Yıl: 2020 Cilt: 66 Sayı: 2 Sayfa Aralığı: 169 - 175 Metin Dili: İngilizce DOI: 10.5606/tftrd.2020.3225 İndeks Tarihi: 11-05-2021

The efficacy of transcutaneous electrical nerve stimulation therapy in pain control after cesarean section delivery associated with uterine contractions and abdominal incision

Öz:
Objectives: This study aims to investigate the effects of transcutaneous electrical nerve stimulation (TENS) therapy on the intensity of pain associated with uterine contractions and abdominal incision in patients undergoing cesarean section (C-section) delivery.Patients and methods: This single-blind, prospective, randomized-controlled study included a total of 90 female patients (mean age 30.5 years; range, 25 to 36 years) who had a scheduled C-section delivery between November 2017 and April 2018. Forty-five postpartum patients were randomly assigned into the treatment group (Group 1) and TENS electrodes were placed below and above the abdominal incision. The control group (n=45) consisted of 45 patients who had a scheduled C-section (Group 2) (n=45) and received routine follow-up care. The Visual Numeric Scale (VNS) scores were obtained separately for abdominal, low back, and groin pain at baseline (within 1 h after C-section before the TENS replacement), at postpartum 2, 6, 24, and 48 h. In addition to instant scoring, thepercentages of change in pain scores from baseline were also calculated for each time points.Results: Data of a total of 87 patients were analyzed. No statistically significant difference was found in the baseline VNS scores measured in any body regions between the groups (p>0.05). However, there was a statistically significant difference in the instant VNS scores for abdominal pain at 2, 6, 24, and 48 h in favor of Group 1 (p<0.05). No significant differences were found in the instant VNS scores for low back and groin pain (p>0.05). The comparison of changes in pain scores from baseline (% change) over time between the groups revealed astatistically significant difference in favor of Group 1 in all VNS scores for abdominal, low back, and groin pain at 2, 6, 24, and 48 h (p<0.05).Conclusion: Our study results suggest that TENS is an effective and safe non-invasive, non-pharmacological treatment modality. It may be preferred as an alternative method in pain control in postpartum women after C-section delivery.
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  • 1. Siddik SM, Aouad MT, Jalbout MI, Rizk LB, Kamar GH, Baraka AS. Diclofenac and/or propacetamol for postoperative pain management after cesarean delivery in patients receiving patient controlled analgesia morphine. Reg Anesth Pain Med 2001;26:310-5.
  • 2. Karlström A, Engström-Olofsson R, Norbergh KG, Sjöling M, Hildingsson I. Postoperative pain after cesarean birth affects breastfeeding and infant care. J Obstet Gynecol Neonatal Nurs 2007;36:430-40.
  • 3. Berkman ND, Thorp JM Jr, Lohr KN, Carey TS, Hartmann KE, Gavin NI, et al. Tocolytic treatment for the management of preterm labor: a review of the evidence. Am J Obstet Gynecol 2003;188:1648-59.
  • 4. Woolf CJ, Thompson SW. The induction and maintenance of central sensitization is dependent on N-methyl-D-aspartic acid receptor activation; implications for the treatment of post-injury pain hypersensitivity states. Pain 1991;44:293-9.
  • 5. Bonnet F, Marret E. Postoperative pain management and outcome after surgery. Best Pract Res Clin Anaesthesiol 2007;21:99-107.
  • 6. Hepner D, Eappen S. Postoperative analgesia: Systemic and local techniques. In: Chestnut DH, Polley LS, Wong CA, Tsen LC, editors. Chestnut’s obstetric anesthesia principles and practice. 4th ed. Philadelphia: Mosby; 2009. p. 575‑92.
  • 7. Elyasi H, Heidari M, Shahbeigi S. Comparative effects of indomethacin suppository and pethidine on pain after cesarean section. Pajoohandeh J 2000;5:9-15.
  • 8. Bjordal JM, Johnson MI, Ljunggreen AE. Transcutaneous electrical nerve stimulation (TENS) can reduce postoperative analgesic consumption. A meta-analysis with assessment of optimal treatment parameters for postoperative pain. Eur J Pain 2003;7:181-8.
  • 9. Ritter PL, González VM, Laurent DD, Lorig KR. Measurement of pain using the visual numeric scale. J Rheumatol 2006;33:574-80.
  • 10. Hamza MA, White PF, Ahmed HE, Ghoname EA. Effect of the frequency of transcutaneous electrical nerve stimulation on the postoperative opioid analgesic requirement and recovery profile. Anesthesiology 1999;91:1232-8.
  • 11. Wang B, Tang J, White PF, Naruse R, Sloninsky A, Kariger R, et al. Effect of the intensity of transcutaneous acupoint electrical stimulation on the postoperative analgesic requirement. Anesth Analg 1997;85:406-13.
  • 12. Melzack R, Wall PD. Pain mechanisms: a new theory. Science 1965;150:971-9.
  • 13. Smith CM, Guralnick MS, Gelfand MM, Jeans ME. The effects of transcutaneous electrical nerve stimulation on post-cesarean pain. Pain 1986;27:181-93.
  • 14. Reynolds RA, Gladstone N, Ansari AH. Transcutaneous electrical nerve stimulation for reducing narcotic use after cesarean section. J Reprod Med 1987;32:843-6.
  • 15. Navarro Nuñez C, Pacheco Carrasco M. Transcutaneous electric stimulation (TENS) to reduce pain after cesarean section. Ginecol Obstet Mex 2000;68:60-3.
  • 16. Davies JR. Ineffective transcutaneous nerve stimulation following epidural anaesthesia. Anaesthesia 1982;37:453-4.
  • 17. Sbruzzi G, Silveira SA, Silva DV, Coronel CC, Plentz RD. Transcutaneous electrical nerve stimulation after thoracic surgery: systematic review and meta-analysis of 11 randomized trials. Rev Bras Cir Cardiovasc 2012;27:75-87.
  • 18. Kayman-Kose S, Arioz DT, Toktas H, Koken G, Kanat-Pektas M, Kose M, et al. Transcutaneous electrical nerve stimulation (TENS) for pain control after vaginal delivery and cesarean section. J Matern Fetal Neonatal Med 2014;27:1572-5.
  • 19. Johnson M. Transcutaneous electrical nerve stimulation: Mechanisms, clinical application and evidence. Rev Pain 2007;1:7-11.
  • 20. Olsén MF, Elden H, Janson ED, Lilja H, Stener-Victorin E. A comparison of high- versus low-intensity, high-frequency transcutaneous electric nerve stimulation for painful postpartum uterine contractions. Acta Obstet Gynecol Scand 2007;86:310-4.
  • 21. Francis RP, Marchant PR, Johnson MI. Comparison of post-treatment effects of conventional and acupuncturelike transcutaneous electrical nerve stimulation (TENS): A randomised placebo-controlled study using cold-induced pain and healthy human participants. Physiother Theory Pract 2011;27:578-85.
  • 22. Vance CG, Rakel BA, Blodgett NP, DeSantana JM, Amendola A, Zimmerman MB, et al. Effects of transcutaneous electrical nerve stimulation on pain, pain sensitivity, and function in people with knee osteoarthritis: a randomized controlled trial. Phys Ther 2012;92:898-910.
  • 23. Ilhanli I. Conventional, Acupuncture like or brief intense:Is there any difference between TENSE modalities acording to outcomes of choronic low back pain with lomber disc herniation. Clin Med Res 2015;4:143-50.
  • 24. Vance CG, Dailey DL, Rakel BA, Sluka KA. Using TENS for pain control: the state of the evidence. Pain Manag 2014;4:197-209.
  • 25. Jones L, Othman M, Dowswell T, Alfirevic Z, Gates S, Newburn M, et al. Pain management for women in labour: an overview of systematic reviews. Cochrane Database Syst Rev 2012;3:CD009234.
APA Kasapoğlu I, kasapoğlu aksoy m, Cetinkaya Demir B, Altan L (2020). The efficacy of transcutaneous electrical nerve stimulation therapy in pain control after cesarean section delivery associated with uterine contractions and abdominal incision. , 169 - 175. 10.5606/tftrd.2020.3225
Chicago Kasapoğlu Işıl,kasapoğlu aksoy meliha,Cetinkaya Demir Bilge,Altan Lale The efficacy of transcutaneous electrical nerve stimulation therapy in pain control after cesarean section delivery associated with uterine contractions and abdominal incision. (2020): 169 - 175. 10.5606/tftrd.2020.3225
MLA Kasapoğlu Işıl,kasapoğlu aksoy meliha,Cetinkaya Demir Bilge,Altan Lale The efficacy of transcutaneous electrical nerve stimulation therapy in pain control after cesarean section delivery associated with uterine contractions and abdominal incision. , 2020, ss.169 - 175. 10.5606/tftrd.2020.3225
AMA Kasapoğlu I,kasapoğlu aksoy m,Cetinkaya Demir B,Altan L The efficacy of transcutaneous electrical nerve stimulation therapy in pain control after cesarean section delivery associated with uterine contractions and abdominal incision. . 2020; 169 - 175. 10.5606/tftrd.2020.3225
Vancouver Kasapoğlu I,kasapoğlu aksoy m,Cetinkaya Demir B,Altan L The efficacy of transcutaneous electrical nerve stimulation therapy in pain control after cesarean section delivery associated with uterine contractions and abdominal incision. . 2020; 169 - 175. 10.5606/tftrd.2020.3225
IEEE Kasapoğlu I,kasapoğlu aksoy m,Cetinkaya Demir B,Altan L "The efficacy of transcutaneous electrical nerve stimulation therapy in pain control after cesarean section delivery associated with uterine contractions and abdominal incision." , ss.169 - 175, 2020. 10.5606/tftrd.2020.3225
ISNAD Kasapoğlu, Işıl vd. "The efficacy of transcutaneous electrical nerve stimulation therapy in pain control after cesarean section delivery associated with uterine contractions and abdominal incision". (2020), 169-175. https://doi.org/10.5606/tftrd.2020.3225
APA Kasapoğlu I, kasapoğlu aksoy m, Cetinkaya Demir B, Altan L (2020). The efficacy of transcutaneous electrical nerve stimulation therapy in pain control after cesarean section delivery associated with uterine contractions and abdominal incision. Turkish Journal of Physical Medicine and Rehabilitation, 66(2), 169 - 175. 10.5606/tftrd.2020.3225
Chicago Kasapoğlu Işıl,kasapoğlu aksoy meliha,Cetinkaya Demir Bilge,Altan Lale The efficacy of transcutaneous electrical nerve stimulation therapy in pain control after cesarean section delivery associated with uterine contractions and abdominal incision. Turkish Journal of Physical Medicine and Rehabilitation 66, no.2 (2020): 169 - 175. 10.5606/tftrd.2020.3225
MLA Kasapoğlu Işıl,kasapoğlu aksoy meliha,Cetinkaya Demir Bilge,Altan Lale The efficacy of transcutaneous electrical nerve stimulation therapy in pain control after cesarean section delivery associated with uterine contractions and abdominal incision. Turkish Journal of Physical Medicine and Rehabilitation, vol.66, no.2, 2020, ss.169 - 175. 10.5606/tftrd.2020.3225
AMA Kasapoğlu I,kasapoğlu aksoy m,Cetinkaya Demir B,Altan L The efficacy of transcutaneous electrical nerve stimulation therapy in pain control after cesarean section delivery associated with uterine contractions and abdominal incision. Turkish Journal of Physical Medicine and Rehabilitation. 2020; 66(2): 169 - 175. 10.5606/tftrd.2020.3225
Vancouver Kasapoğlu I,kasapoğlu aksoy m,Cetinkaya Demir B,Altan L The efficacy of transcutaneous electrical nerve stimulation therapy in pain control after cesarean section delivery associated with uterine contractions and abdominal incision. Turkish Journal of Physical Medicine and Rehabilitation. 2020; 66(2): 169 - 175. 10.5606/tftrd.2020.3225
IEEE Kasapoğlu I,kasapoğlu aksoy m,Cetinkaya Demir B,Altan L "The efficacy of transcutaneous electrical nerve stimulation therapy in pain control after cesarean section delivery associated with uterine contractions and abdominal incision." Turkish Journal of Physical Medicine and Rehabilitation, 66, ss.169 - 175, 2020. 10.5606/tftrd.2020.3225
ISNAD Kasapoğlu, Işıl vd. "The efficacy of transcutaneous electrical nerve stimulation therapy in pain control after cesarean section delivery associated with uterine contractions and abdominal incision". Turkish Journal of Physical Medicine and Rehabilitation 66/2 (2020), 169-175. https://doi.org/10.5606/tftrd.2020.3225