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使用近红外光来管理与不宁腿综合征相关的症状。

Using near infrared light to manage symptoms associated with restless legs syndrome.

作者信息

Guffey J Stephen, Motts Susan, Barymon Deanna, Wooten Amber, Clough Tim, Payne Emily, Henderson McCall, Tice Neal

机构信息

a Department of Physical Therapy , Arkansas State University , Jonesboro , AR , USA.

b Department of Diagnostic Medical Sonography , Arkansas State University , Jonesboro , AR , USA.

出版信息

Physiother Theory Pract. 2016;32(1):34-44. doi: 10.3109/09593985.2015.1087613. Epub 2016 Jan 12.

Abstract

The purpose of this study was to determine whether the application of near infrared (NIR) light could positively modulate symptoms associated with restless legs syndrome (RLS). Twenty-one subjects with RLS were treated with NIR three times weekly for four weeks. Baseline measures of: (1) international restless legs syndrome rating scale (IRLSRS) score; (2) Semmes Weinstein monofilament (SWM) test; (3) visual analog pain scale (VAS); (4) ankle-brachial index (ABI); and (5) sonographic imaging of the popliteal and posterior tibial arteries were compared to post-treatment values. NIR (850 nm) was delivered transcutaneously at 8 J/cm(2) to four locations on each leg and the plantar surface of each foot. A pre-test-post-test one group design was employed. Baseline and post-treatment measures were compared using either a dependent t-test when data were normal or the Wilcoxon signed rank test in the absence of normality. A significant improvement in IRLSRS scores was observed. Sensation improved from less than protective in 16.6% of sites tested at the baseline to 13.4% post-intervention. There was a significant improvement in ABI scores. VAS and sonographic imaging measures other than ABI remained unchanged. The use of NIR to modulate symptoms associated with RLS was supported by the data.

摘要

本研究的目的是确定近红外(NIR)光的应用是否能积极调节与不宁腿综合征(RLS)相关的症状。21名RLS患者每周接受3次NIR治疗,共4周。比较基线测量指标:(1)国际不宁腿综合征评分量表(IRLSRS)得分;(2)Semmes Weinstein单丝(SWM)试验;(3)视觉模拟疼痛量表(VAS);(4)踝臂指数(ABI);以及(5)腘动脉和胫后动脉的超声成像与治疗后的数值。NIR(850纳米)以8焦耳/平方厘米的剂量经皮照射每条腿的四个部位和每只脚的足底表面。采用前测-后测单组设计。当数据呈正态分布时,使用配对t检验比较基线和治疗后的测量值;在数据不呈正态分布时,使用Wilcoxon符号秩检验。观察到IRLSRS得分有显著改善。感觉功能从基线时16.6%的测试部位低于保护性感觉改善到干预后为13.4%。ABI得分有显著提高。除ABI外,VAS和超声成像测量结果保持不变。数据支持使用NIR调节与RLS相关的症状。

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