Effects of Intradermal Sterile Water Injections in Women with Low Back Pain in Labor: A Randomized, Controlled, Clinical Trial

Koyucu, Refika Genç; Demırcı, Nurdan; Yumru, Ayşe Ender; Salman, Süleyman; Ayanoğlu, Yavuz Tahsin; Tosun, Yıldız; Tayfur, Cihangir

doi:10.4274/balkanmedj.2016.0879

Cited by 26 publications

(43 citation statements)

References 19 publications

(22 reference statements)

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“…Although there were controversies regarding the use of this method, the participants reported improvement soon after their application. (13,18,29) Such a method usually occurs in protocols with only one or four injections. One RCT compared both cases, and their findings demonstrated that the use of four injections led to a greater sensation of analgesia for patients, but, due to the intense pain during administration, there is still uncertainty if this method would be actually worthy.…”

Section: Acupuncture and Acupressurementioning

confidence: 99%

“…One RCT compared both cases, and their findings demonstrated that the use of four injections led to a greater sensation of analgesia for patients, but, due to the intense pain during administration, there is still uncertainty if this method would be actually worthy. (29) To investigate the effect of sterile water injections, a study (13) compared the administration of four "dry" syringes (without any contents) to four water-filled syringes. The findings demonstrated that there was a significant decrease in pain intensity in the EG.…”

Section: Acupuncture and Acupressurementioning

confidence: 99%

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Evidências científicas sobre métodos não farmacológicos para alívio a dor do parto

et al. 2019

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Resumo Objetivo Identificar na literatura nacional e internacional, estudos sobre a eficácia de métodos não farmacológicos na redução da dor do parto. Métodos Revisão integrativa realizada nas bases de dados MEDLINE/PUBMED, SCOPUS, CINAHL, LILACS e BDENF, com recorte temporal entre os anos de 2013 a 2018, em português, inglês e espanhol. Utilizado a metodologia PICo para construir a pergunta de pesquisa e selecionar descritores controlados e não controlados, que foram combinados com os operadores booleanos “AND”, “OR” e “NOT”. Resultados Foram selecionados 19 artigos. Dentre os métodos não farmacológicos encontrados, destacam-se: a acupuntura e suas principais variações (acupressão e auriculoterapia) (29,17%), hidroterapia (25%), exercícios perineais com a bola suíça (16,67%), terapias térmicas (8,33%) e os demais métodos (20,83%). Conclusão A acupuntura e a acupressão agem tanto sobre aspectos fisiológicos da dor como sobre sua subjetividade. O banho quente de aspersão, a musicoterapia, a aromaterapia e as técnicas de respiração promovem o relaxamento e a diminuição dos níveis de ansiedade. As terapias térmicas contribuem para a analgesia local de regiões afetadas pela dor. Os exercícios na bola suíça são importantes para reduzir a dor e adotar a posição vertical, importante na progressão do trabalho de parto.

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Section: Acupuncture and Acupressurementioning

confidence: 99%

Section: Acupuncture and Acupressurementioning

confidence: 99%

Evidências científicas sobre métodos não farmacológicos para alívio a dor do parto

et al. 2019

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“…The mean pain scores 30 min after injections were lower in the sterile water injection group (P < 0.01). The need for epidural analgesia, duration of delivery, mode of delivery, and APGAR scores were similar in both groups ( 25 ). Another study showed no difference in the pain reduction percentage between the two groups receiving distilled water by intradermal and subdermal injection methods ( 13 ), which was quite similar to our study results.…”

Section: Discussionmentioning

confidence: 94%

Comparative Analgesic Effects of Intradermal and Subdermal Injection of Sterile Water on Active Labor Pain

et al. 2020

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Background The labor pain is one of the factors encouraging pregnant women for cesarean section delivery. Recently, intradermal and subdermal injection of distilled water has shown to be effective in improving this pain. Objectives The present study aimed to determine which method has a greater impact on labor pain reduction. Methods In this double-blind, randomized clinical trial, 121 nulliparous women with a gestational age of ≥ 37 weeks were randomly divided into three groups: (1) 0.5 cc sterile water injection subdermally at four sacral points with insulin needles (n = 40); (2) 0.5 cc sterile water injection intradermally (n = 39); and (3) needle contact with the mentioned points as the placebo (n = 42). Before the intervention, the VAS score was measured for labor pain, and it was repeated 10, 30, 60, and 90 min after the intervention. The results were compared between the three groups. Results Before the intervention, the mean VAS pain score had no significant difference between the three groups. However, 30, 60, and 90 min after the intervention, the mean pain score was significantly lower in the intradermal and subdermal injection groups than in the control group (P = 0.001); however, the difference between the intradermal and subdermal injection groups was not significant. Conclusions The injection of distilled water by either intradermal or subdermal method was associated with a significant reduction in the pain score during labor, but there was no difference between these two methods in terms of decreasing labor pain. As sterile water injection is a safe, effective, and low-cost method, it is proposed to increase the knowledge of midwives and obstetricians about this method.

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“…Seven articles (N=7) satisfied the inclusion criteria and were considered in the review: 2 articles treated osteoarthritis of the knee,16,17 and 5 articles treated spine diseases 2 on neck pain,18,19 2 on low back pain,20,21 and 1 on chronic spinal pain 22. The PEDro scores in these studies ranged from 5 to 8 (Table 1).…”

Section: Resultsmentioning

confidence: 99%

“…Two studies20,21 analyzed the efficacy of mesotherapy in low back pain (LBP). Cui et al21 performed intracutaneous sterile water injection (ISWI) to relieve acute LBP: experimental group patients received the intracutaneous sterile water injection in the lumbosacral region whereas control group received the intracutaneous of isotonic saline.…”

Section: Discussionmentioning

confidence: 99%

<p>Mesotherapy in the treatment of musculoskeletal pain in rehabilitation: the state of the art</p>

Paolucci¹,

Rg²,

Centra³

et al. 2019

JPR

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Background Mesotherapy can be included as an ancillary treatment in the management of localized pain in rehabilitation, but there are no definitive treatment protocols for this approach. Objectives The purpose of this review was to examine new indications for more standard protocols of mesotherapy in rehabilitation. Materials and methods This systematic review was performed using the following resources: PubMed, Cochrane, PEDro, Scopus, and Google Scholar. The following algorithm was developed, based on the PICO acronym, to evaluate the effects of mesotherapy, with pain as the primary outcome (MESH terms): [mesotherapy AND pain], [mesotherapy AND musculoskeletal], [mesotherapy AND musculoskeletal disorder], [intradermal therapy AND pain], and [intradermal therapy AND musculoskeletal disorder]. Results Seven articles (N=7) satisfied the inclusion criteria and were considered in the review: two of them treated osteoarthritis of the knee (3 sessions) and pes anserine (9 sessions) emphasizing a good efficacy of mesotherapy. Five studies analyzed spine diseases (specifically, two was about chronic and nonspecific neck pain, two about acute low back pain and one about chronic spinal pain): the results of mesotherapy treatment are encouraging both for the resolution of acute and chronic musculoskeletal vertebral pain from one to five sessions. Conclusion Mesotherapy showed a good effect to reduce acute and chronic musculoskeletal pain and, also, it is a well-tolerated treatment. Nonetheless future randomized controlled trials should be desirable for more uniform treatment protocols.

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Effects of Intradermal Sterile Water Injections in Women with Low Back Pain in Labor: A Randomized, Controlled, Clinical Trial

Cited by 26 publications

References 19 publications

Evidências científicas sobre métodos não farmacológicos para alívio a dor do parto

Evidências científicas sobre métodos não farmacológicos para alívio a dor do parto

Comparative Analgesic Effects of Intradermal and Subdermal Injection of Sterile Water on Active Labor Pain

<p>Mesotherapy in the treatment of musculoskeletal pain in rehabilitation: the state of the art</p>

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