Transcutaneous Electrical Nerve Stimulation in the pain of cancer patients in palliative care: an integrative review

Authors

DOI:

https://doi.org/10.33448/rsd-v11i17.39190

Keywords:

Transcutaneous Electrical Nerve Stimulation; Neoplasms; Cancer pain; Palliative care.

Abstract

To present the effects and protocols of Transcutaneous Electrical Nerve Stimulation (TENS) on cancer pain in patients undergoing palliative care. This is an integrative literature review, with a bibliographic survey carried out in May and June 2022. The sample for this review consisted of four studies, one of which was found on Scopus database, two on PubMed and one on Embase. The included studies presented TENS as a physiotherapeutic resource for pain relief, safe, non-invasive and low cost, which had few adverse effects and enabled a reduction in the use of analgesic medications. There was variation in their application protocols and therapy time. The scarcity of studies found on the subject is highlighted, a scenario that reflects the need for research that focuses on pain relief, care and attention to cancer patients in palliative care.

Author Biographies

Júlia Maria Vergani Fanan, Hospital do Amor de Barretos

Fisioterapeuta. Doutoranda do Programa de Pós-Graduação stricto sensu em Atenção à Saúde/PPGAS da Universidade Federal do Triângulo Mineiro - UFTM.

Sara Alves Venâncio, Universidade Federal do Triângulo Mineiro

Enfermeira. Mestranda do Programa de Pós-Graduação stricto sensu em Atenção à Saúde/PPGAS da Universidade Federal do Triângulo Mineiro - UFTM 

Adriana da Silva Martins Ferreira, Hospital de Amor de Barretos - Fundação Pio XII

Fisioterapeuta do Hospital de Amor de Barretos - São Paulo

References

Instituto Nacional de Cancer. 2019. Estimativa 2020: incidência de câncer no Brasil: INCA, 2019. Rio de Janeiro. https://www.inca.gov.br/publicacoes/livros/estimativa-2020-incidencia-de-cancer-no-brasil.

Instituto Nacional de Cancer. 2001. Cuidados paliativos oncológicos: controle da dor [Internet]. Rio de Janeiro. <http://www1.inca.gov.br/publicacoes/manual_dor.pdf. Acesso em 3 de maio de 2023.

Bray, F., Jemal, A., Grey, N., Ferlay, J., & Forman, D. (2012). Global cancer transitions according to the Human Development Index (2008-2030): a population-based study. The Lancet. Oncology, 13(8), 790–801. https://doi.org/10.1016/S1470-2045(12)70211-5.

Brown, L., Tabasam, G., Bjordal, J. M., & Johnson, M. I. (2007). An investigation into the effect of electrode placement of transcutaneous electrical nerve stimulation (TENS) on experimentally induced ischemic pain in healthy human participants. The Clinical journal of pain, 23(9), 735–743. https://doi.org/10.1097/AJP.0b013e31814b86a9.

Calou, I. B. F., Duarte, B. P. E. M., & Cavalcante, A. A. (2021). Estudo comparativo dos efeitos das correntes aussie, interferencial e estimulação elétrica nervosa transcutânea (tens) no tratamento da lombalgia crônica. Revista Interfaces, 10 (1), 1260-1263.

Caraceni, A., Hanks, G., Kaasa, S., Bennett, M. I., Brunelli, C., Cherny, N., Dale, O., De Conno, F., Fallon, M., Hanna, M., Haugen, D. F., Juhl, G., King, S., Klepstad, P., Laugsand, E. A., Maltoni, M., Mercadante, S., Nabal, M., Pigni, A., Radbruch, L., … European Association for Palliative Care (EAPC) (2012). Use of opioid analgesics in the treatment of cancer pain: evidence-based recommendations from the EAPC. The Lancet. Oncology, 13(2), e58–e68. https://doi.org/10.1016/S1470-2045(12)70040-2.

Carvalho, C. P., Tomaz, S. S. S., Wilchez, C. M., Biaggi, A. C., Lunardi, C., Carniel, C. F., Castiglione, & M., Estevão, A. (2021). Estimulação elétrica nervosa transcutânea (TENS) em pacientes oncológicos: Uma revisão integrativa. Brazilian Journal of Health Review,.4(5), 22440-22454.

Dailey, D. L., Vance, C. G. T., Rakel, B. A., Zimmerman, M. B., Embree, J., Merriwether, E. N., Geasland, K. M., Chimenti, R., Williams, J. M., Golchha, M., Crofford, L. J., & Sluka, K. A. (2020). Transcutaneous Electrical Nerve Stimulation Reduces Movement-Evoked Pain and Fatigue: A Randomized, Controlled Trial. Arthritis & rheumatology (Hoboken, N.J.), 72(5), 824–836. https://doi.org/10.1002/art.41170.

Ferreira, P. M., Souza, T. C., Freitas, P. S., Bressan, V. R., Silva, L. J. A., & Terra, F. S. (2021). Uso das práticas integrativas e complementares pela enfermagem em pessoas com câncer: revisão integrativa. Brazilian Journal of Health Review, 4(1), 1841-1858.

Fiorelli, A., Morgillo, F., Milione, R., Pace, M. C., Passavanti, M. B., Laperuta, P., Aurilio, C., & Santini, M. (2012). Control of post-thoracotomy pain by transcutaneous electrical nerve stimulation: effect on serum cytokine levels, visual analogue scale, pulmonary function and medication. European journal of cardio-thoracic surgery: official journal of the European Association for Cardio-thoracic Surgery, 41(4), 861–868. https://doi.org/10.1093/ejcts/ezr108.

Franklin, A. E., & Lovell, M. R. (2019). Dor e tratamento da dor. In: MacLeod, R. D., Van den Block L. (Eds.) Livro de cuidados paliativos. (pp. 149-177). Cham, Suiça: Springer Nature Switzerland, A.G.

Hurlow, A., Bennett, M. I., Robb, K. A., Johnson, M. I., Simpson, K. H., & Oxberry, S. G. (2012). Transcutaneous electric nerve stimulation (TENS) for cancer pain in adults. The Cochrane database of systematic reviews, 2012(3), CD006276. https://doi.org/10.1002/14651858.CD006276.pub3.

International Association for the Study of the Pain [2021]. Washington: IASP; c2021. Terminology: pain terms and definitions; https://www.iasp-pain.org/resources/terminology/%23pain. Acesso: 15 de maio de 2022.

Jadad, A. R., Moore, R. A., Carroll, D., Jenkinson, C., Reynolds, D. J., Gavaghan, D. J., & McQuay, H. J. (1996). Assessing the quality of reports of randomized clinical trials: is blinding necessary?. Controlled clinical trials, 17(1), 1–12. https://doi.org/10.1016/0197-2456(95)00134-4.

Johnson, M. I., Paley, C. A., Howe, T. E., & Sluka, K. A. (2015). Transcutaneous electrical nerve stimulation for acute pain. The Cochrane database of systematic reviews, 2015(6), CD006142. https://doi.org/10.1002/14651858.CD006142.pub3.

Johnson, M. I. (2012). Transcutaneous electrical nerve stimulation (TENS). Revista Wilry 1, 259-282.

Lee, J. E., Anderson, C. M., Perkhounkova, Y., Sleeuwenhoek, B. M., & Louison, R. R. (2019). Transcutaneous Electrical Nerve Stimulation Reduces Resting Pain in Head and Neck Cancer Patients: A Randomized and Placebo-Controlled Double-Blind Pilot Study. Cancer nursing, 42(3), 218–228. https://doi.org/10.1097/NCC.0000000000000594.

Liebano, R. E., Rakel, B., Vance, C. G. T., Walsh, D. M., & Sluka, K. A. (2011). An investigation of the development of analgesic tolerance to TENS in humans. Pain, 152(2), 335–342. https://doi.org/10.1016/j.pain.2010.10.040.

Mendes, T., R., Boaventura, R., P., Castro, M., C., Mendonça, A., O. (2014). Ocorrência da dor nos pacientes oncológicos em cuidado paliativo. Acta Paulista de Enfermagem, 27, (4). https://doi.org/10.1590/1982-0194201400059.

Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & PRISMA Group (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS medicine, 6(7), e1000097. https://doi.org/10.1371/journal.pmed.1000097.

Moran, F., Leonard, T., Hawthorne, S., Hughes, C. M., McCrum-Gardner, E., Johnson, M. I., Rakel, B. A., Sluka, K. A., & Walsh, D. M. (2011). Hypoalgesia in response to transcutaneous electrical nerve stimulation (TENS) depends on stimulation intensity. The journal of pain, 12(8), 929–935. https://doi.org/10.1016/j.jpain.2011.02.352.

Panzini, R. G., Mosqueiro, B. P., Zimpel, R. R., Bandeira, D. R., Rocha, N. S., & Fleck, M. P. (2017). Quality-of-life and spirituality. International review of psychiatry (Abingdon, England), 29(3), 263–282. https://doi.org/10.1080/09540261.2017.1285553.

Rangel, O., & Telles C. (2012). Tratamento da dor oncológica em cuidados paliativos. Rev Hosp Universit Pedro Ernesto, 11, 32-37.

Santos, C., M., C., Pimenta, C., A., M., N., & Nobre, M., R., C. (2007). The PICO strategy for the research question construction and evidence search. Revista Latino-Americana de Enfermagem, 15, (3), 508-511. https://doi.org/10.1590/S0104-11692007000300023.

Sluka, K. A., Bjordal, J. M., Marchand, S., & Rakel, B. A. (2013). What makes transcutaneous electrical nerve stimulation work? Making sense of the mixed results in the clinical literature. Physical therapy, 93(10), 1397–1402. https://doi.org/10.2522/ptj.20120281.

Sluka, K. A., & Walsh, D. (2003). Transcutaneous electrical nerve stimulation: basic science mechanisms and clinical effectiveness. The journal of pain, 4(3), 109–121. https://doi.org/10.1054/jpai.2003.434.

Souza, M. T., Silva, M. D., & Carvalho, R. (2010). Revisão Integrativa: o que é e como fazer? Einstein, 8 (1), 102-106.

Tavares, A. T. de A., Anjos , T. S. dos ., Oliveira , S. S. de ., Andrade, E. de A. ., Silva, G. K. R. da ., Silva , V. A. A. da ., & Ferreira, L. L. . (2021). Manejo da dor oncológica pela equipe de enfermagem. Research, Society and Development, 10(11), e472101119854. https://doi.org/10.33448/rsd-v10i11.19854.

Vance, C. G., Dailey, D. L., Rakel, B. A., & Sluka, K. A. (2014). Using TENS for pain control: the state of the evidence. Pain management, 4(3), 197–209. https://doi.org/10.2217/pmt.14.13.

Vance, C. G. T., Zimmerman, M. B., Dailey, D. L., Rakel, B. A., Geasland, K. M., Chimenti, R. L., Williams, J. M., Golchha, M., Crofford, L. J., & Sluka, K. A. (2021). Reduction in movement-evoked pain and fatigue during initial 30-minute transcutaneous electrical nerve stimulation treatment predicts transcutaneous electrical nerve stimulation responders in women with fibromyalgia. Pain, 162(5), 1545–1555. https://doi.org/10.1097/j.pain.0000000000002144.

Yamada, M., Matsumura, C., Jimaru, Y., Ueno, R., Takahashi, K., & Yano, Y. (2018). Effect of Continuous Pharmacist Interventions on Pain Control and Side Effect Management in Outpatients with Cancer Receiving Opioid Treatments. Biological & pharmaceutical bulletin, 41(6), 858–863. https://doi.org/10.1248/bpb.b17-00749.

Waterkemper, R., Reibnitz, K., S. (2010). Cuidados paliativos: a avaliação da dor na percepção de enfermeiras. Rev Gaúcha Enferm, 31, (1) 84-91.

Worldwide Palliative Care Alliance. 2014. Global atlas of palliative care at the end of life. http://www.thewhpca.org/ resources/global-atlas-on-end-of-life-care.

Published

27/12/2022

How to Cite

FANAN, J. M. V. .; VENÂNCIO, S. A. .; FERREIRA, A. da S. M. .; BARICHELLO, E. Transcutaneous Electrical Nerve Stimulation in the pain of cancer patients in palliative care: an integrative review. Research, Society and Development, [S. l.], v. 11, n. 17, p. e271111739190, 2022. DOI: 10.33448/rsd-v11i17.39190. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/39190. Acesso em: 26 apr. 2024.

Issue

Section

Review Article