Electrostimulation in the control of pain in primary dysmenorrhea
DOI:
https://doi.org/10.1590/1809-2950/21006929022022PTKeywords:
Dysmenorrhea, Analgesia, Electric Stimulation TherapyAbstract
Primary dysmenorrhea is a gynecological disorder characterized by cyclic pain in the lower back and abdomen, with a high prevalence among young people, contributing to absenteeism. The present study aimed to investigate the effects of low and medium frequency electrotherapy in 30 female participants, aged 18-26 years and who suffer from primary dysmenorrhea. The participants were divided into groups that received: TENS current (100 Hz frequency and pulse duration of 100 μs), Aussie Current (4Khz carrier modulated at 100 Hz, bursts of 4ms) and Placebo (placement of electrodes with the device turned off). All treated groups received current at the sensory threshold and intensity adjustment every 5 minutes, with a total time of 30 minutes. Pain during the menstrual cycle (VAS), influence of pain on activities of daily living and sleep quality (Analog Visual Sleep Scales) were collected for the evaluation. After statistical analysis, it can be concluded that there was a significant reduction in pain in all evaluated groups, with the current being better than placebo. Regarding ADLs, all groups showed significant difference, but the Aussie group was the only one that improved in the three days evaluated. Sleep quality changed little after the proposed treatments, requiring further studies to support this variable.
Downloads
References
Araújo LM, Silva JMN, Bastos WT, VENTURA PL. Diminuição da dor em mulheres com dismenorreia primária. tratadas pelo método Pilates. Rev Dor. 2012;13(2):119-123. Doi: http://dx.doi.org/10.1590/S1806-00132012000200004
Gerzson LR, Padilha JF, Braz MM, Gasparetto A. Physiotherapy in primary dysmenorrhea. Rev Dor. 2014;15(4):290-295. http://dx.doi.org/10.5935/1806-0013.20140063.
Gaubeca-Gilarranz A, Fernández-de-Las-Penãs C, Medina-Torres JR, Seoane-Ruiz JM, Company-Palonés A, Cleland JA, Arias-Burías JL. Effectiveness of dry needling of rectus abdominis trigger points for the treatment of primary dysmenorrhoea: a randomised parallel-group trial. Acupunct Med. 2018;36(5):302-310. Doi: 10.1136/acupmed-2017-011566
Bernardi M, Lazzeri L, Perelli F, Reis FM, Petraglia F. Dysmenorrhea and related disorders. F1000Research. 2017;6(1645):1-7. Doi: 10.12688/f1000research.11682.1
Ferreira EJ, Azanki NC, Batista AC, Albernaz C. Atuação da fisioterapia na dismenorreia primária. Vita et Sanitas. 2010;4(4):57-72. http://fug.edu.br/revistas/index.php/VitaetSanitas/article/view/73
Iacovides S, Avidon, I, Bentley A, Baker FC. Diclofenac potassium restores objective and subjective measures of sleep quality in women with primary dysmenorrhea. Sleep. 2009;32(8):1019-1026. Doi: 10.1093/sleep/32.8.1019
Silva BCP, Silva CKV, Pimentel TA, Souza JO, Januário PO, Cruz AT. Estimulação elétrica nervosa transcutânea no tratamento da dor pélvica causada pela dismenorreia primária. ConScientiae Saúde. 2016;15(4):650-656. Doi: 10.5585/ConsSaude.v15n4.6877
Oliveira RGCQ, Silva JC, Almeida AF, Araújo RC, Pitangui ACR. TENS de alta e baixa frequência para dismenorreia primária: estudo preliminar. ConsSaude. 2012; 11:149-158. Doi: 10.5585/ConsSaude.v11n1.2722
Ward AR, Robertson VJ, Ioannou H. The effect of duty cycle and frequency on muscle torque production using kilohertz frequency range alternating current. Medical Engineering & Physics. 2004;26(7):569-579. Doi: 10.1016/j.medengphy.2004.04.007.
Bergamasco EC, Cruz DALM. Adaptation of the Visual Analog Sleep Scales to Portuguese. Rev. Latino-Am. Enfermagem. 2007;15(5):998-1004. Doi: https://doi.org/10.1590/S0104-11692007000500018
Proctor M, Farquhar C, Stones W, He L, Zhu X, Brown J. Transcutaneous electrical nerve stimulation for primary dysmenorrhoea. Cochrane Database of Systematic Reviews. 2002;1. Doi: https://doi.org/10.1002/14651858.CD002123
Bai HY, Bai HY, Yang ZQ. Effect of transcutaneous electrical nerve stimulation therapy for the treatment of primary dysmenorrheal. Medicine. 2017;96(36):e7959. doi: 10.1097/MD.0000000000007959.
Torrilhas MC, Dresch R, Navarro YHMO, Buzanello MR, Bertolini GRF. Estimulação elétrica nervosa transcutânea na dismenorreia primária em mulheres jovens. Rev. Aten. Saúde. 2017;15(54):61-66. doi: 10.13037/ras.vol15n54.4824
Sato KL, Sanada LS, Rakel BA, Sluka KA. Increasing intensity of TENS prevents analgesic tolerance in rats. J Pain. 2013;13(9):884-890. Doi: 10.1016/j.jpain.2012.06.004
Ward AR, Oliver WG, Bucella D. Wrist extensor torque production and discomfort associated with low-frequency and burst-modulated kilohertz-frequency currents. Physical Therapy. 2006;86(10):1360-1367. Doi: 10.2522/ptj.20050300.
Ward AR, Chuen WLH. Lowering of sensory, motor, and pain-tolerance thresholds with burst duration using kilohertz-frequency alternating current electric stimulation: part II. Arch Phys Med Rehabil. 2009;90(9):1619-1627. Doi: 10.1016/j.apmr.2009.02.022
Silva BC, Coracini CA, Branco CL, Michelon MD, Bertolini GRF. Corrente Aussie em estudantes com cervicalgia crônica: um ensaio clínico randomizado. BrJP. 2018;1(3):202-206. Doi: https://doi.org/10.5935/2595-0118.20180040
Silva EPR, Silva VR, Bernardes AS, Matuzawa F, Liebano RE. Segmental and extrasegmental hypoalgesic effects of low-frequency pulsed current and modulated kilohertz-frequency currents in healthy subjects: randomized clinical trial. Physiother Theory Pract. 2021;37(8):916-925. Doi: 10.1080/09593985.2019.1650857.
Facci LM, Nowotny JP, Tormem F, Trevisani VFM. 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):206-216. Doi: https://doi.org/10.1590/S1516-31802011000400003.
Cheing GLY, Hui-Chan CWY. Analgesic effects of transcutaneous electrical nerve stimulation and interferential currents on heat pain in healthy subjects. J Rehabil Med. 2003; 3:15–19. Doi: 10.1080/16501970306101.
Nunes JMO, Rodrigues JA, Moura MSF, Batista SRC, Coutinho SKSF, Hazime FA, Barbosa ALR. Prevalência de dismenorreia em universitárias e sua relação com absenteísmo escolar, exercício físico e uso de medicamentos. Rev Bras Promoc Saude. 2013;26(3):381-386. doi:10.5020/18061230. 2013.p381
Baker FC, Driver HS, Rogers GG, Paiker J, Mitchell D. High nocturnal body temperatures and disturbed sleep in women with primary dysmenorrhea. AM J Physiol. 1999;277(6):1013-1021. Doi: 10.1152/ajpendo.1999.277.6.E1013
Akerstedt T, Nilsson PM. Sleep as restitution: an introduction. J Intern Med. 2003;254(1):6-12. Doi:10.1046/j.1365-2796.2003. 01195.x
Acqua RD, Bendlin T. Dismenorreia. Revista Femina. 2015;43(6):273-276.http://files.bvs.br/upload/S/0100-7254/2015/v43n6/a5327.pdf
Downloads
Published
Issue
Section
License
Copyright (c) 2022 Bárbara Valente de Oliveira, Sebastiana da Costa Figueiredo, Alexandre Sabbag da Silva, Gisela Rosa Franco Salerno
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
