Effect of Modulated-Frequency and Modulated-Intensity Transcutaneous Electrical Nerve Stimulation After Abdominal Surgery: A Randomized Controlled Trial
PURPOSE:This study aimed to evaluate the effectiveness of transcutaneous electrical nerve stimulation (TENS) for treatment of postoperative pain and pulmonary functions (vital capacity [VC]; cough peak flow, [CPF]) in patients who underwent abdominal surgery. MATERIALS AND METHODS:Forty-eight patien...
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| Veröffentlicht in: | The Clinical journal of pain 2014-07, Vol.30 (7), p.565-570 |
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| container_title | The Clinical journal of pain |
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| creator | Tokuda, Mitsunori Tabira, Kazuyuki Masuda, Takashi Nishiwada, Takashi Shomoto, Koji |
| description | PURPOSE:This study aimed to evaluate the effectiveness of transcutaneous electrical nerve stimulation (TENS) for treatment of postoperative pain and pulmonary functions (vital capacity [VC]; cough peak flow, [CPF]) in patients who underwent abdominal surgery.
MATERIALS AND METHODS:Forty-eight patients were randomly allocated to receive TENS, placebo TENS, or no TENS (control) 1 hour a day for 3 days postoperatively. A 0-100 visual analog scale was used to assess pain at preintervention, mid-intervention, and postintervention on the third postoperative day. Pulmonary functions (VC, CPF) were evaluated by spirometer at preoperation (baseline) and at preintervention, mid-intervention, and postintervention on the third postoperative day. One-way analysis of variance was used to assess differences between groups at baseline. Mann-Whitney test was used to compare the control group with the placebo-TENS and TENS group, at each assessment timepoint. Two-way analysis of variance and Bonferroni post hoc test assessed the difference between the 2 (placebo-TENS×TENS) groups. A value of P |
| doi_str_mv | 10.1097/AJP.0b013e31829ea151 |
| format | Article |
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MATERIALS AND METHODS:Forty-eight patients were randomly allocated to receive TENS, placebo TENS, or no TENS (control) 1 hour a day for 3 days postoperatively. A 0-100 visual analog scale was used to assess pain at preintervention, mid-intervention, and postintervention on the third postoperative day. Pulmonary functions (VC, CPF) were evaluated by spirometer at preoperation (baseline) and at preintervention, mid-intervention, and postintervention on the third postoperative day. One-way analysis of variance was used to assess differences between groups at baseline. Mann-Whitney test was used to compare the control group with the placebo-TENS and TENS group, at each assessment timepoint. Two-way analysis of variance and Bonferroni post hoc test assessed the difference between the 2 (placebo-TENS×TENS) groups. A value of P<0.01 was considered statistically significant.
RESULTS:The baselines were not significantly different between any groups. The TENS group had significant reductions in postoperative pain compared with the placebo group (P<0.01) and control group (P<0.01). There was also improvement in pulmonary functions (VC, CPF) at mid-TENS and post-TENS, but not in the placebo-TENS (P<0.01) or control groups (P<0.01).
CONCLUSIONS:TENS is a valuable treatment to alleviate postoperative pain and improve pulmonary functions (ie, VC, CPF) in patients following abdominal surgery.</description><identifier>ISSN: 0749-8047</identifier><identifier>EISSN: 1536-5409</identifier><identifier>DOI: 10.1097/AJP.0b013e31829ea151</identifier><identifier>PMID: 24901753</identifier><language>eng</language><publisher>United States: by Lippincott Williams & Wilkins</publisher><subject>Abdomen - surgery ; Adult ; Aged ; Aged, 80 and over ; Analysis of Variance ; Female ; Follow-Up Studies ; Humans ; Laparoscopy - adverse effects ; Male ; Middle Aged ; Pain Measurement ; Pain, Postoperative - physiopathology ; Pain, Postoperative - therapy ; Prospective Studies ; Single-Blind Method ; Spirometry ; Statistics, Nonparametric ; Transcutaneous Electric Nerve Stimulation - methods</subject><ispartof>The Clinical journal of pain, 2014-07, Vol.30 (7), p.565-570</ispartof><rights>2014 by Lippincott Williams & Wilkins</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3772-4525070f0d6a08b2c1fefd10480a5419719db6f89871cdf6ade0f66718b149a03</citedby><cites>FETCH-LOGICAL-c3772-4525070f0d6a08b2c1fefd10480a5419719db6f89871cdf6ade0f66718b149a03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24901753$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tokuda, Mitsunori</creatorcontrib><creatorcontrib>Tabira, Kazuyuki</creatorcontrib><creatorcontrib>Masuda, Takashi</creatorcontrib><creatorcontrib>Nishiwada, Takashi</creatorcontrib><creatorcontrib>Shomoto, Koji</creatorcontrib><title>Effect of Modulated-Frequency and Modulated-Intensity Transcutaneous Electrical Nerve Stimulation After Abdominal Surgery: A Randomized Controlled Trial</title><title>The Clinical journal of pain</title><addtitle>Clin J Pain</addtitle><description>PURPOSE:This study aimed to evaluate the effectiveness of transcutaneous electrical nerve stimulation (TENS) for treatment of postoperative pain and pulmonary functions (vital capacity [VC]; cough peak flow, [CPF]) in patients who underwent abdominal surgery.
MATERIALS AND METHODS:Forty-eight patients were randomly allocated to receive TENS, placebo TENS, or no TENS (control) 1 hour a day for 3 days postoperatively. A 0-100 visual analog scale was used to assess pain at preintervention, mid-intervention, and postintervention on the third postoperative day. Pulmonary functions (VC, CPF) were evaluated by spirometer at preoperation (baseline) and at preintervention, mid-intervention, and postintervention on the third postoperative day. One-way analysis of variance was used to assess differences between groups at baseline. Mann-Whitney test was used to compare the control group with the placebo-TENS and TENS group, at each assessment timepoint. Two-way analysis of variance and Bonferroni post hoc test assessed the difference between the 2 (placebo-TENS×TENS) groups. A value of P<0.01 was considered statistically significant.
RESULTS:The baselines were not significantly different between any groups. The TENS group had significant reductions in postoperative pain compared with the placebo group (P<0.01) and control group (P<0.01). There was also improvement in pulmonary functions (VC, CPF) at mid-TENS and post-TENS, but not in the placebo-TENS (P<0.01) or control groups (P<0.01).
CONCLUSIONS:TENS is a valuable treatment to alleviate postoperative pain and improve pulmonary functions (ie, VC, CPF) in patients following abdominal surgery.</description><subject>Abdomen - surgery</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Analysis of Variance</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Laparoscopy - adverse effects</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pain Measurement</subject><subject>Pain, Postoperative - physiopathology</subject><subject>Pain, Postoperative - therapy</subject><subject>Prospective Studies</subject><subject>Single-Blind Method</subject><subject>Spirometry</subject><subject>Statistics, Nonparametric</subject><subject>Transcutaneous Electric Nerve Stimulation - methods</subject><issn>0749-8047</issn><issn>1536-5409</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdUcFu1DAUtBCILoU_QMhHLinPiRM73KLVFopaQHQ5W078TANO3NoO1fIlfG7dboEKX2yNZsaaGUJeMjhi0Io33YfPR9ADq7BismxRs5o9IitWV01Rc2gfkxUI3hYSuDggz2L8DsDqUsJTclDyFpioqxX5vbEWh0S9pWfeLE4nNMVxwKsF52FH9Wwe4CdzwjmOaUe3Qc9xWJKe0S-Rblz2COOgHf2I4SfS8zROt6LRz7SzCQPteuOncc6M8yV8w7B7Szv6Jftn9BcauvZzCt65_NyGUbvn5InVLuKL-_uQfD3ebNfvi9NP707W3WkxVEKUBa_LGgRYMI0G2ZcDs2gNAy5B15y1grWmb6xspWCDsY02CLZpBJM9462G6pC83vteBp9Dx6SmMQ7o3D6ayn3mMpuqlJnK99Qh-BgDWnUZxkmHnWKgbjdReRP1_yZZ9ur-h6Wf0PwV_Rnhn--1d7mq-MMt1xjUBWqXLhTkkzPKogTGc1SA4g6qbgB1OZqQ</recordid><startdate>201407</startdate><enddate>201407</enddate><creator>Tokuda, Mitsunori</creator><creator>Tabira, Kazuyuki</creator><creator>Masuda, Takashi</creator><creator>Nishiwada, Takashi</creator><creator>Shomoto, Koji</creator><general>by Lippincott Williams & Wilkins</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201407</creationdate><title>Effect of Modulated-Frequency and Modulated-Intensity Transcutaneous Electrical Nerve Stimulation After Abdominal Surgery: A Randomized Controlled Trial</title><author>Tokuda, Mitsunori ; Tabira, Kazuyuki ; Masuda, Takashi ; Nishiwada, Takashi ; Shomoto, Koji</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3772-4525070f0d6a08b2c1fefd10480a5419719db6f89871cdf6ade0f66718b149a03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Abdomen - surgery</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Analysis of Variance</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Laparoscopy - adverse effects</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pain Measurement</topic><topic>Pain, Postoperative - physiopathology</topic><topic>Pain, Postoperative - therapy</topic><topic>Prospective Studies</topic><topic>Single-Blind Method</topic><topic>Spirometry</topic><topic>Statistics, Nonparametric</topic><topic>Transcutaneous Electric Nerve Stimulation - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tokuda, Mitsunori</creatorcontrib><creatorcontrib>Tabira, Kazuyuki</creatorcontrib><creatorcontrib>Masuda, Takashi</creatorcontrib><creatorcontrib>Nishiwada, Takashi</creatorcontrib><creatorcontrib>Shomoto, Koji</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Clinical journal of pain</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tokuda, Mitsunori</au><au>Tabira, Kazuyuki</au><au>Masuda, Takashi</au><au>Nishiwada, Takashi</au><au>Shomoto, Koji</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of Modulated-Frequency and Modulated-Intensity Transcutaneous Electrical Nerve Stimulation After Abdominal Surgery: A Randomized Controlled Trial</atitle><jtitle>The Clinical journal of pain</jtitle><addtitle>Clin J Pain</addtitle><date>2014-07</date><risdate>2014</risdate><volume>30</volume><issue>7</issue><spage>565</spage><epage>570</epage><pages>565-570</pages><issn>0749-8047</issn><eissn>1536-5409</eissn><abstract>PURPOSE:This study aimed to evaluate the effectiveness of transcutaneous electrical nerve stimulation (TENS) for treatment of postoperative pain and pulmonary functions (vital capacity [VC]; cough peak flow, [CPF]) in patients who underwent abdominal surgery.
MATERIALS AND METHODS:Forty-eight patients were randomly allocated to receive TENS, placebo TENS, or no TENS (control) 1 hour a day for 3 days postoperatively. A 0-100 visual analog scale was used to assess pain at preintervention, mid-intervention, and postintervention on the third postoperative day. Pulmonary functions (VC, CPF) were evaluated by spirometer at preoperation (baseline) and at preintervention, mid-intervention, and postintervention on the third postoperative day. One-way analysis of variance was used to assess differences between groups at baseline. Mann-Whitney test was used to compare the control group with the placebo-TENS and TENS group, at each assessment timepoint. Two-way analysis of variance and Bonferroni post hoc test assessed the difference between the 2 (placebo-TENS×TENS) groups. A value of P<0.01 was considered statistically significant.
RESULTS:The baselines were not significantly different between any groups. The TENS group had significant reductions in postoperative pain compared with the placebo group (P<0.01) and control group (P<0.01). There was also improvement in pulmonary functions (VC, CPF) at mid-TENS and post-TENS, but not in the placebo-TENS (P<0.01) or control groups (P<0.01).
CONCLUSIONS:TENS is a valuable treatment to alleviate postoperative pain and improve pulmonary functions (ie, VC, CPF) in patients following abdominal surgery.</abstract><cop>United States</cop><pub>by Lippincott Williams & Wilkins</pub><pmid>24901753</pmid><doi>10.1097/AJP.0b013e31829ea151</doi><tpages>6</tpages></addata></record> |
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| subjects | Abdomen - surgery Adult Aged Aged, 80 and over Analysis of Variance Female Follow-Up Studies Humans Laparoscopy - adverse effects Male Middle Aged Pain Measurement Pain, Postoperative - physiopathology Pain, Postoperative - therapy Prospective Studies Single-Blind Method Spirometry Statistics, Nonparametric Transcutaneous Electric Nerve Stimulation - methods |
| title | Effect of Modulated-Frequency and Modulated-Intensity Transcutaneous Electrical Nerve Stimulation After Abdominal Surgery: A Randomized Controlled Trial |
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