Transcutaneous electrical nerve stimulation for the relief of post‐partum uterine contraction pain during breast‐feeding: A randomized clinical trial

Sousa, Ligia de; Gomes-Sponholz, Flávia Azevedo; Nakano, Ana Márcia Spanó

doi:10.1111/jog.12345

Cited by 19 publications

(13 citation statements)

References 34 publications

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“…This theory received some criticism in the last half a century (Nathan, ), but the existence of an inhibitory interaction between large myelinated fibres and nociceptive afferents is defended by the clinical evidence (Wall, ). Indeed, the non‐painful electrical stimulation of non‐noxious cutaneous fibres, as occurs in TENS, provides an analgesic effect in different painful conditions (Sbruzzi et al ., ; Chen et al ., ; de Sousa et al ., ). Unfortunately, metanalysis studies are still inconclusive in this matter and further confirmatory field studies have been invoked (Nnoaham & Kumbang, ; Dowswell et al ., ).…”

Section: Discussionmentioning

confidence: 97%

Cortical inhibition of laser pain and laser‐evoked potentials by non‐nociceptive somatosensory input

Testani

Pera

Percio

et al. 2015

Eur J of Neuroscience

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Although the inhibitory action that tactile stimuli can have on pain is well documented, the precise timing of the interaction between the painful and non-painful stimuli in the central nervous system is unclear. The aim of this study was to investigate this issue by measuring the timing of the amplitude modulation of laser evoked potentials (LEPs) due to conditioning non-painful stimuli. LEPs were recorded from 31 scalp electrodes in 10 healthy subjects after painful stimulation of the right arm (C6-C7 dermatomes). Non-painful electrical stimuli were applied by ring electrodes on the second and third finger of the right hand. Electrical stimuli were delivered at +50, +150, +200 and +250 ms interstimulus intervals (ISIs) after the laser pulses. LEPs obtained without any conditioning stimulation were used as a baseline. As compared to the baseline, non-painful electrical stimulation reduced the amplitude of the vertex N2/P2 LEP component and the laser pain rating when electrical stimuli followed the laser pulses only at +150 and +200 ms ISIs. As at these ISIs the collision between the non-painful and painful input is likely to take place at the cortical level, we can conclude that the late processing of painful (thermal) stimuli is partially inhibited by the processing of non-painful (cutaneous) stimuli within the cerebral cortex. Moreover, our results do not provide evidence that non-painful inputs can inhibit pain at a lower level, including the spinal cord.

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Section: Discussionmentioning

confidence: 97%

Cortical inhibition of laser pain and laser‐evoked potentials by non‐nociceptive somatosensory input

Testani

Pera

Percio

et al. 2015

Eur J of Neuroscience

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“…Three (7.31%) articles included in this review found a positive effect of the use of TENS in reducing pain in labor, which was recommended without producing harmful effects for the baby. It can be used according to the comfort of the pregnant woman in high or low frequency for periods starting from 15 minutes (16,40,46) . In a Cochrane review, although the conclusion was that there is still no evidence proving the positive effect of TENS in reducing pain in labor, its offer as a non-pharmacological method of pain relief during this period was recommended (7) .…”

Section: Discussionmentioning

confidence: 99%

“…Reduction of pain (3,43,48) Reduction of duration of labor (48) Reduction of anxiety in labor (43) There was no difference for anxiety, pain, fatigue, satisfaction, type of delivery, duration of labor and Apgar scores (35) Pelvic floor exercises Less susceptibility to urinary incontinence in the postpartum period (29) Increased pelvic floor muscle strength (41) Postpartum urinary incontinence (32) Type of delivery, frequency of perineal laceration and neonatal variables (18) TENS Reduction of pain in labor (16,40,46) Postponement of the use of epidural analgesia (40) Reduced postpartum blood loss (16)…”

Section: Breathing Techniquesmentioning

confidence: 99%

Non-pharmacological therapies applied in pregnancy and labor: an integrative review

Biana

Cecagno

Porto

et al. 2021

Rev. esc. enferm. USP

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Objective: To identify non-pharmacological therapies applied during pregnancy and labor. Method: Integrative review conducted in the databases: PubMed, ScieLO and PEDro, searching for articles from 2008 in English, Spanish and Portuguese. The descriptors used were: pregnancy, childbirth, physiotherapy, alternative and complementary medicine, alternative therapy, non-pharmacological therapy, biomechanical therapy. Results: Forty-one articles were analyzed and subdivided into ten categories of nonpharmacological therapies: massage, perineal massage, hot bath, supportive care, childbirth preparation group, breathing techniques, pelvic floor exercises, transcutaneous electrostimulation, Swiss ball and spontaneous pushing. Six articles (60%) showed a positive outcome for reduction of pain in labor and all of them had a positive outcome for different variables of labor, such as reduction of time, anxiety and pelvic floor laceration rates. Conclusion: The use of non-pharmacological therapies was efficient to reduce the effects of labor and childbirth, such as pain, duration of labor, anxiety, laceration and episiotomy.

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“…A TENS também foi utilizada de forma eficaz para aliviar a dor da contração uterina durante a amamentação, os eletrodos foram colocados entre T10-L1 e S2-S4, com frequência 100 Hz, largura de pulso de 75 μs e intensidade ajustada para produzir uma sensação forte e tolerável por 40 min (Sousa, Gomes-Sponholz & Nakano, 2014).…”

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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Transcutaneous electrical nerve stimulation for the relief of post‐partum uterine contraction pain during breast‐feeding: A randomized clinical trial

Abstract: TENS was found to be effective in reducing post-partum uterine contraction pain during breast-feeding.

Cited by 19 publications

References 34 publications

Cortical inhibition of laser pain and laser‐evoked potentials by non‐nociceptive somatosensory input

Cortical inhibition of laser pain and laser‐evoked potentials by non‐nociceptive somatosensory input

Non-pharmacological therapies applied in pregnancy and labor: an integrative review

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

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