High and low frequency transcutaneous electrical nerve stimulation inhibits nociceptive responses induced by CO2 laser stimulation in humans

Tommaso, Marina de; Fiore, Pietro; Camporeale, Alfonso; Guido, Marco; Libro, Giuseppe; Losito, Luciana; Megna, Marisa; Puca, Francomichele; Megna, G.

doi:10.1016/s0304-3940(03)00219-2

Cited by 31 publications

(22 citation statements)

References 5 publications

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“…Inconsistent with this result HF-TENS was reported to lead significant improvements on pain in patients with knee OA TENS [18] and experimentally induced ischemic pain [19] than sham TENS. Similar to this result HF-TENS was found to increase the pressure-pain threshold [4] and the pain perception [20] when compared to LF-TENS. Both LF and HF-TENS were reported to reduce pain sensitivity in animals with arthritis [5] and in patients after laparoscopic tubal ligation [21] or hysterectomy or myomectomy [13].…”

Section: Discussionsupporting

confidence: 82%

Which is the Appropriate Frequency of TENS in Managing Knee Osteoarthritis: High or Low Frequency?

İnal¹

2016

Ann Clin Anal Med

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ÖzetAmaç: Diz osteoartritli (OA) hastaların ağrı ve fonksiyonel kayıplarının tedavisinde optimal transkutanöz elektriksel sinir stimülasyon (TENS) frekansını ve ağrı ve fonksiyonel durum üzerine düşük frekanslı (DF) ve yüksek frekanslı (YF) TENS'in etkisini belirlemek. Gereç ve Yöntem: Semptomatik diz OA'li 93 kadın hasta bu çalışmaya alındılar. Hastalar, 20 dk sıcak paket, 5 dakika ultrason ve egzersiz programından oluşan 5 seans/hafta fizik tedavi ile birlikte rasgele, placebo veya DF veya YF'lı TENS gruplarına bölündüler. Başlangıç-ta, tedaviden sonra ve tedaviden 4 hafta sonar, Visüel Analog Skala(VAS)'da hareket ve istirahat sırasındaki ağrı, yürüme, merdiven çıkma ve inme sürele-ri ve Western Ontario and McMaster Üniversiteleri osteoartrit indeksi (WO-MAC) ağrı, tutukluk, fonksiyon ve total skorları değerlendirildi. Bulgular: Üç vizit boyunca her tedavi grubunda hareket ve istirahat sırasındaki VAS anlamlı olarak farklı bulundu (p<0.001). DF ve YF'lı TENS gruplarında en son vizitte, birinci ve ikinci vizitlere göre yürüme süresi anlamlı olarak düşük olarak bulundu (p<0.05). Her tedavi grubu için ilk ve son vizitlere kıyasla, ikinci vizitte WOMAC ağrı, tutukluk, fonksiyon ve total skorlarının düşmüş olduğu bulundu (p<0.05). Tartışma: Diz OA'li hastalarda, frekansa bakılmaksızın, TENS ağrı, fonksiyonel durum ve yürümeyi iyileştirmiştir. Araştırmacılar, diz OA'inde klinik durumu ve ağrıyı değerlendirirken subjektif değerlendirmeler yerine objektif ölçümler tercih etmelidirler.Anahtar Kelimeler TENS; Diz Osteoartriti; Fonksiyonel Durum; Ağrı, Yürüme Abstract Aim: To clarify the optimal Transcutaneous Electrical Nerve Stimulation (TENS) frequency in managing pain and functional deficiency and the efficacy of low frequency (LF) and high frequency (HF) -TENS on pain and functional status in patients with knee osteoarthritis (OA). Material and Method: Ninety-three female patients with symptomatic knee OA were enrolled in this study. All the patients were randomly divided sham or LF or HF-TENS groups with five sessions/week of physical therapy as 20 minutes hot pack, 5 minutes therapeutic ultrasonography, and exercise program. Pain on the Visual Analog Scale (VAS) in rest and motion, durations of walk, climbing up and down stairs and pain, stiffness, function and total scores of Western Ontario and McMaster Universities osteoarthritis index (WOMAC) were assessed at baseline, after therapy and 4 weeks after the therapy. Results: The VAS pain in rest and motion were found to be significantly different for each therapy group within the three visits (p<0.001). Walk duration was found to be significantly decreased in the last visit compared to those in first and second visits of LF and HF-TENS groups (p<0.05). The scores of the WOMAC pain, stiffness, function and total were found to decrease significantly in the second visit of each therapy group compared to those in the first and last visits (p<0.05). Discussion: Regardless of frequency, TENS improves pain, functional status and walking in patients with knee OA. The in...

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Section: Discussionsupporting

confidence: 82%

Which is the Appropriate Frequency of TENS in Managing Knee Osteoarthritis: High or Low Frequency?

İnal¹

2016

Ann Clin Anal Med

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“…The frequency of 100Hz was chosen based on previous studies 16,29 . The pulse duration of 40μs, due to the lack of consensus in the literature, was chosen in a pilot study carried out before the beginning of the experiment.…”

Section: Discussionmentioning

confidence: 99%

“…Its action can be explained by the pain gateway theory 14 , and its analgesic effect is local, taking place at the spinal segment that corresponds to the stimulated dermatomes 15 . The widespread knowledge about TENS has accentuated its use in the control of the neurogenic pain and consequently TENS can be considered the most common and important form of electrical analgesia 16 . However, the use of this tool to decrease pain caused by muscle stretching, with possible increase to tolerance to treatment resulting in greater improvement in ROM, has not been investigated in previous studies.…”

Section: Introductionmentioning

confidence: 99%

Influência da estimulação elétrica nervosa transcutânea (TENS) associada ao alongamento muscular no ganho de flexibilidade

Maciel¹,

Sma²

2008

Rev. bras. fisioter.

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“…experimentally induced ischemic pain during TENS 43 and other electrophysical interventions. 40,41,44 Nevertheless, controlled studies have demonstrated that TENS reduces experimental pain administered using heat stimuli, 22,45,46 cold stimuli, 31,47 and mechanical stimuli. 19,20,48 The primary purpose of this study was to examine hypoalgesia between electrode sites.…”

Section: Discussionmentioning

confidence: 99%

An Investigation Into the Effect of Electrode Placement of Transcutaneous Electrical Nerve Stimulation (TENS) on Experimentally Induced Ischemic Pain in Healthy Human Participants

Brown

Tabasam²,

Bjordal³

et al. 2007

The Clinical Journal of Pain

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High and low frequency transcutaneous electrical nerve stimulation inhibits nociceptive responses induced by CO2 laser stimulation in humans

Cited by 31 publications

References 5 publications

Which is the Appropriate Frequency of TENS in Managing Knee Osteoarthritis: High or Low Frequency?

Which is the Appropriate Frequency of TENS in Managing Knee Osteoarthritis: High or Low Frequency?

Influência da estimulação elétrica nervosa transcutânea (TENS) associada ao alongamento muscular no ganho de flexibilidade

An Investigation Into the Effect of Electrode Placement of Transcutaneous Electrical Nerve Stimulation (TENS) on Experimentally Induced Ischemic Pain in Healthy Human Participants

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