Comparing the effect of transcutaneous electrical nerve stimulation and massage therapy on post laparoscopic shoulder pain: a randomized clinical trial.

Laparoscopic cholecystectomy Massage therapy Shoulder pain Transcutaneous electrical nerve stimulation (TENS)

Journal

BMC musculoskeletal disorders
ISSN: 1471-2474
Titre abrégé: BMC Musculoskelet Disord
Pays: England
ID NLM: 100968565

Informations de publication

Date de publication:
28 Sep 2023
Historique:
received: 26 04 2023
accepted: 22 09 2023
medline: 4 10 2023
pubmed: 28 9 2023
entrez: 27 9 2023
Statut: epublish

Résumé

Shoulder pain is a common clinical problem after laparoscopic surgeries. The use of non-pharmacological massage and transcutaneous electrical nerve stimulation (TENS) as an adjunct to routine treatment is increasing to provide optimal pain relief. Therefore, we aimed to determine the effect of TENS and massage therapy on post laparoscopic shoulder pain (PLSP). This study was conducted on 138 patients who underwent laparoscopic cholecystectomy. Patients were randomly divided into three groups: massage plus conventional pharmacological treatment (n = 46), TENS plus conventional pharmacological treatment (n = 46), and conventional pharmacological treatment (n = 46). Massage and TENS were performed three consecutive times after the patients regained consciousness in the inpatient wards. The intensity of Shoulder pain was evaluated using a visual analog scale before and 20 min after each treatment. Both massage therapy and TENS led to a significant reduction in the intensity of PLPS compared to the control group in all three measured times (p < 0.001). However, no significant difference was observed between TENS and massage at any of the three-time points. This study's findings demonstrated that massage and TENS techniques could reduce PLSP. Registered in the Iranian registry of clinical trials ( www.irct.ir ) in 05/02/2022 with the following code: IRCT20200206046395N1.

Sections du résumé

BACKGROUND BACKGROUND
Shoulder pain is a common clinical problem after laparoscopic surgeries. The use of non-pharmacological massage and transcutaneous electrical nerve stimulation (TENS) as an adjunct to routine treatment is increasing to provide optimal pain relief. Therefore, we aimed to determine the effect of TENS and massage therapy on post laparoscopic shoulder pain (PLSP).
METHODS METHODS
This study was conducted on 138 patients who underwent laparoscopic cholecystectomy. Patients were randomly divided into three groups: massage plus conventional pharmacological treatment (n = 46), TENS plus conventional pharmacological treatment (n = 46), and conventional pharmacological treatment (n = 46). Massage and TENS were performed three consecutive times after the patients regained consciousness in the inpatient wards. The intensity of Shoulder pain was evaluated using a visual analog scale before and 20 min after each treatment.
RESULTS RESULTS
Both massage therapy and TENS led to a significant reduction in the intensity of PLPS compared to the control group in all three measured times (p < 0.001). However, no significant difference was observed between TENS and massage at any of the three-time points.
CONCLUSIONS CONCLUSIONS
This study's findings demonstrated that massage and TENS techniques could reduce PLSP.
TRIAL REGISTRATION BACKGROUND
Registered in the Iranian registry of clinical trials ( www.irct.ir ) in 05/02/2022 with the following code: IRCT20200206046395N1.

Identifiants

pubmed: 37759246
doi: 10.1186/s12891-023-06905-w
pii: 10.1186/s12891-023-06905-w
pmc: PMC10537143
doi:

Types de publication

Randomized Controlled Trial Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

764

Subventions

Organisme : This study was financially supported by the Vice-Chancellor of Research at Kermanshah University of Medical Sciences.
ID : 123-123
Organisme : This study was financially supported by the Vice-Chancellor of Research at Kermanshah University of Medical Sciences.
ID : 123-123
Organisme : This study was financially supported by the Vice-Chancellor of Research at Kermanshah University of Medical Sciences.
ID : 123-123
Organisme : This study was financially supported by the Vice-Chancellor of Research at Kermanshah University of Medical Sciences.
ID : 123-123
Organisme : This study was financially supported by the Vice-Chancellor of Research at Kermanshah University of Medical Sciences.
ID : 123-123

Informations de copyright

© 2023. BioMed Central Ltd., part of Springer Nature.

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Auteurs

Mobin Mottahedi (M)

Department of Operating Room, School of Paramedical, Kermanshah University of Medical Sciences, Kermanshah, Iran.

MohammadBagher Shamsi (M)

Department of Physiotherapy, School of Rehabilitation Sciences, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Samira Fatahi Babani (SF)

Department of Operating Room, School of Paramedical, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Shahrbanoo Goli (S)

Department of Epidemiology, School of Public Health, Shahroud University of Medical Sciences, Shahroud, Iran.

Parisa Rizevandi (P)

Department of Operating Room, School of Paramedical Sciences, Kermanshah University of Medical Sciences, Kermanshah, Iran. parisa335335@gmail.com.

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