Bio-Fiz Rehabilitation Center, Ankara, Turkey.
Clin Rehabil. 2010 Jul;24(7):623-31. doi: 10.1177/0269215510367539. Epub 2010 Jun 8.
To assess the effectiveness of therapeutic exercises alone and in combination with a single physical agent - ultrasound - in patients with lumbar spinal stenosis.
Randomized, prospective, controlled trial.
Department of Physical Medicine and Rehabilitation, University Hospital.
Forty-five patients presenting with symptoms of neurological claudication and magnetic resonance image-proven lumbar spinal stenosis were assigned to one of three groups: ultrasound plus exercise group (group 1, n =15), sham ultrasound plus exercise group (group 2, n= 15) and no exercise - no treatment group (control group, n = 15).
Stretching and strengthening exercises for lumbar, abdominal, leg muscles as well as low-intensity cycling exercises were given as therapeutic exercises. Ultrasound was applied with 1 mHz, 1.5 W/cm(2) intensity, in continuous mode on the back muscle for 10 minutes in group 1 while ultrasound on/off mode was applied in group 2.
Before and after a three-week period, all subjects were evaluated by pain, disability, functional capacity and consumption of analgesic.
Thirty-two of the participants were women and 13 were men, with an average age of 53.2 +/- 12.68 years (range 25-82 years). After a three-week treatment period, leg pain decreased in group 1 (-1.47 +/- 3.02) and group 2 (-2.47 +/- 3.75) compared with the control group (P<0.05). Disability score decreased in group 1 (-3.94 +/- 7.20) and group 2 (-7.80 +/- 10.26) compared with control group (P<0.05). We did not find any statistically significant difference between groups 1 and 2 (P>0.05). The amount of analgesic consumption is significantly less in the group with ultrasound application compared to that in the control group (P<0.05).
The results of our study suggest that therapeutic exercises are effective for pain and disability in patients with lumbar spinal stenosis and that addition of ultrasound to exercise therapy lowers the analgesic intake substantially.
评估单独应用治疗性运动疗法和联合应用一种物理因子（超声波）治疗腰椎管狭窄症患者的疗效。
随机、前瞻性、对照试验。
大学医院物理医学与康复科。
45 名出现神经跛行症状且磁共振成像证实为腰椎管狭窄的患者被分为 3 组：超声加运动组（第 1 组，n =15）、假超声加运动组（第 2 组，n =15）和无运动-无治疗组（对照组，n =15）。
腰椎、腹部和腿部肌肉的伸展和强化运动以及低强度自行车运动作为治疗性运动。第 1 组接受 1 mHz、1.5 W/cm(2)强度的连续模式下的背部肌肉超声治疗 10 分钟，而第 2 组接受超声开/关模式。
治疗 3 周前后，所有患者均通过疼痛、残疾、功能能力和镇痛药使用情况进行评估。
32 名参与者为女性，13 名为男性，平均年龄 53.2 ± 12.68 岁（25-82 岁）。经过 3 周的治疗，第 1 组（-1.47 ± 3.02）和第 2 组（-2.47 ± 3.75）的腿部疼痛较对照组（P<0.05）减轻。第 1 组（-3.94 ± 7.20）和第 2 组（-7.80 ± 10.26）的残疾评分较对照组（P<0.05）降低。第 1 组和第 2 组之间无统计学差异（P>0.05）。与对照组相比，接受超声治疗的组的镇痛药使用量明显减少（P<0.05）。
我们的研究结果表明，治疗性运动疗法对腰椎管狭窄症患者的疼痛和残疾有效，而将超声联合应用于运动疗法可显著降低镇痛药的摄入量。
