Estela Martín Castillo - Profile on Academia.edu (original) (raw)

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Papers by Estela Martín Castillo

Research paper thumbnail of Relationship pain management and women´s satisfaction during labour. A Randomized Controlled Trial

Background: The factors related to the satisfaction of women during labour vary widely. Pain reli... more Background: The factors related to the satisfaction of women during labour vary widely. Pain relief is one of the fundamental weaknesses, so it could influence the rating of the rest of the satisfaction items. The use of Transcutaneous Electrical Nerve Stimulation (TENS), like a non-pharmacologic pain relief approach, is a safe and effective technique used during childbirth. Measure for Testing Satisfaction (COMFORTS) scale is a specific questionnaire that includes the most important factors associated with the relation between mother satisfaction and the childbirth experienceAim: to analyse factors influencing satisfaction in pregnant women during labour and its relationship with pain management. Design: A randomized and double-blind controlled trial was conducted. All participants completed the satisfaction scale immediately after childbirth. Methods: A total of 63 participants were randomly assigned to one Transcutaneous electric nerve stimulation (TENS) device to relieve the pai...

Research paper thumbnail of Evaluation of different doses of transcutaneous nerve stimulation for pain relief during labour: a randomized controlled trial

Trials, 2018

Background: Pain during labour is one of the most intense pain that women may experience in their... more Background: Pain during labour is one of the most intense pain that women may experience in their lifetime. There are several non-pharmacological analgesic methods to relieve pain during labour, among them transcutaneous electrical nerve stimulation (TENS). TENS is a low-frequency electrotherapy technique, analgesic type, generally used in musculoskeletal pathology, but it has also come to be used as an alternative treatment during labour. The purpose of this study is to investigate the pain-relieving effect of a TENS application during labour and to find out the most effective dose. Methods: This study is a randomized, double-blind, placebo-controlled trial. TENS therapy was initiated at the beginning of the active phase of labour. Participants were randomly assigned to three groups (21 per group: two active TENS and one placebo). Active TENS 1 intervention consisted in a constant frequency of 100-Hz, 100-μs, active TENS 2 intervention consisted in a varying high-frequency (80-100 Hz), 350 μs, and in a placebo group, participants were connected to the TENS unit without electrical stimulation. TENS was applied with two selfadhesive electrodes placed parallel to the spinal cord (T10-L1 and S2-S4 levels). The primary outcome was pain intensity (0-10 cm) measured on a visual analogue scale (VAS) at several stages (at baseline and at 10 and 30 min later). Secondary outcomes included women's satisfaction (via the Care in Obstetrics: Measure for Testing Satisfaction scale). Results: Sixty-three women participated. Regarding baseline characteristics, no differences were found among the three groups. The active TENS 2 group obtained an improvement with clinically significant VAS results (-2.9, 95% confidence interval -4.1 to -1.6, p < 0.001). Regarding satisfaction, the results also revealed better results in the active TENS than in the placebo group. Conclusions: TENS with high frequencies modified in time as well as high pulse width are effective for relieving labour pain, and they are well considered by pregnant participants. Trial registration: ClinicalTrials.gov, NCT03137251. Registered on 2 May 2017.

Research paper thumbnail of Deformidad raquídea en los pacientes afectos de la enfermedad de Charcot-Marie-Tooth

Rehabilitación, 2013

Introducción: La prevalencia de escoliosis en la enfermedad de Charcot-Marie-Tooth (CMT) se estim... more Introducción: La prevalencia de escoliosis en la enfermedad de Charcot-Marie-Tooth (CMT) se estima entre el 10 y el 38%. El objetivo del estudio es analizar la prevalencia de deformidades raquídeas asociadas al CMT en nuestra población, y los datos epidemiológicos y clínicos de los pacientes. Material y métodos: Se realizó un estudio descriptivo retrospectivo de 30 pacientes afectos de CMT, valorados entre enero de 2001 y diciembre de 2010. Se analizó el sexo, la edad de

Research paper thumbnail of Relationship pain management and women´s satisfaction during labour. A Randomized Controlled Trial

Background: The factors related to the satisfaction of women during labour vary widely. Pain reli... more Background: The factors related to the satisfaction of women during labour vary widely. Pain relief is one of the fundamental weaknesses, so it could influence the rating of the rest of the satisfaction items. The use of Transcutaneous Electrical Nerve Stimulation (TENS), like a non-pharmacologic pain relief approach, is a safe and effective technique used during childbirth. Measure for Testing Satisfaction (COMFORTS) scale is a specific questionnaire that includes the most important factors associated with the relation between mother satisfaction and the childbirth experienceAim: to analyse factors influencing satisfaction in pregnant women during labour and its relationship with pain management. Design: A randomized and double-blind controlled trial was conducted. All participants completed the satisfaction scale immediately after childbirth. Methods: A total of 63 participants were randomly assigned to one Transcutaneous electric nerve stimulation (TENS) device to relieve the pai...

Research paper thumbnail of Evaluation of different doses of transcutaneous nerve stimulation for pain relief during labour: a randomized controlled trial

Trials, 2018

Background: Pain during labour is one of the most intense pain that women may experience in their... more Background: Pain during labour is one of the most intense pain that women may experience in their lifetime. There are several non-pharmacological analgesic methods to relieve pain during labour, among them transcutaneous electrical nerve stimulation (TENS). TENS is a low-frequency electrotherapy technique, analgesic type, generally used in musculoskeletal pathology, but it has also come to be used as an alternative treatment during labour. The purpose of this study is to investigate the pain-relieving effect of a TENS application during labour and to find out the most effective dose. Methods: This study is a randomized, double-blind, placebo-controlled trial. TENS therapy was initiated at the beginning of the active phase of labour. Participants were randomly assigned to three groups (21 per group: two active TENS and one placebo). Active TENS 1 intervention consisted in a constant frequency of 100-Hz, 100-μs, active TENS 2 intervention consisted in a varying high-frequency (80-100 Hz), 350 μs, and in a placebo group, participants were connected to the TENS unit without electrical stimulation. TENS was applied with two selfadhesive electrodes placed parallel to the spinal cord (T10-L1 and S2-S4 levels). The primary outcome was pain intensity (0-10 cm) measured on a visual analogue scale (VAS) at several stages (at baseline and at 10 and 30 min later). Secondary outcomes included women's satisfaction (via the Care in Obstetrics: Measure for Testing Satisfaction scale). Results: Sixty-three women participated. Regarding baseline characteristics, no differences were found among the three groups. The active TENS 2 group obtained an improvement with clinically significant VAS results (-2.9, 95% confidence interval -4.1 to -1.6, p < 0.001). Regarding satisfaction, the results also revealed better results in the active TENS than in the placebo group. Conclusions: TENS with high frequencies modified in time as well as high pulse width are effective for relieving labour pain, and they are well considered by pregnant participants. Trial registration: ClinicalTrials.gov, NCT03137251. Registered on 2 May 2017.

Research paper thumbnail of Deformidad raquídea en los pacientes afectos de la enfermedad de Charcot-Marie-Tooth

Rehabilitación, 2013

Introducción: La prevalencia de escoliosis en la enfermedad de Charcot-Marie-Tooth (CMT) se estim... more Introducción: La prevalencia de escoliosis en la enfermedad de Charcot-Marie-Tooth (CMT) se estima entre el 10 y el 38%. El objetivo del estudio es analizar la prevalencia de deformidades raquídeas asociadas al CMT en nuestra población, y los datos epidemiológicos y clínicos de los pacientes. Material y métodos: Se realizó un estudio descriptivo retrospectivo de 30 pacientes afectos de CMT, valorados entre enero de 2001 y diciembre de 2010. Se analizó el sexo, la edad de

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