Nakajima Fukami, Komoda Akihiro, Aratani Satoko, Fujita Hidetoshi, Kawate Mariko, Nakatani Kou, Akiyama Masako, Makita Koshi, Nakajima Toshihiro
Daiichi Rehabilitation Hospital, Japan ; Department of Anesthesiology, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University, Japan ; Department of Locomotor Science, Institute of Medical Science, Tokyo Medical University, Japan ; Nishiogi Pain Clinic, Japan.
Daiichi Rehabilitation Hospital, Japan.
J Phys Ther Sci. 2015 Jan;27(1):209-12. doi: 10.1589/jpts.27.209. Epub 2015 Jan 9.
[Purpose] The aim of the study was to determine the effect of xenon irradiation of the stellate ganglion region on fibromyalgia. [Subjects] The study included 5 men and 22 women (age, 56.4 ± 16.3 years [range, 25-84 years]) who were diagnosed with fibromyalgia according to the modified 2010 criteria of the American College of Rheumatology between July and August 2013. [Methods] Bilateral xenon light irradiation (0.38-1.1 μm) around the stellate ganglion was performed in the supine position by physical therapists using a xenon phototherapy device. We evaluated pain before and after irradiation using the visual analogue scale. [Results] We did not observe a relationship between the change in the visual analogue scale score and duration of fibromyalgia. However, we observed a relationship between the change in the visual analogue scale score and the score for the Japanese version of the Fibromyalgia Impact Questionnaire using the Cochran-Armitage test for trend. [Conclusion] Xenon light irradiation of the stellate ganglion significantly decreased the visual analogue scale score in patients with fibromyalgia having a higher score in the Fibromyalgia Impact Questionnaire, suggesting that a stronger effect could be obtained in patients with more severe fibromyalgia.
[目的]本研究旨在确定星状神经节区域氙光照射对纤维肌痛的影响。[对象]本研究纳入了5名男性和22名女性(年龄56.4±16.3岁[范围25 - 84岁]),这些患者根据2010年美国风湿病学会修订标准于2013年7月至8月期间被诊断为纤维肌痛。[方法]由物理治疗师使用氙光治疗设备,让患者仰卧位接受双侧星状神经节周围的氙光照射(0.38 - 1.1μm)。我们使用视觉模拟量表评估照射前后的疼痛情况。[结果]我们未观察到视觉模拟量表评分变化与纤维肌痛病程之间的关系。然而,使用 Cochr an - Armitage趋势检验,我们观察到视觉模拟量表评分变化与纤维肌痛影响问卷日本版评分之间的关系。[结论]星状神经节氙光照射显著降低了纤维肌痛影响问卷得分较高的纤维肌痛患者的视觉模拟量表评分,这表明在纤维肌痛更严重的患者中可能会获得更强的效果。