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神经肌肉电刺激对老年膝骨关节炎患者膝关节疼痛的影响。

The effect of neuromuscular electrical stimulation on arthritis knee pain in older adults with osteoarthritis of the knee.

作者信息

Gaines Jean M, Metter E Jeffrey, Talbot Laura A

机构信息

Geriatric Medicine and Gerontology, The Erickson Foundation, 701 Maiden Choice Lane, Baltimore, MD 21228, USA.

出版信息

Appl Nurs Res. 2004 Aug;17(3):201-6. doi: 10.1016/j.apnr.2004.06.004.

Abstract

The objective of this study was to examine the short- and long-term effects of a home-based, 12-week neuromuscular electrical stimulation (NMES) of the quadriceps femoris to decrease arthritis knee pain in older adults with osteoarthritis of the knee. The study sample (N = 38) was randomly assigned to the NMES treatment plus education group or the arthritis education-only group. Pain was measured in both groups with the McGill Pain Questionnaire (MPQ) at baseline, during the intervention at weeks 4, 8, 12, and at follow-up and with the Arthritis Impact Measurement Scale 2-Pain Subscale (AIMS2-PS) at baseline and week 12. The NMES Pain Diary (PD) was completed 15 minutes before and after each stimulation session. There was a significant 22% decline in pain 15 minutes after as compared with immediately before each NMES treatment (p <.001), as measured by the PD. No significant group differences were found between the 2 groups over the course of the intervention and follow-up. These findings indicate that a home-based NMES intervention reduced arthritis knee pain 15 minutes after a NMES treatment.

摘要

本研究的目的是探讨为期12周的居家股四头肌神经肌肉电刺激(NMES)对减轻老年膝骨关节炎患者膝关节疼痛的短期和长期效果。研究样本(N = 38)被随机分配到NMES治疗加教育组或仅接受关节炎教育组。两组均在基线时、干预第4、8、12周及随访时使用麦吉尔疼痛问卷(MPQ)测量疼痛,并在基线和第12周时使用关节炎影响测量量表2疼痛子量表(AIMS2-PS)测量疼痛。每次刺激前15分钟和刺激后完成NMES疼痛日记(PD)。根据PD测量,每次NMES治疗后15分钟的疼痛与治疗前即刻相比显著下降22%(p <.001)。在干预和随访过程中,两组之间未发现显著的组间差异。这些结果表明,居家NMES干预在NMES治疗后15分钟减轻了膝关节炎疼痛。

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