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. 2002 Jan 21;2002(1):CD002123. doi: 10.1002/14651858.CD002123

Mannheimer 1985.

Methods Random ‐ unstated 
 Parallel design 
 27 women randomised
Participants Inclusion: dysmenorrhoea, abdominal pain, women who were not previous users of TENS 
 Exclusion: OCP use, any precautions or contraindications to treatment, only lower back pain 
 Age: 19‐27, mean 22.1 years 
 Location: USA
Interventions 1. Conventional high‐freq TENS ‐ 50‐100 Hz, narrow pulse 40‐75 μsec, intensity produces no muscle contractions 
 2. Acupuncture‐like low‐frequency TENS ‐ 1‐4 Hz, pulse 100‐250 μsec, intensity to tolerance 
 3. Control ‐ placebo TENS 
 Location: conventional and control used electrodes on abdomen, acupuncture‐like TENS used points spleen 6 and 10 (legs) 
 Duration: 30 min ‐ until pain returned
Outcomes Pain ratings ‐ pre and post treatment 
 Duration of pain relief
Notes No information on the baseline similarities of the randomised groups
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk "randomly assigned" no further details.
Allocation concealment? Unclear risk Unclear.
Blinding? 
 All outcomes High risk No details of blinding.
Incomplete outcome data addressed? 
 All outcomes Low risk All patients were analysed.
Free of selective reporting? Low risk All relevant outcomes were reported.