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短期单色红外能量疗法治疗膝骨关节炎患者的疗效:一项双盲、随机、安慰剂对照研究。

Therapeutic effects of short-term monochromatic infrared energy therapy on patients with knee osteoarthritis: a double-blind, randomized, placebo-controlled study.

机构信息

Department of Physical Medicine and Rehabilitation, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.

出版信息

J Orthop Sports Phys Ther. 2012 Nov;42(11):947-56. doi: 10.2519/jospt.2012.3881. Epub 2012 Sep 5.

Abstract

STUDY DESIGN

Randomized, double-blind, placebo-controlled study.

OBJECTIVES

To examine the short-term therapeutic effects of monochromatic infrared energy (MIRE) on participants with knee osteoarthritis (OA). Patients were assessed according to the International Classification of Functioning, Disability and Health.

BACKGROUND

MIRE is commonly used in therapy for patients with peripheral neuropathies. However, research has not focused intensively on the therapeutic effects of MIRE in patients with knee OA.

METHODS

This study enrolled 73 participants with knee OA. Participants received six 40-minute sessions of active or placebo MIRE treatment (890-nm wavelength; power, 6.24 W; energy density, 2.08 J/cm2/min; total energy, 83.2 J/cm2) over the knee joints for 2 weeks. International Classification of Functioning, Disability and Health-related outcomes were collected weekly over 4 weeks using the Knee injury and Osteoarthritis Outcome Score, Lysholm Knee Scale, Hospital Anxiety and Depression Scale, Multidimensional Fatigue Inventory, Chronic Pain Grade questionnaire, World Health Organization Quality of Life-brief version, and OA Quality of Life Questionnaire. Data were analyzed by repeated-measures analysis of variance.

RESULTS

No statistically significant differences were found for the interaction of group by time for Knee injury and Osteoarthritis Outcome Score scores, including pain, other symptoms, function in daily living, function in sport and recreation, and knee-related quality of life. Scores on the Lysholm Knee Scale, Hospital Anxiety and Depression Scale, Multidimensional Fatigue Inventory, Chronic Pain Grade questionnaire, World Health Organization Quality of Life-brief version, and OA Quality of Life Questionnaire also showed no significant differences between the 2 groups at any of the 4 follow-up assessments.

CONCLUSION

Short-term MIRE therapy provided no beneficial effects to body functions, activities, participation, and quality of life in patients with knee OA.

摘要

研究设计

随机、双盲、安慰剂对照研究。

目的

研究单色红外能量(MIRE)对膝骨关节炎(OA)患者的短期治疗效果。患者根据国际功能、残疾和健康分类进行评估。

背景

MIRE 常用于治疗周围神经病变患者。然而,研究并未集中关注 MIRE 对膝 OA 患者的治疗效果。

方法

本研究纳入 73 例膝 OA 患者。参与者接受为期 2 周的 6 次 40 分钟的主动或安慰剂 MIRE 治疗(890nm 波长;功率 6.24W;能量密度 2.08J/cm2/min;总能量 83.2J/cm2)。在 4 周内每周使用膝关节损伤和骨关节炎结果评分(Knee injury and Osteoarthritis Outcome Score,KOOS)、Lysholm 膝关节量表、医院焦虑抑郁量表、多维疲劳量表、慢性疼痛分级问卷、世界卫生组织生活质量简表和骨关节炎生活质量问卷(Osteoarthritis Quality of Life Questionnaire,OQOL)收集国际功能、残疾和健康相关结局。采用重复测量方差分析进行数据分析。

结果

在 KOOS 评分的组间时间交互作用方面,包括疼痛、其他症状、日常生活功能、运动和娱乐功能以及膝关节相关生活质量,没有发现统计学上的显著差异。Lysholm 膝关节量表、医院焦虑抑郁量表、多维疲劳量表、慢性疼痛分级问卷、世界卫生组织生活质量简表和 OQOL 评分也没有显示两组在 4 次随访中的任何一次有显著差异。

结论

短期 MIRE 治疗对膝 OA 患者的身体功能、活动、参与和生活质量没有有益的影响。

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