Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20180040
Brazilian Journal of Pain
Original Article

Aussie current in students with chronic neck pain: a randomized controlled trial

Corrente Aussie em estudantes com cervicalgia crônica: um ensaio clínico randomizado

Bruna Caroline da Silva; Camila Amaral Coracini; Carla Lautenschleger Branco; Mayara Doneda Michelon; Gladson Ricardo Flor Bertolini

http://dx.doi.org/10.5935/2595-0118.20180040 BrJP, vol.1, n3, p.202-206, 2018
PDF English
PDF Português
SciELO
Downloads: 3
Views: 573

Abstract

BACKGROUND AND OBJECTIVES: Neck pain is a painful acute or chronic syndrome that affects the region of the cervical spine. Electrostimulation is one type of treatment, which provides local analgesia bringing more comfort and functionality to the patient. However, there are still there are other current forms not fully explored. Therefore, the objective of the study was to evaluate the analgesic and functional effects of the Aussie current on students with chronic neck pain.

METHODS: Twenty-four individuals were separated in a control group (n=11) and an electrostimulation group (n=13) with current intensity at the sensory level. There were 3 interventions per week for 4 weeks, totaling 12 interventions per individual. The assessment was performed applying the Neck Disability Index, the visual analog scale of pain, the handgrip dynamometer, and the cervical spine goniometry before the intervention, shortly after the treatment period, and after a month of follow-up.

RESULTS: In relation to all the assessed items, there was no significant difference between the three evaluations in the control group and in the treated group.

CONCLUSION: The Aussie current at the sensory level did not provide significant analgesic and functional effects in students with chronic neck pain.

Keywords

Electric stimulation therapy, Neck pain, Pain measurement

Resumo

JUSTIFICATIVA E OBJETIVOS: A cervicalgia é uma síndrome dolorosa, aguda ou crônica, que acomete a coluna cervical. Uma das formas de tratamento é a eletroestimulação, que proporciona analgesia local trazendo mais conforto e funcionalidade ao paciente. Contudo ainda existem formas de corrente pouco exploradas. O objetivo do estudo foi avaliar os efeitos analgésicos e funcionais da corrente Aussie em estudantes com cervicalgia crônica.

MÉTODOS: Vinte e quatro indivíduos foram separados em grupo controle (n=11) e grupo de eletroestimulação (n=13), com intensidade da corrente em nível sensorial. Foram realizadas 3 intervenções por semana, durante 4 semanas, totalizando 12 terapias por indivíduo. A avaliação foi feita com a aplicação do questionário Neck Disability Index, da escala analógica visual, do dinamômetro de preensão manual, e da goniometria da coluna cervical antes da intervenção, logo após o período de tratamento, e depois de um mês de seguimento.

RESULTADOS: Em relação a todos os quesitos avaliados, não se verificou diferença significativa entre as três avaliações no grupo controle e no grupo tratado.

CONCLUSÃO: A corrente Aussie, atingindo apenas o nível sensorial, não proporcionou efeitos analgésicos e funcionais significativos em estudantes com cervicalgia crônica.

Palavras-chave

Cervicalgia, Mensuração da dor, Terapia por estimulação elétrica

References

Delfino PD, Rampim DB, Alfieri FM, Tomikawa LC, Fadel G, Stump PR. Cervicalgia: reabilitação. Acta Fisiatr. 2012;19(2):73-81.

Silva AF, Costa MA, Soutinho RS, Pedrosa AS. Prevalência de cervicalgia em acadêmicos de odontologia de um Centro Universitário. Rev Port Saúde e Sociedade. 2017;2(2):422-34.

Sprung CL, Silvério-Lopes S. Utilização de técnicas da medicina tradicional chinesa (MTC) para analgesia da cervicalgia em adultos: revisão sistemática. Rev Bras Terap e Saúde. 2016;7(1):7-15.

Neves RH, Lima VA, Maria RA, Sant'Ana HG. Modalidades terapêuticas no tratamento e prevenção da dor muscular tardia - revisão de literatura. Ciências Biológicas e Saúde Unit. 2017;4(1):147-58.

Zeng C, Li H, Yang T, Deng ZH, Yang Y, Zhang Y. Electrical stimulation for pain relief in knee osteoarthritis: systematic review and network meta-analysis. Osteoarthritis Cartilage. 2015;23(2):189-202.

Ward AR, Robertson VJ. Variation in torque production with frequency using medium frequency alternating current. Arch Phys Med Rehabil. 1998;79(11):1399-404.

Ward AR, Chuen WL. Lowering of sensory, motor, and pain-tolerance thresholds with burst duration using kilohertz-frequency alternating current electric stimulation: part II. Arch Phys Med Rehabil. 2009;90(9):1619-27.

Ward AR, Lucas-Toubourou S. Lowering of sensory, motor, and pain-tolerance thresholds with burst duration using kilohertz-frequency alternating current electric stimulation. Arch Phys Med Rehabil. 2007;88(8):1036-41.

Ward AR, Oliver WG, Buccella D. Wrist extensor torque production low-frequency and burst-modulated kilohertz-frequency currents. Phys Ther. 2006;86(10):1360-7.

Cook C, Richardson JK, Braga L, Menezes A, Soler X, Kume P. Cross-cultural adaptation and validation of the Brazilian Portuguese version of the Neck Disability Index and Neck Pain and Disability Scale. Spine. 2006;31(14):1621-7.

Acedo AA, Antunes AC Luduvice, Santos A Barros dos, Oliveira C Barbosa de, Santos C Tavares dos, Colonezi GL. Upper trapezius relaxation induced by tens and interferential current in computer users with chronic nonspecific neck discomfort: an electromyographic analysis. J Back Musculoskelet Rehabil. 2015;28(1):19-24.

Dissanayaka TD, Pallegama RW, Suraweera HJ, Johnson MI, Kariyawasam AP. Comparison of the effectiveness of transcutaneous electrical nerve stimulation and interferential therapy on the upper trapezius in myofascial pain syndrome: a randomized controlled study. Am J Phys Med Rehabil. 2016;95(9):663-72.

Facci LM, Nowotny JP, Tormem F, Trevisani FV. Effects of transcutaneous electrical nerve stimulation (TENS) and interferential currents (IFC) in patients with nonspecific chronic low back pain: randomized clinical trial. São Paulo Med J. 2011;129(4):206-16.

Resende L, Merriwether E, Rampazo ÉP, Dailey D, Embree J, Deberg J. Meta-analysis of transcutaneous electrical nerve stimulation for relief of spinal pain. Eur J Pain. 2018;22(4):663-78.

Kawamura H, Nishigami T, Yamamoto A, Tsujishita M, Ito K, Ohya N. Comparison of the pain-relieving effects of transcutaneous electrical nerve stimulation applied at the same dermatome levels as the site of pain in the wrist joint. J Phys Ther Sci. 2017;29(11):1996-9.

Maayah M, Al-Jarrah M. Evaluation of transcutaneous electrical nerve stimulation as a treatment of neck pain due to musculoskeletal disorders. J Clin Med Res. 2010;2(3):127-36.

Park C, Choi JB, Lee YS, Chang HS, Shin CS, Kim S. The effect of intra-operative transcutaneous electrical nerve stimulation on posterior neck pain following thyroidectomy. Anaesthesia. 2015;70(4):434-9.

Corrêa JB, Costa LO, Oliveira NT, Lima WP, Sluka KA, Liebano RE. Effects of the carrier frequency of interferential current on pain modulation and central hypersensitivity in people with chronic nonspecific low back pain: a randomized placebo-controlled trial. Eur J Pain. 2016;20(10):1653-66.

Oliveira L, Mota C, Lima L, Abner T, Agripino M, DeSantana J. Effect of different times of administration of transcutaneous electric nerve stimulation (TENS) on the duration of its hypoalgesic effect. J Pain. 2014;15(^sSuppl 4):S102.

Venancio RC, Pelegrini S, Gomes DQ, Nakano EY, Liebano RE. Effects of carrier frequency of interferential current on pressure pain threshold and sensory comfort in humans. Arch Phys Med Rehabil. 2013;94(1):95-102.

Agripino ME. Efeito hipoalgésico da corrente alternada de média frequência em quilohertz (Aussie) em indivíduos saudáveis: ensaio clínico randomizado. 2017.

Pereira GD, Cassolato KM, Lazarin PH, Canto TO, Portolez JL, Bertolini GR. Interferential current effect, 2000hz, on the induced pain threshold. Rev Bras Med Esporte. 2011;17(4):257-60.

Moberg LL, Lunde LK, Koch M, Tveter AT, Veiersted KB. Association between V̇O-2max, handgrip strength, and musculoskeletal pain among construction and health care workers. BMC Public Health. 2017;17(1):272.

Mysliwiec A, Saulicz E, Kuszewski M, Kokosz M, Wolny T. Assessment of the influence of Sauders traction and transcutaneous electrical nerve stimulation on hand grip force in patients with neck pain. Ortop Traumatol Rehabil. 2011;13(1):37-44.

Pereira A, Ogliari P, Debiazi P, Pacini VC, Picanço VV, Carvalho AR. Análise da influência da manipulação na coluna vertebral sobre a força de preensão palmar e limiar de dor. Ter Man. 2011;9(43):278-83.

Bautista-Aguirre F, Oliva-Pascual-Vaca Á, Heredia-Rizo AM, Boscá-Gandía JJ, Ricard F, Rodriguez-Blanco C. Effect of cervical vs. thoracic spinal manipulation on peripheral neural features and grip strength in subjects with chronic mechanical neck pain: a randomized controlled trial. Eur J Phys Rehabil Med. 2017;53(3):333-41.

Krueger-Beck E, Nogueira-Neto GN, Neves EB, Nohama P. Potencial de ação: do estímulo à adaptação neural. Fisioter Bras. 2011;24(3):535-47.

Submitted date:
03/12/2018

Accepted date:
06/27/2018

5f1f77180e8825a342dc677d brjp Articles
2595-3192 (Electronic) 2595-0118 (Printed)
BrJP ©2024 All rights reserved.

BrJP

Share this page
Page Sections