USE OF INTERFERENTIAL CURRENT IN CONSTIPATED WOMEN
DOI:
https://doi.org/10.56238/arev8n6-017Keywords:
Interferential Current, Intestinal Constipation, WomenAbstract
Introduction: Constipation is a common problem in the general population around the world, Pelvic physiotherapy is of great importance in the treatment of pelvic floor dysfunctions and in the case of intestinal constipation, it is believed that the addition of electrical stimulation using interferential current in the treatment may improve colonic transit, facilitating the elimination of feces. Objective: To analyze the effectiveness of interferential current for the treatment of constipation in women. Methods: Study quasi-experimental, descriptive and cross-sectional study. The following questionnaires were used: sociodemographic; Constipational Scoring System; Bristol Stool Scale and Perceived Change Scale (PME). Results: The sample is made up of women aged between 18 and 27 years and single. With 16,7% showed a change in score on the Bristol scale, changing from Type 2 - (Constipation) for Type 4- (Healthy Stools). Regarding the Constipation Scoring System scale, it was observed that the patients did not show relevant statistical improvement. A small reduction was seen on the constipation scale of 10∓3. an improvement was observed in aspects such as mood, ability to withstand difficult situations, sleep, leisure activities and self-esteem in 83.35% of patients, an aspect that directly impacts quality of life. Final Considerations: In view of the above, it is observed that there was a small improvement in the ROME IV criteria, the Bristol stool scale and the Perceived Change Scale, however, the use of interferential current appears to be effective for the treatment of intestinal constipation. However, due to the small sample number, it was not possible to find statistical variables.
Downloads
References
1. BANDEIRA, M. de B.; ANDRADE, M. C. R.; COSTA, C. S.; SILVA, M. A. da. Percepção dos pacientes sobre o tratamento em serviços de saúde mental: validação da Escala de Mudança Percebida. Psicologia: Reflexão e Crítica, v. 24, n. 2, p. 236–244, 2011. Disponível em: https://doi.org/10.1590/S0102-79722011000200004.
2. BHARUCHA, A. E. Constipation. Best Practice & Research Clinical Gastroenterology, v. 21, n. 4, p. 709-731, 2007. DOI: 10.1016/j.bpg.2007.07.001.
3. BHARUCHA, A. E.; LACY, B. E. Mechanisms, Evaluation, and Management of Chronic Constipation. Gastroenterology, v. 158, n. 5, p. 1232-1249.e3, abr. 2020. DOI: 10.1053/j.gastro.2019.12.034.
4. CHASE, J.; ROBERTSON, V. J.; SOUTHWELL, B.; HUTSON, J.; GIBB, S. Pilot study using transcutaneous electrical stimulation (interferential current) to treat chronic treatment-resistant constipation and soiling in children. Journal of Gastroenterology and Hepatology, v. 20, n. 7, p. 1054-1061, jul. 2005. DOI: 10.1111/j.1440-1746.2005.03863.x.
5. CLARKE, M. C.; CHASE, J. W.; GIBB, S.; ROBERTSON, V. J.; CATTO-SMITH, A.; HUTSON, J. M.; SOUTHWELL, B. R. Decreased colonic transit time after transcutaneous interferential electrical stimulation in children with slow transit constipation. Journal of Pediatric Surgery, v. 44, n. 2, p. 408-412, fev. 2009. DOI: 10.1016/j.jpedsurg.2008.10.100.
6. DIAS, FC.; BOILESEN, S. N.; TAHAN, S.; MELLI, L.; MORAIS, M. B. Overweight status, abdominal circumference, physical activity, and functional constipation in children. Revista da Associação Médica Brasileira, v. 69, n. 3, p. 386-391, 2023. DOI: 10.1590/1806-9282.20220845.
7. DROSSMAN, D. A. Functional Gastrointestinal Disorders: History, Pathophysiology, Clinical Features and Rome IV. Gastroenterology, v. 150, n. 6, p. 1262-1279.e2, 2016. DOI: 10.1053/j.gastro.2016.02.032.
8. DZ CHEN, J.; ZHU, Y.; WANG, Y. Emerging Noninvasive Neuromodulation Methods for Functional Gastrointestinal Diseases. Journal of Translational Internal Medicine, v. 10, n. 4, p. 281-285, jan. 2023. DOI: 10.2478/jtim-2022-0060.
9. FIRMINO, R. C.; CARVALHO, V. C. Conscientização do assoalho pélvico em acadêmicas de fisioterapia com constipação intestinal de uma unidade de ensino superior em Recife- PE. Revista Inspirar Movimento e Saúde, v. 7, n. 1, p. 18-22, mar. 2015.
10. FROEHNER JUNIOR, I.; JORGE, J. M. N.; MARQUES, C. F. S.; SANTOS, V. L. C. de G.; JUKEMURA, J. Constipation Scoring System Validated for the Portuguese Language (Índice de Gravidade da Constipação Intestinal): Is It Reliable in assessing the severity of intestinal chronic constipation in our population?. ABCD. Arquivos Brasileiros de Cirurgia Digestiva, v. 36, e1785, 2023. Disponível em: https://doi.org/10.1590/0102-672020230067e1785.
11. GENTIL, M. E. N.; OLIVEIRA, L. de L.; SILVA, M. C. da. Therapies used in the treatment of primary intestinal constipation. Research, Society and Development, v. 12, n. 13, e43121344220, nov. 2023.
12. GOKCE, A. H.; GOKCE, F. S. Effects of bilateral transcutaneous tibial nerve stimulation on constipation severity in geriatric patients: A prospective clinical study. Geriatrics & Gerontology International, v. 20, n. 2, p. 101-105, fev. 2020. DOI: 10.1111/ggi.13822.
13. HEEMSKERK, S. C. M. et al. Effectiveness, safety and cost-effectiveness of sacral neuromodulation for idiopathic slow-transit constipation: a systematic review. Colorectal Disease, v. 26, n. 3, p. 417-427, mar. 2024. DOI: 10.1111/codi.16876.
14. LEE, C. et al. The Increased Level of Depression and Anxiety in Irritable Bowel Syndrome Patients Compared with Healthy Controls: Systematic Review and Meta-analysis. Journal of Neurogastroenterology and Motility, v. 23, n. 3, p. 349-362, jul. 2017. DOI: 10.5056/jnm16220.
15. MARTINEZ, A. P.; AZEVEDO, G. R. de. The Bristol Stool Form Scale: its translation to Portuguese, cultural adaptation and validation. Revista Latino-Americana de Enfermagem, v. 20, n. 3, p. 583–589, maio 2012. Disponível em: https://doi.org/10.1590/S0104-11692012000300021.
16. MOORE, J. S.; GIBSON, P. R.; BURGELL, R. E. Neuromodulation via Interferential Electrical Stimulation as a Novel Therapy in Gastrointestinal Motility Disorders. Journal of Neurogastroenterology and Motility, v. 24, n. 1, p. 19-29, jan. 2018. DOI: 10.5056/jnm17071.
17. MOORE, J. S.; GIBSON, P. R.; BURGELL, R. E. Randomised clinical trial: transabdominal interferential electrical stimulation vs sham stimulation in women with functional constipation. Alimentopharmacology & Therapeutics, v. 51, n. 8, p. 760-769, abr. 2020. DOI: 10.1111/apt.15642.
18. MOORE, J. S.; GIBSON, P. R.; BURGELL, R. E. Randomised clinical trial: transabdominal interferential electrical stimulation vs sham stimulation in women with functional constipation. Alimentopharmacology & Therapeutics, v. 51, n. 8, p. 760-769, abr. 2020. DOI: 10.1111/apt.15642.
19. ORTEGA, M. V. et al. Women with chronic constipation have more bothersome urogenital symptoms. Techniques in Coloproctology, v. 26, n. 1, p. 29-34, jan. 2022. DOI: 10.1007/s10151-021-02518-4.
20. PANNEMANS, J.; MASUY, I.; TACK, J. Functional Constipation: Individualising Assessment and Treatment. Drugs, v. 80, n. 10, p. 947-963, jul. 2020. DOI: 10.1007/s40265-020-01305-z.
21. QUERALTO, M.; VITTON, V.; BOUVIER, M.; ABYSIQUE, A.; PORTIER, G. Interferential therapy: a new treatment for slow transit constipation. a pilot study in adults. Colorectal Disease, v. 15, n. 1, p. e35-e39, jan. 2013. DOI: 10.1111/codi.12052.
22. RAMPAZO, É. P. et al. Effectiveness of interferential current in patients with chronic non-specific low back pain: a systematic review with meta-analysis. Brazilian Journal of Physical Therapy, v. 27, n. 5, p. 100549, set./out. 2023. DOI: 10.1016/j.bjpt.2023.100549.
23. SADLER, K.; ARNOLD, F.; DEAN, S. Chronic Constipation in Adults. American Family Physician, v. 106, n. 3, p. 299-306, set. 2022.
24. SAMHAN, A. F.; ABDELBASSET, W. K.; ELNAGGAR, R. K. Clinical evaluation of the effectiveness of interferential current therapy in the treatment of children with pelvic floor dyssynergia-type constipation: a randomized controlled study. The Turkish Journal of Pediatrics, v. 62, n. 6, p. 1002-1011, 2020. DOI: 10.24953/turkjped.2020.06.012.
25. SCOTT, S. M. et al. Chronic constipation in adults: Contemporary perspectives and clinical challenges. 1: Epidemiology, diagnosis, clinical associations, pathophysiology and investigation. Neurogastroenterology & Motility, v. 33, n. 6, e14050, jun. 2021. DOI: 10.1111/nmo.14050.
26. SILVA, Anna Karla Lopes Coimbra Pereira da; PEREIRA, Priscila Moreira de Lima; SEIXAS, Thiago Balbi; PERCEGONI, Nathércia. Constipação intestinal e fatores associados em pacientes internados em um hospital universitário. Revista da Associação Brasileira de Nutrição - RASBRAN, [S. l.], v. 11, n. 1, p. 72–85, 2020. DOI: 10.47320/rasbran.2020.1753.
27. VITTON, V. et al. Interferential therapy for chronic constipation in adults: The CON-COUR randomizedcontrolled trial. United European Gastroenterology Journal, v. 11, n. 4, p. 337–349, abr. 2023. DOI: 10.1002/ueg2.12373.
28. YANG, Y.; YIM, J.; CHOI, W.; LEE, S. Improving slow-transit constipation with transcutaneous electrical stimulation in women: A randomized, comparative study. Women & Health, v. 57, n. 4, p. 494-507, abr. 2017. DOI: 10.1080/03630242.2016.1176098.
29. YIN, J.; CHEN, J. D. Noninvasive electrical neuromodulation for gastrointestinal motility disorders. Expert Review of Gastroenterology & Hepatology, v. 17, n. 12, p. 1221-1232, dez. 2023. DOI: 10.1080/17474124.2023.2288156.
30. ZHU, H. D. et al. The Efficacy and Safety of Transcutaneous Acupoint Interferential Current Stimulation for Cancer Pain Patients With Opioid-Induced Constipation: A Prospective Randomized Controlled Study. Integrative Cancer Therapies, v. 17, n. 2, p. 437-443, jun. 2018. DOI: 10.1177/1534735417734910.