Effect of Tetrapolar Interferential Current on Primary Dysmenorrhea Associated with Low Back Pain: Randomized Clinical Trial

Autores

  • Emanuela Bieleski Okuyama State University of Eastern Paraná, Physical Therapy Course. PR, Brazil.
  • Gislaine Shizuka Obana Yoshida State University of Eastern Paraná, Physical Therapy Course. PR, Brazil.
  • Regina Vitoria Weirich State University of Eastern Paraná, Physical Therapy Course. PR, Brazil.
  • Talita Megumi Assai State University of Eastern Paraná, Physical Therapy Course. PR, Brazil.
  • Dérrick Patrick Artioli Lusíadas University Center. SP, Brazil.
  • Gladson Ricardo Flor Bertolini State University of Eastern Paraná, Graduate Program in Biosciences and Health. PR, Brazil. http://orcid.org/0000-0003-0565-2019

DOI:

https://doi.org/10.17921/2447-8938.2019v21n3p204-207

Resumo

Abstract
Dysmenorrhea is described as pain or weight in the hypogastrium and can radiate to the lumbar region or to the thighs. The use of the vector interferential current (CIV) is based on two sinusoidal currents of medium frequency, modulated at low frequency, and can reach deep tissues in a pleasant way. Despite widespread use of this current under various conditions, there are few studies on its use in primary dysmenorrhea associated with low back pain. The aim of this study was to evaluate the analgesic effect of the Tetrapolar Interferential Current on primary dysmenorrhea associated with low back pain. The study consisted of 20 volunteers, divided into 2 groups: Placebo Group (GP) and Group Treatment (GT), with treatment for 3 days in two menstrual cycles. The variables analyzed were the McGill Pain Questionnaire at the beginning of the first intervention and on the last day after the procedure, and the Visual Analog Pain Scale, applied before and after each therapy. It was observed that for the McGill questionnaire there was reduction only for the treated group, for the Pain scale there were  differences again between groups and between evaluations, and the size of the effect showed favorable results in the treated group. The interferential current in the quadrilateral form was shown to be effective in reducing pain in young patients with primary dysmenorrhea.

Keywords: Visual Analog Scale. Transcutaneous Electric Nerve Stimulation. Medição da Dor. Pain Measurement.

Resumo
A dismenorreia é descrita como dor ou peso no hipogástrio, podendo irradiar-se para a região lombar ou até as coxas. O uso da corrente interferencial vetorial (CIV) baseia-se em duas correntes sinusoidais de média frequência, moduladas em baixa frequência, podendo atingir tecidos profundos de forma agradável. Apesar de amplo uso desta corrente em várias condições, há poucos estudos sobre seu uso na dismenorreia primária associada à dor lombar. O objetivo do estudo foi avaliar o efeito analgésico da Corrente Interferencial tetrapolar na dismenorreia primária associada à dor lombar. Este estudo foi composto por 20 voluntárias, divididas em 2 grupos: Grupo Placebo (GP) e Grupo Tratamento (GT), com tratamento por 3 dias em dois ciclos menstruais. As variáveis analisadas foram o Questionário de Dor de McGill no início da primeira intervenção e no último dia após o procedimento, e a Escala Analógica Visual de Dor, aplicada antes e após cada terapia. Observou-se que para a o questionário de McGill houve reduç o apenas para o grupo tratado, para a escala de Dor houve diferenças novamente entre grupos e entre avaliações, sendo que o tamanho do efeito mostrou resultados favoráveis ao grupo tratado. A corrente interferencial na forma tetrapolar mostrou-se efetiva na redução do quadro de dor em jovens com dismenorreia primária.

Palavras-chave: Escala Visual Analógica. Estimulação Elétrica Nervosa Transcutânea. Medição da Dor.

Biografia do Autor

Gladson Ricardo Flor Bertolini, State University of Eastern Paraná, Graduate Program in Biosciences and Health. PR, Brazil.

Laboratório de Estudo das Lesões e Recursos Fisioterapêuticos da Unioeste.

Referências

French L. Dysmenorrhea in adolescents: diagnosis and treatment. Pediatr Drugs 2008;10(1):1-7. doi: 10.2165/00148581-200810010-00001

Marjoribanks J, Ayeleke RO, Farquhar C, Proctor M. Nonsteroidal anti-inflamatory drugs for dysmenorrhoea. Cochrane Database Syst Rev 2015;30(7):CD001751. doi: 10.1002/14651858.CD001751.

Ortiz MI, Cortés-Márquez SK, Romero-Quezada LC, Murguía-Cánovas G, Jaramillo-Díaz AP. Effect of a physiotherapy program in women with primary dysmenorrhea. Eur J Obs Gynecol Reprod Biol 2015;194:24-9. doi: 10.1016/j.ejogrb.2015.08.008.

Parsa P, Bashirian S. Effect of transcutaneous electrical nerve stimulation (TENS) on primary dysmenorrhea in adolescent girls. J Postgrad Med Inst 2013;27(3):326-30.

Wang S-F, Lee J-P, Hwa H-L. Effect of transcutaneous electrical nerve stimulation on primary dysmenorrhea. Neuromodulation 2009;12(4):302-9. doi: 10.1111/j.1525-1403.2009.00226.

Lewers D, Clelland JA, Jackson JR, Varner RE, Bergman J. Transcutaneous electrical nerve stimulation in the relief of primary dysmenorrhea. Phys Ther 1989;69(1):3-9.

Milsom I, Hedner N, Mannheimer C. A comparative study of the effect of high-intensity transcutaneous nerve stimulation and oral naproxen on intrauterine pressure and menstrual pain in patients with primary dysmenorrhea. Am J Obs Gynecol 1994;170:123-9.

Torrilhas MC, Dresch R, Navarro YHM de O, Buzanello MR, Bertolini GRF. Estimulação elétrica nervosa transcutânea na dismenorreia primária em mulheres jovens. Rev Aten Saúde 2017;15(54):61-6. doi: 10.13037/ras.vol15n54.4824

Tugay N, Akbayrak T, Demirtürk F, Karakaya IÇ, Kocaacar Ö, Tugay U, et al. Effectiveness of transcutaneous electrical nerve stimulation and interferential current in primary dysmenorrhea. Pain Med 2007;8(4):295-300.

Fuentes JP, Olivo SA, Magee DJ, Gross DP. Effectiveness of interferential current therapy in the management of musculoskeletal pain: a systematic review and meta-analysis. Phys Ther 2010;90(9):1219-38. doi: 10.2522/ptj.20090335.

Beatti A, Rayner A, Chipchase L, Souvlis T. Penetration and spread of interferential current in cutaneous, subcutaneous and muscle tissues. Physiotherapy 2011;97(4):319-26. doi: 10.1016/j.physio.2011.01.008.

Fuentes J, Armijo-Olivo S, Magee DJ, Gross D. Does amplitude-modulated frequency have a role in the hypoalgesic response of interferential current on pressure pain sensitivity in healthy subjects? A randomised crossover study. Physiotherapy. 2010;96(1):22-9. doi: 10.1016/j.physio.2009.06.009.

Artioli DP, Bertolini GRF. Corrente interferencial vetorial: aplicação, parâmetros e resultados. Rev Bras Clin Médica 2012;10(1):51-6.

Tosato JP, Cesar GM, Caria PHF, Biasotto-Gonzalez DA, Calonego CA. Avaliação da dor em pacientes com lombalgia e cervicalgia. Coluna/Columna 2006;6(2):73–7.

Marjoribanks J, Proctor M, Farquhar C, Derks RS. Nonsteroidal anti-inflammatory drugs for dysmenorrhoea. Cochrane Database Syst Rev 2015;(7):CD001751. doi: 10.1002/14651858.

Scarpignato C. Piroxicam-beta-cyclodextrin: a GI safer piroxicam. Curr Med Chem 2013;20(19):2415-37.

Unsal A, Ayranci U, Tozun M, Arslan G, Calik E. Prevalence of dysmenorrhea and its effect on quality of life among a group of female university students. Ups J Med Sci 2010;115(2):138-45. doi: 10.3109/03009730903457218.

Kannan P, Claydon LS. Some physiotherapy treatments may relieve menstrual pain in women with primary dysmenorrhea: a systematic review. J Physiother 2014;60(1):13-21. doi: 10.1016/j.jphys.2013.12.003.

Franco YRS, Liebano RE, Moura KF, Oliveira NTB, Miyamoto GC, Santos MO, et al. Efficacy of the addition of interferential current to Pilates method in patients with low back pain: A protocol of a randomized controlled trial. BMC Musculoskelet Disord 2014;15(1):1-7. doi: 10.1186/1471-2474-15-420.

Koca I, Boyaci A, Tutoglu A, Ucar M, Kocaturk O. Assessment of the effectiveness of interferential current therapy and TENS in the management of carpal tunnel syndrome: a randomized controlled study. Rheumatol Int 2014;34(12):1639-45. doi: 10.1007/s00296-014-3005-3.

Suh HR, Han HC, Cho H. Immediate therapeutic effect of interferential current therapy on spasticity, balance, and gait function in chronic stroke patients: a randomized control trial. Clin Rehabil 2014;28(9):885-91. doi: 10.1177/0269215514523798.

Ucurum SG, Kaya DO, Kayali Y, Askin A, Tekindal MA. Comparison of different electrotherapy methods and exercise therapy in shoulder impingement syndrome: A prospective randomized controlled trial. Acta Orthop Traumatol Turc 2018;52(4):249-55. doi: 10.1016/j.aott.2018.03.005.

Melero-Suárez R, Sánchez-Santos JA, Domínguez-Maldonado G. Evaluation of the analgesic effect of combination therapy on chronic plantar pain through the myofascial trigger points approach. J Am Podiatr Med Assoc 2018;108(1):27-32. doi: 10.7547/16-038.

Khadygasayedabdulaziz, Motazagazaly, Hasan T. Interferrential current in treating primary dysmenorrhea. Int J Innov Drug Discov 2014;4(3):119-23.

Fernandes ML, Andrade FCJ. Analgesia de parto: bases anatômicas e fisiológicas. Rev Méd Minas Gerais 2009;19(3):6-9.

Pivetta KM, Bertolini GRF. ΔF efects on the interferential current accommodation in healthy subjects. Rev Bras Med Esporte 2012;18(5):330-2. doi: 10.1590/S1517-86922012000500009.

Guerra TEC, Bertolini GRF. Efeitos da variação da rampa de entrega do ΔF sobre a acomodação da corrente interferencial em mulheres saudáveis. Rev Dor 2012;13(1):25-9. doi: 10.1590/S1806-00132012000100005

Downloads

Publicado

2019-09-24

Como Citar

1.
Okuyama EB, Yoshida GSO, Weirich RV, Assai TM, Artioli DP, Bertolini GRF. Effect of Tetrapolar Interferential Current on Primary Dysmenorrhea Associated with Low Back Pain: Randomized Clinical Trial. J. Health Sci. [Internet]. 24º de setembro de 2019 [citado 19º de abril de 2024];21(3):204-7. Disponível em: https://journalhealthscience.pgsscogna.com.br/JHealthSci/article/view/6271

Edição

Seção

Artigos