Effects of interferential current on autonomic nervous system in healthy volunteers: randomized clinical trial
DOI:
https://doi.org/10.17765/2176-9206.2022v15n2.e8280Keywords:
Autonomic nervous system, Blood Pressure, Electric stimulation therapy, Heart rate, Sympathetic nervous systemAbstract
To evaluate the effects of different amplitude-modulated frequency (AMF-100Hz and AMF-10Hz) of the interferential current (IC) on autonomic nervous system (ANS) in healthy volunteers. Thirty healthy volunteers (23.7 ±2.7 years old) were randomized into placebo interventions (turned off), IC with AMF-100Hz and IC with AMF-10Hz. Interventions ware applied in the paravertebral ganglionar region for 30 minutes. ANS evaluated by the heart rate variability before and immediately after the interventions. 10Hz intervention reduced the sympathetic activity in 6% and an increase in the parasympathetic in 6%. 100Hz intervention increased 12% to sympathetic activity and decreased 12% to parasympathetic activity. IC changes the autonomic balance in healthy volunteers. 10Hz reduces the sympathetic activity and increases parasympathetic, although the 100Hz has opposite results. The IC at 10Hz improves the autonomic balance and presents potential effects to be tested in hypertensive patients.Downloads
References
1. Shen MJ, Zipes DP. Role of the autonomic nervous system in modulating cardiac arrhythmias. Circ Res. 2014;114(6):1004–21.
2. Shafi T, Mullangi S, Jaar BG, Silber H. Autonomic dysfunction as a mechanism of intradialytic blood pressure instability. Semin Dial. 2017;30(6):537–44.
3. Mccraty R, Shaffer F. Heart Rate Variability: New Perspectives on Physiological Mechanisms, Assessment of Self-regulatory Capacity, and Health Risk. Glob Adv Heal Med. 2015;4(1):46–61.
4. Mancia G, Fagard R, Narkiewicz K, Redon J, Zanchetti A, Böhm M, et al. 2013 ESH/ESC guidelines for the management of arterial hypertension: The Task Force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). Eur Heart J. 2013;34(28):2159–219.
5. Sartori S do A, Stein C, Coronel C, Macagnan FE, Plentz RDM. Effects of Transcutaneous Electrical Nerve Stimulation in Autonomic Nervous System of Hypertensive Patients: A Randomized Controlled Trial. Curr Hypertens Rev. 2018;14(1):66–71.
6. Nardi AT de, Hauck M, Franco OS, Paulitsch FDS, Silva AMV da, Signori LU. Different frequencies of transcutaneous electrical nerve stimulation on sympatho-vagal balance. Acta Sci Heal Sci. 2017;39(1):9–16.
7. Stein C, Dal Lago P, Ferreira JB, Casali KR, Plentz RDM. Transcutaneous electrical nerve stimulation at different frequencies on heart rate variability in healthy subjects. Auton Neurosci Basic Clin. 2011;165(2):205–8.
8. Robinson AJ, Snyder-Mackler L. Clinical Electrophysiology: Electrotherapy and Electrophysiologic Testing. 3°. Wilkins. LW&, editor. 2008.
9. Gademan MGJ, Sun Y, Han L, Valk VJ, Schalij MJ, Van Exel HJ, et al. Rehabilitation: Periodic somatosensory stimulation increases arterial baroreflex sensitivity in chronic heart failure patients. Int J Cardiol. 2011;152(2):237–41.
10. Campbell TS, Ditto B. Exaggeration of blood pressure-related hypoalgesia and reduction of blood pressure with low frequency transcutaneous electrical nerve stimulation. Psychophysiology. 2002;39(4):473–81.
11. Franco OS, Paulitsch FS, Pereira APC, Teixeira AO, Martins CN, Silva AM V, et al. Effects of different frequencies of transcutaneous electrical nerve stimulation on venous vascular reactivity. Brazilian J Med Biol Res. 2014;47(5):411–8.
12. Kamali F, Mirkhani H, Nematollahi A, Heidari S, Moosavi E, Mohamadi M. The Effect of Transcutaneous Electrical Nerve Stimulation of Sympathetic Ganglions and Acupuncture Points on Distal Blood Flow. J Acupunct Meridian Stud. 2017;10(2):120–4.
13. Araújo FM, Menezes MA, de Araújo AM, Sousa TDS, Lima L, Carvalho EÁN, et al. Validation of a New Placebo Interferential Current Method: A New Placebo Method of Electrostimulation. Pain Med. 2017;18(1):86–94.
14. Youn J-IJ-I., Lee HS. HS, Lee SS. Determination of effective treatment duration of interferential current therapy using electromyography. J Phys Ther Sci. 2016;28(8):2400–3.
15. Jin H-K, Hwang T-Y, Cho S-H. Effect of electrical stimulation on blood flow velocity and vessel size. Open Med. 2017;12(1):5–11.
16. Santos F V., Chiappa GR, Vieira PJC, Umpierre D, Ribeiro JP, Cipriano G. Interferential electrical stimulation improves peripheral vasodilatation in healthy individuals. Brazilian J Phys Ther. 2013;17(3):281–8.
17. Dohnert MB, Bauer JP, Pavão TS. Study of the effectiveness of interferential current as compared to transcutaneous electrical nerve stimulation in reducing chronic low back pain. Rev Dor. 2015;16(1):27–31.
18. Whelton PK, Carey RM, Aronow WS, Ovbiagele B, Casey DE, Smith SC, et al. 2017 Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults A Report of the American College of Cardiology / American Heart Association T. Journal of American College of Cardiology. 2017. 283 p.
19. Tomasi FP, Chiappa G, Maldaner da Silva V, Lucena da Silva M, Lima ASCGB, Arena R, et al. Transcutaneous Electrical Nerve Stimulation Improves Exercise Tolerance in Healthy Subjects. Int J Sport Med. 2015;36(8):661–5.
20. Vieira PJC, Ribeiro JP, Cipriano Jr G, Umpierre D, Cahalin LP, Moraes RS, et al. Effect of transcutaneous electrical nerve stimulation on muscle metaboreflex in healthy young and older subjects. Eur J Appl Physiol. 2012;112(4):1327–34.
21. Silva ML, Chiappa GR, da Silva VM, Neves LMT, de Lima ACGB, Tomasi FP, et al. Effect of transcutaneous electrical nerve stimulation on peripheral to central blood pressure ratio in healthy subjects. Clin Physiol Funct Imaging. 2015;36(4):293–7.
22. Palmer ST, Martin DJ, Steedman WM, Ravey J. Alteration of Interferential Current and Transcutaneous Electrical Nerve Stimulation Frequency: Effects on Nerve Excitation. Arch Phys Med Rehabil. 1999;80(9):1065–71.
23. Almeida CC, da Silva VZM, Cipriano Júnior G, Liebano RE, Durigan JLQ. Transcutaneous electrical nerve stimulation and interferential current demonstrate similar effects in relieving acute and chronic pain : a systematic review with meta-analysis. Brazilian J Phys Ther. 2018;22(5):347–54.
24. Noble J, Henderson G, Fiona A, Cramp L, Deirdre M, Walsh M, et al. The effect of interferential therapy upon cutaneous blood flow in humans. Clin Physiol. 2000;20(1):2–7.
25. Campos F V., Neves LM, Da Silva VZ, Cipriano GF, Chiappa GR, Cahalin L, et al. Hemodynamic Effects Induced by Transcutaneous Electrical Nerve Stimulation in Apparently Healthy Individuals: A Systematic Review with Meta-Analysis. Arch Phys Med Rehabil. 2015;97(5):826–35.
26. Wong RA, Jette DU. Changes in sympathetic tone associated with different forms of transcutaneous electrical nerve stimulation in healthy subjects. Phys Ther. 1984;64(4):478–82.
27. Lazarou L, Kitsios A, Lazarou I, Sikaras E, Trampas A. Effects of Intensity of Transcutaneous Electrical Nerve Stimulation (TENS) on Pressure Pain Threshold and Blood Pressure in Healthy Humans. Clin J Pain. 2009;25(9):773–80.
28. Silverdal J, Mourtzinis G, Stener-Victorin E, Mannheimer C, Manhem K. Antihypertensive effect of low-frequency transcutaneous electrical nerve stimulation (TENS) in comparison with drug treatment. Blood Press. 2012;21(5):306–10.
Additional Files
Published
How to Cite
Issue
Section
License
A submissão de originais para a revista Saúde e Pesquisa implica na transferência da Carta Concessão de Direitos Autorais, pelos autores, dos direitos de publicação digital para a revista após serem informados do aceite de publicação.A Secretaria Editorial irá fornecer da um modelo de Carta de Concessão de Direitos Autorais, indicando o cumprimento integral de princípios éticos e legislação específica. Os direitos autorais dos artigos publicados nesta revista são de direito do autor, com direitos da revista sobre a primeira publicação. Os autores somente poderão utilizar os mesmos resultados em outras publicações, indicando claramente a revista Saúde e Pesquisa como o meio da publicação original. Em virtude de tratar-se de um periódico de acesso aberto, é permitido o uso gratuito dos artigos, principalmente em aplicações educacionais e científicas, desde que citada a fonte. A Saúde e Pesquisa adota a licença Creative Commons Attribution 4.0 International.
A revista se reserva o direito de efetuar, nos originais, alterações de ordem normativa, ortográfica e gramatical, com vistas a manter o padrão culto da língua e a credibilidade do veículo. Respeitará, no entanto, o estilo de escrever dos autores. Alterações, correções ou sugestões de ordem conceitual serão encaminhadas aos autores, quando necessário. Nesses casos, os artigos, depois de adequados, deverão ser submetidos a nova apreciação. As opiniões emitidas pelos autores dos artigos são de sua exclusiva responsabilidade.