| Maciel et al.1010 Maciel LF, Ferreira JJ, Santos HH, Andrade PR. Efeitos da estimulação elétrica nervosa transcutânea e da crioterapia sobre o limiar de dor induzida por pressão. Fisioter Pesq. 2014;21(3):249-56.
|
Cross-sectional study with quasi-experimental design |
Evaluate the effects of the isolated and combined application of the TENS and the cryotherapy on the pressure-induced pain threshold in healthy subjects. |
40 healthy volunteers, 20 men, and 20 women. Divided into 4 groups: Cryotherapy, TENS and CryoTENS, and Placebo |
All subjects were submitted to interventions, on alternate days, to the three protocols. |
The study showed that the cryotherapy, TENS, and CryoTENS techniques were effective in the pain threshold. However, the cryotherapy stood out as having the most prolonged analgesic effect. |
Abreu, Santos and
Ventura1111 Abreu, EA, Santos JD, Ventura PL. Eficácia analgésica da associação da eletroestimulação nervosa transcutânea e crioterapia na lombalgia crônica. Rev Dor. 2011;12(1):23-8.
|
Clinical trial |
Evaluate the analgesic effectiveness of using TENS and cryotherapy individually and combined to relieve chronic low back pain. |
6 patients with chronic back pain. Divided into 3 groups: cryotherapy, TENS, and TENS + cryotherapy. |
Five days of attendance with the analgesic technique being applied for 20 minutes. |
The three modalities of therapy used were effective in the relief of the back pain. The combined therapy did not have a significantly higher effect than the others. |
| Ribeiro, Monteiro and Abdon1212 Ribeiro RS, Monteiro TV, Abdon AP. Estudo do efeito da utilização simultânea da crioterapia e da TENS nos pacientes portadores de lombalgia. Rev Ter Man. 2006;4(16):82-7.
|
Prospective experimental study |
Verify the effect of cryotherapy and TENS simultaneously in the low back pain treatment. |
12 patients of the female sex and with low back pain diagnosis. Divided into groups as group A (TENS), group B (cryotherapy) and group C (CryoTENS). |
Eight attendances, on two days of the week, applying 30 minutes of isolated or combined therapies followed by stretching. |
The results suggest that the use of the TENS and cryotherapy together did not leverage the effects already obtained with the isolated application of these resources. |
| Santuzzi et al.131 Teixeira MJ, Marcon RM, Rocha RO. Epidemiologia da dor. In: Teixeira MJ, Figueiró JAB. Dor: epidemiologia, fisiopatologia, avaliação, síndromes dolorosas e tratamento. São Paulo: Editorial Moreira Júnior; 2001. 1-7p.
|
Experimental trial |
Evaluate the effects of the TENS and cryotherapy, used isolated or combined, on the frequency of the action potentials of the femoral nerve. |
9 Wistar rats, with body weight between 300 and 350 g, divided into 3 groups: submitted to TENS, cryotherapy, and combined therapy applications. |
TENS (50Hz, 10mÅ) for five minutes, isolated
CRYO and combined therapy (AT) for 10 minutes. |
The combination of the non-invasive analgesic modalities CRYO and TENS significantly alleviates the effects produced by the TENS separately on the femoral nerve electrical activity (FNA) of the anesthetized rats. |
| Macedo et al.1515 Macedo LB, Josué AM, Maia PH, Câmara AE, Brasileiro JS. Effect of burst TENS and conventional TENS combined with cryotherapy on pressure pain threshold: randomised, controlled, clinical trial. Physiotherapy. 2015;101(2):155-60.
|
Randomized controlled trial |
Evaluate the immediate effect of the conventional TENS combined to cryotherapy in the threshold of pain and tolerance on healthy individuals. |
112 healthy women. The volunteers were divided into seven groups: control, placebo TENS, conventional TENS, burst-mode TENS, cryotherapy, cryotherapy with burst-mode TENS, and cryotherapy with conventional TENS. |
Single-intervention for data collection. |
The results suggest optimization of the analgesic effect with the use of the burst-mode TENS combined to cryotherapy. The same did not take place when combined with the conventional TENS. |
| Farias et al.22 Farias RS, Melo RS, Machado YF, Lima FM, Andrade PR. O uso da tens, crioterapia e criotens na resolução da dor. Rev Bras Ciênc Saúde. 2010;14(1):27-36.
|
Descriptive observational case series study |
To compare the analgesic effect of the TENS, cryotherapy, and CryoTENS on healthy people. |
13 healthy volunteers of the female gender aged between 16 and 20. The three analgesic techniques were used in each volunteer: TENS, cryotherapy, analgesia. |
Single intervention for data collection held from September to October 2007. |
The superiority of the CryoTENS against the cryotherapy and TENS was not observed on the pain threshold, and the three techniques are equally effective to relieve the pain in healthy people. |
