Literature Evaluation and Meta-Evaluation of Transcutaneous Electrical Nerve Stimulation in Treating Continual Again Ache.
Reg Anesth Ache Med. 2018 Feb 01;:
Authors: Wu LC, Weng PW, Chen CH, Huang YY, Tsuang YH, Chiang CJ
BACKGROUND AND OBJECTIVES: This examine is a meta-analysis of randomized managed trials evaluating the efficacy of transcutaneous electrical nerve stimulation (TENS) to a management and to different nerve stimulation therapies (NSTs) for the therapy of power again ache.
METHODS: Citations had been recognized in MEDLINE, the Cochrane Library, Google Scholar, and ClinicalTrials.gov via June 2014 utilizing the next key phrases: nerve stimulation remedy, transcutaneous electrical nerve stimulation, again ache, power ache. Management remedies included sham, placebo, or remedy solely. Different NSTs included electroacupuncture, percutaneous electrical nerve stimulation, and percutaneous neuromodulation remedy.
RESULTS: Twelve randomized managed trials together with 700 sufferers had been included within the evaluation. The efficacy of TENS was just like that of management therapy for offering ache aid (standardized distinction in means [SDM] = -Zero.20; 95% confidence interval [CI], -Zero.58 to Zero.18; P = Zero.293). Different kinds of NSTs had been simpler than TENS in offering ache aid (SDM = Zero.86; 95% CI, Zero.15-1.57; P = Zero.017). Transcutaneous electrical nerve stimulation was simpler than management therapy in bettering useful incapacity solely in sufferers with follow-up of lower than 6 weeks (SDM = -1.24; 95% CI, -1.83 to -Zero.65; P < Zero.Zero01). There was no distinction in useful incapacity outcomes between TENS and different NSTs.
CONCLUSIONS: These outcomes counsel that TENS doesn’t enhance signs of decrease again ache, however might provide short-term enchancment of useful incapacity.That is an open-access article distributed beneath the phrases of the Inventive Commons Attribution-Non Industrial-No Derivatives License four.Zero (CCBY-NC-ND), the place it’s permissible to obtain and share the work offered it’s correctly cited. The work can’t be modified in any method or used commercially with out permission from the journal.
PMID: 29394211 [PubMed – as supplied by publisher]