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The dose-dependent effects of transcutaneous electrical nerve stimulation for pain relief in individuals with fibromyalgia: a systematic review and meta-analysis


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Título : The dose-dependent effects of transcutaneous electrical nerve stimulation for pain relief in individuals with fibromyalgia: a systematic review and meta-analysis
Autor : Amer Cuenca, Juan José
Badenes Ribera, Laura
Biviá Roig, Gemma
Arguisuelas Martínez, María Dolores
Suso Martí, Luis
Lisón Párraga, Juan Francisco
Materias: Enfermedad del sistema nerviosoNervous system diseasesTratamiento médicoMedical treatment
Editorial : Wolters Kluwer
Citación : Amer-Cuenca, J.J., Badenes-Ribera, L., Biviá-Roig, G., Arguisuelas, M.D., Suso-Martí, L. & Lisón, J.F. (2023). The dose-dependent effects of transcutaneous electrical nerve stimulation for pain relief in individuals with fibromyalgia: a systematic review and meta-analysis. Pain, vol. 164, i. 8 (aug.), pp. 1645–1657. DOI: https://doi.org/10.1097/j.pain.0000000000002876
Resumen : Transcutaneous electrical nerve stimulation (TENS) is a nonpharmacological modality widely used to manage pain; however, its effectiveness for individuals with fibromyalgia (FM) has been questioned. In previous studies and systematic reviews, variables related to dose of TENS application have not been considered. The objectives of this meta-analysis were (1) to determine the effect of TENS on pain in individuals with FM and (2) determine the dose-dependent effect of TENS dose parameters on pain relief in individuals with FM. We searched the PubMed, PEDro, Cochrane, and EMBASE databases for relevant manuscripts. Data were extracted from 11 of the 1575 studies. The quality of the studies was assessed using the PEDro scale and RoB-2 assessment. This meta-analysis was performed using a random-effects model that, when not considering the TENS dosage applied, showed that the treatment had no overall effect on pain (d+ = 0.51, P > 0.050, k = 14). However, the moderator analyses, which were performed assuming a mixed-effect model, revealed that 3 of the categorical variables were significantly associated with effect sizes: the number of sessions (P = 0.005), the frequency (P = 0.014), and the intensity (P = 0.047). The electrode placement was not significantly associated with any effect sizes. Thus, there is evidence that TENS can effectively reduce pain in individuals with FM when applied at high or at mixed frequencies, a high intensity, or in long-term interventions involving 10 or more sessions.
Descripción : Este recurso no está disponible en acceso abierto por política de la editorial.
URI : http://hdl.handle.net/10637/14788
Derechos: http://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
ISSN : 0304-3959
Fecha de publicación : 1-ago-2023
Centro : Universidad Cardenal Herrera-CEU
Aparece en las colecciones: Dpto. Enfermería y Fisioterapia





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