Effectiveness of interferential current in patients with chronic non-specific low back pain: a systematic review with meta-analysis
•Interferential current probably reduces pain intensity and disability immediately post-treatment compared to placebo in patients with chronic non-specific low back pain.•Interferential current may reduce pain, but not disability, immediately post-treatment compared to other interventions in patient...
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| Published in: | Revista brasileira de fisioterapia (São Carlos (São Paulo, Brazil)) Vol. 27; no. 5; p. 100549 |
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| Main Authors: | , , , , , , |
| Format: | Journal Article |
| Language: | English |
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Elsevier España, S.L.U
01-09-2023
Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia |
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| Abstract | •Interferential current probably reduces pain intensity and disability immediately post-treatment compared to placebo in patients with chronic non-specific low back pain.•Interferential current may reduce pain, but not disability, immediately post-treatment compared to other interventions in patients with chronic non-specific low back pain.•Interferential current combined with other intervention (massage or exercises) may not further reduce pain intensity and disability compared to other interventions provided in isolation immediately post-treatment in patients with chronic non-specific low back pain.
There is no systematic review assessing the effectiveness of interferential current (IC) in patients with low back pain.
To investigate the effectiveness of IC in patients with chronic non-specific low back pain.
The databases PUBMED, EMBASE, PEDro, Cochrane Library, CINAHL, and SCIELO were searched. Randomized controlled trials reporting pain intensity and disability in patients with chronic non-specific low back pain, in which IC was applied were included. Methodological quality was assessed using the PEDro scale. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) was used to evaluate the quality of evidence.
Thirteen RCTs were considered eligible for this systematic review (pooled n = 1367). Main results showed moderate-quality evidence and moderate effect sizes that IC probably reduces pain intensity and disability compared to placebo immediately post-treatment (Pain: MD = -1.57 points; 95% CI -2.17, -0.98; Disability: MD = -1.51 points; 95% CI -2.57, -0.46), but not at intermediate-term follow-up. Low-quality evidence with small effect size showed that IC may reduce pain intensity (SMD = -0.32; 95% CI -0.61, -0.03, p = 0.03) compared to TENS immediately post-treatment, but not for disability. There is very low-quality evidence that IC combined with other interventions (massage or exercises) may not further reduce pain intensity and disability compared to the other interventions provided in isolation immediately post-treatment.
Moderate-quality evidence shows that IC is probably better than placebo for reducing pain intensity and disability immediately post-treatment in patients with chronic non-specific low back pain. |
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| AbstractList | BACKGROUNDThere is no systematic review assessing the effectiveness of interferential current (IC) in patients with low back pain.OBJECTIVETo investigate the effectiveness of IC in patients with chronic non-specific low back pain.METHODSThe databases PUBMED, EMBASE, PEDro, Cochrane Library, CINAHL, and SCIELO were searched. Randomized controlled trials reporting pain intensity and disability in patients with chronic non-specific low back pain, in which IC was applied were included. Methodological quality was assessed using the PEDro scale. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) was used to evaluate the quality of evidence.RESULTSThirteen RCTs were considered eligible for this systematic review (pooled n = 1367). Main results showed moderate-quality evidence and moderate effect sizes that IC probably reduces pain intensity and disability compared to placebo immediately post-treatment (Pain: MD = -1.57 points; 95% CI -2.17, -0.98; Disability: MD = -1.51 points; 95% CI -2.57, -0.46), but not at intermediate-term follow-up. Low-quality evidence with small effect size showed that IC may reduce pain intensity (SMD = -0.32; 95% CI -0.61, -0.03, p = 0.03) compared to TENS immediately post-treatment, but not for disability. There is very low-quality evidence that IC combined with other interventions (massage or exercises) may not further reduce pain intensity and disability compared to the other interventions provided in isolation immediately post-treatment.CONCLUSIONModerate-quality evidence shows that IC is probably better than placebo for reducing pain intensity and disability immediately post-treatment in patients with chronic non-specific low back pain. • Interferential current probably reduces pain intensity and disability immediately post-treatment compared to placebo in patients with chronic non-specific low back pain. • Interferential current may reduce pain, but not disability, immediately post-treatment compared to other interventions in patients with chronic non-specific low back pain. • Interferential current combined with other intervention (massage or exercises) may not further reduce pain intensity and disability compared to other interventions provided in isolation immediately post-treatment in patients with chronic non-specific low back pain. •Interferential current probably reduces pain intensity and disability immediately post-treatment compared to placebo in patients with chronic non-specific low back pain.•Interferential current may reduce pain, but not disability, immediately post-treatment compared to other interventions in patients with chronic non-specific low back pain.•Interferential current combined with other intervention (massage or exercises) may not further reduce pain intensity and disability compared to other interventions provided in isolation immediately post-treatment in patients with chronic non-specific low back pain. There is no systematic review assessing the effectiveness of interferential current (IC) in patients with low back pain. To investigate the effectiveness of IC in patients with chronic non-specific low back pain. The databases PUBMED, EMBASE, PEDro, Cochrane Library, CINAHL, and SCIELO were searched. Randomized controlled trials reporting pain intensity and disability in patients with chronic non-specific low back pain, in which IC was applied were included. Methodological quality was assessed using the PEDro scale. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) was used to evaluate the quality of evidence. Thirteen RCTs were considered eligible for this systematic review (pooled n = 1367). Main results showed moderate-quality evidence and moderate effect sizes that IC probably reduces pain intensity and disability compared to placebo immediately post-treatment (Pain: MD = -1.57 points; 95% CI -2.17, -0.98; Disability: MD = -1.51 points; 95% CI -2.57, -0.46), but not at intermediate-term follow-up. Low-quality evidence with small effect size showed that IC may reduce pain intensity (SMD = -0.32; 95% CI -0.61, -0.03, p = 0.03) compared to TENS immediately post-treatment, but not for disability. There is very low-quality evidence that IC combined with other interventions (massage or exercises) may not further reduce pain intensity and disability compared to the other interventions provided in isolation immediately post-treatment. Moderate-quality evidence shows that IC is probably better than placebo for reducing pain intensity and disability immediately post-treatment in patients with chronic non-specific low back pain. |
| ArticleNumber | 100549 |
| Author | de Oliveira, Naiane T.B. Rampazo, Érika P. Santos, Irlei dos Corrêa, Juliana B. Costa, Leonardo O.P. Júnior, Maurício A. Luz Liebano, Richard E. |
| Author_xml | – sequence: 1 givenname: Érika P. orcidid: 0000-0002-2984-6902 surname: Rampazo fullname: Rampazo, Érika P. email: erika.rampazo@gmail.com, erika.rampazo@estudante.ufscar.br organization: Physiotherapeutic Resources Research Laboratory, Department of Physical Therapy, Universidade Federal de São Carlos (UFSCar), São Carlos, SP, Brazil – sequence: 2 givenname: Maurício A. Luz surname: Júnior fullname: Júnior, Maurício A. Luz organization: Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, São Paulo SP, Brazil – sequence: 3 givenname: Juliana B. surname: Corrêa fullname: Corrêa, Juliana B. organization: Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, São Paulo SP, Brazil – sequence: 4 givenname: Naiane T.B. surname: de Oliveira fullname: de Oliveira, Naiane T.B. organization: Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, São Paulo SP, Brazil – sequence: 5 givenname: Irlei dos surname: Santos fullname: Santos, Irlei dos organization: Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, São Paulo SP, Brazil – sequence: 6 givenname: Richard E. orcidid: 0000-0003-4795-6723 surname: Liebano fullname: Liebano, Richard E. organization: Physiotherapeutic Resources Research Laboratory, Department of Physical Therapy, Universidade Federal de São Carlos (UFSCar), São Carlos, SP, Brazil – sequence: 7 givenname: Leonardo O.P. surname: Costa fullname: Costa, Leonardo O.P. organization: Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, São Paulo SP, Brazil |
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| Keywords | Electric stimulation therapy Systematic review Low back pain Interferential current |
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| Snippet | •Interferential current probably reduces pain intensity and disability immediately post-treatment compared to placebo in patients with chronic non-specific low... BACKGROUNDThere is no systematic review assessing the effectiveness of interferential current (IC) in patients with low back pain.OBJECTIVETo investigate the... • Interferential current probably reduces pain intensity and disability immediately post-treatment compared to placebo in patients with chronic non-specific... |
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| Title | Effectiveness of interferential current in patients with chronic non-specific low back pain: a systematic review with meta-analysis |
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