Evidence map›Paper›PMID 41766779›Full record

ArticleIEEE journal of translational engineering in health and medicine2026

A Wearable TENS Garment for Joint Pain Management: IEC 60601 Compliant Design and Preliminary Evaluation.

Irfan Ullah, Tyler Ward, Tom Greig, Gillian Lake-Thompson, Meijing Liu, Lynn Reeves, Elaine Dennison, John Tudor, Kai Yang

Abstract read
In one paragraph

Article in IEEE journal of translational engineering in health and medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

9 authors.

Irfan UllahSchool of Electronics and Computer ScienceUniversity of Southampton SO17 1BJ Southampton U.K.ORCID 0000-0002-4439-7404
Tyler WardSchool of Electronics and Computer ScienceUniversity of Southampton SO17 1BJ Southampton U.K.ORCID 0000-0003-3375-5357
Tom GreigWinchester School of ArtUniversity of Southampton SO23 8DL Winchester U.K.
Gillian Lake-ThompsonWinchester School of ArtUniversity of Southampton SO23 8DL Winchester U.K.ORCID 0009-0005-1636-0013
Meijing LiuWinchester School of ArtUniversity of Southampton SO23 8DL Winchester U.K.ORCID 0000-0001-8334-7533
Lynn ReevesWinchester School of ArtUniversity of Southampton SO23 8DL Winchester U.K.
Elaine DennisonMRC Lifecourse Epidemiology CentreUniversity of Southampton SO16 6YD Southampton U.K.ORCID 0000-0002-3048-4961
John TudorSchool of Electronics and Computer ScienceUniversity of Southampton SO17 1BJ Southampton U.K.ORCID 0000-0003-1179-9455
Kai YangWinchester School of ArtUniversity of Southampton SO23 8DL Winchester U.K.ORCID 0000-0001-7497-3911

Funding

Medical Research Council MR/W029421/1
6 · The paper itself

Abstract

objectivesTo develop and evaluate a wearable, garment-integrated transcutaneous electrical nerve stimulation (TENS) system for relieving osteoarthritis knee pain, emphasizing safety, usability, and readiness for home and clinical deployment.

methodsWe designed an IEC 60601 compliant TENS system that embeds flexible electrodes into a close-fitting, machine-washable textile. A seven-day, home-based usability evaluation was conducted with 11 participants with osteoarthritis. Outcomes included self-reported pain (baseline vs. post-use) and usability metrics (ease of setup and comfort). The system received Medicines and Healthcare products Regulatory Agency (MHRA) and Health Research Authority (HRA) approvals for a subsequent clinical investigation.

resultsParticipants reported strong user acceptance, ease of use and comfort. Average pain decreased by 54.79% over the evaluation period, indicating a meaningful short-term analgesic benefit in a home setting. No serious adverse events were observed.

conclusionIntegrating electrodes into a wearable garment addresses key limitations of conventional adhesive-pad TENS, improving placement consistency, comfort, and ease of use while supporting safe operation under IEC 60601. These preliminary findings support the feasibility of garment-based TENS for osteoarthritis management at home and justify a follow-on clinical trial to rigorously quantify pain relief, functional outcomes, and user satisfaction in a larger cohort. CLINICAL IMPACT: The use of a washable TENS garment, compliant with IEC 60601, resulted in reduced osteoarthritis pain in a home setting. Its integration into home care is facilitated by an easy to use device with reusable textile electrodes.

Indexed as

ArthralgiaPain ManagementTranscutaneous Electric Nerve StimulationWearable Electronic DevicesAgedEquipment DesignFemaleHumansMaleMiddle AgedOsteoarthritis, Kneeclinical trialelectrodeelectrotherapyE-textileshome usabilityIEC 60601 compliancejoint painMHRAosteoarthritispain managementTranscutaneous electrical nerve stimulation (TENS)wearable medical devices

Identifiers

PMID41766779
PMCPMC12947966

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.