慢性下腰痛的单色红外光能量疗法与低强度激光疗法对比研究
Monochromatic Infrared Photo Energy Versus Low Level Laser Therapy in Chronic Low Back Pain.
作者信息
Ammar Tarek Abdel Rahman Ali
机构信息
Department of Basic Science, Faculty of Physical Therapy, Cairo University, Cairo, Egypt.
出版信息
J Lasers Med Sci. 2015 Fall;6(4):157-61. doi: 10.15171/jlms.2015.11. Epub 2015 Oct 27.
INTRODUCTION
Low back pain (LBP) is the most common musculoskeletal disease. Monochromatic infrared photo energy (MIPE) and low level laser therapy (LLLT) are light modalities used to reduce pain and increase blood flow. The aim of this study was to compare the effects of the MIPE and LLLT in reducing functional disability and pain as well as improving lumbar range of motion (ROM) in patients with chronic LBP.
METHODS
Seventy participants with LBP completed the program and were randomly assigned into 2 groups. Group 1 (n = 35) received MIPE and therapeutic exercises. Group 2 (n = 35) received LLLT and therapeutic exercises. Both groups received 2 visits per week for 6 weeks. Outcome measures were functional rating index (FRI), visual analogue scale (VAS) and modified-modified Schober test at baseline and after 6 weeks.
RESULTS
There were statistically significant improvements in functional disability, pain and lumbar ROM (P < .05) in each group. However, no significant differences were recorded between the groups (P > .05).
CONCLUSION
Therefore, MIPE and LLLT may play a role in treating chronic LBP and there are no differences between the two modalities in improving functional disability, pain and lumbar ROM in patients with chronic LBP.
引言
腰痛（LBP）是最常见的肌肉骨骼疾病。单色红外光能量（MIPE）和低强度激光疗法（LLLT）是用于减轻疼痛和增加血流量的光疗法。本研究的目的是比较MIPE和LLLT在减少慢性腰痛患者功能障碍和疼痛以及改善腰椎活动范围（ROM）方面的效果。
方法
70名腰痛患者完成了该项目，并被随机分为2组。第1组（n = 35）接受MIPE和治疗性锻炼。第2组（n = 35）接受LLLT和治疗性锻炼。两组均每周接受2次治疗，共6周。在基线和6周后，采用功能评定指数（FRI）、视觉模拟评分法（VAS）和改良的Schober试验作为疗效指标。
结果
每组患者的功能障碍、疼痛和腰椎ROM均有统计学意义的改善（P < 0.05）。然而，两组之间没有显著差异（P > 0.05）。
结论
因此，MIPE和LLLT可能在治疗慢性腰痛中发挥作用，在改善慢性腰痛患者的功能障碍、疼痛和腰椎ROM方面，这两种疗法之间没有差异。
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