Cramer Holger, Lauche Romy, Hohmann Claudia, Choi Kyung-Eun, Rampp Thomas, Musial Frauke, Langhorst Jost, Dobos Gustav
Chair of Complementary and Integrative Medicine, University of Duisburg-Essen, Germany.
Forsch Komplementmed. 2011;18(6):327-34. doi: 10.1159/000335294. Epub 2011 Dec 2.
Pneumatic pulsation therapy may combine the effects of cupping therapy and massage. This study investigated the effect of pneumatic pulsation therapy on chronic neck pain compared to standard medical care.
50 patients (79.15% female; 46.17 ± 12.21 years) with chronic nonspecific neck pain were randomized to treatment group (TG; n = 25) or control group (CG; n = 25). The TG received 5 pneumatic pulsation treatments over a period of 2 weeks utilizing a mechanical device. Treatment was applied as a combination of moving and stationary pulsating cupping. Main outcome measure was pain intensity in pain diaries (numerical rating scale). Secondary outcome measures included functional disability (NDI), quality of life (SF-36), and pain at motion. Sensory thresholds, including pressure pain threshold, were measured at pain-related sites.
After the intervention, significant group differences occurred regarding pain intensity (baseline: 4.12 ± 1.45 in TG and 4.20 ± 1.57 in CG; post-intervention: 2.72 ± 1.62 in TG and 4.44 ± 1.96 in CG; analysis of covariance: p = 0.001), NDI (baseline: 25.92 ± 8.23 and 29.83; post-intervention: 20.44 ± 10.17 and 28.83; p = 0.025), and physical quality of life (baseline: 43.85 ± 7.65 and 41.66 ± 7.09; post-intervention: 47.60 ± 7.93 and 40.49 ± 8.03; p = 0.002). Further significant group differences were found for pain at motion (p = 0.004) and pressure pain threshold (p = 0.002). No serious adverse events were reported.
Pneumatic pulsation therapy appears to be a safe and effective method to relieve pain and to improve function and quality of life in patients with chronic neck pain.
气动脉冲疗法可能兼具拔罐疗法和按摩的效果。本研究比较了气动脉冲疗法与标准医疗护理对慢性颈部疼痛的治疗效果。
50例慢性非特异性颈部疼痛患者（女性占79.15%；年龄46.17±12.21岁）被随机分为治疗组（TG；n = 25）和对照组（CG；n = 25）。治疗组在2周内使用机械设备接受5次气动脉冲治疗。治疗采用移动和固定脉冲拔罐相结合的方式。主要结局指标是疼痛日记中的疼痛强度（数字评分量表）。次要结局指标包括功能障碍（NDI）、生活质量（SF - 36）和运动时疼痛。在疼痛相关部位测量感觉阈值，包括压痛阈值。
干预后，在疼痛强度（基线：TG组为4.12±1.45，CG组为4.20±1.57；干预后：TG组为2.72±1.62，CG组为4.44±1.96；协方差分析：p = 0.001）、NDI（基线：25.92±8.23和29.83；干预后：20.44±10.17和28.83；p = 0.025）以及身体生活质量（基线：43.85±7.65和41.66±7.09；干预后：47.60±7.93和40.49±8.03；p = 0.002）方面出现了显著的组间差异。在运动时疼痛（p = 0.004）和压痛阈值（p = 0.002）方面也发现了进一步的显著组间差异。未报告严重不良事件。
气动脉冲疗法似乎是一种安全有效的方法，可缓解慢性颈部疼痛患者的疼痛，改善其功能和生活质量。
