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Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin 2016; 26(02): 91-95
DOI: 10.1055/s-0035-1565058
Consensus Statement
© Georg Thieme Verlag KG Stuttgart · New York

Transcutaneous Electrical Nerve Stimulation (TENS) in Patients with Pregnancy-Induced Low Back Pain and/or Pelvic Girdle Pain

Transkutane elektrische Nervenstimulation (TENS) bei Kreuzschmerz und/oder Beckengürtelschmerz in der Schwangerschaft
M. Quittan
1   Kaiser-Franz-Josef-Spital, Institute of Physical Medicine and Rehabilitation, Vienna, Austria
,
W. Bily
2   Wilhelminenspital, Institute of Physical Medicine and Rehabilitation, Vienna, Austria
,
R. Crevenna
3   Medizinische Universität Wien, Wien, Österreich, Universitätsklinik für Physikalische Medizin und Rehabilitation, Wien/Vienna, Austria
,
V. Fialka-Moser
3   Medizinische Universität Wien, Wien, Österreich, Universitätsklinik für Physikalische Medizin und Rehabilitation, Wien/Vienna, Austria
,
W. Grestenberger
4   Deputy-Chair of the Austrian Medical Chamber, Section of Physical Medicine and Rehabilitation, Vienna, Austria
,
C. Hofer
5   Ludwig Boltzmann Gesellschaft, Ludwig Boltzmann Institute of Electrical Stimulation and Physical Rehabilitation, Vienna, Austria
,
P. W. Husslein
6   Medical University Vienna, Department of Obstetrics and Gynaecology, Vienna, Austria
,
H. Kern
7   Ludwig Boltzmann Institute of Electrical Stimulation and Physical Rehabilitation, Science and Research, Vienna, Austria
,
R. Kondo
8   Karl Landsteiner Gesellschaft, Karl Landsteiner Institute of Remobilisation und Functional Health, Vienna, Austria
,
C. Lampl
9   President of the Austrian Pain Society, Department of Acute Geriatrics und Remobilisation, Linz, Austria
,
S. Loefler
7   Ludwig Boltzmann Institute of Electrical Stimulation and Physical Rehabilitation, Science and Research, Vienna, Austria
,
M. Oberleitner
8   Karl Landsteiner Gesellschaft, Karl Landsteiner Institute of Remobilisation und Functional Health, Vienna, Austria
,
T. Paternostro-Sluga
10   Donauspital – Sozialmedizinisches Zentrum Ost, Klinik für Physikalische Medizin und Rehabilitation, Vienna, Austria
,
M. Praschak
8   Karl Landsteiner Gesellschaft, Karl Landsteiner Institute of Remobilisation und Functional Health, Vienna, Austria
,
E.-M. Strasser
1   Kaiser-Franz-Josef-Spital, Institute of Physical Medicine and Rehabilitation, Vienna, Austria
,
R. Wenzl
6   Medical University Vienna, Department of Obstetrics and Gynaecology, Vienna, Austria
,
M. Wolzt
11   Medical University Vienna, Department of Clinical Pharmacology, Vienna, Austria
,
Working Group on Evidence Based Medicine in PMR › Author Affiliations
Further Information

Publication History

received 04 September 2015

accepted 26 October 2015

Publication Date:
03 May 2016 (online)

Also available at
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Abstract

Purpose: Low back and/or pelvic girdle pain is common during pregnancy and may persist after delivery. Therapeutic methods to alleviate pain, with no side effects for mother and child, are of high clinical importance. The consensus statement expresses the position of the Working Group on Evidence-Based Medicine in Physical and Rehabilitation Medicine, the Austrian Society of Physical Medicine and Rehabilitation and the Austrian Pain Society, for the treatment of low back and/or pelvic girdle pain by transcutaneous electrical nerve stimulation (TENS) during pregnancy.

Materials and Methods: The literature was reviewed followed by a subsequent interdisciplinary discussion.

Results: Diagnostic investigations, therapeutic options, mode of application as well as efficacy and side effects of the method are presented.

Conclusion: TENS is a safe therapy for low back and/or pelvic girdle pain in the last trimester of pregnancy with no side effects, low costs and the possibility of home application.

Zusammenfassung

Fragestellung: Kreuz- und/oder Beckengürtelschmerzen treten häufig während und nach der Schwangerschaft auf. Schmerzlindernde Therapien ohne Nebenwirkungen auf Mutter und Kind sind bedeutend im klinischen Alltag. Das Konsensus Statement gibt die Position der Working Group on Evidence Based Medicine in Physical and Rehabilitation Medicine, der Österreichischen Gesellschaft für Physikalische Medizin und Rehabilitation und der Österreichischen Schmerzgesellschaft bezüglich der Anwendung von transkutaner elektrischer Nervenstimulation (TENS) bei schwangerschaftsinduziertem Kreuz- und/oder Beckengürtelschmerz wieder.

Material und Methoden: Es erfolgte eine Literatursuche mit nachfolgender Diskussion der Ergebnisse.

Ergebnisse: Diagnoseverfahren, Anwendungsempfehlungen, Wirksamkeit und Nebenwirkungen werden präsentiert.

Schlussfolgerung: TENS ist eine nebenwirkungsfreie Therapie bei Kreuz- und/oder Beckengürtelschmerz im letzten Trimenon mit der Möglichkeit einer Heimtherapie.

Key words

electric stimulation - low back pain - pregnancy - pelvic girdle pain - transcutaneous electric nerve stimulation

Schlüsselwörter

Elektrostimulation - Rückenschmerzen - Schwangerschaft - Beckengürtelschmerzen - transkutane elektrische Nervenstimulation
 

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