Zdrodowska Beata, Leszczyńska-Filus Magdalena, Leszczyński Ryszard, Błaszczyk Jan
Społeczna Akademia Nauk w Łodzi Wydział Zamiejscowy w Kołobrzegu.
Społeczna Akademia Nauk w Łodzi Wydział Zamiejscowy w Kołobrzegu; Zakład Fizjologii Człowieka Katedry Nauk Podstawowych i Przedklinicznych Uniwersytetu Medycznego w Łodzi.
Pol Merkur Lekarski. 2015 Jan;38(223):26-31.
Increased expression of degenerative disease of the lumbar spine is an onerous task, which reduces the efficiency of the activity and life of many populations. It is the most common cause of medical visits. In 95% of cases the cause of complaints is a destructive process in the course of degenerative intervertebral disc called a lumbar disc herniation. Protrusion of the nucleus pulposus causes severe pain and impaired muscle tone, often more chronic and difficult to master. Successful treatment of lumbar disc herniation constitutes a serious interdisciplinary problem. It is important to properly planned and carried out physiotherapy. Based on the number of non-invasive methods, to reduce muscle tension, mute pain and alleviation of inflammation. It is the treatment safe, effective, and at the same time, which is their big advantage, readily available and cheap. It is worth noting that not every method has the same efficiency. The question that the methods are effective in relieving pain and helping to effectively increase the range of motion led to a comparison of two methods - Low Level Laser Therapy (LLLT) and pulsating magnetic field therapy.
The aim of the study was to compare the efficacy of LLLT and pulsating magnetic field therapy in combating pain and increase range of motion of the spine of people with degenerative spine disease of the lower back.
120 patients with diagnose lumbar disc herniation whit no nerve roots symptoms. Patients were divided into two Groups: A and B. Group A of 60 patients were subjected to laser therapy (λ=820nm, P=400mW, Ed=6-12 J/cm²) and the second Group B of 60 patients too, to pulsating magnetic fields procedures (5mT, 30 Hz, 15 minutes). Every patient before rehabilitation started and right after it has finished has undergone examination. Subjective pain assessment was carried out using a modified Laitinen questionnaire and Visual Analogue Scale of Pain intensity. Spine mobility was evaluated whit the Schober test and the Fingertip-to-floor-test. The obtained results were subjects to statistical analysis.
Research shows that both low energy laser and pulsating magnetic field physical attributes are effective methods for the treatment of pain and restricted mobility of the spine caused by disc herniation. Careful analysis emphasizes greater efficiency laser for pain. In contrast, a statistically greater improvement in global mobility of the spine, as well as flexion and extension of the lumbar recorded in group B, where the applied pulsating magnetic field.
Both laser and magnet therapy reduces pain and improves mobility of the spine of people with degenerative spine disease of the lower back. Comparison of the effectiveness of both methods showed a greater analgesic effect of laser treatment, and greater mobility of the spine was observed under the influence of pulsating magnetic field therapy.
腰椎退行性疾病的发病率上升是一项艰巨的任务，它降低了许多人群的活动效率和生活质量。这是就医的最常见原因。在95%的病例中，主诉的原因是退行性椎间盘退变过程中的破坏性病变，即腰椎间盘突出症。髓核突出会导致严重疼痛和肌肉张力受损，通常更为慢性且难以控制。成功治疗腰椎间盘突出症是一个严重的跨学科问题。正确规划和实施物理治疗很重要。基于多种非侵入性方法，可减轻肌肉紧张、缓解疼痛和减轻炎症。它是一种安全、有效且同时具有很大优势的治疗方法，容易获得且价格低廉。值得注意的是，并非每种方法都具有相同的疗效。关于这些方法在缓解疼痛和有效增加活动范围方面是否有效的问题，引发了对两种方法——低强度激光疗法（LLLT）和脉动磁场疗法的比较。
本研究的目的是比较LLLT和脉动磁场疗法在对抗下腰部退行性脊柱疾病患者的疼痛和增加脊柱活动范围方面的疗效。
120例诊断为腰椎间盘突出症且无神经根症状的患者。患者分为两组：A组和B组。A组60例患者接受激光治疗（λ = 820nm，P = 400mW，Ed = 6 - 12 J/cm²），第二组B组60例患者接受脉动磁场治疗（5mT，30Hz，15分钟）。每位患者在康复开始前和结束后均接受检查。使用改良的莱蒂宁问卷和视觉模拟疼痛强度量表进行主观疼痛评估。用肖伯试验和指尖触地试验评估脊柱活动度。对所得结果进行统计分析。
研究表明，低能量激光和脉动磁场这两种物理疗法都是治疗由椎间盘突出症引起的脊柱疼痛和活动受限的有效方法。仔细分析强调激光在缓解疼痛方面更有效。相比之下，在应用脉动磁场的B组中，脊柱的整体活动度以及腰椎的屈伸在统计学上有更大改善。
激光疗法和磁疗都能减轻下腰部退行性脊柱疾病患者的疼痛并改善脊柱活动度。两种方法有效性的比较表明激光治疗的镇痛效果更好，而在脉动磁场疗法的影响下观察到脊柱活动度有更大改善。
