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Transcutaneous electrical nerve stimulation and heat to reduce pain in a chronic low back pain population: a randomized controlled clinical trial.

经皮电神经刺激和热减轻慢性腰痛人群的疼痛: 一项随机对照临床试验。

  • 影响因子:2.16
  • DOI:10.1016/j.bjpt.2020.04.001
  • 作者列表:"Leemans L","Elma Ö","Nijs J","Wideman TH","Siffain C","den Bandt H","Van Laere S","Beckwée D
  • 发表时间:2021-01-01
Abstract

BACKGROUND:Low back pain is the leading cause of disability worldwide. The therapeutic management of patients with chronic LBP is challenging. OBJECTIVES:The aim of this study is to evaluate the effects of heat and transcutaneous electrical nerve stimulation combined on pain relief in participants with chronic low back pain. METHODS:Fifty participants with chronic (≥3 months) low back pain were randomly assigned to two groups: HeatTens (n=25) and control group (n=25). Primary outcome was pain. Secondary outcomes were pressure pain thresholds, temporal summation, conditioned pain modulation, fear-avoidance and beliefs questionnaire, central sensitization inventory, quality of life, and medication use. The control group received no treatment and continued usual care. After four weeks of treatment, all measurements were repeated. RESULTS:Fifty individuals participated in this study. Significant higher pressure pain threshold measures after both 30min and 4 weeks for the lower back region and the second plantar toe were found only in the experimental group. CONCLUSION:The combination of heat and transcutaneous electrical nerve stimulation does not reduce pain scores in patients with chronic low back pain. Pressure pain threshold values significantly improved, showing beneficial effects of the experimental treatment. ClinicalTrials.gov: NCT03643731 (https://clinicaltrials.gov/ct2/show/NCT03643731).

摘要

背景: 腰背痛是全世界残疾的主要原因。慢性LBP患者的治疗管理具有挑战性。 目的: 本研究的目的是评估热和经皮神经电刺激联合对慢性腰痛参与者疼痛缓解的影响。 方法: 将50名慢性 (≥ 3个月) 腰痛患者随机分为两组: 治疗组 (n = 25) 和对照组 (n = 25)。主要结局是疼痛。次要结局为压力性疼痛阈值、时间总和、条件性疼痛调制、恐惧回避和信念问卷、中心致敏量表、生活质量和药物使用。对照组不接受治疗,继续常规护理。治疗4周后,重复所有测量。 结果: 50人参加了这项研究。在30分钟和4周后,仅在实验组中发现下背部区域和第二足底脚趾的显著更高的压力性疼痛阈值测量。 结论: 热和经皮神经电刺激联合应用并不能降低慢性腰痛患者的疼痛评分。压痛阈值显著改善,显示实验治疗的有益效果。ClinicalTrials.gov: NCT03643731 (https://clinicaltrials.gov/ct2/show/NCT03643731)。

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影响因子:2.68
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DOI:10.1080/14656566.2020.1814255
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DOI:10.1007/s11033-021-06299-9
作者列表:["Louvrier A","Terranova L","Meyer C","Meyer F","Euvrard E","Kroemer M","Rolin G"]

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