Zaniewska Renata, Okurowska-Zawada Bozena, Kułak Wojciech, Domian Karolina
Department of Pediatric Rehabilitation, Medical University, Białystok, Poland.
Med Pr. 2012;63(3):295-302.
Low back pain (LBP) is one of the most common disorders affecting office employees working with a computer, which inevitably leads to lower quality of life. The aim of this study was to analyze the quality of life of patients with LBP after application of TENS (Transcutaneous Electrical Nervous Stimulation).
The study group included 30 computer workers (26 females and 4 males) aged 30-60 years (45 +/- 12). The quality of life was assessed using the World Health Organization Quality of Life instrument-Abbreviated version (WHOQOL-Bref) before and after 10 applications of TENS. Outcomes were evaluated with a visual analog score (VAS) for pain and Schober's test to measure the ability of a patient to flex his or her lower back.
The mean VAS value decreased significantly from 3.83 +/- 1.31 cm at baseline to 3.36 +/- 1.21 cm after treatment. Patients reported pain relief. The highest quality of life scores in terms of social relationships were found in the social category evaluating personal relationships, social support and sexual activity (15.91 +/- 2.07) and mental health (14.32 +/- 1.59). After treatment a significant increase in the flexion of lower back was observed in the majority of patients. No significant correlations between the quality of life and the intensity of pain and the flexion of lower back before and after treatment were found.
TENS therapy is an effective technique for pain relief in patients with LBP. TENS can also be used with other methods of LBP treatment and may improve the patients' quality of life.
腰痛(LBP)是影响使用电脑办公的上班族的最常见病症之一,这不可避免地导致生活质量下降。本研究的目的是分析经皮电刺激神经疗法(TENS)应用后腰痛患者的生活质量。
研究组包括30名年龄在30至60岁(45±12)的电脑工作者(26名女性和4名男性)。在进行10次TENS治疗前后,使用世界卫生组织生活质量简表(WHOQOL-Bref)评估生活质量。通过视觉模拟评分(VAS)评估疼痛情况,并通过肖伯试验测量患者下背部的弯曲能力。
平均VAS值从基线时的3.83±1.31厘米显著降至治疗后的3.36±1.21厘米。患者报告疼痛减轻。在评估个人关系、社会支持和性活动的社会类别(15.91±2.07)以及心理健康(14.32±1.59)方面,生活质量得分最高。治疗后,大多数患者下背部的弯曲度显著增加。未发现治疗前后生活质量与疼痛强度及下背部弯曲度之间存在显著相关性。
TENS疗法是缓解腰痛患者疼痛的有效技术。TENS还可与其他腰痛治疗方法联合使用,并可能改善患者的生活质量。