Transcutaneous electrical nerve stimulation and interferential current demonstrate similar effects in relieving acute and chronic pain: a systematic review with meta-analysis

Almeida, Camila Cadena de; Silva, Vinicius Z. Maldaner da; Júnior, Gérson Cipriano; Liebano, Richard Eloin; Durigan, João Luíz Quagliotti

doi:10.1016/j.bjpt.2017.12.005

Cited by 57 publications

(49 citation statements)

References 43 publications

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“…Regarding the use of ICT and its long-term effects, four systematic reviews with meta-analyses have been published to date. Two of these [14,38] addressed the use of ICT in the general management of acute and chronic skeletal muscle pain, including the management of knee OA. The others addressed the use of electrical stimulation, including ICT, specifically in relation to the management of knee OA [39,40].…”

Section: Discussionmentioning

confidence: 99%

“…Fuentes et al (2010) [38] stated that the inclusion of ICT in a multimodal treatment program promotes pain relief in chronic musculoskeletal conditions. Almeida et al (2018) [14] reported the effectiveness of ICT for improving pain and function analysed using the WOMAC. [39] highlighted ICT as a promising treatment for relief of pain associated with knee OA.…”

Section: Discussionmentioning

confidence: 99%

“…Among these, physical agents are widely used, including electrical, electromagnetic and phototherapeutic treatments [13]. With an emphasis on transcutaneous electrical nerve stimulation, interferential current therapy (ICT) [14,15], shortwave diathermy therapy (SDT) [16] and photobiomodulation (PHOTO) [17] have been shown to improve pain and function, as well as increase the strength of the knee extensors [14][15][16][17].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Exercise program combined with electrophysical modalities in subjects with knee osteoarthritis: a randomised, placebo-controlled clinical trial

Gomes

Politti

Pereira

et al. 2020

BMC Musculoskelet Disord

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Background: It is not yet clear which of the various electrophysical modalities used in clinical practice is the one that contributes most positively when added to an exercise program in patients with knee osteoarthritis (OA). The aim of the present study was to analyze the clinical effects of the inclusion of interferential current therapy (ICT), shortwave diathermy therapy (SDT) and photobiomodulation (PHOTO) into an exercise program in patients with knee OA. Methods: This prospective, five-arm, randomised, placebo-controlled trial was carried out with blinded participants and examiners. We recruited 100 volunteers aged 40 to 80 years with knee OA. Participants were allocated into five groups: exercise, exercise + placebo, exercise + ICT, exercise + SDT, and exercise + PHOTO. The outcome measures included Western Ontario and McMaster Universities (WOMAC), numerical rating pain scale (NRPS), pressure pain threshold (PPT), self-perceived fatigue and sit-to-stand test (STST), which were evaluated before and after 24 treatment sessions at a frequency of three sessions per week. Results: In all groups, there was a significant improvement (p < 0.05) in all variables over time, except pressure pain threshold. We observed significant differences (p < 0.05) between the groups for WOMAC function (exercise vs. exercise + placebo, mean difference [MD] = 5.55, 95% confidence interval [CI] = 3.63 to 7.46; exercise vs. exercise + ICT, MD = 3.40, 95% CI = 1.46 to 5.33; exercise vs. exercise + SDT, MD = 4.75, 95% CI = 1.85 to 7.64; exercise vs. exercise + PHOTO, MD = 5.45, 95% CI = 3.12 to 7.77) and WOMAC pain, with better scores achieved by the exercise group. However, these differences were not clinically relevant when considering the minimum clinically important difference.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Exercise program combined with electrophysical modalities in subjects with knee osteoarthritis: a randomised, placebo-controlled clinical trial

Gomes

Politti

Pereira

et al. 2020

BMC Musculoskelet Disord

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“…The typical frequency range is 2-150 Hz for TENS and 1 K-10 K Hz for IFT. Positive results in pain relief have been achieved by both of them [5].…”

Section: Introductionmentioning

confidence: 94%

Electrode for Wearable Electrotherapy

Liu

Beeby

Yang

2019

International Conference on the Challenges, Opportunities, Innovations and Applications in Electronic Textiles

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An electrode is a fundamental element used in many electrotherapy devices. This work presents a novel dry electrode made from carbon and silicone rubber materials for wearable electrotherapy applications. The electrode was mixed using a speed mixer and fabricated using stencil printing. This paper investigates the resistivity change of the electrode under the pressure from 0 mmHg to 32.4 mmHg; and the skin–electrode impendence with the current frequency from 20 Hz to 10,000 Hz. The resistivity of the novel dry electrode is 24.6 ± 1.5 Ω∙m when the pressure on electrode is 17.7 mmHg. The skin–electrode impedance reduced from 1001.6 Ω to 145.3 Ω when the frequency increased from 20 Hz to 10,000 Hz.

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“…It penetrates deeper into the skin than lowfrequency equipment, such as TENS, with less discomfort [7][8]. However, its clinical impact is still controversial in low back pain, with few studies substantiating its efficacy, especially in relation to acute pain [10][11]. Thus, the objective of the present study was to evaluate its effect on young women with acute low back pain.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of acute low back pain in women after treatment with interferential current

Serafim¹,

Rabel²,

Neves³

et al. 2019

J Pre Clin Clin Res.

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Introduction and objectives. Low back pain has become one of the major public health problems worldwide. Treatment is by the use of analgesics and non-steroidal anti-inflammatory drugs, but it must be taken into account that these have side-effects. Therefore, non-pharmacological therapies may be beneficial in patients at greater risk of developing chronic pain and disability, aiming to decrease pain. The objective of this study was to assess the effect of the Interferential current in women with acute low back pain. Materials and method. The study included female patients, aged 18-35 years, who had acute low back pain. The Visual Analogue Scale (VAS) of Pain and the Oswestry Disability Index (ODI) were used for evaluation. The patients received Interferential current in the bipolar form, the parameters were base current of 2 kHz, AMF 50 Hz, which was performed for 20 minutes daily, for 3 non-consecutive days in the week, for 4 weeks, totaling 12 therapies. Results. For evaluation of pain intensity, no difference was observed in the control group with a small effect size, but the treated group had a large effect size. For the ODI, comparison within the group showed no difference for the control group, but there was a decrease in the values for the treated group. Conclusion. It was found that the Interferential current was effective in the reduction of acute low back pain and functional improvement.

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Transcutaneous electrical nerve stimulation and interferential current demonstrate similar effects in relieving acute and chronic pain: a systematic review with meta-analysis

Abstract: Transcutaneous electrical nerve stimulation and interferential current have similar effects on pain outcome The low number of studies included in this meta-analysis indicates that new clinical trials are needed.

Cited by 57 publications

References 43 publications

Exercise program combined with electrophysical modalities in subjects with knee osteoarthritis: a randomised, placebo-controlled clinical trial

Exercise program combined with electrophysical modalities in subjects with knee osteoarthritis: a randomised, placebo-controlled clinical trial

Electrode for Wearable Electrotherapy

Evaluation of acute low back pain in women after treatment with interferential current

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