Effects of Transcutaneous Electrical Nerve Stimulation in Autonomic Nervous System of Hypertensive Patients: A Randomized Controlled Trial

Sartori, Sandra do Amaral; Stein, Cinara; Coronel, Christian Corrêa; Macagnan, Fabrí­cio Edler; Plentz, Rodrigo Della Méa

doi:10.2174/1573402114666180416155528

Cited by 17 publications

(9 citation statements)

References 25 publications

(33 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…As for the effect on the autonomic nervous system, a previous comparative study 29 , 30 , 31 ) before and after TENS with a treatment time of 30 minutes at 4–10 Hz showed an increase in HF, which reflects parasympathetic nervous system activity. In the present study, the stimulation duration of TENS was 60 seconds, which was short, and this may be the reason why there was no effect on the autonomic nervous system.…”

Section: Discussionmentioning

confidence: 97%

“…Furthermore, TENS has the potential to exert analgesic effects on central sensitization, expanding the therapeutic area 26 , 27 , 28 ) . On the contrary, there are only scattered reports comparing the analgesic effects of contralateral intensity of the stimulus and focusing on changes in sympathetic and parasympathetic nerves in the autonomic nervous system 29 , 30 , 31 ) .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Comparison of the effective intensity of transcutaneous electrical nerve stimulation contralateral to a pain site for analgesia

Kawamura

Tsujishita

2022

J Phys Ther Sci

View full text Add to dashboard Cite

[Purpose] This study aimed to compare the effectiveness of transcutaneous electrical nerve stimulation contralateral to the pain site for analgesia to identify the effective stimulation intensity. [Participants and Methods] Ten healthy adult females were recruited for the study. The same heat stimulation was applied to the left wrist joint of each participant to induce pain, serving as the control. Transcutaneous electrical nerve stimulation was then randomly administered to the right wrist, corresponding to the same dermatome contralateral to the painful site, at the intensities of comfortable stimulation, pain threshold, and maximum pain. The effect of transcutaneous electrical nerve stimulation was assessed using a Visual Analogue Scale and by analysis of heart rate variability. [Results] The Visual Analogue Scale score was significantly lower after stimulation with the maximum pain intensity than that for control, and there were no significant differences among the intensities of comfortable stimulation, pain threshold, and maximum pain. No significant differences were found among the groups in terms of high and low-to-high frequency components. [Conclusion] Transcutaneous electrical nerve stimulation at the maximum pain intensity to the dermatome area contralateral to that of the dorsal pain site of the left wrist was considered effective.

show abstract

Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Comparison of the effective intensity of transcutaneous electrical nerve stimulation contralateral to a pain site for analgesia

Kawamura

Tsujishita

2022

J Phys Ther Sci

View full text Add to dashboard Cite

show abstract

“…The mechanism of acupuncture to reduce blood pressure is still unclear. It was found that TEAS could decrease sympathetic nervous system activity and increase parasympathetic nervous system activity,31 which may contribute to reducing blood pressure. Moreover, TEAS was shown to have a vasodilator effect 32.…”

Section: Discussionmentioning

confidence: 99%

Smart phone-based transcutaneous electrical acupoint stimulation as adjunctive therapy for hypertension (STAT-H trial): protocol for a cluster randomised controlled trial

Kang

Wang

et al. 2022

BMJ Open

View full text Add to dashboard Cite

IntroductionHypertension is a common risk factor for cardiovascular disease. Transcutaneous electrical acupoint stimulation (TEAS) may be effective for hypertension, but the evidence remains limited. The aim of this study is to evaluate the effectiveness and safety of the smart phone-based TEAS as adjunctive therapy for hypertension.Methods and analysisThis study is a 52-week cluster randomised controlled trial with 1600 hypertension patients in 32 community health service centres. Patients who meet the inclusion criteria will be randomised into usual care group or TEAS group in a 1:1 ratio. All patients will be provided with usual care as recommended by the guidelines. In addition to this, patients in the TEAS group will receive non-invasive acupoint electrical stimulation for 30 min at home, 4 times weekly for 12 weeks. The primary outcome will be the mean difference in the changes in office systolic blood pressure from baseline to 12 weeks between TEAS and usual care groups. Secondary outcomes will include the change of mean diastolic blood pressure, proportion of patients with controlled blood pressure (blood pressure <140/90 mm Hg), proportion of patients taking antihypertensive drugs, change in number of antihypertensive drugs and changes in 12-item Short-Form. Tertiary outcomes will include change in body mass index, change in waist circumference, physical activity and medication adherence. Safety outcomes will be any serious adverse events and clinical events.Ethics and disseminationThis study has been approved by ethics committee of Beijing University of Chinese Medicine (No. 2020BZHYLL0104). Written informed consent will be obtained from all patients before randomisation. Trial results will be disseminated in peer-reviewed publications.Trial registration numberChiCTR2000039400.

show abstract

“…A estimulação elétrica nervosa transcutânea (TENS) melhora o fluxo sanguíneo 32 . TENS de baixa freqüência diminuiu atividade no sistema nervoso simpático e aumentou no parassimpático, quando aplicada na região paravertebral ganglionar de pacientes hipertensos 33 .…”

Section: Discussionunclassified

Palmilhas de reprogramação postural na diminuição da pressão arterial e do desalinhamento postural em indivíduos hipertensos: ensaio clínico randomizado

et al. 2020

View full text Add to dashboard Cite

OBJETIVO: Testar a hipótese que Palmilhas de Reprogramação Postural (PRP) melhoram a postura e podem modificar média e picos de pressão arterial (PA) em indivíduos hipertensos. DESENHO DE ESTUDO: ECR, registrado no Clinical Trials (NCT02401516), com 24 indivíduos hipertensos. CONFIGURAÇÃO: Todos foram submetidos à Monitorização Ambulatorial da Pressão Arterial (MAPA) e avaliação da postura (SAPO) no início e após seis semanas. INTERVENÇÃO: grupo intervenção (GI) utilizou PRP e grupo controle (GC) SHAM. DESFECHO PRIMÁRIO: Médias da PA. DESFECHOS SECUNDÁRIOS: Picos de PA, durante vigília e sono e ângulo posturais. A melhora da postura ocorreu quando valores angulares diminuíram ou chegaram a zero. Para comparar a PA, foram utilizados os testes t de Student, pareado e não-pareado, com nível de significância de 5%. O tamanho do efeito (TDE) foi avaliado com D de Cohen. Para postura, Wilcoxon e Mann-Whitney. Variáveis categóricas, através do teste do Qui-quadrado. RESULTADOS: As variáveis de linha de base não diferiram entre grupos. Foram obtidos os seguintes deltas: pico da PAS em vigília (+9,3mmHgVs-7,5mmHg) (p<0,05, grande TDE); pico da PAS no sono (+2,3mmHgVs-6,8mmHg) (p<0,05, TDE moderado); e pico da PAD durante vigília (+3,2mmHgVs-4,7mmHg) (p<0,05, grande TDE), GC e GI respectivamente. Para os ângulos posturais, 33% da PAS foram explicados pelo deslocamento anterior do corpo. Para a PAD, 46% e 55%, pelos ângulos de Joelho e Tornozelo, respectivamente. CONCLUSÕES: A PRP reduziu picos de PAS e PAD durante vigília, sem efeito na média da PA. Embora PRP não tenha mostrado melhora na postura geral, o deslocamento anterior do corpo e os ângulos de joelho e tornozelo explicaram 33-55% da PA mais alta.

show abstract

Effects of Transcutaneous Electrical Nerve Stimulation in Autonomic Nervous System of Hypertensive Patients: A Randomized Controlled Trial

Abstract: Low-frequency TENS decreases sympathetic nervous system activity and increases parasympathetic nervous system activity and high-frequency TENS increases diastolic blood pressure, when applied on the paravertebral ganglionar region in the hypertensive patients.

Cited by 17 publications

References 25 publications

Comparison of the effective intensity of transcutaneous electrical nerve stimulation contralateral to a pain site for analgesia

Comparison of the effective intensity of transcutaneous electrical nerve stimulation contralateral to a pain site for analgesia

Smart phone-based transcutaneous electrical acupoint stimulation as adjunctive therapy for hypertension (STAT-H trial): protocol for a cluster randomised controlled trial

Palmilhas de reprogramação postural na diminuição da pressão arterial e do desalinhamento postural em indivíduos hipertensos: ensaio clínico randomizado

Contact Info

Product

Resources

About