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Systematic Review Open Access
Volume 6 | Issue 1 | DOI: https://doi.org/10.46439/rehabilitation.6.037

Exploring the effects of transcutaneous electrical nerve stimulation (TENS) in spinal cord injury rehabilitation: A systematic review of systematic reviews

  • 1Research Center for Evidence-based Medicine, Iranian EBM Centre: A JBI Centre of Excellence, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
  • 2Social Determinants of Health Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
  • 3Research Center for Integrative Medicine in Aging, Aging Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
  • 4Clinical Research Development Unit of Tabriz Valiasr Hospital, University of Medical Sciences, Tabriz, Iran
+ Affiliations - Affiliations

Corresponding Author

Alireza Rahimi-Mamaghani, rahimi.as@gmail.com

Received Date: April 07, 2025

Accepted Date: April 21, 2025

Abstract

Background: Transcutaneous electrical nerve stimulation (TENS) has emerged as a significant intervention in rehabilitating spinal cord injury (SCI). It has shown promising results in restoring function and improving outcomes for individuals with SCI throughout the current evidence. 
Objectives: To give a thorough recapitulation of the most recent systematic reviews (SRs) on the role of TENS in the rehabilitation of SCI.
Method: Several medical databases including MEDLINE (PubMed), Scopus, Web of Science, and Cochrane Library were searched systematically for citations published up until June 2023. Two reviewers thoroughly screened the research, gathered pertinent data, and assessed the caliber of the retrieved evidence. The quality of the SRs was evaluated using the JBI checklist for SRs. 
Results: Following an initial screening of 736 articles, 16 satisfied the inclusion criteria. TENS showed promising effects for various rehabilitative purposes, including spasticity, pain, motor function, erectile function, and cognitive function with no major adverse effects in SCI patients. 
Conclusion: This comprehensive overview of the literature outlines the currently available data for the use of TENS in SCI. However, to establish standardized procedures for improving the rehabilitation of SCI, further high-quality investigations are required.

Keywords

Spinal cord injury, Transcutaneous electrical nerve stimulation, TENS, Rehabilitation, Umbrella review, Systematic review

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