9
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Analgesia by Sacral Surface Electrical Stimulation for Primary Dysmenorrhoea

      research-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Objective

          To evaluate the effects of analgesia by sacral surface electrical stimulation on lower abdominal pain in women with primary dysmenorrhoea.

          Design

          Explorative study.

          Participants

          Eleven female university students, who regularly experience difficulty in their university work due to menstrual pain, or who use analgesics for more than one day each month, were recruited.

          Methods

          Sacral surface electrical stimulation, 5 Hz for 15 min, was performed after the onset of menstruation. Electrodes were placed on the skin, directly above the second and fourth sacral foramina. Visual analogue scale and degree of pain (calculated by using a low current to assess pain) were determined before and after electrical stimulation.

          Results

          Visual analogue scale score and degree of pain decreased significantly immediately after electrical stimulation ( p < 0.001). A correlation was observed between visual analogue scale score and degree of pain before and after electrical stimulation (r=0.516, p <0.001). No side-effects were observed in any participant.

          Conclusion

          Sacral surface electrical stimulation may provide immediate pain relief in women with dysmenorrhoea and lower abdominal pain.

          LAY ABSTRACT

          Eleven female university students, who regularly experience difficulty performing their university work due to menstrual pain, or who use analgesics for more than one day each month, received electrical stimulation for relief of lower abdominal pain. Electrodes were placed on the skin over the lower region of the spine, while participants were in the prone position. Stimulation was performed for 15 min at a frequency of 5 Hz. Lower abdominal pain associated with menstruation decreased immediately after electrical stimulation; no side-effects were observed in any participant. For women who do not wish to take analgesics, electrical stimulation could be an option for complementary therapy. These findings indicate that electrical stimulation of the skin over the lower spine may provide immediate relief of menstrual pain.

          Related collections

          Most cited references27

          • Record: found
          • Abstract: not found
          • Article: not found

          Diagnosis and management of dysmenorrhoea.

            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Low-dose oral contraceptive pill for dysmenorrhea associated with endometriosis: a placebo-controlled, double-blind, randomized trial.

            To evaluate the efficacy of a low-dose oral contraceptive pill (OCP) for patients with dysmenorrhea associated with endometriosis. A double-blind, randomized, placebo-controlled trial. Clinical trial sites in Japan. One hundred patients with dysmenorrhea associated with endometriosis. Most enrolled patients had radiologic evidence of endometriosis rather than surgical diagnosis. Patients were randomly assigned to receive either monophasic OCP (ethinylestradiol plus norethisterone) or placebo. Participants used their usual pain medications as needed during the trial. After four cyclic treatments, we used a zero- to three-point verbal rating scale and a visual analogue scale to measure the severity of disability because of dysmenorrhea in daily life, and the patients' use of analgesics. Total dysmenorrhea scores assessed by the verbal rating scale were significantly decreased at the end of treatment in both groups. From the first cycle through the end of treatment, dysmenorrhea in the OCP group was significantly milder than in the placebo group. Nonmenstrual pelvic pain was present at baseline in 24.5% (12 of 49) of the OCP group and 34.0% (16 of 47) of the placebo group. The volume of endometrioma (larger than 3 cm in diameter) was significantly decreased in the OCP group, but not in the placebo group. No serious adverse events related to using OCPs occurred. The present study clearly demonstrated for the first time that OCPs could be used to effectively and safely treat pain associated with endometriosis.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Blockade of opioid receptors in rostral ventral medulla prevents antihyperalgesia produced by transcutaneous electrical nerve stimulation (TENS).

              Although transcutaneous electrical nerve stimulation (TENS) is used extensively in inflammatory joint conditions such as arthritis, the underlying mechanisms are unclear. This study aims to demonstrate an opiate-mediated activation of descending inhibitory pathways from the rostral ventral medulla (RVM) in the antihyperalgesia produced by low- (4 Hz) or high-frequency (100 Hz) TENS. Paw withdrawal latency to radiant heat, as an index of secondary hyperalgesia, was recorded before and after knee joint inflammation (induced by intra-articular injection of 3% kaolin and carrageenan) and after TENS/no TENS coadministered with naloxone (20 microg/1 microl), naltrindole (5 microg/1 microl), or vehicle (1 microl) microinjected into the RVM. The selectivity of naloxone and naltrindole doses was tested against the mu-opioid receptor agonist [D-Ala2,N-Me-Phe4,Gly-ol5]-enkephalin (DAMGO) (20 ng, 1 microl) and the delta2-opioid receptor agonist deltorphin (5 microg, 1 microl) in the RVM. Naloxone microinjection into the RVM blocks the antihyperalgesia produced by low frequency (p 0.05). In contrast, naltrindole injection into the RVM blocks the antihyperalgesia produced by high-frequency (p 0.05) TENS. The analgesia produced by DAMGO and deltorphin is selectively blocked by naloxone (p < 0.05) and naltrindole (p < 0.05), respectively. Thus, the dose of naloxone and naltrindole used in the current study blocks mu- and delta-opioid receptors, respectively. Hence, low-frequency and high-frequency TENS produces antihyperalgesia by activation of mu- and delta-opioid receptors, respectively, in the RVM.
                Bookmark

                Author and article information

                Journal
                J Rehabil Med Clin Commun
                J Rehabil Med Clin Commun
                JRM-CC
                Journal of Rehabilitation Medicine - Clinical Communications
                Foundation for Rehabilitation Information
                2003-0711
                27 February 2020
                2020
                : 3
                : 1000027
                Affiliations
                [1 ]Preparing Section for New Faculty of Medical Science, Fukushima Medical University, Fukushima, Japan
                [2 ]Department of Rehabilitation, Faculty of Medical Science and Welfare, Tohoku Bunka Gakuen University, Sendai, Japan
                Author notes
                Correspondence address: Mieko Yokozuka, Preparing Section for New Faculty of Medical Science, Fukushima Medical University, 1 Hikarigaoka, Fukushima City, Fukushima 960-1295, Japan. E-mail: yokozuka@ 123456fmu.ac.jp
                Article
                JRMCC-3-1000027
                10.2340/20030711-1000027
                8008724
                f1d9adc9-77ee-4ca6-8f24-b00b87b99498
                Journal Compilation © 2020 Foundation of Rehabilitation Information

                This is an open access article under the CC BY-NC license. www.medicaljournals.se/jrm-cc

                History
                : 01 January 2020
                Categories
                Original Report

                analgesia,dysmenorrhoea,pain,sacral surface electrical stimulation

                Comments

                Comment on this article