Durmus Dilek, Ulus Yasemin, Alayli Gamze, Akyol Yeşim, Bilgici Ayhan, Yazicioglu Kamil, Kuru Omer
Department of Physical Medicine and Rehabilitation, Medical Faculty, Ondokuz Mayis University, Samsun, Turkey.
Department of Physical Medicine and Rehabilitation, Gülhane Military Medical Academy, Turkish Armed Forces Rehabilitation Center, Ankara, Turkey.
J Back Musculoskelet Rehabil. 2014;27(4):435-43. doi: 10.3233/BMR-140464.
The aim of this trial was to investigate the effect of therapeutic microwave diathermy (MD) on pain, disability, trunk muscle strength, walking performance, mobility, quality of life (QOL), and depression in the patients with chronic low back pain (CLBP).
A total of 39 patients were included in this study. The patients were randomized into two groups. Group 1 (n=19) received MD treatment and exercises. Group 2 (n=20) was given only exercises. The pain (visual analog scale), disability (Oswestry Disability Questionnaire and pain disability index), walking performance (6 minute walking test, 6MWT), depression and QOL (Short Form 36) of all participants were evaluated. Patients were assessed before treatment (BT), after treatment (AT), and at a 1-month follow-up (F).
The patients with CLBP in each group had significant improvements in pain, disability, muscle strength, endurance, 6MWT, mobility, QOL, and depression AT and F when compared with their initial status. There was no statistically significant difference between the groups regarding the change scores between AT-BT test and F-BT test.
Since a 2,450-MHz MD showed no beneficial effects on clinical parameters, exercise program could be preferable for the treatment of patients with CLBP alone.
本试验旨在研究治疗性微波透热疗法（MD）对慢性下腰痛（CLBP）患者的疼痛、功能障碍、躯干肌肉力量、步行能力、活动能力、生活质量（QOL）和抑郁的影响。
本研究共纳入39例患者。患者被随机分为两组。第1组（n = 19）接受MD治疗和锻炼。第2组（n = 20）仅进行锻炼。评估所有参与者的疼痛（视觉模拟量表）、功能障碍（奥斯威斯利功能障碍问卷和疼痛功能障碍指数）、步行能力（6分钟步行试验，6MWT）、抑郁和生活质量（简短形式36）。在治疗前（BT）、治疗后（AT）和1个月随访时（F）对患者进行评估。
与初始状态相比，每组CLBP患者在AT和F时的疼痛、功能障碍、肌肉力量、耐力、6MWT、活动能力、生活质量和抑郁均有显著改善。两组在AT - BT试验和F - BT试验的变化分数方面无统计学显著差异。
由于2450 MHz的MD对临床参数无有益影响，单独使用运动方案可能更适合治疗CLBP患者。
