Electrocortical Analysis of Patients with Intercostobrachial Pain Treated with TENS after Breast Cancer Surgery
Identifieur interne : 004115 ( Pmc/Curation ); précédent : 004114; suivant : 004116Electrocortical Analysis of Patients with Intercostobrachial Pain Treated with TENS after Breast Cancer Surgery
Auteurs : Julio Guilherme Silva ; Camila Gonçalves Santana ; Kelly Rosane Inocêncio ; Marco Orsini ; Sergio Machado ; Anke BergmannSource :
- Journal of Physical Therapy Science [ 0915-5287 ] ; 2014.
Abstract
[Purpose] Among the physical therapeutic procedures to decrease pain, there is transcutaneous electrical neural stimulation (TENS). There is no consensus about its efficacy for oncological patients, especially for post-mastectomy pain and eletrocortical changes in somatosensory areas. The aim of this study was to analyze acute electrocortical changes after TENS treatment of patients with intercostobrachial post mastectomy pain. [Subjects] Eighteen patients were divided into acupuncture (A) and burst (B) group. [Methods] In this pre and post-intervention study each group was measured for EEG analysis in absulte power in alpha band (8–14 Hz). Outcomes variables were the alpha waveband in the sensorymotor cortex and pain pre-and-post TENS intervention. Data were analyzed using ANOVA to compare times (rest, 10 and 15 min), group and electrodes. Pain was analyzed using percentual pain evaluation (PPE) in both groups. [Results] Outcomes indicate main effects of time and electrodes because of slow (8–10 Hz) and fast alpha (10–12 Hz) wavebands decreased. PPE reduced 88.4% in A and 66.3% in G. [Conclusion] TENS promoted electrical modification in the parietal region and a decrease in pain. Future studies should investigate other wave must be proposed for other bands and use different methods of EEG analysis to elucidate the actual mechanisms behind the efficacy of TENS treatment.
Url:
DOI: 10.1589/jpts.26.349
PubMed: 24707082
PubMed Central: 3976001
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<author><name sortKey="Silva, Julio Guilherme" sort="Silva, Julio Guilherme" uniqKey="Silva J" first="Julio Guilherme" last="Silva">Julio Guilherme Silva</name>
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<author><name sortKey="Silva, Julio Guilherme" sort="Silva, Julio Guilherme" uniqKey="Silva J" first="Julio Guilherme" last="Silva">Julio Guilherme Silva</name>
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<front><div type="abstract" xml:lang="en"><p> [Purpose] Among the physical therapeutic procedures to decrease pain, there is
transcutaneous electrical neural stimulation (TENS). There is no consensus about its
efficacy for oncological patients, especially for post-mastectomy pain and eletrocortical
changes in somatosensory areas. The aim of this study was to analyze acute electrocortical
changes after TENS treatment of patients with intercostobrachial post mastectomy pain.
[Subjects] Eighteen patients were divided into acupuncture (A) and burst (B) group.
[Methods] In this pre and post-intervention study each group was measured for EEG analysis
in absulte power in alpha band (8–14 Hz). Outcomes variables were the alpha waveband in
the sensorymotor cortex and pain pre-and-post TENS intervention. Data were analyzed using
ANOVA to compare times (rest, 10 and 15 min), group and electrodes. Pain was analyzed
using percentual pain evaluation (PPE) in both groups. [Results] Outcomes indicate main
effects of time and electrodes because of slow (8–10 Hz) and fast alpha (10–12 Hz)
wavebands decreased. PPE reduced 88.4% in A and 66.3% in G. [Conclusion] TENS promoted
electrical modification in the parietal region and a decrease in pain. Future studies
should investigate other wave must be proposed for other bands and use different methods
of EEG analysis to elucidate the actual mechanisms behind the efficacy of TENS
treatment.</p>
</div>
</front>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Phys Ther Sci</journal-id>
<journal-id journal-id-type="iso-abbrev">J Phys Ther Sci</journal-id>
<journal-id journal-id-type="publisher-id">JPTS</journal-id>
<journal-title-group><journal-title>Journal of Physical Therapy Science</journal-title>
</journal-title-group>
<issn pub-type="ppub">0915-5287</issn>
<issn pub-type="epub">2187-5626</issn>
<publisher><publisher-name>The Society of Physical Therapy Science</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">24707082</article-id>
<article-id pub-id-type="pmc">3976001</article-id>
<article-id pub-id-type="publisher-id">jpts-2013-381</article-id>
<article-id pub-id-type="doi">10.1589/jpts.26.349</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original</subject>
</subj-group>
</article-categories>
<title-group><article-title>Electrocortical Analysis of Patients with Intercostobrachial Pain Treated
with TENS after Breast Cancer Surgery</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Silva</surname>
<given-names>Julio Guilherme</given-names>
</name>
<degrees>PhD, PT</degrees>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
</xref>
<xref rid="cor1" ref-type="corresp"><sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Santana</surname>
<given-names>Camila Gonçalves</given-names>
</name>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Inocêncio</surname>
<given-names>Kelly Rosane</given-names>
</name>
<xref ref-type="aff" rid="aff3"><sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Orsini</surname>
<given-names>Marco</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Machado</surname>
<given-names>Sergio</given-names>
</name>
<xref ref-type="aff" rid="aff4"><sup>4</sup>
</xref>
<xref ref-type="aff" rid="aff5"><sup>5</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bergmann</surname>
<given-names>Anke</given-names>
</name>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff6"><sup>6</sup>
</xref>
</contrib>
<aff id="aff1"><label>1)</label>
Department of Physical Therapy, Federal University of Rio de Janeiro (UFRJ), Brazil</aff>
<aff id="aff2"><label>2)</label>
Rehabilitation Science Masters Program, Augusto Motta University Center (UNISUAM), Brazil</aff>
<aff id="aff3"><label>3)</label>
Municipal Rehabilitation Center (CMR), Department of Physical Therapy in Oncology, Brazil</aff>
<aff id="aff4"><label>4)</label>
Panic and Respiration Laboratory, Institute of Psychiatry, Federal University of Rio de Janeiro (UFRJ), Brazil</aff>
<aff id="aff5"><label>5)</label>
Quiropraxia Program, Central University, Chile</aff>
<aff id="aff6"><label>6)</label>
National Cancer Institute (INCA), Brazil</aff>
</contrib-group>
<author-notes><corresp id="cor1"><label>*</label>
Corresponding author. Julio Guilherme Silva, Rehabilitation Science Masters Program, Augusto Motta
University Center (UNISUAM): Praça das Nações, n° 34 − 3° andar. Bonsucesso, Rio de
Janeiro, CEP 21.041-021, Brazil. (E-mail:
<email xlink:href="jglsilva@yahoo.com.br">jglsilva@yahoo.com.br</email>
)</corresp>
</author-notes>
<pub-date pub-type="epub"><day>25</day>
<month>3</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="ppub"><month>3</month>
<year>2014</year>
</pub-date>
<volume>26</volume>
<issue>3</issue>
<fpage>349</fpage>
<lpage>353</lpage>
<history><date date-type="received"><day>13</day>
<month>8</month>
<year>2013</year>
</date>
<date date-type="accepted"><day>22</day>
<month>9</month>
<year>2013</year>
</date>
</history>
<permissions><copyright-statement>2014©by the Society of Physical Therapy Science</copyright-statement>
<copyright-year>2014</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-nd/3.0/"><license-p>This is an open-access article distributed under the terms of the Creative
Commons Attribution Non-Commercial No Derivatives (by-nc-nd) License. </license-p>
</license>
</permissions>
<abstract><p> [Purpose] Among the physical therapeutic procedures to decrease pain, there is
transcutaneous electrical neural stimulation (TENS). There is no consensus about its
efficacy for oncological patients, especially for post-mastectomy pain and eletrocortical
changes in somatosensory areas. The aim of this study was to analyze acute electrocortical
changes after TENS treatment of patients with intercostobrachial post mastectomy pain.
[Subjects] Eighteen patients were divided into acupuncture (A) and burst (B) group.
[Methods] In this pre and post-intervention study each group was measured for EEG analysis
in absulte power in alpha band (8–14 Hz). Outcomes variables were the alpha waveband in
the sensorymotor cortex and pain pre-and-post TENS intervention. Data were analyzed using
ANOVA to compare times (rest, 10 and 15 min), group and electrodes. Pain was analyzed
using percentual pain evaluation (PPE) in both groups. [Results] Outcomes indicate main
effects of time and electrodes because of slow (8–10 Hz) and fast alpha (10–12 Hz)
wavebands decreased. PPE reduced 88.4% in A and 66.3% in G. [Conclusion] TENS promoted
electrical modification in the parietal region and a decrease in pain. Future studies
should investigate other wave must be proposed for other bands and use different methods
of EEG analysis to elucidate the actual mechanisms behind the efficacy of TENS
treatment.</p>
</abstract>
<kwd-group><title>Key words</title>
<kwd>Transcutaneous electric nerve stimulation</kwd>
<kwd>Mastectomy</kwd>
<kwd>Electroencephalography</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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