Comparação dos efeitos da estimulação elétrica nervosa transcutânea e da hidroterapia na dor, flexibilidade e qualidade de vida de pacientes com fibromialgia

Silva, Tatiana Fernandes Gomes da; Suda, Eneida Yuri; Marçulo, Camila Aparecida; Paes, Fábio Henrique da Silva; Pinheiro, Gisele Targino

doi:10.1590/s1809-29502008000200002

Cited by 23 publications

(48 citation statements)

References 24 publications

(20 reference statements)

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“…The content analysis of selected clinical trials revealed the use of laser modalities [17][18][19][20] , interferential current (IFC) alone 21 , IFC combined with ultrasound 22 and transcutaneous electrical stimulation (TENS) 23 as therapeutic modalities proposed for FMS treatment. No studies on thermal modalities were found.…”

Section: Resultsmentioning

confidence: 99%

“…To determine the clinical diagnosis of FMS that was necessary for participant inclusion, most studies [17][18][19][20][21][22][23] (n=6) applied the criteria proposed by the American College of Rheumatology (ACR). The samples consisted exclusively of female participants, with exception to the study by Gür et al 18 that contained 15 male participants who were exposed to laser therapy (n=5) or control (n=10).…”

Section: Resultsmentioning

confidence: 99%

“…However, the evaluation of pain levels differs between them. The most often used assessment tools were the Visual Analogue Scale (VAS; n=4) 19,[21][22][23] , digital pressure algometry over the tender points (n=3) [19][20][21][22] ; and the Likert scale (n=2) 17,18 . Other analyzed outcomes were quality of life (n=5) [18][19][20][21]23 , depression (n=2) 18,23 , sleep (n=1) 22 and general symptoms (n=2) 17,18 .…”

Section: Resultsmentioning

confidence: 99%

“…Only the study by Armagan et al 20 reported long term follow-up. Regarding therapy for the control group, Gür et al 17 , Almeida et al 22 and Armagan et al 20 used inactive currents; Silva et al 23 used hydrotherapy; Raimundo et al 21 applied IFC with modulation frequencies below standard; Matsutani et al 19 applied inactive laser combined with stretching; and Gür et al 18 had two control groups, one with inactive laser emission and the other with the use of medication.…”

Section: Resultsmentioning

confidence: 99%

“…The frequency of the IFC treatment in Almeida et al 22 and Raimundo et al 21 varied from four to five weeks, in a total of 10 to 20 sessions, respectively. For the study that investigated TENS 23 , ten sessions were applied three times a week, with duration of 40 minutes. There was significant improvement in pain levels in all studies.…”

Section: Resultsmentioning

confidence: 99%

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A utilização dos recursos eletrotermofototerapêuticos no tratamento da síndrome da fibromialgia: uma revisão sistemática

Ricci¹,

Dias²,

Driusso³

2010

Rev. bras. fisioter.

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Objective: To systematically investigate the scientific evidence relating to electrothermal and phototherapeutic methods for the treatment of fibromyalgia syndrome (FMS). Methods: The search for reports on interventions using electrothermal and phototherapy for FMS was carried out in the Pubmed, Medline, Lilacs, Scielo, ISI Web of Knowledge, PEDro and Cochrane Collaboration databases. Randomized controlled clinical trials published over the past 10 years in English, Portuguese and Spanish were selected. The methodological quality of the studies was assessed using the jadad scale. The analysis on the study results was done by means of critical review of the content. Results: Seven studies were reviewed in full, and these identified interventions using laser (n=4), transcutaneous electrical nerve stimulation (TENS; n=1), interferential current (IFC) alone (n=1) and IFC combined with ultrasound (US; n=1). Only two studies showed good methodological quality according to the jadad scale. Most of the studies (n=6) Key words: fibromyalgia; physical therapy methods; electrotherapy; phototherapy. ResumoObjetivo: Sistematizar as evidências científicas sobre os recursos eletrotermofototerapêuticos na síndrome da fibromialgia (SFM).Métodos: A busca de publicações sobre as intervenções por eletrotermofototerapia na SFM foi realizada nas bases de dados Pubmed, Medline, Lilacs, Scielo, ISI Web of Knowledge, PEDro e Colaboração Cochrane. Foram selecionados ensaios clínicos aleatórios e controlados dos últimos dez anos em língua inglesa, portuguesa e espanhola. A qualidade metodológica dos estudos foi avaliada pela Escala de jadad, e a análise dos resultados, por meio de revisão crítica dos conteúdos. Resultados: Sete estudos foram revisados na íntegra, sendo identificadas intervenções com laser (n=4), estimulação elétrica transcutânea (TENS) (n=1), corrente interferencial vetorial (CIV) isolada (n=1) e CIV combinada com o ultrassom (n=1). Apenas dois estudos obtiveram boa qualidade metodológica pela Escala de jadad. A maioria dos estudos (n=6) utilizou os critérios do American College of Rheumatology para o diagnóstico clínico da SFM. A dor foi o sintoma da SFM mais avaliado pelos estudos. O método e o tempo das intervenções variaram amplamente, além da falta de menção de parâmetros na utilização dos recursos eletrotermofototerapêuticos. Houve melhora significativa em todos os estudos quanto à dor. Conclusão: Generalizações dos resultados, reações adversas e doses de tratamento da SFM com eletrotermofototerapia ainda são restritas. Novos estudos são necessários para se estabelecer a efetividade da eletrotermofototerapia na SFM.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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A utilização dos recursos eletrotermofototerapêuticos no tratamento da síndrome da fibromialgia: uma revisão sistemática

Ricci¹,

Dias²,

Driusso³

2010

Rev. bras. fisioter.

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Transcutaneous electrical nerve stimulation (TENS) for fibromyalgia in adults

Johnson

Claydon

Herbison

et al. 2017

Cochrane Database of Systematic Reviews

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Background Fibromyalgia is characterised by persistent, widespread pain; sleep problems; and fatigue. Transcutaneous electrical nerve stimulation (TENS) is the delivery of pulsed electrical currents across the intact surface of the skin to stimulate peripheral nerves and is used extensively to manage painful conditions. TENS is inexpensive, safe, and can be self-administered. TENS reduces pain during movement in some people so it may be a useful adjunct to assist participation in exercise and activities of daily living. To date, there has been only one systematic review in 2012 which included TENS, amongst other treatments, for fibromyalgia, and the authors concluded that TENS was not e ective. Objectives To assess the analgesic e icacy and adverse events of TENS alone or added to usual care (including exercise) compared with placebo (sham) TENS; no treatment; exercise alone; or other treatment including medication, electroacupuncture, warmth therapy, or hydrotherapy for fibromyalgia in adults. Search methods We searched the following electronic databases up to 18 January 2017: CENTRAL (CRSO); MEDLINE (Ovid); Embase (Ovid); CINAHL (EBSCO); PsycINFO (Ovid); LILACS; PEDRO; Web of Science (ISI); AMED (Ovid); and SPORTDiscus (EBSCO). We also searched three trial registries. There were no language restrictions. Selection criteria We included randomised controlled trials (RCTs) or quasi-randomised trials of TENS treatment for pain associated with fibromyalgia in adults. We included cross-over and parallel-group trial designs. We included studies that evaluated TENS administered using non-invasive techniques at intensities that produced perceptible TENS sensations during stimulation at either the site of pain or over nerve bundles proximal (or near) to the site of pain. We included TENS administered as a sole treatment or TENS in combination with other treatments, and TENS given as a single treatment or as a course of treatments. Data collection and analysis Two review authors independently determined study eligibility by assessing each record and reaching agreement by discussion. A third review author acted as arbiter. We did not anonymise the records of studies before assessment. Two review authors independently extracted data and assessed risk of bias of included studies before entering information into a 'Characteristics of included studies' table. Transcutaneous electrical nerve stimulation (TENS) for fibromyalgia in adults (Review)

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Aerobic exercise training for adults with fibromyalgia

Bidonde

Busch

Schachter³

et al. 2017

Cochrane Database of Systematic Reviews

168

158

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When compared with control, moderate-quality evidence indicates that aerobic exercise probably improves HRQL and all-cause withdrawal, and low-quality evidence suggests that aerobic exercise may slightly decrease pain intensity, may slightly improve physical function, and may lead to little difference in fatigue and stiffness. Three of the reported outcomes reached clinical significance (HRQL, physical function, and pain). Long-term effects of aerobic exercise may include little or no difference in pain, physical function, and all-cause withdrawal, and we are uncertain about long-term effects on remaining outcomes. We downgraded the evidence owing to the small number of included trials and participants across trials, and because of issues related to unclear and high risks of bias (performance, selection, and detection biases). Aerobic exercise appears to be well tolerated (similar withdrawal rates across groups), although evidence on adverse events is scarce, so we are uncertain about its safety.

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Comparação dos efeitos da estimulação elétrica nervosa transcutânea e da hidroterapia na dor, flexibilidade e qualidade de vida de pacientes com fibromialgia

Cited by 23 publications

References 24 publications

A utilização dos recursos eletrotermofototerapêuticos no tratamento da síndrome da fibromialgia: uma revisão sistemática

A utilização dos recursos eletrotermofototerapêuticos no tratamento da síndrome da fibromialgia: uma revisão sistemática

Transcutaneous electrical nerve stimulation (TENS) for fibromyalgia in adults

Aerobic exercise training for adults with fibromyalgia

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