Evidence map›Paper›PMID 24675915›Full record

Trial reportBrazilian journal of physical therapy

Low and high-frequency TENS in post-episiotomy pain relief: a randomized, double-blind clinical trial.

Ana C R Pitangui, Rodrigo C Araújo, Michelle J S Bezerra, Camila O Ribeiro, Ana M S Nakano

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Brazilian journal of physical therapy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Perineal Pain Management with Cryotherapy after Vaginal Delivery: A Randomized Clinical Trial.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2016
    Trial
  4. Article
  5. A guide for physiotherapeutic care during pregnancy, labor, and the postpartum period during the COVID-19 pandemic.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2022
    Article
  6. The beneficial effects of fractional COLasers in medical science · 2021
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ana C R PitanguiPhysical Therapy Department, Universidade de Pernambuco, Petrolina, PE, Brazil.
Rodrigo C AraújoPhysical Therapy Department, Universidade de Pernambuco, Petrolina, PE, Brazil.
Michelle J S BezerraPhysical Therapy Department, Universidade de Pernambuco, Petrolina, PE, Brazil.
Camila O RibeiroPhysical Therapy Department, Universidade de Pernambuco, Petrolina, PE, Brazil.
Ana M S NakanoDepartament of Public Health, Escola de Enfermagem de Ribeirao Preto, Universidade de Sao Paulo, Ribeirao Preto, SP, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effectiveness of low-frequency TENS (LFT) and high-frequency TENS (HFT) in post-episiotomy pain relief.

methodA randomized, controlled, double-blind clinical trial with placebo composed of 33 puerperae with post-episiotomy pain. TENS was applied for 30 minutes to groups: HFT(100 Hz; 100 µs), LFT (5 Hz; 100 µs), and placebo (PT). Four electrodes were placed in parallel near the episiotomy and four pain evaluations were performed with the numeric rating scale. The first and the second evaluation took place before TENS application and immediately after its removal and were done in the resting position and in the activities of sitting and ambulating. The third and fourth evaluation took place 30 and 60 minutes after TENS removal, only in the resting position. Intragroup differences were verified using the Friedman and Wilcoxon tests, and the intergroup analysis employed the Kruskal-Wallis test.

resultsIn the intragroup analysis, there was no significant difference in the PT during rest, sitting, and ambulation (P>0.05). In the HFT and LFT, a significant difference was observed in all activities (P<0.001). In the intergroup analysis, there was a significant difference in the resting position in the HFT and LFT (P<0.001). In the sitting activity, a significant difference was verified in the second evaluation in the HFT and LFT (P<0.008). No significant difference was verified among the groups in ambulation (P<0.20).

conclusionsLFT and HFT are an effective resource that may be included in the routine of maternity wards.

Indexed as

EpisiotomyTranscutaneous Electric Nerve StimulationDouble-Blind MethodFemaleHumansPain ManagementPostoperative Pain

Identifiers

PMID24675915
PMCPMC4183234

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.