Effects of Transcutaneous Electrical Nervous Stimulation (TENS) on Dysphonic Patients: A Systematic Review Study
Abstract
:1. Background
2. Materials and Methods
2.1. Study Design and Research Strategies
2.2. Eligibility Criteria and Data Extraction
2.3. Methodological Evaluation
Study | Title | Sample | Age | Gender | Study Type |
---|---|---|---|---|---|
[7] | Effects of laryngeal manual therapy (LMT) and transcutaneous electrical nerve stimulation (TENS) in vocal folds diadochokinesis of dysphonic women: a randomized clinical trial | Women with bilateral vocal nodules participated | 18–45 | 20 Female | Randomized clinical trial |
[1] | Effect of Vocal Therapy Associated with TENS in Women with Behavioral Dysphonia | Women with behavioral dysphonia | Average 46.1 (±15.1) years | 17 Female | Clinical trial |
[17] | Effects of transcutaneous electrical nervous stimulation (TENS) associated with vocal therapy on musculoskeletal pain of women with behavioral dysphonia: A randomized, placebo-controlled double-blind clinical trial | Women with behavioral dysphonia | Average (ΕΚ) 29 and Average (ΚΓ) 31.6 | 27 Female | A randomized, placebo-controlled, double-blind clinical trial |
[4] | Effect of Application of Transcutaneous Electrical Nerve Stimulation and Laryngeal Manual Therapy in Dysphonic Women: Clinical Trial | Women with bilateral vocal nodules participated | 18–45 | 20 Female | Clinical trial |
[2] | Evaluation of Electrostimulation Effect in Women with Vocal Nodules | Women with an otolaryngology diagnosis of vocal fold nodules using a videolaryngostroboscopy examination | 18–55 | 60 Female | Randomized, prospective, comparative, intra-subject study |
[18] | Transcutaneous Electrical Nerve Stimulation (TENS) and Laryngeal Manual Therapy (LMT): Immediate Effects in Women with Dysphonia | Women with behavioral dysphonia | 18–45 | 30 Female | Clinical trial |
[8] | Application of High-Frequency Transcutaneous Electrical Nerve Stimulation in Muscle Tension Dysphonia Patients with the Pain Complaint: The Immediate Effect | Patients with muscle tension dysphonia (MTD) | Average 36.40 (±5.76 years) | 20 Female 10 male | Clinical trial |
3. Results
3.1. Application Methods of TENS
3.2. Assessment Methods
3.3. Outcome Measures
3.4. Quality of Studies
4. Discussion
5. Conclusions
6. Future Directions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Study | Device | Frequency | Pulse Width | Time | Location of the Electrodes | Types of Electrodes |
---|---|---|---|---|---|---|
[7] | Dualpex 961 | 10 Hz | 200 μs | 20 min | Trapezius muscle region (descending fibers) and submandibular region, bilaterally | 2 pairs (3.0 cm × 4.0 cm) |
[1] | Ibramed Neurodyn III Amethyst Line | 15 Hz | 250 μs | 30 min | On clean skin, positioned on the upper border, at the level of the hyoid bone, and on the lower border, below the cricoid cartilage, one centimeter apart from one another | 1 pair (3 cm × 5 cm) |
[17] | Quark Dualpex 961 | 10 Hz | 200 μs | 20 min | Trapezius muscle and submandibular area | 2 pairs (3 cm × 5 cm) |
[4] | Dualpex 961 | 10 Hz | 200 μs | 20 min | Trapezius region—upper fibers, bilaterally, and in the submandibular region | 2 pairs (5.0 cm × 5.0 cm) |
[2] | NEURODYN II | 10 Hz | 200 μs | 20 min | Lateral center of the larynx (thyroid cartilage) in the infrahyoid muscles, with 1 cm between them and on trapezius muscles | Rectangular and composed of silicon (30 × 50 mm) |
[18] | Dualpex 961 | 10 Hz | 200 μs | 20 min | Trapezius muscle (on the descending fiber) and on both sides of the submandibular region | 2 pairs (5.0 cm × 4.0 cm) |
[8] | ELPHA II 3000 | 100 Hz | 50 μs | 20 min | Lateral center of the thyroid cartilage in the infrahyoid muscles and the motor point of the trapezius muscle on the descending fiber | 2 pairs (5 cm × 5 cm) |
[14] | [1] | [15] | [4] | [2] | [16] | [5] | |
---|---|---|---|---|---|---|---|
1. Eligibility criteria | YES | YES | YES | YES | YES | YES | YES |
2. Randomized allocation | YES | YES | YES | YES | YES | YES | YES |
3. Secret allocation | YES | YES | YES | YES | YES | NO | YES |
4. Similarity of groups in prognosis | YES | YES | YES | YES | YES | YES | YES |
5. Blinding of all subjects | YES | NO | NO | YES | YES | YES | YES |
6. Blinding of all therapists | YES | YES | YES | YES | YES | YES | YES |
7. Blinding of assessors | YES | YES | YES | YES | YES | YES | YES |
8. Measures of at least one key outcome were obtained from more than 85% of the subjects initially allocated to groups | NO | NO | YES | YES | YES | YES | YES |
9. Analysis of “intention to treat” | NO | NO | NO | NO | NO | NO | NO |
10. Between-group statistical comparisons | YES | YES | YES | YES | YES | YES | YES |
11. Precision and variability measures | YES | YES | YES | YES | YES | YES | YES |
Total Points | 8/10 | 8/10 | 8/10 | 9/10 | 9/10 | 8/10 | 9/10 |
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Plotas, P.; Papadopoulos, A.; Tsiamaki, E.; Apostolou, M.-D.; Chaniotaki, M.-A.; Ganiatsou, E.; Goutzeri, E.-M.; Kalogeraki, T.; Karra, E.; Malliou, M.; et al. Effects of Transcutaneous Electrical Nervous Stimulation (TENS) on Dysphonic Patients: A Systematic Review Study. Medicina 2023, 59, 1737. https://doi.org/10.3390/medicina59101737
Plotas P, Papadopoulos A, Tsiamaki E, Apostolou M-D, Chaniotaki M-A, Ganiatsou E, Goutzeri E-M, Kalogeraki T, Karra E, Malliou M, et al. Effects of Transcutaneous Electrical Nervous Stimulation (TENS) on Dysphonic Patients: A Systematic Review Study. Medicina. 2023; 59(10):1737. https://doi.org/10.3390/medicina59101737
Chicago/Turabian StylePlotas, Panagiotis, Angelos Papadopoulos, Eirini Tsiamaki, Maria-Dimitra Apostolou, Maria-Antonia Chaniotaki, Efthimia Ganiatsou, Eleni-Marianthi Goutzeri, Thalia Kalogeraki, Elpida Karra, Maria Malliou, and et al. 2023. "Effects of Transcutaneous Electrical Nervous Stimulation (TENS) on Dysphonic Patients: A Systematic Review Study" Medicina 59, no. 10: 1737. https://doi.org/10.3390/medicina59101737