Estudio de la efectividad de la corriente interferencial en comparación con la estimulación nerviosa eléctrica transcutánea en la reducción del dolor lumbar crónico.: Publicado originalmente en la revista Dor. São Paulo, 2015 jan-mar;16(1):27-31. Traductor: Dr. Juan Carlos Andreani.

Marcelo Baptista Dohnert; Jordana Peres Bauer; Tiago Sebastiá Pavão

doi:10.47924/neurotarget2017155

Authors

Marcelo Baptista Dohnert Universidad Luterana de Brasil, Torres, RS, Brasil.
Jordana Peres Bauer Universidad Luterana de Brasil, Torres, RS, Brasil.
Tiago Sebastiá Pavão Universidad Luterana de Brasil, Torres, RS, Brasil.

DOI:

https://doi.org/10.47924/neurotarget2017155

Keywords:

Low back pain, Physiotherapy, Transcutaneous electrical nerve stimulation

Abstract

Background and Objectives: Chronic low back pain has an incidence of 70% in general population and induces significant limitations. As treatment, physiotherapy stands out with a wide variety of techniques among them, for pain relief, electrotherapy is a useful tool. This study aimed at comparing the analgesic effects of transcutaneous electrical nerve stimulation and interferential current in patients with chronic low back pain.
Methods: Randomized clinical trial carried out between August 2013 and May 2014 in the clinic school of physiotherapy, Ulbra-Torres, with chronic low back pain patients. Patients were divided in two groups: intervention group (IG) treated with interferential current and control group (CG) treated with transcutaneous electrical nerve stimulation. Visual analog scale, Oswestry Questionnaire and Roland Morris Disability Questionnaire were used for baseline evaluation. Patients were treated for five weeks, twice a week, in a total of 10 interventions. At the end, they were re-evaluated and one month after they were submitted to follow-up with the visual analog scale.
Results: 28 patients participated in the study, being 14 in IG and 14 in CG. Sample was homogeneous intragroups for gender, age, color and mean pain duration. There has been significant pain improvement in both groups by the visual analog scale and functionality improvement by Oswestry and Roland Morris Disability Questionnaires when comparing baseline and final evaluations (p<0.05).
Conclusion: There were positive results in chronic low back pain improvement both with transcutaneous electrical nerve stimulation and interferential current, without significant difference between transcutaneous currents.

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References

Zambito A, Bianchini D, Gatti D, Viapiana O, Rossini M, Adami S. Interferential and horizontal therapies in chronic low back pain: a randomized, doubleblind, clinical study. Clin Exp Rheumatol. 2006;24(5):534-9.

Licciardone JC, Minotti DE, Gatchel R, Kearns CM, Singh KP. Osteopathie manual treatment and ultrasound therapy for chronic low back pain: a randomized controlled trial. Ann Fam Med. 2013;11(2):122-9.

Franca FR, Burke TN, Hanada ES, Marques AP. Segmental stabilization and muscular streng thening in chronic low back pain: a comparative study. Clinics. 2010;65(10):1013-7.

Costa D, Palma A. O efeito do treinamento contra resistencia na sindrome da dor lombar. Rev Port Cien Desp. 2005;5(2):224-34.

Salvetti Mde G, Pimenta CA, Braga PE, Correa CF. [Disability related to chronic low back pain: prevalence and associated factors]. Rev Esc Enferm USP. 2012;46(Spec No):16-23. Portuguese.

Puppin MA, Marques AP, Silva AG, Futuro Neto HA. Alongamento muscular na dor lombar cronica inespecifica: uma estrategia do metodo GDS. Fisioter Pesqui. 2011;18(2):116-21.

Djavid GE, Mehrdad R, Ghasemi M, Hasan-Zadeh H, SotoodehManesh A, Pouryaghoub G. In chronic low back pain, low level laser therapy combined with exercise is more beneficial than exercise alone in the longterm: a randomised trial. Aust J Physioth. 2007;52(3):155-60.

Silva MC, Fassa AG, Valle NC. [Chronic low back pain in a Southern Brazilian adult population: prevalence and associated factors]. Cad Saude Publica. 2004;20(2):377- 85.Portuguese.

Carvalho AR, Fungueto EM, Canzi IM, Barbieiro C, Moraes V, Bertolini GR, et al. Correntes diadinamicas de Bernard e Iontoforese no tratamento da dor lombar. Fisioter Movim. 2005;18(4):11-9.

Faccil LM, Nowotny JP, Tormem F, Trevisani VF. Effects of transcutaneous electrical nerve stimulation (TENS) and interferential currents (IFC) in patients with nonspecific chronic low back pain: randomized clinical trial. Sao Paulo Med J. 2011;129(4):206-16.

Tugay N, Akbayrak T, Demirturk F, Karakaya IC, Kocaacar O, Tugay U, et al. Effectiveness of transcutaneous electrical nerve stimulation and interferential current in primary dysmenorrhea. Pain Med. 2007;8(4):295-300.

Cheing GL, So EM, Chao CY. Effectiveness of electroacupuncture and interferential electrotherapy in the management of frozens houlder. J Rehabil Med. 2008;40(3):166-70.

Jorge S, Parada CA, Ferreira SH, Tambeli CH. Interferential therapy produces antinociception during application in various models of inflammatory pain. PhysTher. 2006;86(6):800-8.

Dounavi MD, Chesterton LS, Sim J. Effects of interferential therapy parameter combinations up on experimentally induced pain in pain-free participants: a randomized controlled trial. Phys Ther. 2012;92(7):911-23.

Keskin EA, Onur O, Keskin HL, Gumus II, Kafali H, Turhan N. Transcutaneous electrical nerve stimulation improves low back pain during pregnacy. Gynecol Obstet Invest. 2012;74(1):76-83.

Brigano JU, Macedo CS. Analise da mobilidade lombar e influencia da terapia manual e cinesioterapia na lombalgia. Semina: Ciencias Biologicas e da Saude. 2005;26(2):75-82.

Pinheiro J, Figueiredo P, Branco J, Ramos S, Ferreira L. [Non specific chronic low back pain and function: a clinical study in a physical medicine and rehabilitation consultation]. Acta Med Port. 2011;24(Suppl2):287-92. Portuguese.

Inoue M, Nakajima M, Hojo T, Kitakoji H, Itoi M. Spinal nerve root electroacupuncture for symptomatic treatment of lumbar spinal canal stenosis unresponsive to standard acupuncture: a prospective case series. Acupunct Med. 2012;30(2):103-8.

Monteiro J, Faisca L, Nunes O, Hipolito J. [Roland Morris disability questionnaire – adaptation and validation for the Portuguese speaking patients with back pain]. Acta Med Port. 2010;23(5):7616. Portuguese.

Vigatto R, Alexandre NM, Correa Filho HR. Development of a Brazilian Portuguese version of the Oswestry Disability Index: cross-cultural adaptation, reliability, and validity. Spine. 2007;32(4):481-6.

Assis FD, Amaral C, Tucci C, Costa SM. Uso terapeutico da radiofrequencia pulsatil no ganglio dorsal da raiz de L2 na lombalgia discogenica. Coluna/Columna. 2009;8(2):139-42.

Stefane T, Santos AM, Marinovic A, Hortense P. Dor lombar cronica: intensidade de dor, incapacidade e qualidade de vida. Acta Paul Enferm. 2013;26(1):14-20.

Zaniewska R, Okurowska-Zawada B, Kułak W, Domian K. [Analysis of quality of life in patiens with low back pain after receiving transcutaneous electrical nerve stimulation (TENS)]. Med Pr. 2012;63(3):295-302. Polish.

Maher CG. Effective physical treatment for chronic low back pain. Orthop Clin NorthAm. 2004;35(1):57-64.

Gur A, Karakoc M, Cevik R, Nas K, Sarac AJ, Karakoc M. Efficacy of low power laser therapy and exercise on pain and functions in chronic low back pain. Lasers Surg Med. 2003;32(3):233-8.

Bordiak FC, Silva EB. Eletroestimulacao e core training sobre dor e arco de movimiento na lombalgia. Fisioter Mov. 2012;25(4):75966.

Atamaz FC, Durmaz B, Baydar M, Demircioglu OY, Iyiyapici A, Kuran B, et al. Comparison of the efficacy of transcutaneous electrical nerve stimulation, interferential currents, and short wave diathermy in knee osteoarthritis: a double-blind, randomized, controlled, multicenterstudy. Arch Phys Med Rehabil. 2012;93(5):748-56.

Chou R, Huffman LH. Non pharmacologictherapies for acute and chronic low back pain: a review of the evidence for an American Pain Society/American College of Physicians Clinical Practice Guideline. Ann Intern Med. 2007;147(7):492-504.

Osiri M, Welch V, Brosseau L, Shea B, McGowan J, Tugwell P, et al. Transcutaneous electrical nerve stimulation for knee osteoarthritis. Cochrane Database Syst Rev. 2000;(4):CD002823.

Gomes AO, Silvestre AC, Silva CF, Gomes MR, Bonfleur ML, Bertolini GR, et al. As influencias de diferentes frequencias da estimulacao eletrica nervosa transcutanea no limiar e intensidade de dor em individuos jovens. Einstein. 2014;12(3):318-22.

Kerai S, Saxena KN, Taneja B, Sehrawat L. Role of transcutaneous electrical nerve stimulation in postoperative analgesia. Indian J Anaesth. 2014;58(4):388-93.

Buchmuller A, Navez M, Milletre-Bernardin M, Pouplin S, Presles E, Lanteri-Minet M, et al. Value of TENS for relief of chronic low back pain with or without radicular pain. Eur J Pain. 2012;16(5):656-65.

Korelo RI, Ragasson CA, Lerner CE, Morais JC, Cossa JB, Krauczuk C. Efeito de um programa cinesioterapeutico de grupo, aliado a escola de postura, na lombalgia cronica. Fisioter Mov. 2013;26(2):389-94.