Menopause Clinical Trial
Official title:
Evaluation of Effect of Transcutaneous Electrical Nerve Stimulation (TENS) on Autonomic and Psychophysical Parameters in Postmenopausal Women
Introduction: Menopause is the last menstrual period, it is a natural phenomenon to all
women. Postmenopausal, some women may experience unpleasant symptoms such as hot flushes,
urogenital pain, headache and pains in the musculoskeletal system. That happens due to the
decreased ovarian hormone secretion and changes in the autonomic system. Pain is also caused
by a complex autonomic activity. For pain management, a therapeutic electrical stimulation
of the peripheral nervous system promotes modulation of nociceptive incentives and release
of endogenous opioids. According to reviewed studies, the use of transcutaneous electrical
nerve stimulation (TENS), by directly stimulating the central nervous system, has presented
results of manipulation of the autonomic system, being observed change in heart rate and
cognitive improvement in dementia. Given this possibility, the present study aims to
investigate whether the use of Transcutaneous Electrical Nerve Stimulation in low frequency
can generate autonomic and psychophysical changes in healthy postmenopausal women.
Objective: To evaluate the effectiveness of Transcutaneous Electrical Nerve Stimulation on
autonomic and psychophysical parameters in postmenopausal women.
Methods: randomized, crossover, double-blind. A sample of thirty patients will be selected
according to inclusion and exclusion criteria previously established. The autonomic and
psychophysical functions will be evaluated by Quantitative Sensory Testing and Conditioned
Pain Modulation (pain thresholds to heat and modulation of conditioned pain, respectively),
as well as scales to evaluate catastrophism and sleep quality (by scale of Pittsburgh Sleep
Quality Index). After application of the scales, the participants will be subject to active
Ttranscutaneous Electrical Nerve Stimulation session or sham with a fortnight washout as
randomization. All the research subjects will be invited to participate in the study and
sign an Informed Consent and Informed (ICI). This study will be registered in the Clinical
Trials.
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