Transcutaneous electric nerve stimulation for post-Cesarean section analgesia

Alves, Elaine Maria Souza; Rabêlo, Tauanny Nazário; Santos, Maria Gabriela Reis; Souza, Isadora Guimarães; Lima, Paulo Autran Leite; Santana, Lícia Santos

doi:10.5935/1806-0013.20150053

Cited by 9 publications

(9 citation statements)

References 12 publications

(11 reference statements)

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“…Outro estudo realizado por Alves et al (2015), mensurou apenas o nível da dor na incisão da cesariana antes e após a aplicação do TENS, com os seguintes parâmetros F: 100 Hz e largura de pulso 100 μs, durante 30 minutos e classificaram o nível de dor através da EVA. Ao comparar a intensidade da dor antes e após a TENS, foi encontrada uma diminuição significativa nos valores, deixando claro sua eficácia na redução do quadro álgico de dores agudas no pós-operatório de cesariana.…”

Section: Discussionunclassified

Intervenção Fisioterapêutica no puerpério imediato: O que há de evidências na última década?

Melo

Santos

Brilhante

et al. 2021

RSD

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Objetivo: Analisar a produção científica existente ao longo dos últimos dez anos, referente a atuação fisioterapêutica no puerpério imediato, e o que há de evidências para essa atuação. Métodos: Pesquisa de caráter exploratório do tipo bibliométrica, realizada por meio de uma revisão de literatura nas bases de dados PubMed/Medline, Web of Science, Scopus, PEDro e LILACS, sobre a atuação fisioterapêutica no puerpério imediato publicada na última década. Utilizaram-se os descritores: “postpartum”; “puerperium” e “physiotherapy”. Resultados: De 814 publicações, apenas 17 foram analisadas após exclusão de determinadas produções, segundo critérios previamente definidos. Prevaleceram estudos quantitativos, na língua inglesa, realizados no Brasil, publicados nos últimos 5 anos, em periódicos com baixo fator de impacto SJR, que abordaram as temáticas de avaliação e tratamento da diástase dos músculos reto-abdominais (DMRA), seguido pelo uso da eletroestimulação transcutânea (TENS) para alívio da dor no pós-parto imediato e treinamento da musculatura do assoalho pélvico (TMAP). Conclusão: As evidências científicas encontradas apontam como principais intervenções fisioterapêuticas utilizadas no puerpério imediato os exercícios para DMRA, TMAP e TENS porém os estudos apresentam baixo rigor metodológico, e foram publicados em periódicos com baixo fator de impacto. Sugere-se a realização de novos estudos, com maior rigor metodológico, voltados apenas para mulheres no puerpério imediato, para produzir evidências científicas de melhor qualidade.

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Section: Discussionunclassified

Intervenção Fisioterapêutica no puerpério imediato: O que há de evidências na última década?

Melo

Santos

Brilhante

et al. 2021

RSD

View full text Add to dashboard Cite

show abstract

“…The conventional TENS application took 30 min per session. The application continued until frequency reached 100 Hz, the pulse width reached 100 μs, and the current impedance reached a point where the women felt needling or tingling according to their tolerance 14,15,26 . Before the application, the women were asked to lie in a supine position, and the area/skin where TENS would be applied was cleaned and dried.…”

Section: Methodsmentioning

confidence: 99%

“…Each statement is evaluated with options, such as totally agree (5 points), agree (4 points), somewhat agree (3 points), disagree (2 points), and strongly disagree (1 point). The scale consists of positive (items 1, 2, 3,5,7,11,14,15,18,19,20,23,24,25,31,32) and negative (items 4, 6, 8, 9, 10, 12,13,16,17,21,22,26,27,28,29,30,33,34) items. In negative items the scores are inversed to assign 5 points to strongly disagree and 1 point to strongly agree.…”

Section: The Visual Analog Scalementioning

confidence: 99%

“…The application continued until frequency reached 100 Hz, the pulse width reached 100 μs, and the current impedance reached a point where the women felt needling or tingling according to their tolerance. 14,15,26 Before the application, the women were asked to lie in a supine position, and the area/skin where TENS would be applied was cleaned and dried. Two electrodes of TENS were placed 2 cm above the cesarean incision, and the other two electrodes 2 cm below the incision.…”

Section: Interventionsmentioning

confidence: 99%

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The effect of progressive relaxation exercises and transcutaneous electrical neural stimulation administered to women delivering via cesarean delivery on pain, breastfeeding success, and comfort levels: A randomized controlled study

Öztürk Özen,

Koç,

Nacir

2023

J of Obstet and Gynaecol

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ObjectiveThis study aimed to determine the effect of progressive relaxation exercises (PRE) and transcutaneous electrical nerve stimulation administered to women delivering via cesarean delivery on acute pain, breastfeeding success, and comfort levels.MethodsThis is a single‐blind, randomized controlled study. This study was carried out in the obstetrics and gynecology clinic of a university hospital affiliated with the Ministry of Health in Turkey between August 20, 2018 and April 15, 2019. A total of 120 participants were randomly assigned to one of four groups, which included a transcutaneous electrical neural stimulation (TENS) group, a PRE group, a combined intervention group, and a control group. Data were collected with a Data Collection Form, The Visual Analogue Scale, The LATCH Breastfeeding Diagnostic Tool, and The Postpartum Comfort Scale.ResultsAccording to the findings of the study, it was determined that pain significantly decreased and comfort increased after having a cesarean delivery in all three intervention groups compared to the control group (p < 0.05). Regarding the breastfeeding success, while there was no statistically significant change in this behavior in the TENS group, it was significantly better in the PRE group and the combined intervention group, where TENS and PRE were administered together (p < 0.05).ConclusionsAccording to our study results, we recommend that TENS and PRE should be employed together after a cesarean delivery as safe non‐pharmacological methods in pain management, eliminating breastfeeding problems, and increasing comfort.

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“…Pain modulation by TENS via the descending pain pathway is through release of endorphins, serotonin, and enkephalin. 5,6 There are many different types of TENS, such as conventional, acupuncture, modulated, burst, and brief intense TENS, which vary according to intensity, frequency and pulse characteristics. Commonly used TENS are Conventional, Acupuncture and Brief intense TENS.…”

Section: Introductionmentioning

confidence: 99%

Effect of acupuncture TENS versus conventional TENS on post cesarean section incision pain

Mehendale¹,

Revadkar²

2018

Int J Reprod Contracept Obstet Gynecol

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Background: There is evidence regarding beneficial use of Transcutaneous Electrical Nerve Stimulation (TENS) on post Lower Segment Caesarean Section (LSCS) incision pain. However, efficacy of different types of TENS following C section pain has not yet been explored adequately.Methods: 96 women who had recently undergone LSCS were included for the study. The subjects were in the age group of 20 to 40 years (25.84±3.96); having pain intensity 4 or more on Numerical Pain Rating Scale (NPRS). They were divided into three groups by random allocation method; namely Group A: Acupuncture (Low/Motor) TENS, Group B: Conventional (High/Sensory) TENS and Group C: Control group. Group A and B received specific type of TENS twice a day for 15 minutes. Control group C did not receive any TENS intervention. All subjects received standard post-operative medications and physiotherapy. Pain intensity was recorded on NPRS pre and post intervention.Results: Both Acupuncture TENS and Conventional TENS significantly decreased post-operative pain intensity as compared to control group (p value <0.0001).Conclusions: Both, acupuncture and conventional TENS are equally effective in reducing post LSCS incision pain at a strong and non-painful intensity.

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Transcutaneous electric nerve stimulation for post-Cesarean section analgesia

Cited by 9 publications

References 12 publications

Intervenção Fisioterapêutica no puerpério imediato: O que há de evidências na última década?

Intervenção Fisioterapêutica no puerpério imediato: O que há de evidências na última década?

The effect of progressive relaxation exercises and transcutaneous electrical neural stimulation administered to women delivering via cesarean delivery on pain, breastfeeding success, and comfort levels: A randomized controlled study

Effect of acupuncture TENS versus conventional TENS on post cesarean section incision pain

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