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Effects of transcutaneous electrical nerve stimulation on chemotherapy-induced peripheral neuropathy symptoms (CIPN): a preliminary case-control study |
Tonezzer T, Caffaro LAM, Menon KRS, Brandini da Silva FC, Moran de Brito CM, Sarri AJ, Casarotto RA |
Journal of Physical Therapy Science 2017 Apr;29(4):685-692 |
clinical trial |
6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: Yes; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
PURPOSE: The aim of this double-blind, randomized and placebo-controlled study is to investigate the effects of transcutaneous electrical nerve stimulation for reducing the side effects of chemotherapy-induced peripheral neuropathy in cancer patients undergoing chemotherapy with oxaloplatin or paclitaxel. SUBJECTS AND METHODS: Twenty-four patients were randomly allocated into two groups: active or placebo stimulation. All patients were assessed for pain, numbness/tingiling, frequency of symptoms, and quality of life. The transcutaneous electrical nerve stimulation device was applied daily with modulating frequencies ranging between 7 Hz and 65 Hz in distal limb regions during three cycles of chemotherapy (45 days). The other stimulation parameters were: pulse duration of 200 musec, intensity at the highest tolerable level, and increases in intensity when it diminished. RESULTS: The data showed no difference between active or placebo groups in terms of pain, numbness/tingling, frequency of symptoms or impact on daily life activities. CONCLUSION: These results suggest that transcutaneous electrical nerve stimulation applied in the frequency variation mode was not proven to be effective to improve the symptoms of chemotherapy-induced peripheral neuropathy during chemotherapy cycles. There was no worsening of symptoms in subsequent cycles of the onset of symptoms of the disease.
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