaire. We used a t-test for difference of means.RESULTS: A total of 169 patients were assessed, 23 met the study criteria and were randomized. Thirty-four applications were performed in two days: in the 17 Transcutaneous Nerve Stimulation and 17 sham. The within-group analysis indicated a pain decrease in both groups (Transcutaneous Electric Nerve Stimulation, from 7-3.9 cm, p<0.0001, and sham from 5.8-3.2 cm, p<0.0001). No statistically significant difference was verified between-groups (p=0.5). CONCLUSIONS:Both groups showed a decrease in rest pain of 54 and 55%, respectively. However, there was no difference between short-term high-frequency Transcutaneous Electric Nerve Stimulation and sham intervention to relieve ischemic rest pain in chronic limbthreatening ischemia patients.

Reducing Lower Back Pain Using the Muscle Energy Technique Versus Transcutaneous Electrical Nerve Stimulation

“…Less pain reduction in LBP treatmented by TENS may be due to peripheral nerve involvement other than C nerve fibers that amplify pain. Long-term stimulation of TENS can result in nerve fibers experiencing a refractory period [21,22].…”

Conscientização Sobre a Incidência De Herpes Vírus Humano (Hsv-1) Em Calitriquídeos (Callithrix Spp.): Uma Questão De Saúde Única

“…Após o atendimento inicial de um paciente com AVE, o SUS conta com atendimento multidisciplinar para seus cidadãos, a atenção básica visa manter um dos princípios universais do SUS, a assistência ao paciente, permitindo que as vítimas de AVE recebam atendimento médico de sua equipe de saúde na unidade básica de saúde mais próxima (GONÇALVES et al, 2021).…”

“…Um benefício significativo do trabalho dessa equipe é a melhoria da qualidade de vida dos pacientes. Isso porque a equipe estabelece cuidados de longa duração que fornecem assistência adicional após o diagnóstico, por isso, é fundamental que os profissionais de saúde acompanhem e cuidem desses indivíduos (GONÇALVES et al, 2021).…”

“…Gonçalves et al (2021) Avaliaram o efeito da estimulação elétrica nervosa transcutânea (TENS) na dor isquêmica de repouso em pacientes internados. Os resultados mostraram que a TENS foi eficaz na redução da dor.Silva et al (2019) Realizaram um estudo preliminar que avaliou o uso da neuromodulação não invasiva no tratamento da dor em disfunção temporomandibular.…”

The Potential of Electrical Stimulation and Smart Textiles for Patients with Diabetes Mellitus

“…For example, many patients with diabetes suffer from neuropathy or angiopathy in particular of the lower limbs or the diabetic foot syndrome. These conditions may potentially benefit from transcutaneous electrical nerve stimulation 7 8 9 10 11 12 . In addition, many patients exhibit sensory impairments that promote the development of foot ulceration and negatively affect balance control and gait (Peters, 2016; Ziegler, 2022).…”