Transcutaneous electrical nerve stimulation and cryotherapy in the treatment of students with primary dysmenorrhea: pilot study

Main Article Content

Ana Helena Vale de Araújo
https://orcid.org/0000-0001-7298-8028
Lucas Sinesio Santos
https://orcid.org/0000-0001-6836-3295
Vanessa Ariane Neves
https://orcid.org/0000-0003-0147-8738
Renan Alves da Silva Júnior
https://orcid.org/0000-0002-5393-3088
Gabriela Lopes Gama
https://orcid.org/0000-0002-7352-6711

Abstract

Objective: To compare the effects of Transcutaneous Electrical Nerve Stimulation (TENS) and cryotherapy in relieving painful symptoms in students with primary dysmenorrhea (PD). Methods: Cross-sectional and quantitative study, with 20 university women randomly divided into two groups: TENS Group (GT) whose participants were submitted to a 45 min TENS session with a frequency of 120 Hz and a pulse duration of 100 µs and Cryotherapy Group (CG), whose participants were submitted to a cryotherapy session for 20 min. Women with regular menstrual cycles, nulligravidas, without a report of pelvic disease, and with dysmenorrhea with pain levels between 4 and 10 during the first three days of menstruation were included. Those with contraindications to TENS or cryotherapy and who used drugs up to 24 h before the intervention were excluded. The participants' pain levels were recorded before and shortly after the intervention.Results: Women aged between 18 and 27 years (mean 22.8 ± 2.4 years) were evaluated. In addition to painful symptoms, all of them presented some other associated symptoms, the most common being diarrhea and fatigue (80%, each). The two-way ANOVA test of repeated measures considering group and evaluation factors revealed an effect only for the evaluation factor (p < 0.001) with no effect for the group/evaluation interaction (p = 0.09). Conclusion: TENS and cryotherapy are efficient resources for relieving pain symptoms in women with PD, with no superiority between the approaches.



Article Details

How to Cite
1.
Araújo AHV de, Santos LS, Neves VA, da Silva Júnior RA, Gama GL. Transcutaneous electrical nerve stimulation and cryotherapy in the treatment of students with primary dysmenorrhea: pilot study. HSJ [Internet]. 2020 Dec. 16 [cited 2024 Nov. 2];10(4):131-6. Available from: https://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zero/article/view/1029
Section
ORIGINAL ARTICLE
Author Biographies

Ana Helena Vale de Araújo, Faculdades Integradas de Patos (FIP)

Physiotherapist by the Faculdades Integradas de Patos (FIP), Patos, Paraíba, Brazil.

Lucas Sinesio Santos, UNIFACISA University Center

Physiotherapy Student at UNIFACISA University Center, Campina Grande, Paraíba, Brazil.

Vanessa Ariane Neves, UNIFACISA University Center

Physiotherapy Student at UNIFACISA University Center, Campina Grande, Paraíba, Brazil.

Renan Alves da Silva Júnior, Faculdades Integradas de Patos (FIP). Professor Joaquim Amorim Neto Research Institute (IPESQ)

PhD student in Maternal and Child Health at the Instituto de Medicina Integral Professor Fernando Figueira (IMIP), Full Professor of the Specialization Course in Traumato-Orthopedic and Sports Physiotherapy at Faculdades Integradas de Patos (FIP), Institute for Professional Improvement in Health (Campina Grande and João Pessoa, Paraíba) and Sertão Integration Faculty (Serra Talhada, Pernambuco) (discipline of Orthosis and Prosthesis).

Gabriela Lopes Gama, UNIFACISA University Center. Professor Joaquim Amorim Neto Research Institute (IPESQ)

PhD in Health Sciences from the Cruzeiro do Sul University (UNICSUL), with a sandwich period from the University of Maryland in Baltimore. Full professor of the Physiotherapy Course of Statistics and Electrothermal Phototherapy Disciplines, and Supervisor of the Supervised Internship in Physiotherapeutic Practice I in the Gerontology sector, Full Professor of the Physical Education course of the Kinesiology and Advanced Biomechanics Disciplines at the UNIFACISA University Center, Campina Grande , Paraíba, Brazil.

References

Azagew AW, Kassie DG, Walle TA. Prevalence of primary dysmenorrhea, its intensity, impact and associated factors among female students' at Gondar town preparatory school, Northwest Ethiopia. BMC Womens Health. 2020;20(1):5. https://doi.org/10.1186/s12905-019-0873-4 PMid:31906945 PMCid:PMC6945628

Osayande AS, Mehulic S. Diagnosis and initial management of dysmenorrhea. Am Fam Physician. 2014;89(5):341-6

Kho KA, Shields JK. Diagnosis and management of primary dysmenorrhea. JAMA. 2020;323(3):268-9. https://doi.org/10.1001/jama.2019.16921 PMid:31855238

Daily JW, Zhang X, Kim DS, Park S. Efficacy of Ginger for alleviating the symptoms of primary dysmenorrhea: a systematic review and meta-analysis of randomized clinical trials. Pain Med. 2015;16(12):2243-55. https://doi.org/10.1111/pme.12853 PMid:26177393

Iacovides S, Avidon I, Baker FC. What we know about primary dysmenorrhea today: a critical review. Hum Reprod Update. 2015;21(6):762-78. https://doi.org/10.1093/humupd/dmv039 PMid:26346058

Al-Matouq S, Al-Mutairi H, Al-Mutairi O, Abdulaziz F, Al-Basri D, Al-Enzi M, et al. Dysmenorrhea among high-school students and its associated factors in Kuwait. BMC Pediatr. 2019;19(1):80. https://doi.org/10.1186/s12887-019-1442-6 PMid:30885151 PMCid:PMC6421654

Hu Z, Tang L, Chen L, Kaminga AC, Xu H. Prevalence and risk factors associated with primary dysmenorrhea among chinese female university students: a cross-sectional study. J Pediatr Adolesc Gynecol. 2020;33(1):15-22. https://doi.org/10.1016/j.jpag.2019.09.004 PMid:31539615

Ju H, Jones M, Mishra G. The prevalence and risk factors of dysmenorrhea. Epidemiol Rev. 2014;36:104-13. https://doi.org/10.1093/epirev/mxt009 PMid:24284871

Dawood MY. Primary dysmenorrhea: advances in pathogenesis and management. Obstet Gynecol. 2006;108(2):428-41. https://doi.org/10.1097/01.AOG.0000230214.26638.0c PMid:16880317

Committee on Adolescent Health Care. ACOG Committee Opinion No. 760: Dysmenorrhea and endometriosis in the adolescent. Obstet Gynecol. 2018;132(6):e249-e58. https://doi.org/10.1097/AOG.0000000000002978

Alsaleem MA. Dysmenorrhea, associated symptoms, and management among students at King Khalid University, Saudi Arabia: an exploratory study. J Family Med Prim Care. 2018;7(4):769-74. https://doi.org/10.4103/jfmpc.jfmpc_113_18 PMid:30234051 PMCid:PMC6131986

Burnett M, Lemyre M. No. 345-Primary dysmenorrhea consensus guideline. J Obstet Gynaecol Can. 2017;39(7):585-95. https://doi.org/10.1016/j.jogc.2016.12.023 PMid:28625286

Feng X, Wang X. Comparison of the efficacy and safety of non-steroidal anti-inflammatory drugs for patients with primary dysmenorrhea: a network meta-analysis. Mol Pain. 2018;14:1744806918770320. https://doi.org/10.1177/1744806918770320 PMid:29587566 PMCid:PMC5987898

De Sanctis V, Soliman A, Bernasconi S, Bianchin L, Bona G, Bozzola M, et al. Primary dysmenorrhea in adolescents: prevalence, impact and recent knowledge. Pediatr Endocrinol Rev. 2015;13(2):512-20. PMID: 26841639

Igwea SE, Tabansi-Ochuogu CS, Abaraogu UO. TENS and heat therapy for pain relief and quality of life improvement in individuals with primary dysmenorrhea: a systematic review. Complement Ther Clin Pract. 2016;24:86-91. https://doi.org/10.1016/j.ctcp.2016.05.001 PMid:27502806

Pinho LEE, Monteiro AKS, Pimenta AG, Santos ASA. Terapia manual no tratamento da dismenorreia primária: revisão sistemática. Rev Pesq Fisioter. 2017;7(2):224-32. https://doi.org/10.17267/2238-2704rpf.v7i2.1327

Malanga GA, Yan N, Stark J. Mechanisms and efficacy of heat and cold therapies for musculoskeletal injury. Postgrad Med. 2015;127(1):57-65. https://doi.org/10.1080/00325481.2015.992719 PMid:25526231

Yeh ML, Hung YL, Chen HH, Wang YJ. Auricular acupressure for pain relief in adolescents with dysmenorrhea: a placebo-controlled study. J Altern Complement Med. 2013;19(4):313-8. https://doi.org/10.1089/acm.2011.0665 PMid:23130943

Coutaux A. Non-pharmacological treatments for pain relief: TENS and acupuncture. Joint Bone Spine. 2017;84(6):657-61. https://doi.org/10.1016/j.jbspin.2017.02.005 PMid:28219657

Johnson MI, Paley CA, Howe TE, Sluka KA. Transcutaneous electrical nerve stimulation for acute pain. Cochrane Database Syst Rev. 2015(6):CD006142. https://doi.org/10.1002/14651858.CD006142.pub3

Proctor ML, Smith CA, Farquhar CM, Stones RW. Transcutaneous electrical nerve stimulation and acupuncture for primary dysmenorrhoea. Cochrane Database Syst Rev. 2002(1):CD002123. https://doi.org/10.1002/14651858.CD002123

Bouzigon R, Grappe F, Ravier G, Dugue B. Whole- and partial-body cryostimulation/cryotherapy: Current technologies and practical applications. J Therm Biol. 2016;61:67-81. https://doi.org/10.1016/j.jtherbio.2016.08.009 PMid:27712663

Aktas YY, Karabulut N. The use of cold therapy, music therapy and lidocaine spray for reducing pain and anxiety following chest tube removal. Complement Ther Clin Pract. 2019;34:179-84. https://doi.org/10.1016/j.ctcp.2018.12.001 PMid:30712725

Cha NH, Sok SR. Effects of auricular acupressure therapy on primary dysmenorrhea for female high school students in South Korea. J Nurs Scholarsh. 2016;48(5):508-16. https://doi.org/10.1111/jnu.12238 PMid:27541067

Ortiz MI, Cortes-Marquez SK, Romero-Quezada LC, Murguia-Canovas G, Jaramillo-Diaz AP. Effect of a physiotherapy program in women with primary dysmenorrhea. Eur J Obstet Gynecol Reprod Biol. 2015;194:24-9. https://doi.org/10.1016/j.ejogrb.2015.08.008 PMid:26319652

Balaban B, Tok F. Gait disturbances in patients with stroke. PM R: the journal of injury function and rehabilitation. 2014;6(7):635-42. https://doi.org/10.1016/j.pmrj.2013.12.017 PMid:24451335

Chen CX, Ofner S, Bakoyannis G, Kwekkeboom KL, Carpenter JS. Symptoms-based phenotypes among women with dysmenorrhea: a latent class analysis. West J Nurs Res. 2018;40(10):1452-68. https://doi.org/10.1177/0193945917731778 PMid:28914180 PMCid:PMC5832523

Chen L, Tang L, Guo S, Kaminga AC, Xu H. Primary dysmenorrhea and self-care strategies among Chinese college girls: a cross-sectional study. BMJ Open. 2019;9(9):e026813. https://doi.org/10.1136/bmjopen-2018-026813 PMid:31537555 PMCid:PMC6756436

Kamel DM, Tantawy SA, Abdelsamea GA. Experience of dysmenorrhea among a group of physical therapy students from Cairo University: an exploratory study. J Pain Res. 2017;10:1079-85. https://doi.org/10.2147/JPR.S132544 PMid:28533696 PMCid:PMC5431709

Yang M, Chen X, Bo L, Lao L, Chen J, Yu S, et al. Moxibustion for pain relief in patients with primary dysmenorrhea: A randomized controlled trial. PLoS One. 2017;12(2):e0170952. https://doi.org/10.1371/journal.pone.0170952 PMid:28170396 PMCid:PMC5295763

Bernstein MT, Graff LA, Avery L, Palatnick C, Parnerowski K, Targownik LE. Gastrointestinal symptoms before and during menses in healthy women. BMC Womens Health. 2014;14:14. https://doi.org/10.1186/1472-6874-14-14 PMid:24450290 PMCid:PMC3901893

Navvabi Rigi S, Kermansaravi F, Navidian A, Safabakhsh L, Safarzadeh A, Khazaian S, et al. Comparing the analgesic effect of heat patch containing iron chip and ibuprofen for primary dysmenorrhea: a randomized controlled trial. BMC Womens Health. 2012;12:25. https://doi.org/10.1186/1472-6874-12-25 PMid:22913409 PMCid:PMC3492023

Bai HY, Bai HY, Yang ZQ. Effect of transcutaneous electrical nerve stimulation therapy for the treatment of primary dysmenorrheal. Medicine (Baltimore). 2017;96(36):e7959. https://doi.org/10.1097/MD.0000000000007959 PMid:28885348 PMCid:PMC6392990

Tugay N, Akbayrak T, Demirturk F, Karakaya IC, Kocaacar O, Tugay U, et al. Effectiveness of transcutaneous electrical nerve stimulation and interferential current in primary dysmenorrhea. Pain Med. 2007;8(4):295-300. https://doi.org/10.1111/j.1526-4637.2007.00308.x PMid:17610451

Peng WW, Tang ZY, Zhang FR, Li H, Kong YZ, Iannetti GD, et al. Neurobiological mechanisms of TENS-induced analgesia. Neuroimage. 2019;195:396-408. https://doi.org/10.1016/j.neuroimage.2019.03.077 PMid:30946953 PMCid:PMC6547049

Raimundo AKS, Sousa LA, Silveira RF, Cerqueira MCD, Rodrigues J, Dini PD. Dosagem de serotonina sistêmica após aplicação da eletroestimulação nervosa transcutânea (TENS) [Internet]. Fisioter Mov. 2009 [cited 2020 Nov 17];22(3):365-74. Avaiable from: https://periodicos.pucpr.br/index.php/fisio/article/download/19459/18799

Lauretti GR, Oliveira R, Parada F, Mattos AL. The New portable transcutaneous electrical nerve stimulation device was efficacious in the control of primary dysmenorrhea cramp pain. Neuromodulation. 2015;18(6):522-6. https://doi.org/10.1111/ner.12269 PMid:25655828

Piana LE, Garvey KD, Burns H, Matzkin EG. The cold, hard facts of cryotherapy in orthopedics. Am J Orthop. 2018;47(9). https://doi.org/10.12788/ajo.2018.0075 PMid:30296319

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