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红外激光疗法对治疗和未治疗的触发点的影响。

Effects of the infrared laser therapy at treated and non-treated trigger points.

作者信息

Olavi A, Pekka R, Pertti K, Pekka P

机构信息

Department of Physical Medicine and Rehabilitation, University Central Hospital, Kuopio, Finland.

出版信息

Acupunct Electrother Res. 1989;14(1):9-14. doi: 10.3727/036012989816358560.

Abstract

For reliability of the pain threshold measurement there were measured first 390 trigger points of 22 healthy students twice at each point. The reliability of two different measurements was found to be perfect. Infrared (904 nm) laser therapy was compared to placebo laser at the trigger points. Our study tested eighteen patients (11 men and 7 women), with 31 active trigger points in the muscles of the infraspinatus, extensor carpi radialis, levator scapulae, trapezius and tibialis anterior. Trigger points were randomly managed by infrared laser (dose 1.5J/point and place laser. The study was carried out by double-blind and cross-over principle. The responses of the management were documented by the pain threshold meter measurements of these trigger points before and after the treatments, and then fifteen minutes later. The trigger points of the other side of the body were also measured from the same muscles. In the results there were observed highly significant changes between the laser and placebo groups immediately after the treatment, 0.97 (SE 0.16) kg/cm2 (p less than 0.001). The differences between these two treatments were greater after fifteen minutes of the therapy--1.87 (SE 0.30) kg/cm2 (p less than 0.001). At the non-treated trigger points, the significant increase of the values was seen after fifteen minutes (p less than 0.05). Our research study results suggest that infrared laser had an effect at the trigger points and that the treatment significantly increased the pain threshold.

摘要

为确保疼痛阈值测量的可靠性,首先对22名健康学生的390个触发点进行了测量,每个点测量两次。结果发现两种不同测量方法的可靠性极佳。将红外(904纳米)激光疗法与触发点处的安慰剂激光进行了比较。我们的研究对18名患者(11名男性和7名女性)进行了测试,他们的冈下肌、桡侧腕伸肌、肩胛提肌、斜方肌和胫骨前肌中有31个活跃触发点。触发点随机接受红外激光(剂量为1.5焦耳/点)和安慰剂激光治疗。该研究按照双盲和交叉原则进行。通过在治疗前后以及治疗后15分钟用疼痛阈值仪测量这些触发点来记录治疗反应。还对身体另一侧相同肌肉的触发点进行了测量。结果显示,治疗后立即在激光组和安慰剂组之间观察到高度显著的变化,为0.97(标准误0.16)千克/平方厘米(p小于0.001)。治疗15分钟后,这两种治疗方法之间的差异更大——为1.87(标准误0.30)千克/平方厘米(p小于0.001)。在未治疗的触发点,15分钟后数值有显著增加(p小于0.05)。我们的研究结果表明,红外激光对触发点有作用,且该治疗显著提高了疼痛阈值。

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