Transcutaneous electrical nerve stimulation for postoperative pain relief after total knee arthroplasty

Breit, Robert; Wall, Hans Van der

doi:10.1016/s0883-5403(03)00458-3

Cited by 49 publications

(61 citation statements)

References 10 publications

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“…[1][2][3] In contrast, TENS has been shown ineffective in postoperative pain treatment after total knee arthroplasty. 4 Preincisional administration of analgesics systemically, epidurally, and wound infiltration of local anesthetics 5 and ketamine has been proven as efficient. 6 Preemptive use of TENS in major spinal surgery has not yet been studied.…”

Section: Objectivesmentioning

confidence: 99%

Postoperative and Preincisional Electrical Nerve Stimulation TENS Reduce Postoperative Opioid Requirement After Major Spinal Surgery

Unterrainer

Friedrich

Krenn

et al. 2010

Journal of Neurosurgical Anesthesiology

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Section: Objectivesmentioning

confidence: 99%

Postoperative and Preincisional Electrical Nerve Stimulation TENS Reduce Postoperative Opioid Requirement After Major Spinal Surgery

Unterrainer

Friedrich

Krenn

et al. 2010

Journal of Neurosurgical Anesthesiology

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“…However, the few clinical trials that have evaluated the efficacy of TENS for pain following TKA were conducted over 10 years ago with small sample sizes and varying results [4]. used high frequency TENS with a strong amplitude (30–40mA) and reported significant differences compared to placebo-TENS on pain at rest, pain after quadriceps femoris contraction, and muscle contraction ability, while others [6,75] showed no significant difference in analgesic consumption among TENS, placebo-TENS, or no TENS. One of these studies used sensory threshold TENS and the other did not provide specific information on amplitude.…”

Section: Introductionmentioning

confidence: 99%

Transcutaneous electrical nerve stimulation for the control of pain during rehabilitation after total knee arthroplasty: A randomized, blinded, placebo-controlled trial

Rakel

Zimmerman

Geasland

et al. 2014

Pain

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This study evaluated the efficacy of TENS in reducing pain and hyperalgesia and increasing function following total knee arthroplasty (TKA). We hypothesized participants using TENS during rehabilitation exercises would: 1) report significantly lower pain during range-of-motion (ROM) and fast walking but not at rest; 2) have less hyperalgesia; and, 3) have better function than participants receiving Placebo-TENS or Standard Care. We also hypothesized that change in ROM pain would differ based on psychological characteristics (trait anxiety, pain catastrophizing and depression) and treatment group. This prospective, randomized study used intent-to-treat analyses on 317 subjects after primary, unilateral TKA. Assessors, blinded to treatment allocation, measured pain, function (ROM and gait speed), and hyperalgesia (quantitative sensory tests) postoperatively and 6 weeks after surgery. Analgesic intake, anxiety, depression, and pain catastrophizing were also assessed. TENS participants used it 1–2 times/day at 42 mA (on average) and had less pain postoperatively during active knee extension (p=0.019) and fast walking (p=0.006) than Standard Care participants. TENS and Placebo-TENS were not significantly different. TENS participants who scored low on anxiety and pain catastrophizing had a greater reduction in ROM pain at 6 weeks than those scoring high on these factors (p=0.002 and 0.03). Both TENS and Placebo-TENS participants had less postoperative mechanical hyperalgesia (p=0.03 – 0.01) than Standard Care participants. Supplementing pharmacologic analgesia with TENS during rehabilitation exercises reduces movement pain postoperatively but a placebo influence exists and the effect is gone by 6 weeks. Patients with low anxiety and pain catastrophizing may benefit most from TENS.

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“…(8) Literatürde, cerrahi insizyonun yakınına uygulanan TENS'in postoperatif akut ağrı ve opiyoid tüketiminde azalmaya neden olduğunu bildiren çalışmalara karşın (16,17) etkisiz olduğunu bildiren çalışmalar da vardır. (18,19) Tunç ve ark. (20) , torakotomi operasyonu sonrası kontrol grubuyla TENS'i karşılaştırdıkları çalışmalarında, ağrı kontrolünde TENS'in etkili olmasına karşın, opiyoid tüketimi ve ek analjezik gereksinimini azaltmadığını, hastaların öksürme gücünü arttırmadığını göster-miştir.…”

Section: Discussionunclassified

Comparison of Postoperative Analgesic Effects of Low Frequency TENS and Conventional TENS Used After Abdominal Hysterectomy

Çelik¹,

Günüşen²,

Eyigör³

et al. 2011

J Turk Anaesth Int Care

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Transcutaneous electrical nerve stimulation for postoperative pain relief after total knee arthroplasty

Cited by 49 publications

References 10 publications

Postoperative and Preincisional Electrical Nerve Stimulation TENS Reduce Postoperative Opioid Requirement After Major Spinal Surgery

Postoperative and Preincisional Electrical Nerve Stimulation TENS Reduce Postoperative Opioid Requirement After Major Spinal Surgery

Transcutaneous electrical nerve stimulation for the control of pain during rehabilitation after total knee arthroplasty: A randomized, blinded, placebo-controlled trial

Comparison of Postoperative Analgesic Effects of Low Frequency TENS and Conventional TENS Used After Abdominal Hysterectomy

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