Charłusz Magdalena, Gasztych Jowita, Irzmański Robert, Kujawa Jolanta
Department of Internal Diseases and Cardiological Rehabilitation, Physiotherapy Ward, Medical Military Faculty, Medical University, Lodz.
Ortop Traumatol Rehabil. 2010 May-Jun;12(3):225-36.
Low back pain syndromes are one of the most frequent causes of movement limitation in populations of highly industrialized countries. They are listed as the main cause of inability to work among people of working age. Chronic pain and the associated limitation of movement underlie the quest for effective therapies. The use of ultrasound, LLLT, vacuum therapy with Ultra Reiz current in physical therapy of these patients prompts research over their effectiveness in the therapy of patients with low-back pain. The aim of the work was to evaluate the analgesic efficacy of LLLT, ultrasound, and vacuum therapy with Ultra Reiz current in patients with low back pain.
The study involved 94 people divided into three groups (A,B,C). Group A (n=35) received a series of 10 low energy laser therapy sessions (wave length 808 nm, surface density of radiation 510 mW/cm(2), continuous wave form, scanning mode, a dose of 12 J/cm(2) on a surface of 100 cm(2) [10x10cm]). Patients in Group B (n=27) had ultrasound sessions with a wave intensity of 1 W/cm(2) for 3 minutes. Patients in Group C (n=32) underwent vacuum therapy (8 kPa) combined with Ultra Reiz current. Subjective pain assessment was carried out using a modified Latinen questionnaire and a visual analogue scale of pain intensity. Lumbosacral spine mobility was evaluated with the Schober test and the finger-to- floor test.
In Group A, following low energy laser therapy, a statistically significant decrease in pain intensity was observed, together with decreased analgesic consumption compared to the other groups. In Group C, following vacuum therapy combined with Ultra Reiz currents, a significant decrease in the frequency of pain was observed together with increased physical activity compared to both Groups A and B, assessed according to a modified Laitinen pain indicator questionnaire. The biggest improvement in global spine mobility and lumbosacral flexion was observed in Group C (vacuum therapy plus Ultra Reiz current) compared to the other groups. However, the most significant improvement in lower spine extension was noted in Group B (ultrasound).
下腰痛综合征是高度工业化国家人群中导致运动受限的最常见原因之一。它们被列为劳动年龄人群无法工作的主要原因。慢性疼痛以及相关的运动受限促使人们寻求有效的治疗方法。在这些患者的物理治疗中使用超声波、低强度激光疗法（LLLT）、带有超刺激电流的真空疗法，促使人们对其在治疗下腰痛患者中的有效性进行研究。这项工作的目的是评估低强度激光疗法、超声波和带有超刺激电流的真空疗法对下腰痛患者的镇痛效果。
该研究涉及94人，分为三组（A、B、C）。A组（n = 35）接受了一系列10次低能量激光治疗（波长808 nm，辐射表面密度510 mW/cm²，连续波形，扫描模式，在100 cm²[10×10 cm]表面的剂量为12 J/cm²）。B组（n = 27）的患者进行了波强度为1 W/cm²、持续3分钟的超声治疗。C组（n = 32）的患者接受了真空疗法（8 kPa）并结合超刺激电流。使用改良的拉蒂宁问卷和疼痛强度视觉模拟量表进行主观疼痛评估。使用肖伯试验和手指触地试验评估腰骶部脊柱活动度。
在A组中，低能量激光治疗后，与其他组相比，疼痛强度在统计学上显著降低，同时镇痛药物消耗量减少。在C组中，根据改良的拉蒂宁疼痛指标问卷评估，与A组和B组相比，在接受真空疗法并结合超刺激电流后，疼痛频率显著降低，身体活动增加。与其他组相比，C组（真空疗法加超刺激电流）在整体脊柱活动度和腰骶部前屈方面的改善最大。然而，B组（超声波）在腰椎后伸方面的改善最为显著。
