Evidence map›Paper›PMID 32339169›Full record

Trial reportPloS one2020

Capacitive-resistive radiofrequency therapy to treat postpartum perineal pain: A randomized study.

Florence Bretelle, Chantal Fabre, Marine Golka, Vanessa Pauly, Brimbelle Roth, Valérie Bechadergue, Julie Blanc

3 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 10% 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.

NCT03172286 naunknown statusnot on this map

Radiofrequency Technic's Impact on Perineal Postpartum Pain

TypeinterventionalSponsorAssistance Publique Hopitaux De MarseilleRan2017 to 2018Enrolled62ConditionsDelivery, InjuryArmsRadiofrequencer
NCT05345015 narecruitingnot on this mapstarted 2022, after this paper: background citation

Acute and Chronic Effects of High Frequency RF Electrical Current on Pain and Muscle Function in Individuals With Musculoskeletal Pain

TypeinterventionalSponsorAristotle University Of ThessalonikiRan2022 to 2029Enrolled200ConditionsTranscutaneous Electric Nerve Stimulation, Chronic Low-back Pain, Hamstring Injury, MuscleArmsRadiofrequency Energy Transfer, Transcutaneous Nerve Stimulation
NCT07730372 nacompletednot on this mapstarted 2022, after this paper: background citation

The Use of TECAR - Capacitive and Resistive Energy Transfer in the Management of Early Postpartum Perineal Pain in Women After Perineal Trauma.

TypeinterventionalSponsorMedical University of GdanskRan2022 to 2023Enrolled182ConditionsPerineal Injury, Perineal Pain, Vaginal Delivery, Instrumental DeliveryArmsTECAR - Capacitive and Resistive Energy Transfer, Sham TECAR
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Application of Capacitive-Resistive Electric Transfer in Physiotherapeutic Clinical Practice and Sports.International journal of environmental research and public health · 2021
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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

7 authors at 3 institutions in 1 country.

Florence BretelleDepartment of Gynecology and Obstetrics, AP-HM, Assistance Publique-Hôpitaux de Marseille, Marseille, France.
Chantal FabreMidwife school, Faculty of medical and paramedical sciences, Aix-Marseille University, Marseille, France.
Marine GolkaMidwife school, Faculty of medical and paramedical sciences, Aix-Marseille University, Marseille, France.
Vanessa PaulyMedical Evaluation, Department of Public Health, Assistance Publique-Hôpitaux de Marseille, AMU, Aix- Marseille Université, Marseille, France.
Brimbelle RothMedical Evaluation, Department of Public Health, Assistance Publique-Hôpitaux de Marseille, AMU, Aix- Marseille Université, Marseille, France.
Valérie BechadergueDepartment of Gynecology and Obstetrics, AP-HM, Assistance Publique-Hôpitaux de Marseille, Marseille, France.
Julie BlancDepartment of Gynecology and Obstetrics, AP-HM, Assistance Publique-Hôpitaux de Marseille, Marseille, France.ORCID 0000-0002-1542-504X
Aix-Marseille Université · FRAssistance Publique Hôpitaux de Marseille · FRCentre National de la Recherche Scientifique · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the reduction of perineal pain after vaginal deliveries by capacitive resistive radiofrequency therapy (RF).

methodsWe conducted a double-blind randomized study in University Hospital Centre in France. We included women presenting either perineal tears or an episiotomy after vaginal delivery (instrumental assisted or not). The participants were randomly assigned to RF or not at day 1 and day 2 postpartum. The primary outcome was pain evaluated as visual analog scale (VAS) score >4 at rest on day 2 after the treatment. Secondary outcomes included discomfort and pain while walking and seating two days after treatment, type of pain two days after treatment and analgesics intake two days after treatment, sexual intercourse retake and painful of intercourse were also assessed by phone call 30 days after delivery. We performed univariate analysis and multivariable regressions adjusting on the value of the outcome at baseline to improve precision of the estimated intervention effect.

resultsBetween June 1, 2017 and October 8, 2017, the RF group included 29 women compared with 31 women in the group without RF. There was no significant difference on VAS >4 between the two groups (13.8% vs. 9.7% p = 0.69; difference = 4.1%, 95%CI -12.2%- 20.4%); consumption of paracetamol was lower in the RF group (978.3 mg (sd = 804.5) vs 1703.7 mg (sd = 1381.6), p = 0.035; difference = -725.3 mg, 95%CI -1359.6 - -91.3). Multivariate analysis showed no association between RF and pain. Nevertheless, we found an association between RF and discomfort while walking (adjusted OR 0.24, 95% CI 0.07-0.90; p = 0.03).

conclusionVAS>4 at day 2 was not different in the experimental and the control groups but RF was associated with less perineal discomfort while walking and lower consumption of paracetamol after delivery. CLINICAL TRIAL REGISTRATIONS: The study was registered in the Clinical Government trial (https://clinicaltrials.gov/ct2/show/NCT03172286?term=bretelle&rank=2) under the number NCT03172286.

Indexed as

Radiofrequency TherapyAcetaminophenAdultDelivery, ObstetricDouble-Blind MethodFemaleFranceHumansPelvic PainPostpartum PeriodPregnancyAcetaminophen

Identifiers

PMID32339169
PMCPMC7185583
OpenAlexW3018796640

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.