Comparison of the effects of interferential current between male and female healthy adults

Dauana Arielli Dallacorte, Giovana Silva Sprizon, Kimberly Suellin Bueno, Pâmela Giovana Hotz, Fernando Amâncio Aragão, Gladson Ricardo Flor Bertolini

Abstract


***Comparison of the effects of interferential current between male and female healthy adults***

AIMS: To assess accommodation phenomena characteristics (threshold, time and amplitude/intensity) during stimulation with interferential current, comparing male and female healthy adults.

METHODS: A non randomized clinical trial with intentional sampling by gender included 30 healthy adult volunteers aged between 18 and 25 years, who were divided in two groups (15 in the Female Group and 15 in the Male Group) and received a tetrapolar interferential current for 20 minutes, close to L1 and L5 vertebrae. The subjects were instructed to refer an intense but comfortable paresthesia sensation and to report the moment it diminished (accommodation), requiring increasing of the current intensity. The first three events of accommodation (AV1, AV2 and AV3), including time and amplitude threshold, were analyzed. The differences from AV1 to AV2 (D1) and AV2 to AV3 (D2) were also considered. The number of accommodations for each subject during the 20 minutes experiment was identified. ANOVA and Student's t-test were used for analysis and the significance level was set at 5%. 

RESULTS: In the Male Group the mean time for accommodation was higher in AV3 compared to AV1 and AV2. In the Female Group the accommodation mean time was higher in AV3 in relation to AV2, and in AV2 in relation to AV1. No differences were found in the Male Group for D1 and D2, but in the Female Group, D2 was superior to D1. Women were accommodated more quickly than men in all three assessments, but the differences between one evaluation and another were constant considering both groups. Both groups showed similar current intensity behavior comparing the three evaluations within the same group. In the comparison between groups, women had lower mean values of intensity in the three evaluations. The Female Group had 7.5±1.5 accommodations, and the Male Group had 5.9±2.0 accommodations (p=0.0367) during the 20 minutes of the experiment.

CONCLUSIONS: In this sample of healthy young adults, men required higher interferential current amplitude to obtain a comfortable paresthesia and took more time to have accommodations, while women had more accommodation episodes.


Keywords


electrical stimulation therapy; physical therapy modalities; sex characteristics; gender.

Full Text:

PDF

References


Facci LM, Nowotny JP, Tormem F, Trevisani FVM. Effects of transcutaneous electrical nerve stimulation (TENS) and interferential currents (IFC) in patients with nonspecific chronic low back pain : randomized clinical trial. São Paulo Med J. 2011;129(4):206-16. https://doi.org/10.1590/S1516-31802011000400003

Rocha CS, Lanferdini FJ, Kolberg C, Silva MF, Vaz MA, Partata WA, et al. Interferential therapy effect on mechanical pain threshold and isometric torque after delayed onset muscle soreness induction in human hamstrings. J Sports Sci. 2012;30(8):733-42. https://doi.org/10.1080/02640414.2012.672025

Artioli DP, Bertolini GRF. Corrente interferencial vetorial: aplicação, parâmetros e resultados. Rev Bras Clin Med. 2012;10(1):51-6.

Silva DO, Ferreira AS, Gonçalves A V, Costa MD, Zilio M, Fréz AR, et al. Efeitos de diferentes frequências da estimulação elétrica nervosa transcutânea em relação à acomodação e à agradabilidade. Sci Med (Porto Alegre). 2014;24(3):264-8. https://doi.org/10.15448/1980-6108.2014.3.17739

Poitras S, Brosseau L. Evidence-informed management of chronic low back pain with transcutaneous electrical nerve stimulation, interferential current, electrical muscle stimulation, ultrasound, and thermotherapy. Spine. 2008;8(1):226-33. https://doi.org/10.1016/j.spinee.2007.10.022

Krueger-Beck E, Nogueira-Neto GN, Neves EB, Nohama P. Potencial de ação: do estímulo à adaptação neural. Fisioter Bras. 2011;24(3):535-47. https://doi.org/10.1590/S0103-51502011000300018

Ozcan J, Ward AR, Robertson VJ. A comparison of true and premodulated interferential currents. Arch Phys Med Rehabil. 2004;85(3):409-15. https://doi.org/10.1016/S0003-9993(03)00478-7

Gundog M, Atamaz F, Kanyilmaz S, Kirazli Y, Celepoglu G. Interferential current therapy in patients with knee osteoarthritis. Comparison of the effectiveness of different amplitude-modulated frequencies. Am J Phys Med Rehabil. 2012;91(2):107-13. https://doi.org/10.1097/PHM.0b013e3182328687

Fuentes JP, Olivo SA, Magee DJ, Gross DP. Effectiveness of interferential current therapy in the management of musculoskeletal pain: a systematic review and meta-analysis. Phys Ther. 2010;90(9):1219-38. https://doi.org/10.2522/ptj.20090335

Guerra TEC, Bertolini GRF. Efeitos da variação da rampa de entrega do ΔF sobre a acomodação da corrente interferencial em mulheres saudáveis. Rev Dor. 2012;13(1):25-9. https://doi.org/10.1590/S1806-00132012000100005

Pivetta KM, Bertolini GRF. Efeitos do ΔF sobre a acomodação da corrente interferencial em sujeitos saudáveis. Rev Bras Med Esporte. 2012;18(5):330-2. https://doi.org/10.1590/S1517-86922012000500009

Fiori A, Cescon CLC, Galesky JDF, Santos TACD, Brancalhaõ RMC, Bertolini GRF. Comparison between bipolar and tetrapolar of the interferential current in nociceptive threshold, accommodation and pleasantness in healthy individuals. Eur J Physiother. 2014;16(4):201-5. https://doi.org/10.3109/21679169.2014.933875

Beatti A, Rayner A, Chipchase L, Souvlis T. Penetration and spread of interferential current in cutaneous, subcutaneous and muscle tissues. Physiotherapy. 2011;97(4):319-26. https://doi.org/10.1016/j.physio.2011.01.008

Fuentes J, Armijo-Olivo S, Magee DJ, Gross D. Does amplitude-modulated frequency have a role in the hypoalgesic response of interferential current on pressure pain sensitivity in healthy subjects? A randomised crossover study. Physiotherapy. 2010;96(1):22-9. https://doi.org/10.1016/j.physio.2009.06.009

Unruh AM. Gender variations in clinical pain experience. Pain. 1996;65:123-67. https://doi.org/10.1016/0304-3959(95)00214-6

Galvão M de L de S, Manzano GM, Braga NI de O, Nóbrega JAM. Determinação do limiar de percepção de corrente elétrica em uma amostra de voluntários normais. Arq Neuropsiquiatr. 2005;63(2-A):289-93.

Bolfe VJ, Ribas SI, Montebelo MIL, Guirro RRJ. Electrical impedance behavior of biological tissues during trancutaneous electrical stimulation. Rev Bras Fisioter. 2007;11(2):135-40.

Creinin MD, Keverline S, Meyn LA. How regular is regular? An analysis of menstrual cycle regularity. Contraception. 2004;70(1):289-92. https://doi.org/10.1016/j.contraception.2004.04.012

Santos RL, Abreu GR, Bissoli NS, Moysés MR. Endothelial mediators of 17ß-estradiol-induced coronary vasodilation in the isolated rat heart. Brazilian J Med Biol Res. 2004;37:569-75. https://doi.org/10.1590/S0100-879X2004000400014

Barbosa MB, Montebelo MIL, Guirro ECO. Determination of sensory perception and motor response thresholds in different phases of the menstrual cycle. Rev Bras Fisioter. 2007;11(6):443-9. https://doi.org/10.1590/S1413-35552007000600005

Nadler SF, Weingand K, Kruse RJ. The physiologic basis and clinical applications of cryotherapy and thermotherapy for the pain practitioner. Pain Physician. 2004;7(3):395-9.

Riley JL, Robinson ME, Wise EA, Myers CD, Fillingim RB. Sex differences in the perception of noxious experimental stimuli: a meta-analysis. Pain. 1998;74(2–3):181-7. https://doi.org/10.1016/S0304-3959(97)00199-1

Ismail KA, Chase J, Gibb S, Clarke M, Catto-Smith AG, Robertson VJ, et al. Daily transabdominal electrical stimulation at home increased defecation in children with slow-transit constipation: a pilot study. J Pediatr Surg. 2009;44(12):2388-92. https://doi.org/10.1016/j.jpedsurg.2009.07.063

McManus FJ, Ward AR, Robertson VJ. The analgesic effects of interferential therapy on two experimental pain models: cold and mechanically induced pain. Physiotherapy. 2006;92(2):95-102. https://doi.org/10.1016/j.physio.2005.09.007

Aarskog R, Johnson MI, Demmink JH, Lofthus A, Iversen V, Lopes-Martins R, et al. Is mechanical pain threshold after transcutaneous electrical nerve stimulation (TENS) increased locally and unilaterally? A randomized placebo-controlled trial in healthy subjects. Physiother Res Int. 2007;12(4):251-63. https://doi.org/10.1002/pri.384

Liebano RE, Rakel B, Vance CGT, Walsh DM, Sluka KA. An investigation of the development of analgesic tolerance to TENS in humans. Pain. 2011;152(2):335-42. https://doi.org/10.1016/j.pain.2010.10.040

Taylor RW, Grant AM, Williams SM, Goulding A. Sex differences in regional body fat distribution from pre- to postpuberty. Obesity. 2010;18(7):1410-6. https://doi.org/10.1038/oby.2009.399

Farias ES, Paula F, Carvalho WRG, Gonçalves EM, Baldin AD, Guerra-Júnior G. Influence of programmed physical activity on body composition among adolescent students. J Pediatr. 2009;85(1):28-34. https://doi.org/10.2223/JPED.1864

Chumlea C, Knittle JL, Roche AF, Siervogel RM, Webb P. Size and number of adypocites and measures of body fat in boys and girls 10 to 18 years of age. Am J Clin Nutr. 1981;34(9):1791-7.

Vitor FM, Uezu R, Silva FBS, Böhme MTS. Aptidão física de jovens atletas do sexo masculino em relação à idade cronológica e estágio de maturação sexual. Rev Bras Educ Física e Esporte. 2008;22(2):139-48.

Alabas O, Tashani O, Tabasam G, Johnson MI. Gender role affects experimental pain responses: a systematic review with meta-analysis. Eur J Pain. 2012;16(9):1211-23. https://doi.org/10.1002/j.1532-2149.2012.00121.x

Pantaleão MA, Laurino MF, Gallego NLG, Cabral CMN, Rakel B, Vance C, et al. Adjusting pulse amplitude during transcutaneous electrical nerve stimulation (TENS) application produces greater hypoalgesia. J Pain. 2011;12(5):581-90. https://doi.org/10.1016/j.jpain.2010.11.001

Liebano R, Rakel B, Vance CGT, Walsh DM, Sluka KA. An Investigation of the development of analgesic tolerance to transcutaneous electrical nerve stimulation (TENS) in humans. Pain. 2011;152(2):335-42. https://doi.org/10.1016/j.pain.2010.10.040

Moran F, Leonard T, Hawthorne S, Hughes CM, McCrum-Gardner E, Johnson MI, et al. Hypoalgesia in response to transcutaneous electrical nerve stimulation (TENS) depends on stimulation intensity. J Pain. 2011;12(8):929-35. https://doi.org/10.1016/j.jpain.2011.02.352




DOI: http://dx.doi.org/10.15448/1980-6108.2017.3.27660

 

***************************************************************************************************************

From 2011 (when it was indexed in Scopus), Scientia Medica features the Scimago Journal & Country Rank (SJR) impact factor.

SCImago Journal & Country Rank



 This journal is a member of, and subscribes to the principles of, the Committee on Publication Ethics (COPE) http://www.publicationethics.org

 

Licença Creative Commons
Except where otherwise noted, content of this journal is licensed under a Creative Commons Attribution 4.0 International license.


Editorial Policies of Brazilian Scientific Journals. Deposit availability: Blue .

Copyright: © 2006-2017 EDIPUCRS