Bae Young-Hyeon, Lee Suk Min
Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Republic of Korea ; Doctor of Physical Therapy Program, Department of Nursing and Rehabilitation Science, Angelo State University, USA.
Department of Physical Therapy, Sahmyook University, Republic of Korea.
J Phys Ther Sci. 2014 Dec;26(12):1945-8. doi: 10.1589/jpts.26.1945. Epub 2014 Dec 25.
[Purpose] This study compared the analgesic effects of transcutaneous electrical nerve stimulation (TENS) and interferential currents (IFC) on induced ischemic pain in healthy volunteers. [Subjects] The subjects were 36 volunteers (18 male, 18 female) without known pathology that could cause pain. Their mean age was 24.5±2.2 years. [Methods] A single-blind and parallel-group method was used. Subjects were randomly allocated to receive each 50 Hz TENS, 50 Hz IFC, 100 Hz TENS, and 100 Hz IFC. This study experimentally induced ischemic pain in otherwise pain-free subjects using a modified version of the submaximal effort tourniquet technique. Subjects completed twelve cycles of the ischemic-induced pain test. The primary outcome measure was the change in self-reported of pain intensity during one of four possible treatments. [Results] There were significant effects for Time, which were attributed to a significant reduction in pain intensity for all groups. There were no significant effects for groups or group-time interaction. The 50 Hz IFC treatment was more comfortable than the other treatments in the present study, and it is likely to be better accepted and tolerated by patients. [Conclusion] We conclude that there were no differences in the analgesic effects of the four treatments under the present experimental conditions. The 50 Hz IFC treatment is more comfortable than the other treatments.
[目的] 本研究比较了经皮电刺激神经疗法(TENS)和干扰电流(IFC)对健康志愿者诱发的缺血性疼痛的镇痛效果。[对象] 对象为36名无已知可致痛病理状况的志愿者(18名男性,18名女性)。他们的平均年龄为24.5±2.2岁。[方法] 采用单盲平行组方法。受试者被随机分配接受50Hz TENS、50Hz IFC、100Hz TENS和100Hz IFC。本研究使用改良的次最大用力止血带技术在原本无痛的受试者中实验性诱发缺血性疼痛。受试者完成了12个周期的缺血性疼痛测试。主要结局指标是在四种可能治疗之一期间自我报告的疼痛强度变化。[结果] 时间有显著影响,这归因于所有组的疼痛强度显著降低。组间或组 - 时间交互作用无显著影响。在本研究中,50Hz IFC治疗比其他治疗更舒适,并且可能更容易被患者接受和耐受。[结论] 我们得出结论,在当前实验条件下,四种治疗的镇痛效果无差异。50Hz IFC治疗比其他治疗更舒适。