The Effect of Transcutaneous Electrical Nerve Stimulation for Reduction of Posterior Neck Pain After Thyroidectomy
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Yonsei University
- Enrollment
- 100
- Locations
- 1
- Primary Endpoint
- Numerical Rating Scale of Posterior Neck Pain 0.5 Hours After Thyroidectomy
Study Overview
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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Investigator)
Eligibility Criteria
- Ages
- 20 Years to 60 Years (Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Undergoing open total thyroidectomy under general anesthesia
- •American Society of Anesthesiology physical status I or II
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
Arms & Interventions
Control group
numerical rating scale of TENS non-applied group
TENS group
numerical rating scale of TENS applied group
Intervention: TENS (Device)
Outcomes
Primary Outcomes
Numerical Rating Scale of Posterior Neck Pain 0.5 Hours After Thyroidectomy
Time Frame: 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
Time Frame: 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
Time Frame: 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
Time Frame: 24 hours after thyroidectomy
numerical rating scale from 0 - 10. where 0 indicates no pain and 10 indicates the worst pain imaginable
Secondary Outcomes
No secondary outcomes reported
Investigators
Cholhee Park
clinical assisted professor
Yonsei University