Evidence map›Paper›PMID 31142359›Full record

ArticleTrials2019

Efficacy of different-frequency TEAS on acute pain after the total knee arthroplasty: a study protocol for a parallel group randomized trial.

Yulin Li, Lixi Chu, Xiangming Li, Weitao Zhai, Yinghui Ma, Yong He, Yuelin Xu, Sheng Ding, Huali Gao, Jing Zhang and 5 more

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.3field-weighted citation impact, top 41% of its field
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

6 citing papers in PubMed, 8 citations in OpenAlex.

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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

15 authors at 3 institutions in 1 country.

Yulin LiFaculty of Rehabilitation Medicine, The Shanghai University of Traditional Chinese Medicine, Shanghai, 200000, China.
Lixi ChuFaculty of Rehabilitation Medicine, The Shanghai University of Traditional Chinese Medicine, Shanghai, 200000, China.
Xiangming LiDepartment of Orthopaedics, Guanghua Hospital of Integrated Traditional Chinese Medicine and Western Medicine, The Shanghai University of Traditional Chinese Medicine, Shanghai, 200000, China.
Weitao ZhaiGuanghua Hospital of Integrated Traditional Chinese Medicine and Western Medicine, Shanghai, 200000, China.
Yinghui MaGuanghua Hospital of Integrated Traditional Chinese Medicine and Western Medicine, Shanghai, 200000, China.
Yong HeGuanghua Hospital of Integrated Traditional Chinese Medicine and Western Medicine, Shanghai, 200000, China.
Yuelin XuGuanghua Hospital of Integrated Traditional Chinese Medicine and Western Medicine, Shanghai, 200000, China.
Sheng DingGuanghua Hospital of Integrated Traditional Chinese Medicine and Western Medicine, Shanghai, 200000, China.
Huali GaoGuanghua Hospital of Integrated Traditional Chinese Medicine and Western Medicine, Shanghai, 200000, China.
Jing ZhangGuanghua Hospital of Integrated Traditional Chinese Medicine and Western Medicine, Shanghai, 200000, China.
Bowen YeGuanghua Hospital of Integrated Traditional Chinese Medicine and Western Medicine, Shanghai, 200000, China.
Jingchao WangGuanghua Hospital of Integrated Traditional Chinese Medicine and Western Medicine, Shanghai, 200000, China.
Jie YaoGuanghua Hospital of Integrated Traditional Chinese Medicine and Western Medicine, Shanghai, 200000, China.
Chonggui WuGuanghua Hospital of Integrated Traditional Chinese Medicine and Western Medicine, Shanghai, 200000, China.
Lianbo XiaoGuanghua Hospital of Integrated Traditional Chinese Medicine and Western Medicine, Shanghai, 200000, China. 13701888178@163.com.
Shanghai University of Traditional Chinese Medicine · CNShanghai Guanghua Hospital of Integrated Traditional Chinese and Western Medicine · CNShanghai Traditional Chinese Medicine Hospital · CN

Funding

the Science and Technology Commission of Shanghai Municipality, China 17401932900
6 · The paper itself

Abstract

backgroundTotal knee arthroplasty (TKA) is an optimal option for patients with middle-to-end-stage knee osteoarthritis. However, the management of postoperative acute pain remains inefficient. Transcutaneous electrical acupoint stimulation (TEAS) is a nonpharmacological method to manage postoperative acute pain. Different frequencies of TEAS have been tested using varying parameters, but the optimal analgesic frequency remains controversial. The aim of this study was to explore the optimal analgesic frequency of TEAS for treating acute pain after the primary unilateral TKA. METHODS/

designThis is a double-blind, randomized controlled trial. A total of 156 patients are randomly assigned to: G1, 5 Hz TEAS; G2, 100 Hz TEAS; G3, mixed TEAS (alternative use of daily 5 Hz and 100 Hz TEAS) and G4, placebo TEAS. In the G1, G2 and G3 groups, TEAS is conducted at acupoints SP9 and GB34 of the leg that was operated on (at a wave of continuous, balanced and asymmetrical biphasic square, with a pulse width of 200 μs, and a strong but comfortable current) for 30 min prior to a 30-min rehabilitation session per day for 2 weeks. In G4 group, TEAS is delivered at a strong but comfortable current for 30 s, then the current is gradually decreased to none over the next 15 s. The primary outcomes are measured before surgery, at baseline (POD 3, before TEAS intervention), week 1 and 2 after TEAS intervention with the Numeric Pain Rating Scale and The American Knee Society Score. The secondary outcomes include: (1) Active range of motion of the knee that was operated on; (2) Surface electromyography of both quadriceps; (3) Modified 30-s sit to stand test; (4) Additional usage of analgesia; and (5) SF-36. The additional outcomes include: (1) Patients' satisfaction rate; (2) Patient's expectation rate; and (3) Incidence of analgesia-related side effects. To test the blinding of participants and assessors, they are asked to guess whether the subjects received active or placebo TEAS within 5 min after the latest intervention. The safety and financial cost of TEAS are assessed. DISCUSSION: Mixed TEAS has more favorable effect on acute pain control than the placebo or 5 Hz or 100 Hz TEAS.

trial registrationChiCTR1800016347 . Date of registration was 26 May 2018. Retrospectively registered.

Indexed as

Arthroplasty, Replacement, KneeRandomized Controlled Trials as TopicAcupuncture PointsAcute PainDouble-Blind MethodElectromyographyHumansOutcome Assessment, Health CarePostoperative PainRange of Motion, ArticularTranscutaneous Electric Nerve Stimulation

Identifiers

PMID31142359
PMCPMC6542097
OpenAlexW2947828418

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.