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Short-term transcutaneous electrical nerve stimulation after cardiac surgery: effect on pain, pulmonary function and electrical muscle activity
a Cardiovascular Surgery Division, Department of Surgery, Federal University of São Paulo, Napoleão de Barros, 715, 3rd floor, 04023-002, São Paulo, SP, Brazil b Cardiology Division, Department of Medicine, Federal University of São Paulo, São Paulo, Brazil *Corresponding author. Tel.: +(55) (11) 55...
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| Published in: | Interactive cardiovascular and thoracic surgery 2008-08, Vol.7 (4), p.539-543 |
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| container_title | Interactive cardiovascular and thoracic surgery |
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| creator | Cipriano, Gerson, Jr Camargo Carvalho, Antonio Carlosde Bernardelli, Graziella Franca Tayar Peres, Paulo Alberto |
| description | a Cardiovascular Surgery Division, Department of Surgery, Federal University of São Paulo, Napoleão de Barros, 715, 3rd floor, 04023-002, São Paulo, SP, Brazil
b Cardiology Division, Department of Medicine, Federal University of São Paulo, São Paulo, Brazil
*Corresponding author. Tel.: +(55) (11) 55754055; fax: +(55) (11) 55712719. E-mail address : ciprianeft.dcir{at}epm.br (G. Cipriano Jr.).
This study aimed to evaluate the effectiveness of transcutaneous electrical nerve stimulation (TENS) for treatment of postoperative pain in patients who underwent cardiac surgery. In addition, we sought to determine whether TENS would be related to improved pulmonary function and muscle electrical activity in this patient population. Forty-five patients, 32 males and 13 females, aged 41–74 years were randomly allocated to receive TENS ( n =23) or sham treatment ( n =22) during 4 h on the third postoperative day. A 0–10 visual analogic scale was used to assess pain; lung function was evaluated by spirometry and surface electromyography ( n =10 in each group) was used to quantify electrically-induced muscle activity ( trapezius and pectoralis major ). TENS was associated with significant reductions on spontaneous and cough-induced postoperative pain as compared to sham ( P |
| doi_str_mv | 10.1510/icvts.2007.168542 |
| format | article |
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b Cardiology Division, Department of Medicine, Federal University of São Paulo, São Paulo, Brazil
*Corresponding author. Tel.: +(55) (11) 55754055; fax: +(55) (11) 55712719. E-mail address : ciprianeft.dcir{at}epm.br (G. Cipriano Jr.).
This study aimed to evaluate the effectiveness of transcutaneous electrical nerve stimulation (TENS) for treatment of postoperative pain in patients who underwent cardiac surgery. In addition, we sought to determine whether TENS would be related to improved pulmonary function and muscle electrical activity in this patient population. Forty-five patients, 32 males and 13 females, aged 41–74 years were randomly allocated to receive TENS ( n =23) or sham treatment ( n =22) during 4 h on the third postoperative day. A 0–10 visual analogic scale was used to assess pain; lung function was evaluated by spirometry and surface electromyography ( n =10 in each group) was used to quantify electrically-induced muscle activity ( trapezius and pectoralis major ). TENS was associated with significant reductions on spontaneous and cough-induced postoperative pain as compared to sham ( P <0.05). There was also improvement in chest wall-pulmonary mechanics after TENS with proportional increases in tidal volume and vital capacity ( P <0.05). In addition, electrical activity of both muscle groups was enhanced after TENS, but not post sham ( P <0.05). TENS is a valuable strategy to alleviate postoperative pain following cardiac surgery with positive effects on pulmonary ventilatory function and electrical activity of thoracic and girdle muscles.
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b Cardiology Division, Department of Medicine, Federal University of São Paulo, São Paulo, Brazil
*Corresponding author. Tel.: +(55) (11) 55754055; fax: +(55) (11) 55712719. E-mail address : ciprianeft.dcir{at}epm.br (G. Cipriano Jr.).
This study aimed to evaluate the effectiveness of transcutaneous electrical nerve stimulation (TENS) for treatment of postoperative pain in patients who underwent cardiac surgery. In addition, we sought to determine whether TENS would be related to improved pulmonary function and muscle electrical activity in this patient population. Forty-five patients, 32 males and 13 females, aged 41–74 years were randomly allocated to receive TENS ( n =23) or sham treatment ( n =22) during 4 h on the third postoperative day. A 0–10 visual analogic scale was used to assess pain; lung function was evaluated by spirometry and surface electromyography ( n =10 in each group) was used to quantify electrically-induced muscle activity ( trapezius and pectoralis major ). TENS was associated with significant reductions on spontaneous and cough-induced postoperative pain as compared to sham ( P <0.05). There was also improvement in chest wall-pulmonary mechanics after TENS with proportional increases in tidal volume and vital capacity ( P <0.05). In addition, electrical activity of both muscle groups was enhanced after TENS, but not post sham ( P <0.05). TENS is a valuable strategy to alleviate postoperative pain following cardiac surgery with positive effects on pulmonary ventilatory function and electrical activity of thoracic and girdle muscles.
Key Words: Transcutaneous electrical nerve stimulation; Cardiac surgery; Pain; Pulmonary function; Electromyography</description><subject>Adult</subject><subject>Aged</subject><subject>Cardiac Surgical Procedures - adverse effects</subject><subject>Electromyography</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Muscle, Skeletal - physiopathology</subject><subject>Pain Measurement</subject><subject>Pain, Postoperative - etiology</subject><subject>Pain, Postoperative - physiopathology</subject><subject>Pain, Postoperative - prevention & control</subject><subject>Postoperative Care</subject><subject>Prospective Studies</subject><subject>Pulmonary Ventilation</subject><subject>Respiratory Mechanics</subject><subject>Spirometry</subject><subject>Tidal Volume</subject><subject>Time Factors</subject><subject>Transcutaneous Electric Nerve Stimulation</subject><subject>Vital Capacity</subject><issn>1569-9293</issn><issn>1569-9285</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><recordid>eNpNkc2OFCEUhYnROOPoA7gxrFxZ7QUKunBnJv4lk7hQ14SmLtMYqqrlpyf9FL6yjNVxXAG55zs3h0PISwYbJhm8De5Y8oYDbDdMDbLnj8glk0p3mg_y8b-7FhfkWc4_AZgGAU_JBRt6tpVMX5Lf3_ZLKl3BNNGS7JxdLXbGpWaKEV1JwdlIZ0xHpLmEqUZbwjJT6xtCnU1jsI7mmm4xnd5R9L5BtAkONsxv6KHGaZltOlFfZ7eS8_i_9VSzi0htGx5DOT0nT7yNGV-czyvy4-OH79efu5uvn75cv7_pHB8G3inmdwIsSIe913pUjlnoLTAlOW7BSsG94jho2AFrbzGqoVcCHLDBil6KK_J69T2k5VfFXMwUssMY1_BGaaEayJuQrUKXlpwTenNIYWqJDANz34L524K5b8GsLTTm1dm87iYcH4jztz9s34fb_V1IaPJkY2xyvtptTW-k0OIP7fGUyw</recordid><startdate>200808</startdate><enddate>200808</enddate><creator>Cipriano, Gerson, Jr</creator><creator>Camargo Carvalho, Antonio Carlosde</creator><creator>Bernardelli, Graziella Franca</creator><creator>Tayar Peres, Paulo Alberto</creator><general>Eur Assoc Cardio Surg</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200808</creationdate><title>Short-term transcutaneous electrical nerve stimulation after cardiac surgery: effect on pain, pulmonary function and electrical muscle activity</title><author>Cipriano, Gerson, Jr ; Camargo Carvalho, Antonio Carlosde ; Bernardelli, Graziella Franca ; Tayar Peres, Paulo Alberto</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2882-61fb30a05ce4f99d6c1a04a01652e70a532f62e890b0170a3d684630c018a3453</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Cardiac Surgical Procedures - adverse effects</topic><topic>Electromyography</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Muscle, Skeletal - physiopathology</topic><topic>Pain Measurement</topic><topic>Pain, Postoperative - etiology</topic><topic>Pain, Postoperative - physiopathology</topic><topic>Pain, Postoperative - prevention & control</topic><topic>Postoperative Care</topic><topic>Prospective Studies</topic><topic>Pulmonary Ventilation</topic><topic>Respiratory Mechanics</topic><topic>Spirometry</topic><topic>Tidal Volume</topic><topic>Time Factors</topic><topic>Transcutaneous Electric Nerve Stimulation</topic><topic>Vital Capacity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cipriano, Gerson, Jr</creatorcontrib><creatorcontrib>Camargo Carvalho, Antonio Carlosde</creatorcontrib><creatorcontrib>Bernardelli, Graziella Franca</creatorcontrib><creatorcontrib>Tayar Peres, Paulo Alberto</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Interactive cardiovascular and thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cipriano, Gerson, Jr</au><au>Camargo Carvalho, Antonio Carlosde</au><au>Bernardelli, Graziella Franca</au><au>Tayar Peres, Paulo Alberto</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Short-term transcutaneous electrical nerve stimulation after cardiac surgery: effect on pain, pulmonary function and electrical muscle activity</atitle><jtitle>Interactive cardiovascular and thoracic surgery</jtitle><addtitle>Interact Cardiovasc Thorac Surg</addtitle><date>2008-08</date><risdate>2008</risdate><volume>7</volume><issue>4</issue><spage>539</spage><epage>543</epage><pages>539-543</pages><issn>1569-9293</issn><eissn>1569-9285</eissn><abstract>a Cardiovascular Surgery Division, Department of Surgery, Federal University of São Paulo, Napoleão de Barros, 715, 3rd floor, 04023-002, São Paulo, SP, Brazil
b Cardiology Division, Department of Medicine, Federal University of São Paulo, São Paulo, Brazil
*Corresponding author. Tel.: +(55) (11) 55754055; fax: +(55) (11) 55712719. E-mail address : ciprianeft.dcir{at}epm.br (G. Cipriano Jr.).
This study aimed to evaluate the effectiveness of transcutaneous electrical nerve stimulation (TENS) for treatment of postoperative pain in patients who underwent cardiac surgery. In addition, we sought to determine whether TENS would be related to improved pulmonary function and muscle electrical activity in this patient population. Forty-five patients, 32 males and 13 females, aged 41–74 years were randomly allocated to receive TENS ( n =23) or sham treatment ( n =22) during 4 h on the third postoperative day. A 0–10 visual analogic scale was used to assess pain; lung function was evaluated by spirometry and surface electromyography ( n =10 in each group) was used to quantify electrically-induced muscle activity ( trapezius and pectoralis major ). TENS was associated with significant reductions on spontaneous and cough-induced postoperative pain as compared to sham ( P <0.05). There was also improvement in chest wall-pulmonary mechanics after TENS with proportional increases in tidal volume and vital capacity ( P <0.05). In addition, electrical activity of both muscle groups was enhanced after TENS, but not post sham ( P <0.05). TENS is a valuable strategy to alleviate postoperative pain following cardiac surgery with positive effects on pulmonary ventilatory function and electrical activity of thoracic and girdle muscles.
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| ispartof | Interactive cardiovascular and thoracic surgery, 2008-08, Vol.7 (4), p.539-543 |
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| source | OUP_牛津大学出版社OA刊 |
| subjects | Adult Aged Cardiac Surgical Procedures - adverse effects Electromyography Female Humans Male Middle Aged Muscle, Skeletal - physiopathology Pain Measurement Pain, Postoperative - etiology Pain, Postoperative - physiopathology Pain, Postoperative - prevention & control Postoperative Care Prospective Studies Pulmonary Ventilation Respiratory Mechanics Spirometry Tidal Volume Time Factors Transcutaneous Electric Nerve Stimulation Vital Capacity |
| title | Short-term transcutaneous electrical nerve stimulation after cardiac surgery: effect on pain, pulmonary function and electrical muscle activity |
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