Long-term effects of transabdominal electrical stimulation in treating children with slow-transit constipation

Leong, L.C.Y.; Yik, Yee Ian; Catto‐Smith, Anthony G.; Robertson, Val J.; Hutson, John M.

doi:10.1016/j.jpedsurg.2011.09.022

Cited by 61 publications

(49 citation statements)

References 14 publications

(21 reference statements)

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“…In a larger group, there were similar improvements and a slight increase in transit speed and KEYWORDS: bowel motility • electrotherapeutics • physical therapy • physiotherapy improved quality of life [9][10]16]. Colonic contractions increased [16] and improvements lasted up to 2 years [17]. A recent detailed review of our studies is available free online [101].…”

mentioning

confidence: 75%

Medical devices to deliver transcutaneous electrical stimulation using interferential current to treat constipation

Southwell

2013

Expert Review of Medical Devices

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mentioning

confidence: 75%

Medical devices to deliver transcutaneous electrical stimulation using interferential current to treat constipation

Southwell

2013

Expert Review of Medical Devices

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“…Overall, it was noted that the benefits lasted from between 6 months and 2 years, 50 and children who have since relapsed have gone on to continue home stimulation with ongoing benefit. A previous review of studies on children in Melbourne suggested that more placebo- controlled studies are needed.…”

Section: Discussionmentioning

confidence: 99%

Neuromodulation via Interferential Electrical Stimulation as a Novel Therapy in Gastrointestinal Motility Disorders

Moore

Burgell

2018

J Neurogastroenterol Motil

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The concept of therapeutic percutaneous neuromodulation has, until recently, been limited by the ability to penetrate deeply enough to stimulate internal organs. By utilizing 2 medium frequency, slightly out of phase electrical currents passing diagonally through the abdomen, a third, low frequency current is created at the point of bisection. This interferential current appears to stimulate nerve fibers in the target organs and may have a therapeutic action. The aim of the study is to review the use of transcutaneous interferential electrical stimulation with a focus on its application in gastroenterology, particularly in motility disorders. Studies involving use of interferential current therapy were searched from Medline, PubMed, and Scopus databases, and articles pertaining to history, its application and all those treating abdominal and gastrointestinal disorders were retrieved. Seventeen studies were identified, 13 involved children only. Eleven of these were randomised controlled trials (3 in adults). Four trials were from the one center, where each paper reported on different outcomes such as soiling, defecation frequency, quality of life, and colon transit studies from the one pool of children. All studies found statistically significant improvement in symptom reduction. However, weaknesses in study design were apparent in some. In particular, finding an adequate placebo to interferential current therapy has been difficult. Interferential current therapy shows potential as a novel, non-pharmacological and economical means of treating gastrointestinal dysfunction such as constipation. More studies are needed particularly in the adult population. However, the design of a suitable placebo is challenging. Search MethodA search of Medline, PubMed, and Scopus databases for information on electrical interferential current and its application using search words such as "electrical interferential current," "transcutaneous," "therapeutics or uses," "mechanisms of action," and "gastrointestinal" was performed. Articles that were available in English were included. This review focuses on the use of transcutaneous interferential current therapy in the treatment of gastrointestinal symptoms. The Nature of Interferential Current TherapyInterferential current therapy has been used in a variety of settings including low back pain 11 and neurological disorders such as carpal tunnel syndrome. 12 More recently, interferential current therapy has been found to be effective in small studies in managing conditions such as fecal incontinence and constipation. It has the benefit of being completely non-invasive, cost effective and convenient, as it can be self-administered at home. 13Despite increased convenience to the patient, doctor and payer, the use of transcutaneously-delivered current can be problematic. To stimulate the nerve of interest, the current has to pass through the skin and surrounding muscle to reach its target. This causes resistance to flow, requiring the use of a higher current to achieve the desired resu...

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“…Quality of life improved as well [23]. 67% of children using TESIC for STC had clinical improvement lasting more than two years in half of them [24].…”

Section: Open Accessmentioning

confidence: 92%

“…It has been postulated that electrical impulses from the device may travel across the skin to activate sensory nerve fibres, sensory and motor nerves in spinal nerves, sympathetic and parasympathetic nerves, enteric nerves in the bowel wall or interstitial cells of Cajal [24].…”

Section: Open Accessmentioning

confidence: 99%

Lumbosacral transcutaneous electrical stimulation in children with slow transit constipation: A pilot case series

Singh¹,

Uhlmann²,

M³

et al. 2017

J Hepatol Gastroenterol.

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Long-term effects of transabdominal electrical stimulation in treating children with slow-transit constipation

Cited by 61 publications

References 14 publications

Medical devices to deliver transcutaneous electrical stimulation using interferential current to treat constipation

Medical devices to deliver transcutaneous electrical stimulation using interferential current to treat constipation

Neuromodulation via Interferential Electrical Stimulation as a Novel Therapy in Gastrointestinal Motility Disorders

Lumbosacral transcutaneous electrical stimulation in children with slow transit constipation: A pilot case series

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