Electrotherapy for neck pain

Kroeling, Peter; Gross, Anita; Graham, Nadine; Burnie, Stephen J; Szeto, Grace P. Y.; Goldsmith, Charles H.; Haines, Ted; Forget, Mario

doi:10.1002/14651858.cd004251.pub5

Cited by 93 publications

(59 citation statements)

References 54 publications

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“…We included one review investigating electrotherapy modalities for neck pain (Kroeling 2013); and one review examining non‐pharmacological interventions in people with spinal cord injury (Boldt 2014). Both Kroeling 2013 and Boldt 2014 included studies examining TENS.…”

Section: Resultsmentioning

confidence: 99%

“…Three of the included reviews explicitly stated a minimum pain duration of more than 3 months (Boldt 2014;Hurlow 2012; Khadilkar 2008), while four reviews included only participants with conditions that were chronic in nature (Brosseau 2003; Gibson 2017; Johnson 2017; Rutjes 2009). One review included participants with acute, subacute or chronic neck pain (Kroeling 2013), although all participants in the TENS studies included in this review were considered to have chronic pain. Johnson 2015 did not specify a minimum pain duration for inclusion and therefore pain duration in some included studies could potentially have been less than the commonly used 3‐month definition of chronic pain (Treede 2015); however no relevant studies were found in this review and therefore this review was only further considered in terms of assessment of methods employed.…”

Section: Resultsmentioning

confidence: 99%

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Transcutaneous electrical nerve stimulation (TENS) for chronic pain - an overview of Cochrane Reviews

Gibson

Wand

Meads

et al. 2019

Cochrane Database of Systematic Reviews

103

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BackgroundChronic pain, considered to be pain lasting more than three months, is a common and often difficult to treat condition that can significantly impact upon function and quality of life. Treatment typically includes pharmacological and non‐pharmacological approaches. Transcutaneous electrical nerve stimulation (TENS) is an adjunct non‐pharmacological treatment commonly recommended by clinicians and often used by people with pain.ObjectivesTo provide an overview of evidence from Cochrane Reviews of the effectiveness of TENS to reduce pain in adults with chronic pain (excluding headache or migraine).To provide an overview of evidence from Cochrane Reviews of the safety of TENS when used to reduce pain in adults with chronic pain (excluding headache or migraine).To identify possible sources of inconsistency in the approaches taken to evaluating the evidence related to TENS for chronic pain (excluding headache or migraine) in the Cochrane Library with a view to recommending strategies to improve consistency in methodology and reporting.To highlight areas of remaining uncertainty regarding the effectiveness of TENS for chronic pain (excluding headache or migraine) with a view to recommending strategies to reduce any uncertainty.MethodsSearch methodsWe searched the Cochrane Database of Systematic Reviews (CDSR), in the Cochrane Library, across all years up to Issue 11 of 12, 2018.Selection of reviewsTwo authors independently screened the results of the electronic search by title and abstract against inclusion/exclusion criteria. We included all Cochrane Reviews of randomised controlled trials (RCTs) assessing the effectiveness of TENS in people with chronic pain. We included reviews if they investigated the following: TENS versus sham; TENS versus usual care or no treatment/waiting list control; TENS plus active intervention versus active intervention alone; comparisons between different types of TENS; or TENS delivered using different stimulation parameters.Data extraction and analysisTwo authors independently extracted relevant data, assessed review quality using the AMSTAR checklist and applied GRADE judgements where required to individual reviews. Our primary outcomes included pain intensity and nature/incidence of adverse effects; our secondary outcomes included disability, health‐related quality of life, analgesic medication use and participant global impression of change.Main resultsWe included nine reviews investigating TENS use in people with defined chronic pain or in people with chronic conditions associated with ongoing pain. One review investigating TENS for phantom or stump‐associated pain in people following amputation did not have any included studies. We therefore extracted data from eight reviews which represented 51 TENS‐related RCTs representing 2895 TENS‐comparison participants entered into the studies.The included reviews followed consistent methods and achieved overall high scores on the AMSTAR checklist. The evidence reported within each review was consistently rated as very low quality. U...

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Transcutaneous electrical nerve stimulation (TENS) for chronic pain - an overview of Cochrane Reviews

Gibson

Wand

Meads

et al. 2019

Cochrane Database of Systematic Reviews

103

View full text Add to dashboard Cite

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“…In the last 7 years, there have been a number of systematic reviews/meta-analyses that have examined efficacy of TENS for pain reduction in people with neck pain [68], postoperative pain [69], cancer pain [70,71], labor pain [72], acute pain [73], low back pain [74,75] and osteoarthritis pain [58,76]. There have also been systematic reviews on the methodology of TENS [77,78].…”

Section: Evidence Of Tens For Pain Managementmentioning

confidence: 99%

Using Tens for Pain Control: The State of the Evidence

et al. 2014

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Summary Transcutaneous electrical nerve stimulation (TENS) is a nonpharmacological intervention that activates a complex neuronal network to reduce pain by activating descending inhibitory systems in the central nervous system to reduce hyperalgesia. The evidence for TENS efficacy is conflicting and requires not only description but also critique. Population-specific systemic reviews and meta-analyses are emerging, indicating both HF and LF TENS being shown to provide analgesia, specifically when applied at a strong, nonpainful intensity. The purpose of this article is to provide a critical review of the latest basic science and clinical evidence for TENS. Additional research is necessary to determine if TENS has effects specific to mechanical stimuli and/or beyond reduction of pain and will improve activity levels, function and quality of life.

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“…Evidence-based physiotherapy can be defined as "high-quality clinical research, patients' preferences, and physiotherapists' practice knowledge" (Herbert et al 2009). Kroeling et al (2013) in their review examined the effect of Pulsed Electromagnetic Field Therapy (PEMF), repetitive magnetic stimulation (rMS), and transcutaneous electrical nerve stimulation (TENS) on neck pain; PEMF and rMS were more effective than placebo, whereas TENS showed inconsistent results. They concluded that since the evidence was low they were uncertain about the estimated effect.…”

Section: Physiotherapy Modalitiesmentioning

confidence: 99%

The essence of the experience of chronic pain – a phenomenological study

2016

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A Phenomenological StudyEsitetään Jyväskylän yliopiston liikuntatieteellisen tiedekunnan suostumuksella julkisesti tarkastettavaksi yliopiston Musica-rakennuksen salissa M103 helmikuun 21. päivänä 2015 kello 12.Academic dissertation to be publicly discussed, by permission of the Faculty of Sport and Health Sciences of the University of Jyväskylä, in building Musica, auditorium M103, on February 21, 2015 at 12 o'clock noon. UNIVERSITY OF JYVÄSKYLÄ JYVÄSKYLÄ 2015The Chronic pain is a complex combination of biopsychosocial symptoms affecting each other. In chronic pain, the patient's entire body may become a source of pain, and eventually the pain occupies the patient's mind and entire life. The purpose of this thesis was to search for a more profound understanding of the phenomenon of chronic pain from the perspective of persons with chronic pain and who have been treated for their chronic pain. Thirty-four participants with different types chronic pain were interviewed. The transcribed interviews were analysed using Giorgi's phenomenological method consisting of four phases: (1) reading the transcriptions several times, (2) discriminating meaning units, (3) collecting meaning units into groups, into meaning structures, (4) the synthesis, describing the phenomenon of chronic pain.The results indicate that chronic pain impaired the participants' life by controlling thoughts and making life itself painful. The strongest arguments made by the participants due to chronic pain were distress, loneliness, lost identity, and low quality of life. The participants stated that the key to managing their pain was to reconsider their meanings of pain. In the analysis, four essential themes of chronic pain emerged, namely: "Chronic pain affects the whole person", "Invisibility of chronic pain", "Negative meaning of chronic pain", and "Dominance of chronic pain".Chronic pain is a multidimensional illness which requires a multidisciplinary approach to understand the phenomenon of it. Accordingly, a multidisciplinary rehabilitation programme is required to manage it; unfortunately the opposite is true in clinical practice, adopting only a rhetoric approach. A potential source of psychosocial symptoms may be the personal responses to the experience of chronic pain based on individual meaning. Thus, the focus should be to identify and revise the meanings of pain in order to manage chronic pain and to restore positivity in personal life. The phenomenological framework provides a relevant new insight into the present understanding of chronic pain.

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Electrotherapy for neck pain

Cited by 93 publications

References 54 publications

Transcutaneous electrical nerve stimulation (TENS) for chronic pain - an overview of Cochrane Reviews

Transcutaneous electrical nerve stimulation (TENS) for chronic pain - an overview of Cochrane Reviews

Using Tens for Pain Control: The State of the Evidence

The essence of the experience of chronic pain – a phenomenological study

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