Efikasi TENS untuk Mengatasi Nyeri Punggung dan Lutut dengan Penyebab Non-Spesifik: Kajian Sistematik
DOI:
https://doi.org/10.36452/jkdoktmeditek.v28i2.2334Keywords:
nyeri lutut, nyeri punggung, Transcutaneous Electrical Nerve Stimulation, Visual Analog ScaleAbstract
Nyeri muskuloskeletal menjadi masalah kesehatan utama yang menyerang para petani maupun profesi lainnya akibat beban fisik dan durasi kerja yang tinggi. Dengan keterbatasan modalitas terapi saat ini, Transcutaneous Electrical Nerve Stimulation (TENS) dapat menjadi terapi fisik yang potensial. Systematic review ini bertujuan untuk mengkaji efikasi TENS pada nyeri muskuloskeletal dengan penyebab non-spesifik di dua lokasi tubuh tersering, yaitu punggung dan lutut berdasarkan hasil Visual Analogue Scale (VAS). Pencarian studi Randomized Controlled Trial (RCT) dilakukan dengan menggunakan standardisasi Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Dari 1734 studi, diperoleh 16 studi RCT yang menilai efikasi TENS ditinjau dari nilai VAS dengan rincian 8 studi (181 pasien) pada regio lutut dan 8 studi (278 pasien) pada regio punggung. Rata-rata penurunan VAS pada regio lutut sebesar 46,50% dan regio punggung sebesar 49,81%. Penggunaan terapi TENS selama 30 menit dengan frekuensi rendah (<50 Hz) ataupun tinggi (>50 Hz) sudah dapat memberikan repons terapi. Lamanya durasi, tingginya frekuensi terapi, dan penggunaan TENS dalam bentuk kombinasi tidak sejalan dengan efikasi TENS. TENS memberikan efikasi yang baik terhadap nyeri punggung dan lutut dan memiliki keunggulan karena sifatnya yang portabel, mudah digunakan, dan murah.
References
Muhammad AA, Ahmad F, Sri ID. Does agricultural performance contribute to rural poverty reduction in Indonesia? JEJAK Journal of Economics and Policy. 2020;13(1):69-83.
Jeremy M, Allison C, Robert HB, Allison T, James M. Focus on agriculture and forestry benefits of reducing climate changes impact. Environ. Res Lett. 2017;12:1-5.
Hossein F, Mohammad HA, Amin A, Mehdi K, Amin N. Ergonomics assessment of drivers in MF285 and MF399 tractors during clutching using algometer. Information Processing in Agriculture. 2016;3(1):54-60.
Tantut S, Retno P, Emi WW. Prevalence and associated factors of health problems among Indonesian farmers. Chinese Nursing Research. 2017;4(1):31-7.
Kementerian Kesehatan Republik Indonesia. Hasil Utama Riskesdas 2018. Jakarta: Kemenkes RI; 2020.
Ari W. Ergonomic checkpoint in agriculture, postural analysis, and prevalence of work musculoskeletal symptoms among Indonesian farmers: road to safety and health in agriculture. JTI. 2018;20(1):1-10.
Dini DN, Henny AS, Arifin S, Yulia S, Hadyana S, Rully MAR. Prevalence and characteristics of low back pain among productive age population in Jatinangor. AMJ. 2016;3(3):469-76.
Luh DASK, Muliani, Yuliana. Prevalensi dan karakteristik keluhan muskuloskeletal pada petani di Desa Aan Kabupaten Klungkung tahun 2018. Bali Anatomy Journal (BAJ). 2019;2(1):18-24.
Opeyemi OB, Joanne LJ, Danielle AV, Jonathan CH, Nadine EF, Joanne P. Effective treatment options for musculoskeletal pain in primary care: A systematic overview of current evidence. PLOS ONE. 2017;12(6):1-30.
Van der Sande R, Rinkel WD, Gebremariam L, Hay EM, Koes BW, Huisstede BM. Subacromial impingement syndrome: effectiveness of pharmaceutical interventions–nonsteroidal anti-inflammatory drugs, corticosteroid, or other injections: A systematic review. Archives of Physical Medicine and Rehabilitation. 2013;94(5):961–76.
Moore RA, Derry S, Wiffen PJ, Straube S, Aldington DJ. Overview review: Comparative efficacy of oral ibuprofen and paracetamol (acetaminophen) across acute and chronic pain conditions. Eur J Pain. 2015;19(9):1213–23.
Kuijpers T, van Middelkoop M, Rubinstein SM, Ostelo R, Verhagen A, Koes BW, et al. A systematic review on the effectiveness of pharmacological interventions for chronic non-specific low-back pain. Eur Spine J. 2011;20(1):40–50.
Hutchinson AJ, Ball S, Andrews JC, Jones GG. The effectiveness of acupuncture in treating chronic non-specific low back pain: a systematic review of the literature. J Orthop Surg Res. 2012;7:36.
Lam M, Galvin R, Curry P. Effectiveness of acupuncture for nonspecific chronic low back pain: a systematic review and meta-analysis. Spine. 2013;38(24):2124–38.
Vickers AJ, Cronin AM, Maschino AC, Lewith G, MacPherson H, Foster NE, et al. Acupuncture for chronic pain: Individual patient data meta-analysis. Arch Intern Med. 2012;172(19):1444–53.
Muhammad AA, Tresya FN. Public expenditures and poverty: Evaluation of the government’s priority programs in Gorontalo province. Economic Journal of Emerging Markets. 2015;7(2):107– 19.
Dayat OA. The effect of farmer participation in agricultural extension on agribusiness sustainability in Bogor, Indonesia. International Journal of Multicultural and Multireligious Understanding. 2019;6(3):1061-72.
Johnson MI, Paley CA, Howe TE, Sluka KA. Transcutaneous electrical nerve stimulation for acute pain. Cochrane Database of Systematic Reviews. 2015;6:1-95.
Coutaux A. Non-pharmacological treatments for pain relief: TENS and acupuncture. Joint Bone Spine. 2017;84(6):657-61.
Ana LCM, Gustavo JMP, Rafael LP, Maria RT, Rachel R. Transcutaneous electrical nerve stimulation (TENS) for chronic neck pain. Cochrane Database of Systematic Reviews. 2019;12:1-73.
Sterne JAC, Savović J, Page MJ, Elbers RG, Blencowe NS, Boutron I, et al. RoB 2: a revised tool for assessing risk of bias in randomised trials. BMJ. 2019;366:489
Elbadawy MA. Effectiveness of periosteal stimulation therapy and home exercise program in the rehabilitation of patients with advanced knee osteoarthritis. Clinical Journal of Pain. 2017;33(3):254–63.
Shimoura K, Iijima H, Suzuki Y, Aoyama T. Immediate Effects of transcutaneous electrical nerve stimulation on pain and physical performance in individuals with preradiographic knee osteoarthritis: A randomized controlled trial. Archives of Physical Medicine and Rehabilitation. 2019;100(2):300-6.
Facci LM, Nowotny JP, Tormem F, Trevisani VFM. Effects of transcutaneous electrical nerve stimulation (TENS) and interferential currents (IFC) in patients with nonspecific chronic low back pain: randomized clinical trial. Sao Paulo Medical Journal. 2011;129(4):206–16.
Elserty N, Kattabei O, Elhafez H. Effect of fixed versus adjusted transcutaneous electrical nerve stimulation amplitude on chronic mechanical low back pain. Journal of Alternative and Complementary Medicine. 2016;22(7):557–62.
Bilgilisoy Filiz M, Cubukcu Firat S. Effects of physical therapy on pain, functional status, sagittal spinal alignment, and spinal mobility in chronic non-specific low back pain. Eurasian Journal of Medicine. 2019;51(1):22–6.
Atamaz FC, Durmaz B, Baydar M, Demircioglu OY, Iyiyapici A, Kuran B, et al. Comparison of the efficacy of transcutaneous electrical nerve stimulation, interferential currents, and shortwave diathermy in knee osteoarthritis: A double-blind, randomized, controlled, multicenter study. Archives of Physical Medicine and Rehabilitation. 2012;93(5):748–56.
Mascarin NC, Vancini RL, Andrade MDS, Magalhães EDP, de Lira CAB, Coimbra IB. Effects of kinesiotherapy, ultrasound and electrotherapy in management of bilateral knee osteoarthritis: Prospective clinical trial. BMC Musculoskeletal Disorders. 2012;13:182.
Vance CGT, Rakel BA, Blodgett NP, DeSantana JM, Amendola A, Zimmerman MB, et al. Effects of transcutaneous electrical nerve stimulation on pain, pain sensitivity, and function in people with knee osteoarthritis: A randomized controlled trial. Physical Therapy. 2012;92(7):898–910.
Son SJ, Kim H, Seeley MK, Hopkins JT. Efficacy of sensory transcutaneous electrical nerve stimulation on perceived pain and gait patterns in individuals with experimental knee pain. Archives of Physical Medicine and Rehabilitation. 2017;98(1):25–35.
Maeda T, Yoshida H, Sasaki T, Oda A. Does transcutaneous electrical nerve stimulation (TENS) simultaneously combined with local heat and cold applications enhance pain relief compared with TENS alone in patients with knee osteoarthritis? Journal of Physical Therapy Science. 2017;29(10):1860–4.
Iijima H, Eguchi R, Shimoura K, Yamada K, Aoyama T, Takahashi M. Transcutaneous electrical nerve stimulation improves stair climbing capacity in people with knee osteoarthritis. Scientific Reports. 2020;10(1):1–9.
Ratajczak B, Hawrylak A, Demidaś A, Kuciel-Lewandowska J, Boerner E. Effectiveness of diadynamic currents and transcutaneous electrical nerve stimulation in disc disease lumbar part of spine. Journal of Back and Musculoskeletal Rehabilitation. 2011;24(3):155–9.
Ramos LAV, Callegari B, França FJR, Magalhães MO, Burke TN, Carvalho e Silva AP de MC, et al. Comparison between transcutaneous electrical nerve stimulation and stabilization exercises in fatigue and transversus abdominis activation in patients with lumbar disk herniation: A randomized study. Journal of Manipulative and Physiological Therapeutics. 2018;41(4):323–31.
Sahin N, Karahan AY, Albayrak I. Effectiveness of physical therapy and exercise on pain and functional status in patients with chronic low back pain: A randomized-controlled trial. Turkish Journal of Physical Medicine and Rehabilitation. 2018;64(1):52–8.
Ozkaraoglu DK, Tarakci D, Algun ZC. Comparison of two different electrotherapy methods in low back pain treatment. Journal of Back and Musculoskeletal Rehabilitation. 2020;33(2):193–9.
Leemans L, Elma Ö, Nijs J, Wideman TH, Siffain C, den Bandt H, et al. Transcutaneous electrical nerve stimulation and heat to reduce pain in a chronic low back pain population: a randomized controlled clinical trial. Brazilian Journal of Physical Therapy. 2020;1–11.
Delgado DA, Lambert BS, Boutris N, McCulloch PC, Robbins AB, Moreno MR, et al. Validation of digital visual analog scale pain scoring with a traditional paper-based visual analog scale in adults. JAAOS: Global Research and Reviews. 2018;2(3):88.
Vance CGT, Dailey DL, Rakel BA, Sluka KA. Using TENS for pain control: the state of the evidence. Pain management. 2014;4(3):197–209.
Liebano RE, Rakel B, Vance CGT, Walsh DM, Sluka KA. An investigation of the development of analgesic tolerance to TENS in humans. Pain. 2011;152(2):335–42.
Carol GTV, Dana LD, Barbara AR, Kathleen AS. Using TENS for pain control: the state of the evidence. Pain Management. 2014;4(3):197–209.
Melzack R, Wall PD. Pain mechanisms: a new theory. Science. 1965;150(3699):971-9.
National Health Service. TENS (transcutaneous electrical nerve stimulation) [web page on the Internet]. 2018. [cited 2020 June 5]. Available from https://www.nhs.uk/conditions/transcutaneous-electrical-nerve-stimulation-tens/
Schmidt RF, Willis WD. Encyclopedia of Pain. Heidelberg: Springer; 2007.
Emilio JP, Timothy F. Combining manual therapy with pain neuroscience education in the treatment of chronic low back pain: A narrative review of the literature. Phisiotherapy Theory and Practice. 2016;32(5):408-14.
Lars AN, Ce ‘sar FN, Thomas GN. Basic aspects of musculoskeletal pain: from acute to chronic pain. Journal of Manual and Manipulative Therapy. 2011;19(4):186-93.
Amarins JW, Paul VW, Mira M, Jo N. Clinical biopsychosocial physiotherapy assessment of patients with chronic pain: The first step in pain neuroscience education. Physiotherapy Theory and Practice. 2016;32(5):368–84.
Adriaan L, Kory Z, Emilio JP, Ina D. The efficacy of pain neuroscience education on musculoskeletal pain: A systematic review of the literature. Physiotherapy Theory and Practice. 2016;32(5):332-55.
Gallagher L, McAuley JH, Moseley GL. A randomized controlled trial of using a book of metaphors to reconceptualize pain and decreass catastrophizing in people with chronic pain. Clinical Journal of Pain. 2013;29:20–5.
Boya N, Garry RS, Irma RD, Christoph G. Strengthening rehabilitation services in Indonesia: a brief situation analysis. J Rehabil Med. 2018;50:377-82.
Woods B, Manca A, Weatherly H, Saramago P, Sideris E, Giannopoulou C, et al. Cost-effectiveness of adjunct non-pharmacological interventions for osteoarthritis of the knee. PLoS ONE. 2017;12(3):1–18.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Putu Nandika Tungga Yudanti Mahardani, Komang Diah Kurnia Kesumaputri, Visakha Karuna Wijaya, Dyah Kanya Wati
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
