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Canadian Journal of Anesthesia 51:400 (2004)
© Canadian Anesthesiologists' Society, 2004


Correspondence

Transcutaneous electrical nerve stimulation prevents visceral pain in mice

Uriah Guevara López, MD PhD, Alfonso E. Campos Sepúlveda, MD PhD, Javier Gómez Parra, MD, Antonio Tamayo Valenzuela, MD, Ramón De Lille Fuentes, MD and María E. Martínez Enríquez, PhD

Colonia Tlalpan, Mexico

To the Editor:

We assessed transcutaneous electrical nerve stimulation (TENS) antinociceptive activity in visceral pain in an experimental murine model.

Sixty-four mice were divided into eight groups. Group I, received perezone, ip while Group II received only the vehicle. The 5 mg•kg–1 dose was chosen based on the results obtained in a previous dose-response study to perezone. The number of abdominal constrictive responses (ACR) was registered immediately after its administration. TENS electrodes were placed on Group III without stimulation during 30 min; afterwards, the mice received perezone ip. Groups IV to VIII underwent TENS (by means of two electrodes in the mouse’s abdominal wall at different frequencies (10, 20, 40, 80, and 160 Hz) during 30 min. Immediately after the stimulation period, these last groups received perezone ip and the number of ACR was recorded.

A stimulator [Acupoint 2000, Instituto Politécnico Nacional (IPN) Mexico City, Mexico] was used for the generation of the electric impulses of TENS, with fixed parameters for all groups (except for the stimulation frequency); the pulse amplitude was 150 J•sec–1, the relaxation pattern 1.8 sec, and the contraction pattern four seconds. Outcomes were analyzed with the Kruskal Wallis test and a P <= 0.05 was considered statistically significant.

Perezone induced ACR accompanied by behavioural and autonomic responses (defecation, urination and tachycardia). The average of ACR during the observation in Group I TENS was 6.75 contractions, while it was zero for Group II.

For mice from Group III that only underwent electrode placement without stimulation before receiving perezone, ACR averaged seven contractions. The mice from Groups IV, V, VI and VII that underwent TENS 30 min with frequencies of 10, 20, 40, and 80 Hz before the administration of perezone presented significant inhibition of ACR (P < 0.05) of 83, 87, 92 and 74%, respectively. Finally, in Group VIII the inhibition of the nociceptive effect was of 20% (P > 0.05; FigureGo).



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FIGURE The influence of transcutaneous electrical stimulation on the abdominal constrictive response in eight groups of eight mice.

 
We conclude that a decrease in ACR induced by perezone can be observed when TENS is applied at low frequencies. Applied prior to nociception, TENS appears to be useful as a non-pharmacological resource for visceral pain management.

References

1 Cervero F. Sensory innervation of the viscera: peripheral basis of visceral pain. Physiol rev 1994; 74: 95–138.[Free Full Text]

2 Borjesson M, Pilhall M, Eliasson T, Norssell H, Mannheimer C, Rolny P. Esophageal visceral pain sensitivity: effect of TENS and correlation with manometric findings. Dig Dis Sci 1998; 43: 1621–8.[Medline]

3 Han JS, Chen XH, Sun SL, et al. Effect of low- and high-frequency TENS on Met-enkephalin-Arg-Phe and dynorphin A immunoreactivity in human lumbar CSF. Pain 1991; 47: 295–8.[Medline]

4 Garcia X, Alcantara-Sarabia G, Cartas-Heredia L, Gijon E. Actions of perezone on rat smooth muscle. Gen Pharmacol 1995; 26: 1741–5.[Medline]





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