Assessment: Efficacy of transcutaneous electric nerve stimulation in the treatment of pain in neurologic disorders (an evidence-based review): Report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology
To determine if transcutaneous electric nerve stimulation (TENS) is efficacious in the treatment of pain in neurologic disorders. We performed a systematic literature search of Medline and the Cochrane Library from inception to April 2009. There are conflicting reports of TENS compared to sham TENS...
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| Veröffentlicht in: | Neurology 2010-01, Vol.74 (2), p.173-176 |
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| creator | DUBINSKY, Richard M MIYASAKI, Janis |
| description | To determine if transcutaneous electric nerve stimulation (TENS) is efficacious in the treatment of pain in neurologic disorders.
We performed a systematic literature search of Medline and the Cochrane Library from inception to April 2009.
There are conflicting reports of TENS compared to sham TENS in the treatment of chronic low back pain, with 2 Class II studies showing benefit, but 2 Class I studies and another Class II study not showing benefit. Because the Class I studies are stronger evidence, TENS is established as ineffective for the treatment of chronic low back pain (2 Class I studies). TENS is probably effective in treating painful diabetic neuropathy (2 Class II studies).
Transcutaneous electric nerve stimulation (TENS) is not recommended for the treatment of chronic low back pain (Level A). TENS should be considered in the treatment of painful diabetic neuropathy (Level B). Further research into the mechanism of action of TENS is needed, as well as more rigorous studies for determination of efficacy. |
| doi_str_mv | 10.1212/WNL.0b013e3181c918fc |
| format | Article |
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We performed a systematic literature search of Medline and the Cochrane Library from inception to April 2009.
There are conflicting reports of TENS compared to sham TENS in the treatment of chronic low back pain, with 2 Class II studies showing benefit, but 2 Class I studies and another Class II study not showing benefit. Because the Class I studies are stronger evidence, TENS is established as ineffective for the treatment of chronic low back pain (2 Class I studies). TENS is probably effective in treating painful diabetic neuropathy (2 Class II studies).
Transcutaneous electric nerve stimulation (TENS) is not recommended for the treatment of chronic low back pain (Level A). TENS should be considered in the treatment of painful diabetic neuropathy (Level B). Further research into the mechanism of action of TENS is needed, as well as more rigorous studies for determination of efficacy.</description><identifier>ISSN: 0028-3878</identifier><identifier>EISSN: 1526-632X</identifier><identifier>DOI: 10.1212/WNL.0b013e3181c918fc</identifier><identifier>PMID: 20042705</identifier><identifier>CODEN: NEURAI</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Biological and medical sciences ; Clinical Trials as Topic - standards ; Clinical Trials as Topic - statistics & numerical data ; Contraindications ; Diabetic Neuropathies - physiopathology ; Diabetic Neuropathies - therapy ; Electric Stimulation Therapy - instrumentation ; Electric Stimulation Therapy - methods ; Evidence-Based Medicine - methods ; Humans ; Low Back Pain - physiopathology ; Low Back Pain - therapy ; Medical sciences ; Nervous system (semeiology, syndromes) ; Nervous system as a whole ; Neurology ; Outcome Assessment (Health Care) - methods ; Pain - physiopathology ; Pain Management ; Pain Measurement - methods ; Societies, Medical ; Treatment Outcome</subject><ispartof>Neurology, 2010-01, Vol.74 (2), p.173-176</ispartof><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c317t-60010611fdf783fb2bf0e5bf463c7c7c8652a4821f414168e9177a889ea5d61a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22338091$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20042705$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>DUBINSKY, Richard M</creatorcontrib><creatorcontrib>MIYASAKI, Janis</creatorcontrib><title>Assessment: Efficacy of transcutaneous electric nerve stimulation in the treatment of pain in neurologic disorders (an evidence-based review): Report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology</title><title>Neurology</title><addtitle>Neurology</addtitle><description>To determine if transcutaneous electric nerve stimulation (TENS) is efficacious in the treatment of pain in neurologic disorders.
We performed a systematic literature search of Medline and the Cochrane Library from inception to April 2009.
There are conflicting reports of TENS compared to sham TENS in the treatment of chronic low back pain, with 2 Class II studies showing benefit, but 2 Class I studies and another Class II study not showing benefit. Because the Class I studies are stronger evidence, TENS is established as ineffective for the treatment of chronic low back pain (2 Class I studies). TENS is probably effective in treating painful diabetic neuropathy (2 Class II studies).
Transcutaneous electric nerve stimulation (TENS) is not recommended for the treatment of chronic low back pain (Level A). TENS should be considered in the treatment of painful diabetic neuropathy (Level B). 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MIYASAKI, Janis</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c317t-60010611fdf783fb2bf0e5bf463c7c7c8652a4821f414168e9177a889ea5d61a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Biological and medical sciences</topic><topic>Clinical Trials as Topic - standards</topic><topic>Clinical Trials as Topic - statistics & numerical data</topic><topic>Contraindications</topic><topic>Diabetic Neuropathies - physiopathology</topic><topic>Diabetic Neuropathies - therapy</topic><topic>Electric Stimulation Therapy - instrumentation</topic><topic>Electric Stimulation Therapy - methods</topic><topic>Evidence-Based Medicine - methods</topic><topic>Humans</topic><topic>Low Back Pain - physiopathology</topic><topic>Low Back Pain - therapy</topic><topic>Medical sciences</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Nervous system as a whole</topic><topic>Neurology</topic><topic>Outcome Assessment (Health Care) - methods</topic><topic>Pain - physiopathology</topic><topic>Pain Management</topic><topic>Pain Measurement - methods</topic><topic>Societies, Medical</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>DUBINSKY, Richard M</creatorcontrib><creatorcontrib>MIYASAKI, Janis</creatorcontrib><collection>Pascal-Francis</collection><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><collection>Neurosciences Abstracts</collection><jtitle>Neurology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>DUBINSKY, Richard M</au><au>MIYASAKI, Janis</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessment: Efficacy of transcutaneous electric nerve stimulation in the treatment of pain in neurologic disorders (an evidence-based review): Report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology</atitle><jtitle>Neurology</jtitle><addtitle>Neurology</addtitle><date>2010-01-12</date><risdate>2010</risdate><volume>74</volume><issue>2</issue><spage>173</spage><epage>176</epage><pages>173-176</pages><issn>0028-3878</issn><eissn>1526-632X</eissn><coden>NEURAI</coden><abstract>To determine if transcutaneous electric nerve stimulation (TENS) is efficacious in the treatment of pain in neurologic disorders.
We performed a systematic literature search of Medline and the Cochrane Library from inception to April 2009.
There are conflicting reports of TENS compared to sham TENS in the treatment of chronic low back pain, with 2 Class II studies showing benefit, but 2 Class I studies and another Class II study not showing benefit. Because the Class I studies are stronger evidence, TENS is established as ineffective for the treatment of chronic low back pain (2 Class I studies). TENS is probably effective in treating painful diabetic neuropathy (2 Class II studies).
Transcutaneous electric nerve stimulation (TENS) is not recommended for the treatment of chronic low back pain (Level A). TENS should be considered in the treatment of painful diabetic neuropathy (Level B). Further research into the mechanism of action of TENS is needed, as well as more rigorous studies for determination of efficacy.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>20042705</pmid><doi>10.1212/WNL.0b013e3181c918fc</doi><tpages>4</tpages></addata></record> |
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| ispartof | Neurology, 2010-01, Vol.74 (2), p.173-176 |
| issn | 0028-3878 1526-632X |
| language | eng |
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| source | MEDLINE; Alma/SFX Local Collection; Journals@Ovid Complete |
| subjects | Biological and medical sciences Clinical Trials as Topic - standards Clinical Trials as Topic - statistics & numerical data Contraindications Diabetic Neuropathies - physiopathology Diabetic Neuropathies - therapy Electric Stimulation Therapy - instrumentation Electric Stimulation Therapy - methods Evidence-Based Medicine - methods Humans Low Back Pain - physiopathology Low Back Pain - therapy Medical sciences Nervous system (semeiology, syndromes) Nervous system as a whole Neurology Outcome Assessment (Health Care) - methods Pain - physiopathology Pain Management Pain Measurement - methods Societies, Medical Treatment Outcome |
| title | Assessment: Efficacy of transcutaneous electric nerve stimulation in the treatment of pain in neurologic disorders (an evidence-based review): Report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology |
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