ClinicalTrials.gg
Active, not recruitingNCT07933263Updated Nov 12, 2026

The Effect of Transcutaneous Electrical Nerve Stimulation (TENS) on Pain, Mobilization, and Insomnia Severity After Cesarean Section: A Randomized Controlled Trial

An interventional study of Tens in Postoperative Pain After Cesarean Section, Early Postpartum Mobilization and Postpartum Sleep, sponsored by Inonu University. Active, not recruiting at 1 site in Turkey (Türkiye). Open to female participants. Per ClinicalTrials.gov, last updated 2026-11-12.

Sponsored by Inonu University · Not applicable, Interventional, and Treatment

Updated Nov 12, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
72
Allocation
Randomized
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 391 studies in Sleep Initiation and Maintenance Disorders with a site in Turkey — 97 open to participants now, 110 under way, none of them phase 3. Sleep Initiation and Maintenance Disorders · Turkey.

Planned enrollment
104th of 310
72 · median 60
Started
2026
with 66 others
No phase
308 of 391
75 open now
Primary completion
2026-12
later than 77 of 109 live
Registered
310th of 391
by date
Lead sponsor
8 of 391
Inonu University

Among the 391 studies in Sleep Initiation and Maintenance Disorders with a site in Turkey, this one is the 104th largest by planned enrollment of the 310 interventional ones that give a count, is one of 67 that started in 2026, is one of 308 with no phase, reaches primary completion later than 77 of the 109 other live ones, and was the 310th registered.

Sleep Initiation and Maintenance Disorders

2,726 studies on the registry are indexed under Sleep Initiation and Maintenance Disorders; 728 are open to participants now.

Browse Sleep Initiation and Maintenance Disorders studies →

Open to participants now

97 of the 391 studies in Sleep Initiation and Maintenance Disorders with a site in Turkey are open now. Recruiting first, the newest first:

92 more — sign in →

All 97 open studies →

A study can be open while its sites in Turkey have not opened yet or have stopped. Only those recruiting at a site in Turkey →

Who these studies take

Of the 388 Sleep Initiation and Maintenance Disorders studies recruiting now, 152 (39%) set no upper age limit and 206 (53%) stop at 75 or younger; 59 take children under 18; 108 take healthy volunteers.

This study: female · no healthy volunteers.

The full table on the hub →

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02

Study summary

This study is designed using an experimental research model with a pre-test-post-test control group.

The study population consists of women receiving postpartum care following a cesarean section. The sample size was determined through a power analysis using the G*Power software; based on an effect size of d=0.80, an alpha (α) level of 0.05, and a power of 0.95, a minimum of 33 women per group was calculated. Accounting for a potential 10% attrition rate, a total of 72 women-36 in the experimental group and 36 in the control group-will be included in the study. Participants will be assigned to the groups using a simple randomization method.

The experimental group will receive Transcutaneous Electrical Nerve Stimulation (TENS) three times, beginning prior to mobilization. TENS will be applied for 20 minutes at a frequency of 20-40 Hz, a pulse duration of 90-100 µs, and an intensity level tolerable for the participant. The control group will receive no interventions other than routine care.

Data will be collected using a Personal Information Form, the Visual Analog Scale (VAS), the Patient Mobility Scale (PMS), the Observer Mobility Scale (OMS), and the Insomnia Severity Index (ISI). Pre-test measurements will be taken before the first intervention, and post-test measurements will be taken prior to hospital discharge.

Data will be analyzed using the SPSS 29.0 software; descriptive statistics, the chi-square test, and independent and dependent samples t-tests will be employed. A significance level of p\<0.05 will be adopted. Informed written consent will be obtained from the participants, and the principles of the Declaration of Helsinki will be adhered to throughout the study process.

03

Conditions studied

  • Postoperative Pain After Cesarean Section
  • Early Postpartum Mobilization
  • Postpartum Sleep

Keywords

  • Cesarean section
  • Non-pharmacological method
  • Insomnia
  • postpartum period
  • Mobilization
  • Transcutaneous Electrical Nerve Stimulation (TENS)
  • Postoperative pain
04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Women who are able to communicate verbally and are literate, who have no diagnosed psychiatric conditions, and who experienced no complications related to themselves or their infants during the postpartum period will be included in the study.

Exclusion criteria

Exclusion Criteria:

Women who experienced serious complications (such as hemorrhage, infection, etc.) during or after a cesarean section, or who have for TENS application (e.g., use of a cardiac pacemaker), will be excluded from the study.

Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
72 participants (estimated)

Study arms

  • Experimental
    TENS Uygulanan Grup

    As part of the study, pre-test data will first be collected from the participants, followed by the initiation of the TENS application protocol. Once the pre-test measurements are completed, the first TENS session will be administered prior to mobilization. Since routine mobilization at the hospital in question is performed at the 6th postoperative hour, the TENS application will begin between the 5th and 6th postoperative hours. In total, three sessions will be conducted; specifically, the TENS sessions will take place between the 5th-6th, 23rd-24th, and 47th-48th postoperative hours.

    Device: Tens

  • No intervention
    control group

    No intervention will be applied to the women in the control group.

Interventions

  • DeviceTens

    Experimental Group (TENS Application): Women in the early postoperative period following a cesarean section will receive Transcutaneous Electrical Nerve Stimulation (TENS). Frequency: 20-40 Hz Pulse duration: 90-100 µs Intensity: At a level tolerable for the participant Number of electrodes: 8, placed 2 cm above and below the incision line, as well as over the T10-L1 and S2-S4 dermatomal regions Duration: 20 minutes Number of sessions: 4 (at 5-6, 23-24, and 47-48 hours postoperatively) Control Group: The control group will receive routine postoperative care; no TENS or other interventions will be applied. Characteristics and Distinguishing Features: TENS is employed as a non-pharmacological method for pain management. This intervention is distinguished from other TENS studies by its specific parameters and timing, tailored to the postoperative period following a cesarean section. Objective: To reduce postoperative pain, enhance mobilization, and decrease the severity of inso

06

What researchers measure

Primary outcomes

  1. Postoperative Pain Severity

    Pain intensity will be assessed using the Visual Analog Scale (VAS). The objective is to determine the effectiveness of TENS in reducing postoperative pain following a cesarean section.

    Time frame: Before TENS application and before discharge (0-48 hours)

Secondary outcomes

  1. Level of Mobilization (Patient Mobility Scale - PMS)

    The levels of pain and exertion experienced by participants while turning in bed, sitting at the edge of the bed, standing up, and walking around the room will be assessed using a five-point Likert-type scale.

    Time frame: Before TENS application and before discharge (0-48 hours)

  2. Level of Independence (Observer Mobility Scale - OMS)

    The independence levels of the participants will be scored on a scale from 1 (completely independent) to 5 (completely dependent).

    Time frame: Before TENS application and before discharge (0-48 hours)

  3. Insomnia Severity (Insomnia Severity Index - ISI)

    The severity of insomnia will be assessed using the seven-item Insomnia Severity Index (ISI). The scale measures sleep onset, sleep maintenance, early awakening, sleep satisfaction, impairment in daily functioning, and stress levels.

    Time frame: Before TENS application and before discharge (0-48 hours)

07

Study locations

1 site
  • Battalgazi Devlet Hastanesi, Malatya, Türkiye
    Malatya, Turkey (Türkiye)
08

References and documents

Publications

  • 1. Sakpal TV. Sample size estimation in clinical trial. Perspect Clin Res. 2010;1(2):67-9. PMID: 21829786; PMCID: PMC3148614. 2. Random.Org. Random Integer Generator. https://www.random.org/integers/?num=168&min=1&max=2&col=10&base=10&format=html&rnd=new Son Erişim Tarihi: 15.05.2025 3. Aslan, F.E. (2002). Ağrı değerlendirme yöntemleri. Cumhuriyet Üniversitesi Hemşirelik Yüksekokulu, 6:9-15.. 4. Heye ML, Foster L, Bartlett MK, Adkins S. A preoperative intervention for pain reduction, improved mobility, and self-efficacy. Appl Nurs Res. 2002 Aug;15(3):174-83. 5. Ayoğlu T. Cerrahi girişim öncesi verilen eğitimin hastaların öz-etkililik algısına ve iyileşme sürecine etkisi. [master's thesis]. [İstanbul]. İstanbul Üniversitesi; 2011. 6. Bastien CH, Vallieres A, Morin CM. Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Med 2001; 2:297-307. 7. Morin CM. Insomnia: Psychological Assessment and Management. New York, Guilford Press, 1993. 8. Boysan, M., Güleç, M., Beşiroğlu, L. ve Kalafat, T. (2010). Uykusuzluk Şiddeti İndeksi'nin Türk örneklemindeki psikometrik özellikleri. Anadolu Psikiyatri Dergisi, 11, 248-252. 9. Şahin E. Transkütan elektriksel sinir stimulasyonu. İçinde: Beyazova M, Gökçe Kutsal Y, editörler. Fiziksel Tıp ve Rehabilitasyon. 3. Basım. Ankara, Güneş Tıp Kitabevleri, 2016:761-768. 10. Tuncer T. Elektroterapi. İçinde: Beyazova M, Gökçe Kutsal Y, editörler. Fiziksel Tıp veRehabilitasyon. 3. Basım. Ankara, Güneş Tıp Kitabevleri, 2016: 745-760. 11. Johnson, M. Transcutaneous electrical nerve stimulation: Mechanisms, clinical application and evidence. Rev Pain. 2007;1(1):7-11. 12. Karacan İ, Koyuncu H. Fiziksel tıp ve rehabilitasyonda elektroterapi. 2. Basım. Ankara, Öncü Basımevi, 2003. 13. de Sousa L, Gomes Sponholz FA, Nakano AMS. Transcutaneous electrical nerve stimulation for the relief of post-partum uterine contraction pain during breast-feeding: A randomized clinical trial. J Obstet Gynaecol Res. 2014;40(5)

Individual participant data

Plan to share: No — The individual patient data collected in this study will be used solely for research purposes. The data have been anonymized, and the privacy of the participants will be protected. In accordance with the ethical approval, there are no plans to share these data with other researchers or institutions.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Mar 2026 (actual). Primary completion is estimated for Dec 2026, 9 months after the start.

Of 1,211 non-industry interventional studies with no phase under Sleep Initiation and Maintenance Disorders, half reached primary completion within 15 months of starting (the median), counting those still running; a quarter within 6 and three quarters within 35. This study's planned 9 months is below that.

Counting every sponsor, half of 1,289 studies reached it within 15 months; a quarter within 6 and three quarters within 34.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 6, 2026
First posted
Nov 12, 2026
StartActual
Mar 4, 2026
Primary completionEst.
Dec 2026
CompletionEst.
Jan 2027
Last update
Nov 12, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Nov 12, 2026
Show all 1 update
  1. Nov 12, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07933263
Lead sponsor
Inonu University
Responsible party
Simge Çetin (physiotherapist, midwife, Inonu University) — Principal investigator
First posted
Nov 12, 2026
Start date
Mar 4, 2026
Primary completion
Dec 2026 (estimated)
Completion
Jan 2027 (estimated)
Last update
Nov 12, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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