Hi Ester, I share the opinion of Wendy and Estherderu and others. In my 33 years of practice, reading and teaching I’ve came across of similar fights.
Lat me add some thoughts to this issue:
1 – EBP is not to obey rules, EBP is to obey to reasoning. So one must read and ratiocinate on the the APA document.
2 – Brushing the opinion of professionals and patients, and only “read the articles”, is brushing reasoning and brushing EBP (PICO)!
3 – The APA recommendation is sported, I presume, by, at least, this 2 articles:
Transcutaneous electrical nerve stimulation (TENS) versus placebo for chronic low-back pain. (Cochrane)
Assessment: efficacy of transcutaneous electric nerve stimulation in the treatment of pain in neurologic disorders (an evidence-based review): report of the Therapeutics and Technology Assessment Subcommittee of the American
If you (they) read them to is very end, you (them) can find these recommendations from the authors: “Further research is encouraged” and “Further research into the mechanism of action of TENS is needed, as well as more rigorous studies for determination of efficacy.”, respectively.
So, how can we do further research if the technic is “banned”? No reasoning no EBP!!!!
4 – in accordance to your request some recent publications on this matter:
Short-term effects of interferential current electro-massage in adults with chronic non-specific low back pain: a randomized controlled trial. (https://www.ncbi.nlm.nih.gov/pubmed/23035006)
Effects of transcutaneous electrical nerve stimulation (TENS) and interferential currents (IFC) in patients with nonspecific chronic low back pain: randomized clinical trial. (https://www.ncbi.nlm.nih.gov/pubmed/21971895)
[Comparison of the analgesic effect of interferential current (IFC) and TENS in patients with low back pain]. (https://www.ncbi.nlm.nih.gov/pubmed/26094328)
Effect of interferential current therapy on pain perception and disability level in subjects with chronic low back pain: a randomized controlled trial. (https://www.ncbi.nlm.nih.gov/pubmed/26975312)
Be patient with them and, with my English writing . :-)
Last updated 4 years ago