Oke K I, Umebese P F A
Department of Physiotherapy, University of Benin Teaching Hospital, Benin City, Edo State, Nigeria.
Department of Orthopaedics and Traumatology, University of Benin Teaching Hospital, Benin City, Edo State, Nigeria.
West Indian Med J. 2013 Mar;62(3):205-9.
Musculoskeletal system disorders (MSDs) are amongst the most commonly encountered problems in orthopaedics and physiotherapy practice all over the world and back pain is amongst the most prevalent of musculoskeletal presentations encountered in clinical practice. The attendant deformities, huge economic loss among many other sequelae on the affected individuals have always informed the search for cost-effective treatment modalities that are non-invasive and are devoid of or at least have minimal side effects. This randomized controlled trial was conducted to assess the therapeutic efficacy of the use of a non-pharmacological device [pulsed electromagnetic field (PEMF)] modality in the treatment of back pain. A total of 16 patients (mean age: 42.82 +/- 8.63 years) with back pain without radiculopathy who met the inclusion criteria were purposively enrolled in the study. Patients were randomly assigned into two groups. Group A had eight patients treated with PEMF plus medications (analgesics, nonsteroidal anti-inflammatory - diclofenac sodium) while the eight patients in group B were treated with only standard medications. The PEMF device was applied in group A four times a day for the period the patients were admitted (maximum of nine days). Measured outcome parameters were reduction in pain as assessed with numeric pain rating scale (NPRS) and improvement in functional ability status as assessed with functional activity scale (FAS). Obtained data were analysed with paired and independent t-test to test the significant efficacy of the treatment outcomes in the two groups. There was a statistically significant faster pain relief and resumption of active functions in patients treated with PEMF plus analgesic compared with the rates exhibited by patients treated with standard analgesics alone. These results suggest that PEMF therapy is beneficial in reducing pain and disability in patients with back pain and should be made part of holistic cape for back pain. Further studies using PEMF on larger patient populations are advocated to further confirm the efficacy of PEMF therapy in back pain management.
肌肉骨骼系统疾病(MSDs)是全球骨科和物理治疗实践中最常见的问题之一,而背痛是临床实践中最普遍的肌肉骨骼症状之一。伴随而来的畸形、受影响个体的巨大经济损失以及许多其他后遗症,一直促使人们寻找具有成本效益、非侵入性且无副作用或至少副作用最小的治疗方法。本随机对照试验旨在评估使用非药物设备[脉冲电磁场(PEMF)]治疗背痛的疗效。共有16名符合纳入标准的无神经根病的背痛患者被有意纳入研究。患者被随机分为两组。A组有8名患者接受PEMF加药物治疗(镇痛药、非甾体抗炎药——双氯芬酸钠),而B组的8名患者仅接受标准药物治疗。A组患者在住院期间(最长9天)每天使用PEMF设备4次。测量的结果参数包括用数字疼痛评分量表(NPRS)评估的疼痛减轻情况以及用功能活动量表(FAS)评估的功能能力状态改善情况。获得的数据用配对t检验和独立t检验进行分析,以检验两组治疗结果的显著疗效。与仅接受标准镇痛药治疗的患者相比,接受PEMF加镇痛药治疗的患者在疼痛缓解和恢复活动功能方面具有统计学上显著更快的速度。这些结果表明,PEMF疗法有助于减轻背痛患者的疼痛和残疾,应成为背痛整体治疗方案的一部分。提倡对更多患者群体使用PEMF进行进一步研究,以进一步证实PEMF疗法在背痛管理中的疗效。
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