Bittar Roseli, Alves Nédison Gomes Paim, Bertoldo César, Brugnera Cibele, Oiticica Jeanne
Department of Otorhinolaryngology, Universidade de São Paulo, São Paulo, SP, Brazil.
Int Arch Otorhinolaryngol. 2017 Jan;21(1):4-7. doi: 10.1055/s-0036-1592418. Epub 2016 Oct 26.
Cervical pain contributes to postural deviations and imbalance. Nanotechnology may be used for the treatment of neck pain by fixing to the skin small rounds silicone patches containing double spiral carbon nanotubes arranged in the form of a coil (Helical), which would then relieve dizziness caused by muscular contraction. The objective of this study is to Evaluate pain and dizziness scores before and after Helical patches effect on cervicogenic dizziness treatment. The selected patients should have neck pain arising from muscle contraction with loss of balance or instability lasting more than 90 days and normal electrooculography. Treatment consisted of placing 10 Helical patches distributed as follows: two in the upper cervical area, two in the lower cervical area (near the 5 and 6 vertebrae), two in the upper trapezius muscle area (between neck and shoulder), and four in the tender point area (as reported by the patient). Using a Visual Analogue Scale (VAS), we matched pain and dizziness scores from Day 1 to those from Day 15 and Day 30 using Mann-Whitney test. There was a significant difference between pain score reported on Day 1 and Day 15 (Z = 2.43, U = 5, = 0.01). We also found significant differences between dizziness scores reported on days 1 and 15 (Z = 2.62, U = 3.5, = 0.01) and days 1 and 30 (Z = 2.36, U = 5.5, = 0.01). The Helical patches seem to be an effective treatment for cervicogenic dizziness.
颈部疼痛会导致姿势偏差和失衡。纳米技术可用于治疗颈部疼痛,方法是将含有呈螺旋状排列的双螺旋碳纳米管的小圆形硅胶贴片贴在皮肤上,这将缓解肌肉收缩引起的头晕。本研究的目的是评估螺旋贴片对颈源性头晕治疗前后的疼痛和头晕评分。入选患者应因肌肉收缩引起颈部疼痛,伴有平衡丧失或不稳定持续超过90天,且眼电图正常。治疗方法是放置10个螺旋贴片,分布如下:两个在上颈部区域,两个在下颈部区域(靠近第5和第6颈椎),两个在上斜方肌区域(颈部和肩部之间),四个在压痛点区域(由患者报告)。使用视觉模拟量表(VAS),我们使用曼-惠特尼检验将第1天的疼痛和头晕评分与第15天和第30天的评分进行匹配。第1天和第15天报告的疼痛评分之间存在显著差异(Z = 2.43,U = 5,P = 0.01)。我们还发现第1天和第15天(Z = 2.62,U = 3.5,P = 0.01)以及第1天和第30天(Z = 2.36,U = 5.5,P = 0.01)报告的头晕评分之间存在显著差异。螺旋贴片似乎是治疗颈源性头晕的有效方法。