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电刺激方案对腰痛患者躯干肌肉力量、功能能力、生活质量及抑郁的影响:一项随机对照试验

Effects of electrical stimulation program on trunk muscle strength, functional capacity, quality of life, and depression in the patients with low back pain: a randomized controlled trial.

作者信息

Durmus Dilek, Akyol Yesim, Alayli Gamze, Tander Berna, Zahiroglu Yeliz, Canturk Ferhan

机构信息

Department of Physical Medicine and Rehabilitation, Medical Faculty, Ondokuz Mayis University, Samsun, Turkey.

出版信息

Rheumatol Int. 2009 Jun;29(8):947-54. doi: 10.1007/s00296-008-0819-x. Epub 2008 Dec 20.

Abstract

The aim of this clinical trial was to evaluate the effects of electrical stimulation (ES) program on trunk muscle strength, functional performance, quality of life (QOL) in the patients with chronic low back pain (CLBP). A total of 41 patients with definite CLBP were included in this study. These patients were randomized into two groups. Group 1 (n = 21) was given an ES program and exercises. Group 2 (n = 20) was accepted as the control group and given only exercises. Both the programs were performed 3 days a week, for 8 weeks in the out-patient department. The patients were evaluated according to pain, disability, functional performance, endurance, quality of life, depression. The muscle strengths were measured with a hand-held dynamometer. There were significant improvements for all the parameters in two groups after the treatment. Except depression and social function, the improvements for all the parameters were better in the ES group than in the control group. We observed that ES program was very effective in improving QOL, functional performance and isometric strength. In conclusion, we can say that ES therapy provides comfortable life functions by improving muscle strength, functional performance and QOL.

摘要

本临床试验的目的是评估电刺激(ES)方案对慢性下腰痛(CLBP)患者躯干肌肉力量、功能表现、生活质量(QOL)的影响。本研究共纳入41例确诊为CLBP的患者。这些患者被随机分为两组。第1组(n = 21)接受ES方案和锻炼。第2组(n = 20)作为对照组,仅接受锻炼。两组方案均每周进行3天,在门诊部进行8周。根据疼痛、残疾、功能表现、耐力、生活质量、抑郁情况对患者进行评估。使用手持测力计测量肌肉力量。治疗后两组所有参数均有显著改善。除抑郁和社会功能外,ES组所有参数的改善均优于对照组。我们观察到ES方案在改善生活质量、功能表现和等长力量方面非常有效。总之,可以说ES疗法通过改善肌肉力量、功能表现和生活质量来提供舒适的生活功能。

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