405 an Investigation of the Development of Tolerance to Transcutaneous Electrical Nerve Stimulation (Tens) in Humans

Liebano, Richard Eloin; Zenor, A.; Hook, Andrew L.; Little, Ann; Franck, Carla; Plum, J; Walsh, Deirdre; Rakel, Barbara A.; Sluka, K.

doi:10.1016/s1090-3801(09)60408-0

Cited by 5 publications

(9 citation statements)

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“…We considered the appropriateness of the TENS treatment administration according to each of the 4 following parameters.(1) Delivery at a frequency greater than 10 Hz to 200 Hz (a high frequency) because this was more likely to be comfortable and effective in chronic pain than low-frequency TENS therapy (10 Hz or less). 10,39,41,44,51,52,79,83 Mixed frequencies (changing between low and high frequencies within the same treatment session) were also considered appropriate. This is because this delivery modality may overcome the analgesic tolerance that can occur when TENS is applied as a long-term repeated treatment.…”

Section: Methodsmentioning

confidence: 99%

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The dose-dependent effects of transcutaneous electrical nerve stimulation for pain relief in individuals with fibromyalgia: a systematic review and meta-analysis

Cuenca

Badenes‐Ribera

Biviá-Roig

et al. 2023

Pain

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Transcutaneous electrical nerve stimulation (TENS) is a nonpharmacological modality widely used to manage pain; however, its effectiveness for individuals with fibromyalgia (FM) has been questioned. In previous studies and systematic reviews, variables related to dose of TENS application have not been considered. The objectives of this meta-analysis were (1) to determine the effect of TENS on pain in individuals with FM and (2) determine the dose-dependent effect of TENS dose parameters on pain relief in individuals with FM. We searched the PubMed, PEDro, Cochrane, and EMBASE databases for relevant manuscripts. Data were extracted from 11 of the 1575 studies. The quality of the studies was assessed using the PEDro scale and RoB-2 assessment. This meta-analysis was performed using a random-effects model that, when not considering the TENS dosage applied, showed that the treatment had no overall effect on pain (d+ = 0.51, P > 0.050, k = 14). However, the moderator analyses, which were performed assuming a mixed-effect model, revealed that 3 of the categorical variables were significantly associated with effect sizes: the number of sessions (P = 0.005), the frequency (P = 0.014), and the intensity (P = 0.047). The electrode placement was not significantly associated with any effect sizes. Thus, there is evidence that TENS can effectively reduce pain in individuals with FM when applied at high or at mixed frequencies, a high intensity, or in long-term interventions involving 10 or more sessions. This review protocol was registered at PROSPERO (CRD42021252113).

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Section: Methodsmentioning

confidence: 99%

“…This is because this delivery modality may overcome the analgesic tolerance that can occur when TENS is applied as a long-term repeated treatment. 10,52…”

Section: Methodsmentioning

confidence: 99%

The dose-dependent effects of transcutaneous electrical nerve stimulation for pain relief in individuals with fibromyalgia: a systematic review and meta-analysis

Cuenca

Badenes‐Ribera

Biviá-Roig

et al. 2023

Pain

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“…Current literature on both humans and animals show that the repeated use of TENS at the same dosage and electrode position reduces a hypoanalgesic effect on the fourth and fifth consecutive days of application. 39,40 Besides, other elements such as interaction with medication use, pain populations, timing of outcome measures, clinical design and comparison groups may also negatively influence TENS efficacy. 41 In addition, four studies 15,22,26,27 did not mention electrode sizes for each current (the remaining varied from 3.5 to 8 cm).…”

Section: Summary Of Evidencementioning

confidence: 99%

Transcutaneous electrical nerve stimulation and interferential current demonstrate similar effects in relieving acute and chronic pain: a systematic review with meta-analysis

Almeida¹,

Silva

Júnior

et al. 2018

Brazilian Journal of Physical Therapy

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“…A paper dealing with investigations into the parameter selection (frequency, intensity and stimulation site) required to achieve maximal hypoalgesic effects using TENS was published in 2002 in Pain [28]. "Two hundred and forty participants were recruited in order to provide statistical analysis with 80% power at α=0.05.…”

Section: Research Demonstrating Evidence For Application Of Tens Therapymentioning

confidence: 99%

Validation of the Use of Transcutaneous Electrical Nerve Stimulation for Patients with Pain and Recommendations for its Use by Physiotherapists

Berger¹

2017

ACC

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Transcutaneous Electrical Nerve Stimulation known as TENS, refers to a small battery operated device that provides low voltage electrical impulses via surface electrodes to the skin, for the purpose of pain relief by modifying pain perception [1]. TENS has been used to relieve nociceptive and certain types of neuropathic pain since the 1960's [2]. It was the 'gate control' theory of that helped partly explain the mechanisms that may be involved when TENS is applied [3]. These mechanisms involve the A delta fibres (pain) and the A beta fibres (touch, pressure and vibration) in the sensory neurons that carry information from both the site of injury and

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405 an Investigation of the Development of Tolerance to Transcutaneous Electrical Nerve Stimulation (Tens) in Humans

Cited by 5 publications

References 0 publications

The dose-dependent effects of transcutaneous electrical nerve stimulation for pain relief in individuals with fibromyalgia: a systematic review and meta-analysis

The dose-dependent effects of transcutaneous electrical nerve stimulation for pain relief in individuals with fibromyalgia: a systematic review and meta-analysis

Transcutaneous electrical nerve stimulation and interferential current demonstrate similar effects in relieving acute and chronic pain: a systematic review with meta-analysis

Validation of the Use of Transcutaneous Electrical Nerve Stimulation for Patients with Pain and Recommendations for its Use by Physiotherapists

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