Transcutaneous Electrical Nerve Stimulation (TENS) in the Immediate Postoperative Period Following Proximal Femoral Fractures Reduces Drug Costs

High frequency transcutaneous electrical stimulation in the immediate postoperative period of anterior cruciate ligament reconstruction: a randomized clinical trial

“…Only one study showed the effect of adding TENS to the exercise protocol on postoperative ACL rehabilitation 3 . However, some studies demonstrate the effects of TENS on other orthopedic trauma surgeries 4,9,10,[12][13][14][15] . Moreover, many studies address the effects of TENS on other types of surgery 8,11,[16][17][18][19][20][21][22][23] The results showed that almost continuous stimulation by high-frequency TENS associated with a predefined exercise and mobilization protocol during the first phase of ACL reconstruction rehabilitation led to a significant additional effect in improving acute postoperative pain.…”

“…Silva et al 9 approached 42 patients with proximal femoral fractures, divided into TENS group, placebo TENS group, and control group. All groups received the same exercise protocol in the postoperative period 9 . As in the present study, the authors applied TENS continuously 9 .…”

“…All groups received the same exercise protocol in the postoperative period 9 . As in the present study, the authors applied TENS continuously 9 . The results showed significant pain reduction in the first 72 hours after intervention in the group that added TENS 9 .…”

“…the administered dose of dipyrone was used as an outcome of the study. To calculate it, we adopted the sample calculation methods suggested by Silva et al 9 considering the differences between the means and standard deviation of the initial and final dipyrone dose of the participants who underwent TENS. The dipyrone dose of the TENS group on the first postoperative day was 1,000±1,240.35 mg, and the final dipyrone dose was 500.00±1,091.93 mg after treatment.…”

“…Postoperative ACL rehabilitation initially aims to decrease pain and postoperative inflammation, focusing on graft protection, restoration of range of motion, and muscle activation 3,4,8,9 . Using TENS for analgesia is a common approach in several postoperative rehabilitation protocols 3 .…”