Using TENS for pain control: the state of the evidence.
Using TENS for pain control: the state of the evidence.
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DOI：
10.2217/pmt.14.13
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发表时间：
2014-05
期刊：
影响因子：
1.7
通讯作者：
Sluka KA
中科院分区：
文献类型：
--
作者：
Vance CG;Dailey DL;Rakel BA;Sluka KA
经皮神经电刺激 (TENS) 是一种非药物干预措施，通过激活中枢神经系统中的下行抑制系统来减少痛觉过敏，从而激活复杂的神经元网络，从而减轻疼痛。 TENS 功效的证据是相互矛盾的，不仅需要描述，还需要批评。针对特定人群的系统评价和荟萃分析不断涌现，表明 HF 和 LF TENS 均被证明可以提供镇痛作用，特别是在以强且无痛的强度应用时。本文的目的是对 TENS 的最新基础科学和临床证据进行批判性回顾。需要进行更多研究来确定 TENS 是否具有特定于机械刺激和/或减轻疼痛的效果，以及是否会改善活动水平、功能和生活质量。
Transcutaneous electrical nerve stimulation (TENS) is a nonpharmacological intervention that activates a complex neuronal network to reduce pain by activating descending inhibitory systems in the central nervous system to reduce hyperalgesia. The evidence for TENS efficacy is conflicting and requires not only description but also critique. Population-specific systemic reviews and meta-analyses are emerging, indicating both HF and LF TENS being shown to provide analgesia, specifically when applied at a strong, nonpainful intensity. The purpose of this article is to provide a critical review of the latest basic science and clinical evidence for TENS. Additional research is necessary to determine if TENS has effects specific to mechanical stimuli and/or beyond reduction of pain and will improve activity levels, function and quality of life.