The Effect of Transcutaneous Electrical Nerve Stimulation on Posterior Neck Pain After Thyroidectomy

Not Applicable

Completed

• Conditions: Neck Pain; Thyroid Cancer
• Interventions: Device: TENS

• Registration Number: NCT02012686
• Lead Sponsor: Yonsei University

Brief Summary

The purpose of tihs study is to determine whether transcutaneous electric nerve stimulation (TENS) during thyroidectomy is effective in the reduction of posterior neck pain after thyroidectomy.

Detailed Description

Thyroidectomy is performed in supine position with the neck fully extended. After thyroidectomy, 80 percent of patients experience posterior neck pain as well as the incision site pain. The posterior neck pain is thought to be due to hyperextension is continued during an average of 90 minutes of surgery. Non-steroidal anti-inflammatory agents or opioids are administrated to reduce the pain, but the pain still remained.

TENS is simple, non-invasive analgesic technique that is used extensively to reduce acute and chronic pain. TENS has beneficial effect for the reduction of postoperative pain. The conventional way of administering TENS is to use electric characteristics that selectively activate large diameter Aβ fiber mediating touch perception without activating smaller diameter Aδ and C fiber.

In this study, TENS during thyroidectomy in posterior neck pain will be evaluated.

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study Start: 2013-11
• Study First Submitted: 2013-12-04
• Study First Submitted QC: 2013-12-09
• Study First Posted: 2013-12-16
• Primary Completion: 2014-01
• Study Completion: 2014-02
• Results First Submitted: 2014-02-28
• Status Verified: 2014-05
• Results First Submitted QC: 2014-05-12
• Last Update Submitted: 2014-05-12
• Results First Posted: 2014-06-11
• Last Update Posted: 2014-06-11

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 100

Inclusion Criteria

• Undergoing open total thyroidectomy under general anesthesia
• American Society of Anesthesiology physical status I or II

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Exclusion Criteria

• American Society of Anesthesiology physical status III or IV
• History of headache or neck pain within six months
• Past history of herniated cervical disc, cervical foraminal stenosis, ossification of posterior longitudinal ligament

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
TENS group	TENS	numerical rating scale of TENS applied group

Primary Outcome Measures

Name	Time	Method
Numerical Rating Scale of Posterior Neck Pain 0.5 Hours After Thyroidectomy	0.5 hours after thyroidectomy	numerical rating scale from 0 - 10. where 0 indicates no pain and 10 indicates the worst pain imaginable
Numerical Rating Scale of Posterior Neck Pain 48 Hours After Thyroidectomy	48 hours after thyroidectomy	numerical rating scale from 0 - 10. where 0 indicates no pain and 10 indicates the worst pain imaginable
Numerical Rating Scale of Posterior Neck Pain 6 Hours After Thyroidectomy	6 hours after thyroidectomy	numerical rating scale from 0 - 10. where 0 indicates no pain and 10 indicates the worst pain imaginable
Numerical Rating Scale of Posterior Neck Pain 24 Hours After Thyroidectomy	24 hours after thyroidectomy	numerical rating scale from 0 - 10. where 0 indicates no pain and 10 indicates the worst pain imaginable

Trial Locations

Locations (1)

Department of Anesthesiology and Pain Medicine, Gangnam Severance Hospital, Anesthesia and Pain Research Institute, Yonsei University College of Medicine; 🇰🇷 Seoul, Korea, Republic of