Daniel David Álamo-Arce, Daniel López-Fernández, Raquel Medina-Ramírez, Martín Vílchez-Barrera, Pilar Etopa-Bitata, Maria Del Pino Quintana-Montesdeoca, Aníbal Báez-Suárez, Jorge L Freixinet
{"title":"经皮电刺激在胸外科术后康复疼痛治疗中的作用：一项随机临床试验。","authors":"Daniel David Álamo-Arce, Daniel López-Fernández, Raquel Medina-Ramírez, Martín Vílchez-Barrera, Pilar Etopa-Bitata, Maria Del Pino Quintana-Montesdeoca, Aníbal Báez-Suárez, Jorge L Freixinet","doi":"10.1186/s13063-024-08613-9","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Chest pain is one of the most difficult problems to solve after thoracic surgery. Its correct control is often quite difficult, which can cause complications due to an ineffective cough and superficial respiratory movements.</p><p><strong>Methods: </strong>This study has been designed with the purpose of studying the value of transcutaneous electrical stimulation (TENS) in the postoperative pain rehabilitation of thoracotomy. A prospective and randomized study has been developed. The patients (n = 109) have been treated after hospital discharge with physiotherapy for 3 weeks. Three groups have been established: experimental (n = 37), control (n = 35), and placebo (n = 37), experimental and placebo including the application of TENS during the physiotherapy protocol. Postoperative pain (McGill test) and spirometry have been studied before and after treatment.</p><p><strong>Results: </strong>The largest between-group discrepancy occurred between the experimental and control groups, 16.77 points (p < 0.001). Spirometry has shown an improvement in FVC (27.11%) and FEV1 (28.68%) (p < 0.001) in the experimental group, which was statistically significant compared to the other groups.</p><p><strong>Conclusion: </strong>The use of TENS, as an adjunctive treatment to physiotherapy, leads to an improvement in pain control and spirometry values in patients after thoracic surgery, without producing side effects with the technique. These findings provide physiological evidence for the use of TENS in post-pulmonary surgery and may form the basis for the development of pain managed-based programs in clinics and hospitals.</p><p><strong>Trial registration: </strong>NCT04964973 (ClinicalTrials.gov). First registration: July 16, 2021.</p><p><strong>Protocol: </strong>https://clinicaltrials.gov/study/NCT04964973 .</p>","PeriodicalId":23333,"journal":{"name":"Trials","volume":"25 1","pages":"839"},"PeriodicalIF":2.0000,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11660560/pdf/","citationCount":"0","resultStr":"{\"title\":\"Effect of transcutaneous electro-stimulation in postoperative rehabilitation pain treatment in thoracic surgery: a randomized clinical trial.\",\"authors\":\"Daniel David Álamo-Arce, Daniel López-Fernández, Raquel Medina-Ramírez, Martín Vílchez-Barrera, Pilar Etopa-Bitata, Maria Del Pino Quintana-Montesdeoca, Aníbal Báez-Suárez, Jorge L Freixinet\",\"doi\":\"10.1186/s13063-024-08613-9\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Chest pain is one of the most difficult problems to solve after thoracic surgery. Its correct control is often quite difficult, which can cause complications due to an ineffective cough and superficial respiratory movements.</p><p><strong>Methods: </strong>This study has been designed with the purpose of studying the value of transcutaneous electrical stimulation (TENS) in the postoperative pain rehabilitation of thoracotomy. A prospective and randomized study has been developed. The patients (n = 109) have been treated after hospital discharge with physiotherapy for 3 weeks. Three groups have been established: experimental (n = 37), control (n = 35), and placebo (n = 37), experimental and placebo including the application of TENS during the physiotherapy protocol. Postoperative pain (McGill test) and spirometry have been studied before and after treatment.</p><p><strong>Results: </strong>The largest between-group discrepancy occurred between the experimental and control groups, 16.77 points (p < 0.001). Spirometry has shown an improvement in FVC (27.11%) and FEV1 (28.68%) (p < 0.001) in the experimental group, which was statistically significant compared to the other groups.</p><p><strong>Conclusion: </strong>The use of TENS, as an adjunctive treatment to physiotherapy, leads to an improvement in pain control and spirometry values in patients after thoracic surgery, without producing side effects with the technique. These findings provide physiological evidence for the use of TENS in post-pulmonary surgery and may form the basis for the development of pain managed-based programs in clinics and hospitals.</p><p><strong>Trial registration: </strong>NCT04964973 (ClinicalTrials.gov). 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Effect of transcutaneous electro-stimulation in postoperative rehabilitation pain treatment in thoracic surgery: a randomized clinical trial.
Background: Chest pain is one of the most difficult problems to solve after thoracic surgery. Its correct control is often quite difficult, which can cause complications due to an ineffective cough and superficial respiratory movements.
Methods: This study has been designed with the purpose of studying the value of transcutaneous electrical stimulation (TENS) in the postoperative pain rehabilitation of thoracotomy. A prospective and randomized study has been developed. The patients (n = 109) have been treated after hospital discharge with physiotherapy for 3 weeks. Three groups have been established: experimental (n = 37), control (n = 35), and placebo (n = 37), experimental and placebo including the application of TENS during the physiotherapy protocol. Postoperative pain (McGill test) and spirometry have been studied before and after treatment.
Results: The largest between-group discrepancy occurred between the experimental and control groups, 16.77 points (p < 0.001). Spirometry has shown an improvement in FVC (27.11%) and FEV1 (28.68%) (p < 0.001) in the experimental group, which was statistically significant compared to the other groups.
Conclusion: The use of TENS, as an adjunctive treatment to physiotherapy, leads to an improvement in pain control and spirometry values in patients after thoracic surgery, without producing side effects with the technique. These findings provide physiological evidence for the use of TENS in post-pulmonary surgery and may form the basis for the development of pain managed-based programs in clinics and hospitals.
Trial registration: NCT04964973 (ClinicalTrials.gov). First registration: July 16, 2021.
期刊介绍：
Trials is an open access, peer-reviewed, online journal that will encompass all aspects of the performance and findings of randomized controlled trials. Trials will experiment with, and then refine, innovative approaches to improving communication about trials. We are keen to move beyond publishing traditional trial results articles (although these will be included). We believe this represents an exciting opportunity to advance the science and reporting of trials. Prior to 2006, Trials was published as Current Controlled Trials in Cardiovascular Medicine (CCTCVM). All published CCTCVM articles are available via the Trials website and citations to CCTCVM article URLs will continue to be supported.
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