Rinaldi Fontani Institute, Department of Neuro Psycho Physio Pathology, Florence, Italy.
Clin Interv Aging. 2011;6:201-6. doi: 10.2147/CIA.S23130. Epub 2011 Jul 25.
It is well known that psychological components are very important in the aging process and may also manifest in psychogenic movement disorders, such as coxarthrosis. This study analyzed the medical records of two similar groups of patients with coxarthrosis (n = 15 in each) who were treated in two different clinics for rehabilitation therapy.
Patients in Group A were treated with a course of traditional physiotherapy, including sessions of local hyperthermia. Group B patients were treated with only a course of radioelectric asymmetrical brain stimulation (REAC) to improve their motor behavior.
Group A showed a significant decrease in symptoms of pain and stiffness, and an insignificant improvement in range of motion and muscle bulk. A single patient in this group developed worsened symptoms, and pain did not resolve completely in any patient. The patients in Group B had significantly decreased levels of pain and stiffness, and a significant improvement in range of motion and muscle bulk. No patients worsened in Group B, and the pain resolved completely in one patient.
Both treatments were shown to be tolerable and safe. Patients who underwent REAC treatment appeared to have slightly better outcomes, with an appreciable improvement in both their physical and mental states. These aspects are particularly important in the elderly, in whom functional limitation is often associated with or exacerbated by a psychogenic component.
众所周知,心理因素在衰老过程中非常重要,也可能表现在精神运动障碍中,如髋关节骨关节炎。本研究分析了在两家不同诊所接受康复治疗的两组髋关节骨关节炎(每组 15 例)患者的病历。
A 组患者接受了一疗程的传统物理治疗,包括局部热疗。B 组患者仅接受了一疗程的无线电不对称脑刺激(REAC)治疗,以改善他们的运动行为。
A 组患者的疼痛和僵硬症状明显减轻,运动范围和肌肉体积无明显改善。该组中有一名患者症状恶化,且没有患者的疼痛完全缓解。B 组患者的疼痛和僵硬程度明显减轻,运动范围和肌肉体积显著改善。B 组无患者病情恶化,有一名患者的疼痛完全缓解。
两种治疗方法均耐受良好且安全。接受 REAC 治疗的患者似乎有更好的结果,其身体和精神状态都有明显改善。这些方面在老年人中尤为重要,因为功能受限通常与心理因素有关或由其加重。